Wächtler C
Schwerpunktpraxis seelische Störungen im Alter, Droste-Hülshoff-Str. 11, 22609, Hamburg, Deutschland.
Z Gerontol Geriatr. 2013 Feb;46(2):120-6. doi: 10.1007/s00391-012-0469-1.
Depression in old age is common and also dangerous due to somatic comorbidity and suicide; however, it is often not recognized and not adequately treated. Psychotherapy is almost never offered to the elderly. However, clinical experience, single-case studies and some controlled trials show effectiveness--at least to the age of 75. The psychotherapist must be aware of unusual transference and countertransference between a younger therapist and elderly patient. Psychotherapy in old age requires some modifications, especially concerning special interest in biography and history, strong empathy, "container function", and focusing. In the future, psychotherapy for the elderly should be both investigated and educated more. In addition, it is hoped that psychotherapists offer to treat elderly people with depression and that more older patients accept this professional help.
老年抑郁症很常见，且由于躯体共病和自杀问题而具有危险性；然而，它常常未被识别且未得到充分治疗。心理治疗几乎从未提供给老年人。不过，临床经验、单病例研究和一些对照试验表明其有效——至少对75岁以下的老年人有效。心理治疗师必须意识到年轻治疗师与老年患者之间不同寻常的移情和反移情。老年心理治疗需要一些调整，特别是在对个人经历和历史的特殊兴趣、强烈的同理心、“容纳功能”以及聚焦方面。未来，应该对老年心理治疗进行更多的研究和教育。此外，希望心理治疗师愿意治疗老年抑郁症患者，并且有更多老年患者接受这种专业帮助。
