Miller M D
Benedum Geriatric Clinic, University of Pittsburgh, PA 15213.
J Geriatr Psychiatry Neurol. 1989 Jan-Mar;2(1):11-7. doi: 10.1177/089198878900200103.
Demented patients are not usually thought of as candidates for psychotherapy due to their impaired memory, general intellectual decline, and waning ability to use insight. Families often accede to this view by perceiving their dementing relatives as unable to handle emotion-laden issues. This paper will illustrate with clinical examples that many dementing patients can benefit from psychotherapy. Practical suggestions will be outlined for integrating a psychotherapeutic approach into the management of dementia patients and their caregiving family members. The format of this paper will begin with suggested techniques for the initial interview, followed by separate consideration of psychotherapy issues in dementing patients and in caregiving family members.
由于痴呆患者存在记忆受损、整体智力衰退以及洞察能力逐渐减弱的情况，他们通常不被视为心理治疗的对象。家属们往往也认同这种观点，认为他们患痴呆症的亲人无法处理充满情感的问题。本文将通过临床实例说明，许多痴呆患者能够从心理治疗中获益。文中将概述一些实用建议，以便将心理治疗方法融入痴呆患者及其照料家属的管理中。本文的结构将首先提出初次访谈的建议技巧，随后分别探讨痴呆患者和照料家属的心理治疗问题。
