Goldstein S, Preston J
Can Med Assoc J. 1984 Jun 15;130(12):1551-3.
Little attention has been paid to marital therapy for the elderly in spite of its relevance to morale and emotional problems. Physical illness is of particular significance in altering the dynamics of the marital relationship. Retirement and financial problems, as well as changes in sexual activity and gender roles, are also important. However, radical changes in patterns of behaviour cannot be expected. Therapeutic techniques must be altered for this age group, and the therapist must be active, giving and concretely helpful. As with therapy for younger couples, children may need to be involved in the therapy sessions. Family physicians should be a main source of help for marital problems among the elderly. However, because problems related to countertransference must be faced, working with the elderly will not be for everyone.
尽管婚姻治疗与老年人的士气和情感问题相关,但人们对老年婚姻治疗的关注却很少。身体疾病在改变婚姻关系的动态方面具有特别重要的意义。退休和经济问题,以及性活动和性别角色的变化也很重要。然而,行为模式的根本改变是不可预期的。针对这个年龄组,治疗技术必须加以调整,治疗师必须积极主动、乐于奉献并切实提供帮助。与年轻夫妇的治疗一样,儿童可能需要参与治疗过程。家庭医生应该是老年人婚姻问题的主要帮助来源。然而,由于必须面对与反移情相关的问题,并非每个人都适合从事老年患者的治疗工作。