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[老年神经症性障碍的心理治疗:通往生活的新大门]

[Psychotherapy of neurotic disorders in older adults: a new doorway to life].

作者信息

Wertheimer J, Lobrinus A

出版信息

Z Gerontol. 1981 Jan-Feb;14(1):22-33.

PMID:7222912
Abstract

The general concept of neurosis in old age includes the classical forms as well as the ones specific to this particular community and, also, the reactions to social circumstances. This point of view practically covers the greatest part of the behavior that the ones we call "elders" usually show and almost drives us to give a psychological definition of this state. Etiology of these disorders is plural. It involves the role of the emotional past, of the medicosocial implications of ageing, especially regarding affectivity. Psychotherapeutic intervention needs a great pliancy allowing to interfere both on the pragmatic and the interpretative levels. The freudian prejudice build up on the impediment of psycho-affective rigidity hides the unconscious fears of the therapist towards his own old age as well as the fear of being questioned about his efficiency. A restriction in the means as well as in the therapeutic ambition is not underrating but rather valorizing his action in which he must show self-control and suppleness. This psychotherapy must catalyze the energy that the elderly displays in his quest of unity. It trends to give back the individual an unlimited opening on life.

摘要

老年神经症的总体概念包括经典形式、特定于该特定群体的形式以及对社会环境的反应。这种观点实际上涵盖了我们所谓“老年人”通常表现出的大部分行为,几乎促使我们对这种状态给出心理学定义。这些障碍的病因是多方面的。它涉及情感过往的作用、衰老的医学社会影响,尤其是在情感方面。心理治疗干预需要很大的灵活性,以便在务实和解释层面进行干预。基于心理情感僵化障碍形成的弗洛伊德式偏见,掩盖了治疗师对自身老年的无意识恐惧以及对其效率受到质疑的恐惧。在手段和治疗目标上的限制并非贬低而是提升他的行动价值,在这一行动中他必须表现出自我控制和灵活性。这种心理治疗必须激发老年人在追求统一性过程中展现出的能量。它倾向于让个体重新获得对生活的无限开放态度。

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