Sadavoy J
Department of Psychiatry, Mount Sinai Hospital, Toronto, Ontario.
Can J Psychiatry. 1994 Oct;39(8 Suppl 1):S19-26. doi: 10.1177/070674379403908s04.
The complexity of interacting variables in the geriatric patient imposes the therapeutic necessity to employ all effective therapeutic modalities in an interactive and integrated fashion. This paper examines the efficacy data on brief and longer term therapies as applied to the elderly, most particularly for treatment of depression and bereavement. In determining the development of an integrated psychotherapy treatment plan, the author suggests a decision pathway which incorporates concurrent utilization of theoretical principles derived from psychodynamic, interpersonal and cognitive behavioural theory. This tripartite approach informs the assessment and diagnosis of the patient as well as the specific choice of therapy. Directions for further research are suggested.
老年患者中相互作用变量的复杂性使得有必要以互动和综合的方式采用所有有效的治疗方法。本文探讨了短期和长期治疗应用于老年人的疗效数据，尤其是用于治疗抑郁症和丧亲之痛。在确定综合心理治疗计划的制定时，作者提出了一条决策途径，该途径结合了同时运用从精神动力学、人际和认知行为理论中得出的理论原则。这种三方方法为患者的评估和诊断以及具体的治疗选择提供了依据。文中还提出了进一步研究的方向。
