Trauma Among Older Adults presents an integrative model of treatment that considers current theories of treatment in light of special considerations relating to elderly patients. The book provides case studies, vignettes, and discussions, and demonstrates the importance of considering the personality, memory, and familial history of an elderly individual who has suffered a trauma.
Table of Contents
Preface, Aging and Trauma: Good Enough Understanding of Age, "Good Enough" Understanding of Trauma, Moderating Variables of Trauma in the Aging Person, Older People in Need of Help, Conclusion. PTSD in the Context of Aging: Prevalence of PTSD, PTSD's Historical Roots: Military Combat, What is PTSD? Oh, Well, What's in a Diagnosis? Theories of PTSD, Other Influences of Trauma, Special Problems, Conclusion. Life Story of the Aging Person: Two Faces of Aging, Life Story, Conclusion. Person and Memory: Memory Overall, Autobiographical Memory and Decline, Facts of the Aging Memory, Core Memory, Internal Organization, Schemas Personality Memories, Conclusion. Treatment: PTSD and Beyond: Overall Treatment, PTSD Treatment, Information Processing, Old Folks and Rx, Conclusion. Key Ingredients to Psychotherapy: Dosed Exposure, Goals, Relationship, Relaxation, Assimilation, Emotion: Keeping in the Zone, Presentness Power, The Marker/Reflexiveness, Integration, Little and Big Stuff, Conclusion. Treatment Model: Early Stages: Integration. Stage 1: Stabilize the Client. Stage 2: Relationship. Stage 3: Balance. Conclusion. Personality: Stage 4: Personality: PTSD and Personality. Aging and Personality. Theoretical Directions. Conclusion. Core Memory: The "Good" Memory: Narrative Perspective. Assessment of Memory. The Good Memory: PCM. Principles for PCM. Last Resort. Special Case: Constructivism. Conclusion. The Trauma Memory: The "Bad" Memory: Extant Models. Aging and the "Bad" Memory. The Trauma Memory. Aftercare and Relapse Prevention. Necessary Treatment: Family. Conclusion. Grief Work and Forgiveness in the Context of PTSD: The Self. Grief Constructs. Growth in Grief. Treatment Model. Forgiveness: The Special Ingredient of Grief Therapy. A Caution. Conclusion. Using Assessment Data to Inform the Treatment Plan: Overall Considerations. Ideographic Formulation. The Players. Measures of Comorbid Issues. Conclusion. References. Appendix A: Cognitive Behavioral Therapy: Application. Appendix B: Treatment Rules for Axis II. Appendix C: EMDR Relaxation Procedure. Index
"... this book fills a gaping hole in the field... The ideas are very much mainstream, but they are also cutting edge and articulated very clearly. The emphasis on personality and individual differences is much needed, especially as applied to people who have lived with the disorder for years and years." -- Don R. Catherall, Ph.D., Northwestern University Medical School
"The elderly are often isolated by age and social biases, and this lends itself to increased trauma, violence and neglect. Until recent years we have not even had resources and laws/procedures to report elderly abuse, having to rely on the language and format of child abuse while making appropriate adjustments for age and circumstance. Experts in domestic violence cite rapidly growing numbers of victims among the elderly, often in long-term marriages." -- The World Pastoral Care Center
"This is the definitive work on PTSD with the aged. What makes this book so praiseworthy is a combination of clarity, extensiveness, and insight. By insight, I mean that the authors know when to lay out the full range of accepted diagnostic and therapeutic procedures, and when to admit the limitations of what is currently accepted. What is especially refreshing here is the discernment and decision making: looking at the patient's personality and situation in order to decide what kind of treatment approach to use." -- Clinical Gerontologist, Volume 24, No. 4
"This book is both a useful and necessary book in an increasingly ageist society, that ironically refuses to age!
I welcome this book as I welcome anything that informs my practice as a Psychologist/Counselor or Psychoterapist, whichever 'hat' I am wearing." -- The Irish Psychologist, Volume 31, No. 1