Counselling Older Clients
Publication Year: 2003
`This is a warm, compassionate, wise book, the crystallization of Anne Orbach's many years experience of psychotherapy and counselling with the elderly people. It opens up many vistas, questions and creative possibilities for work in this field' - British Journal of Psychotherapy `Counselling Older Clients is a handbook for practitioners, trainers and student counsellors who are interested in the experience of ageing and old age. The book offers a good beginning and a functional training tool for practitioners new to the field' - Ageing and Society `This book is wise for its years! Offers so much to all of us - not just those of us working with the `elderly' There is something to delight, inform and challenge everyone' - Quality in Ageing `…. invaluable ...
- Front Matter
- Back Matter
- Subject Index
- Chapter 1: Age Affirmative Practice
- Chapter 2: Counsellors, Clients and Settings
- Chapter 3: Theory and Practice
- Chapter 4: Time-Limited or Open-Ended: Beginning and Ending
- Chapter 5: The Use and Value of Stories
- Chapter 6: Obstacles to Change: Avoidance, Resistance and Other Factors
- Chapter 7: Working with Difference
- Chapter 8: Relationships and Withdrawal
- Chapter 9: Loss: Retirement, Bereavement and Diminishment
- Chapter 10: Facing Death
- Chapter 11: How do We Evaluate Counselling?
- Chapter 12: Some Useful Exercises
©Ann Orbach, 2003
First published 2003
Apart from any fair dealing for the purposes of research or private study, or criticism or review, as permitted under the Copyright, Designs and Patents Act, 1988, this publication may be reproduced, stored or transmitted in any form, or by any means, only with the prior permission in writing of the publishers, or in the case of reprographic reproduction, in accordance with the terms of licences issued by the Copyright Licensing Agency. Enquiries concerning reproduction outside those terms should be sent to the publishers.
SAGE Publications Ltd
6 Bonhill Street
London EC2A 4PU
SAGE Publications Inc.
2455 Teller Road
Thousand Oaks, California 91320
SAGE Publications India Pvt Ltd
B-42, Panchsheel Enclave
Post Box 4109
New Delhi 100 017
British Library Cataloguing in Publication data
A catalogue record for this book is available from the British Library
ISBN 0 7619 6405 3
ISBN 0 7619 6406 1 (pbk)
Library of Congress Control Number: 2003102952
Typeset by C&M Digitals (P) Ltd., Chennai, India
Printed and bound in Great Britain by Athenaeum Press, Gateshead
[Page v]‘Old age hath yet his honour and his toil’ Tennyson[Page vi]
Some Suggestions for Further Reading[Page 124]On Old AgeFor an exhaustive study of how it feels to be old and how society has treated its senior citizens, I recommend Simone de Beauvoir'sOld Age, (1970, London: Penguin).Betty Friedan'sThe Fountain of Age (1993, London: Jonathan Cape) gives a more up-to-date American view.Images of Ageing: Cultural Representations in Later Life (1985, London and New York: Routledge).andOn DeathJohn Hinton's standard work Dying (first published in 1967, and republished in 1990; London: Penguin) gives a medical view, as does Sherwin Nuland'sHow We Die (1994, London: Chatto & Windus), with its clearly defined descriptions of death.On Death and Dying (1970, London: Tavistock) has become a standard textbook in the helping professions.The Denial of Death (1973, New York: The New Press) gives a post-Freudian study of the psychology of death.Life, Psychotherapy and Death (1999, London: Jessica Kingsley).Counselling Older PeopleI include D.P. McAdam'sThe Stories We Live By: Personal Myths and the Making of the Self (1993, London and New York: Guilford Press) as a useful introduction to narrative therapy, even though not written particularly with older people in mind.Not too Late: Psychotherapy and Ageing (1996, London: Jessica Kingsley) gives a psychodynamic study of therapy with older people.Counselling Older People: A Creative Response to Ageing (1994, London: Edward Arnold), and also his Bereavement and Grief: Supporting Older People through Loss (1995, London: Edward Arnold).Counselling the Elderly and their Carers (1997, London: Macmillan) is an interesting account of working as psychologist and counsellor in a geriatric hospital.Working with Ethnic Minority EldersCaring for Ethnic Minority Elders: A Guide (1998, Age Concern: England) is an excellent introduction to the subject.
References[Page 125]1977) The Natural Death Handbook. London, Sydney, Auckland, Johannesburg: Rider., and (1998) Caring for Ethnic Minority Elders: A Guide. London: Age Concern.(1997) A Life Worth Living: Practical Strategies for Reducing Depression in Older Adults. London, Toronto, Sydney: Health Education Press.and (1976) Cognitive Therapy and Emotional Disorders. Harmondsworth: Penguin.(1973) The Denial of Death. New York: Macmillan.(1998) Counselling Work with Older People: A Report on Behalf of Age Concern England's Activ/Age Unit. London: Age Concern.and (1969) Attachment and Loss, Vol. 1: Attachment. New York: Basic Books.(1980) Attachment and Loss: Loss, Sadness and Depression. London: Hogarth Press.(1995) Social and Legal Context of Counselling. Diploma in Independent Professional Counselling. West Sussex: Institute of Higher Education.(1970) I and Thou. Edinburgh: T & T Clark.(1998) Psychotherapy and Primary Health Care: Assessment for Brief or Longer Term Treatment. Chichester: Wiley.(1963) ‘The Life Review: An Interpretation of Reminiscence in Ageing’, Psychiatry, 26: 67-75.(1975) ‘The Elderly: An Overview’, American Journal of Psychiatry: 132.(1974) ‘Life Review Therapy’, Geriatrics: 65-75.and (1993) Being Your Age: Pastoral Care for Older People. London: SPCK.and (1985) On Learning from the Patient. London, New York: Tavistock.(1997) Older People's Sadness. London: Counsel and Care.and (1977) A Good Age. London: Michael Beazley.(1994) Being Cared For: A Discussion Document About Old People With Depression Living at Home. London: Counsel and Care.and (1961) The Process of Disengagement. New York: Basic Books.and (1980) Short-Term Psychodynamic Psychotherapy. New York: Jason Aronson.(1962) Cognitive Therapy and Emotional Disorders. Harmondsworth: Penguin.(1959) ‘Identity and the Life-Cycle’, Psychological Issues, Monograph 1.(1974) Childhood and Society. Harmondsworth: Penguin.(2000) Narrative Approaches to Working with Adult Survivors of Child Sexual Abuse: the Client's, the Counsellor's and the Researcher's Story. London: Jessica Kingsley.(2001) ‘Writing Qualitative Research: a Gathering of Selves’, Counselling Psychotherapy Research, 1 (2): 119-25. http://dx.doi.org/10.1080/14733140112331385158([Page 126]1985) Images of Ageing: Cultural Representations of Later Life. London and New York: Routledge.and (1993) ‘Psychoanalytic and Empirical Approach to Developmental Psychology: Can They be Usefully Integrated?’ Journal of the Royal Society of Medicine, 86: 577-81.(1996) ‘Psychoanalysis and Attachment Theory’, in J.Cassidy and P.Shaver (eds), Handbook of Attachment. London: Guildford.(1987) Man's Search for Meaning. London: Hodder & Stroughton.(1895) ‘Psychotherapy of Hysteria’, in S.Freud and J.Breuer (1974) Studies in Hysteria. Harmondsworth: Penguin.(1974) Studies in Hysteria. Harmondsworth: Penguin.and (1993) The Fountain of Age. London: Jonathan Cape.(1999) ‘Problem-Oriented Sessions: Presentation of a Method for Therapeutic Work in a Narrow Frame’, Psychodynamic Counselling, 5 (4): 465-81. http://dx.doi.org/10.1080/13533339908404984, , (1998) Based National Populations Projection. London: Government Actuary's Department.(1999) Turning Your Back on Us: Older People in the NHS. London: Age Concern.(1984) Living with Dementia: Community Care of the Elderly Mentally Infirm. Beckenham, Kent and Surrey Hills; NSW, Australia: Croom Helm.(1995) ‘Cognitive Narrative Psychotherapy: the Hermeneutic Construction of Alternative Meanings’, in M.J.Mahoney (ed.), Cognitive and Constructive Psychotherapies: Theory, Research and Practice. New York: Springer. pp. 139-62.(1974) The Technique and Practice of Psychoanalysis. London: Hogarth.(1999) ‘The Place of Therapy in Training’, Psychodynamic Counselling, 5 (1): 123. http://dx.doi.org/10.1080/13533339908404195(1993) ‘Reminiscence and Life Review: Explaining the Difference’, Archives of Psychiatric Nursing, 7: 91-8. http://dx.doi.org/10.1016/S0883-9417%2809%2990007-3and (1991) Patterns of Dreaming: Jungian Techniques in Theory and Practice. Boston and London: Shambola.(1953) The Go Between. London: Hamish Hamilton.(1975) Cultural Anthropology. New York: Holt, Rinehart & Winston.(1989) Supervision in the Helping Professions: An Individual and Organisational Approach. Milton Keynes: Open University Press.and (1993) ‘Effects of Training in Time-Limited Dynamic Psychotherapy: Changes in Therapist Behaviour’, Journal of Constructive Clinical Psychology, 61: 434-40. http://dx.doi.org/10.1037/0022-006X.61.3.434, , , and (1990) Dying. Harmondsworth: Penguin. (First published 1967).(2000) ‘Attachment Theory and Psychoanalysis: A Rapprochement’, British Jounal of Psychotherapy, 7 (2): 157-72. http://dx.doi.org/10.1111/bjp.2000.17.issue-2(2001) Trauma Among Older People: Issues and Treatment. Philadelphia, Hove: Brunner-Routledge.and (1982) Still Small Voice: An Introduction to Pastoral Counselling. London: SPCK.(1994) ‘Family Estrangement: Parents and Children who “Lose Touch”‘, Journal of Family Therapy, 16 (3). http://dx.doi.org/10.1111/j.1467-6427.1994.00793.x(1967) Memories, Dreams, Reflections. London: Fontana.(1990) Symbols of Transformation, CW5. London: Routledge.(1977) The Structure and Dynamics of the Psyche, CW8. London: Routledge.([Page 127]1955) The Psychology of Personal Constructs, Vol. 1 & 2. New York: Norton.(1994) Please Give Me Back My Personality: Writing and Dementia. Stirling: University of Stirling.(1978) ‘The Disorders of the Self and their Treatment: An Outline’, International Journal of Psychoanalysis, 54: 413-25.and (1970) On Death and Dying. London: Tavistock.(1993) ‘The Painful Side of Reminiscence’, Geriatric Nursing, 14 (3): 138-41. http://dx.doi.org/10.1016/S0197-4572%2806%2980130-8(1999) An Introduction to Multicultural Counselling. Philadelphia, London: Accelerated Development (Taylor & Francis Group).(1987) Drug-free Pain Relief. Wellingborough: Thorsons.and (1996) The Railway Man. London: Vintage.(Luborsky, L. and Crits-Christoph, P. (eds) (1990) Understanding Transference: The CCRT Method. New York: Basic Books.1993) The Stories We Live By: Personal Myths and the Making of the Self. London, New York: Guilford Press.(1998) An Introduction to Counselling,(second edition. Buckingham, Philadelphia. Open University Press.1987) ‘Good and Very Good Moments in Psychotherapy: Content, Distribution and Facilitation’, Psychotherapy, 24: 7-14. http://dx.doi.org/10.1037/h0085693, , , , (1995) ‘Interview-Based Adult Attachment’, Developmental Psychology, 19: 227-39.and (1976) The Frontiers of Brief Therapy. New York: Plenum Press. http://dx.doi.org/10.1007/978-1-4684-2220-7(1979) Individual Psychotherapy and the Science of Psychodynamics. London: Butterworth.(1979) Learning from Clients: Interpersonal Helping as Viewed by Clients and Social Workers. New York: Free Press.(2000) ‘Beginnings, Endings and Outcomes: A Comparison of Methods and Goals’, Psychodynamic Counselling, 6 (3): 301-17. http://dx.doi.org/10.1080/13533330050132099(2000) ‘It Takes Two to Tango: Research and Practice in an Amazing Dance’, Counselling and Psychotherapy Research, 1 (3): 163-5. http://dx.doi.org/10.1080/14733140112331385010(1997) ‘Evaluating Effectiveness: Needs, Problems and Potential Benefits’ paper presented at the BAC Counselling Research Conference, Birmingham, 14 June, 1997.(1996) Not Too Late: Psychotherapy and Ageing. London: Jessica Kingsley.(1996) ‘Gestalt Therapy’, in W.Dryden (ed.), A Handbook of Individual Therapy. London: Sage.and (J.Llewellin Davies) (1908) The Republic of Plato. London: Macmillan.(translated by1992) ‘Post Modern Epistemology of Practice’, in S.Kate (ed.), Psychology and Postmodernism. London: Sage.(1990) ‘Towards a Representation of the Client's Experience of the Psychotherapeutic Hour’, in G.Lietaer, and J.R.Rombauts Van Balen (eds), Client-Centred and Experiential Therapy in the Nineties. Leuven, Belgium: Leuven University Press. pp. 155-72.(1992) ‘Qualitative Analysis of Client's Experience of Psychotherapy: the Unfolding of Reflexivity’, in S.G.Toukmanian and D.L.Rennie (eds), Psychotherapy Process Research: Paradigmatic and Narrative Approaches. Thousand Oaks CA: Sage.(1963) ‘The Concept of the Fully Functioning Person’, Psychotherapy: Theory, Research and Practice, 1: 17-26. http://dx.doi.org/10.1037/h0088567([Page 128]1978) On Personal Power: Inner Strength and its Revolutionary Impact. London: Constable.(1996) What Works for Whom: A Critical View of Psychotherapy Research. New York: Guilford Press.and with , and (1968) The Measure of My Days. London: Stuart & Wilkins.(1995) Bereavement and Grief: Supporting Older People Through Loss. London, Sydney, Auckland: Edward Arnold (Hodder Headline Group).(1998) Counselling Older People: A Creative Response to Ageing. London: Edward Arnold.(1996) ‘Social Role Valorisation: Making a Difference to the Lives of Older People’, in R.T.Woods (ed.), Handbook of Clinical Psychology and Ageing. Chichester: Wiley.(1989) Solitude. London: Flamingo.(1990) Basics of Qualitative Research: Grounded Theory Procedures and Techniques. London: Sage.and (1997) Counselling the Elderly and their Carers. London: Macmillan.(1993) Mental Illness: The Fundamental Facts. London: Mental Health Foundation.(2000) ‘Closing Thoughts and Open Questions’, in H.Tomer (ed.), Death Attitudes and Older Adults. Pensylvania: Brunner Routledge.(2002) ‘Age Cannot Wither Them’, The Guardian, 13/3/02.(1994) The Revival of Death. London, New York: Routledge.(2001) ‘Beyond Grounded Theory: The Use of a Heuristic Approach to Qualitative Research’, Counselling and Psychotherapy Research, 1 (2): 29-39. http://dx.doi.org/10.1080/14733140112331385168(1993) Counselling and Psychotherapy in Primary Health Care: A Psychodnamic Approach. London: Macmillan.and (1941) ‘The Observation of Infants in a Set Situation’, in D.W.Winnicott, Collected Papers: Through Paediatrics to Psychoanalyis. London: Hogarth.(1958) ‘The Capacity to be Alone’, in D.W.Winnicott, The Maturational Processes and the Facilitating Environment: Studies in the Theory of Emotional Development. London: Hogarth.(1971) Playing and Reality. Harmondsworth: Penguin.(2000) The Guardian, 4/4/2000.(1992) ‘Coming of Age in a Heterosexual World: The Development of Gay and Lesbian Adolescents’, Adolescence, 27: 849-54.(