This Third Edition of the bestselling Psychotherapy with Older Adults continues to offer students and professionals a thorough overview of psychotherapy with older adults. Using the contextual, cohort-based, maturity, specific challenge (CCMSC) model, it draws upon findings from scientific gerontology and life-span developmental psychology to describe how psychotherapy needs to be adapted for work with older adults, as well as when it is similar to therapeutic work with younger adults. Sensitively linking both research and experience, author Bob G. Knight provides a practical account of the knowledge, technique, and skills necessary to work with older adults in a therapeutic relationship. This volume considers the essentials of gerontology as well as the nature of therapy in depth, focusing on special content areas and common themes.
Chapter 4: Transference and Countertransference with Older Clients
Regardless of the age of the therapist, there are likely to be differences in the therapist-client relationship when the client is older. Whether or not the relationship is a primary focus of the therapeutic method, these changes will alter the context of therapy and the therapist's experience of the therapeutic work. How does the “feel” of therapeutic work change with an older client? For several decades, it has been recognized that a primary source of the felt difference in working with older clients is the changed nature of transference and countertransference when the client is older (Rechtschaffen, 1959; Genevay & Katz, 1990). The feeling that therapeutic work is impossible with particular elderly clients may ...