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[Psychotherapy on the domestic couch]
Reinhard Lindner1, Martin Sandner2
1Gerontopsychosomatik und Alterspsychotherapie, Medizinisch-Geriatrische Klinik Albertinen-Haus, Hamburg.
Psychotherapie, Psychosomatik, Medizinische Psychologie
|January 14, 2015
Summary
Home-based psychodynamic psychotherapy offers a viable option for elderly patients with mobility issues. This approach adapts therapeutic relationships and addresses existential concerns, making mental healthcare more accessible for older adults.
Area of Science:
- Gerontology
- Psychotherapy
- Mental Health
Background:
- Mental health disorders are prevalent in older adults, yet psychotherapy access is limited due to factors like immobility.
- Home-based psychotherapy variations are not widespread, and their effectiveness remains largely unexplored.
Purpose of the Study:
- To explore the feasibility and nature of psychodynamic psychotherapy conducted in the domestic environment of elderly patients.
- To understand how the therapeutic relationship and thematic content are altered in home-based settings.
Main Methods:
- An explorative study utilizing the 'Grounded Theory' method.
- Analysis of medical letters, consultation reports, and session protocols from 7 psychotherapies with patients aged 77-89.
Main Results:
- Home-based psychotherapy significantly alters the therapeutic relationship, requiring therapists to gather and interpret a broader range of experiences.
- Key themes include past relationships, illness, and end-of-life concerns, with identity, aggression, and intimacy being common conflicts.
- Therapists adopt a more active role, while maintaining a reflective stance on the patient's inner world.
Conclusions:
- Psychodynamic psychotherapy is feasible and effective within the patient's home environment for elderly individuals.
- Further research is needed to establish specific indications, therapeutic strategies, and the overall effectiveness of this approach.
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