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Young clinicians dealing with death: Problems and opportunities.

Kathrine G Nissen1

  • 1Department of Psychology,University of Copenhagen,Copenhagen,Denmark.

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A young therapist can build a strong therapeutic alliance with elderly patients by using the epoché method to overcome age-related communication barriers. This approach aids in repairing ruptures and enhancing learning for successful treatment outcomes.

Keywords:
Advanced cancerCaregiverDistressPsychological interventionTherapeutic alliance

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Area of Science:

  • Psychology
  • Therapeutic Alliance
  • Gerontology

Background:

  • The patient-therapist bond is crucial for treatment success, yet the mechanisms governing this relationship are not fully understood.
  • Age-related differences can pose challenges to forming and maintaining a strong therapeutic alliance.

Purpose of the Study:

  • To examine ruptures and repairs in the working alliance between a young therapist and an elderly caregiver.
  • To explore age-related challenges impacting the therapeutic alliance.
  • To suggest strategies for managing these challenges.

Main Methods:

  • A case report reflecting on the interdependent relationship between therapist variables, patient variables, and the therapeutic alliance.
  • Description of a newly educated psychologist's experience with an elderly, dying cancer patient's spouse in the DOMUS study.
  • Utilized existential-phenomenological therapy as the psychological intervention.

Main Results:

  • A therapist's approach to age-related communication barriers significantly impacts the alliance.
  • The existential-phenomenological method of epoché facilitates rupture and repair by enhancing therapist openness to learning.
  • Senior supervisor insights can further promote therapist learning.

Conclusions:

  • The epoché method enhances personal insight and provides tools for repairing the therapeutic alliance.
  • Findings are applicable to oncology, gerontology, and palliative care settings.
  • This study offers valuable insights for young clinicians facing age-related challenges.