The aim of this short paper is to reflect on the various issues brought by the consultants of the elderly in what is the Department of Psychology of Aging. I also serve on the theoretical support of two authors with expertise in the subject: Abel Fernandez and Linda Zarebski.
The topics I'll try to do with the apparent motive of consultation with entering the psychological consultation in the Program Memory of Aging Services. Also how this demand is coupled with a deeper reason for consultation as it may be a depression, grief and loss that occur in this stage of life.
I also play the issue of stigma experienced by old men in our society and how it can handle the psychologist.
Then I think about what is the psychological intervention in this area. What strategies are used, how it can be a reading of the transfer, how and for what we used to see, feel and operate, how to prepare the ground for the symbolization processes and changes. What role does the psychologist in the Program Memory and Aging Services where he spends the relevance of their work.
I also think from what the health system in Uruguay, and from what levels we are intervening in the Department of Aging.
Among other things, the authors bring to you, think the problem from various positions and recommendations that unfold at work and that serve to problematize the subject, among others, develop the theme of Freud's complementary series, targeted therapy and life plan to build part of the old.
Reflections from the old clinic.
The psychosocial program for the prevention of memory disorders service Psychology of old age consultants serving the elderly that after a consultation reason manifest or subjective memory complaint demanding psychological care.
In this sense, we think what is behind this request, how to build an application with them. What are demanding?, "Psychological support, from explicit their" suffer "to share with their peers the same questions at all, through what are the workshops of Memory. No doubt that the explicit demand or cause of consultation show: a memory problem, it masks a deeper.
This is verified in clinical practice and that following cognitive assessments, in most cases we found no real problems of this highly integrated cortical function. Subjective memory complaint does not involve the narcissistic wound to attend counseling to sue because it is considered a "common problem for age and therefore becomes the gateway for psychological counseling.
This leads us to glimpse what are the problems that these people care more consultants.
The battles and losses are certainly common themes for the elderly and those trying to cope in different ways. How facing a loss that can range from a loved one to a job that was done all life, or activities that are no longer possible for them may be determining a healthy or pathological coping with these changes in life.
The old man also in the social imagination, suffers from a widespread stigma and rejection because it represents, according to a statement clarifying the psychoanalyst Dr. Graciela Zarebski Argentina: "In old age, others detest the threats of their own. She is the mirror unforgivable that our narcissistic dream of eternity fades. So often put more effort to evade this disheartening experience, which restate it, understanding its essential meaning "(Zarebski, G., 2005).
This certainly captures the old man and helps to a poor body image, a deep narcissistic wound that stains with some depression and nostalgia to the old.
Therefore, the task of the psychologist who attends these consultations is to get open on one side of the widespread prejudice against these people.
is important to read the transfer or transference and countertransference aspects which are updated in the query. At this point we feel to be grandchildren or children and vice versa for the old (parents and grandparents), therefore not acting an assigned role transferencialmente is also important diagnostic reading, to strengthen the frame and clarity regarding roles that depliegan.
On the other hand, is to see, hear, feel to operate in the sense of a change being in the world of old. A change to help deal with grief in a healthy, encouraging thinking, symbolize these problems that afflict it, paving the way to enable a trigger to transform their reality.
The psychologist will point it to loosen the old defense mechanisms, and that rigidity is a friend of both disease and somatic disease. It will focus on depression is also healthy and does not yield to melancholy and also consider it very important consciousness-raising activity, not automatic, which can be shared with peers other activities. From a workshop to a group memory therapeutic or an art workshop. Physical activity is also important as a health promoter. The recreation and play are not only children's heritage and it is essential that incorporate the old in their daily lives. Then
differentiate two periods in the task of the psychologist when operating with old. A first step of understanding, awareness, to begin a process of symbolization with the old. This will pave the way for action and transformation in the way of being in the world of old. The network link that is available and the old man will build more support and ability to tell his story and his feelings to another who will listen and share also their experiences, so it is also an emotional support.
From the Aging Services will try this and end of the process are the results. I think they are good because it envisions a greater or lesser degree a slight change in the attitude of the consultants, in his speech and his actions.
The psychologist plays a full role here is a diagnostician, an evaluator's cognitive and affective, an interviewer, you should sharpen his keen eye and therefore their listening and is also a coordinator of a workshop, a group, coordinates a group process and here plays a lot of creativity and clinical acuity to perform the appropriate signage and interpretation at an appropriate time group.
The mere automatic application of a protocol evaluator could plug the clinical interpretation of each case or example from the workshop, the mere application of group dynamics without a proper context that encourages reflection framed at one point this group will or will not helpful to the consultants or the psychologist.
Another aspect to consider has to do with features that get old. It should form a group that is appropriate for a group process. For this it is important to evaluating the first instance in which a situational analysis is conducted of the client. In cases where deemed appropriate, is derived from another service instance either psychotherapy or cognitive disorders.
As often happens with whom he comes to the consultation in a clinic within a health service provided by the Faculty of Psychology and falls in a society that still lacks an integrated health system, to rank first level of care (prevention and health promotion) and point to the interdisciplinary approach, we have to think that the ideal in the subject of old age it would work from their own childhood. That is, a job promotion and health prevention in older people prepare for this process of life. In this regard, I call again Zarebski, who highlights the importance of work in prevention and health promotion from an early age working on aging.
approach also from the complexity of the elements that make up the aging and will "determine the linkages or isolation, psychosomatic effects, personal fulfillment or stagnation" (Zarebski, G., 2005). Downplays oedipal resolution as a determinant of healthy aging and stresses "the weight of the unconscious split contradicted linked to mechanisms, designed to support nirvanic narcissism" (Zarebski, G. 2005). That is, an ego-assertiveness, a sense of self-esteem, identity strength. In this line of thought points as elements to be considered for the determination of the disease in old age the prevalence of rigid mechanisms, stereotyping and making no duels. At the same time are good indicators of health change and personal transformation and the environment.
Abel Fernandez, is another author who can help us think about these issues. At the beginning of an article Ajuriaguerra quoted saying that "It is aged according to how you have lived." Points to elements that emerge from consultations with old age difference between healthy and other disease. As we talk about depression above, the author brings the subject up to starting point that would be the main reasons for consultation at this stage of life.
poses a therapeutic task to point to the recall as "how to get in touch with yourself and being able to save things done and lived throughout life. It is, in my view, one way to keep the time to acknowledge what is no longer (to discriminate past and present) and located at this vital stage, and relate it to the mental development in a Freudian sense ( Fernandez, A., 1994).
also the theme of loss and the responses they approached in the following way: "... the work of mourning consists in the detachment of the lost object (even if these are aspects of one's own body schema) and the search for a new one. Loss and depression are two sides of a coin present in consultation with elderly. These losses can be anticipated as a possibility in the crisis of the mid-life or may have been denied in the fantasy of the "eternal youth", a case in which the confrontation with reality becomes more difficult to handle. "
An operational form of intervention with old thinking, we can take from what is the conceptualization of Freud's complementary series. The actual trigger will be combined with the psychic structure of the aging person and constitutional factors. Here we can see in relation to the consultants of Aging Services (Program Memory), the reason for consultation is that triggers the same memory as an explicit request that points to the construction of a lawsuit focused on the remembrance of which I spoke Abel Fernandez.
This author is inclined to brief psychotherapy or limited purpose for such consultations, "including the idea of \u200b\u200ba targeted therapy."
Finally, in this paragraph, Fernandez explores this point:
"We introduced a level of consultation with elders certain technical changes related to the concept of situation, focus and recall. In relation to first say that attempts to articulate the different levels and circumstances under which a person moves or lives at a given time. This is a cross section (and hence synchronous), which holds special significance the trigger (focus) and their implications and ramifications at the body, mind and the group, especially the family. Taking into account the time course of the person requesting assistance and circumstances. Call focus to what lies at the heart of the situation and that usually precipitates the query. This is an axis on which there is a specific condition (subject to consultation) and reactivated by the same conflict.
The process of remembering if it includes the recall, implies as noted, is contact with yourself tending to recover or re-evaluate what has been done throughout life. "(Fernandez, A., 1994).
Thinking about this from reading Freud and transfer, we can glimpse at the clinic with old, in consultation, when despliegua the material before us in a therapeutic relationship within the framework of an interview for example, attitudes, behaviors and other data that arise and we scheduled for a repeat of the same. That is, repetition of behaviors updated in this new relationship (the therapist), which will encourage psychologists to be reworked by the patient. This recall is remembered, repeated and rework.
The application of a protocol that is used in Program Memory, you must sharpen the eye clinic so that interview is structured and directed us precisely between - see what is "out of the playbook" , what lies beyond the manifest discourse, body gestures, acts and forms of communication failed and linked to the other that will give us the material needed for clinical interpretation to complement the assessment cognitive - affective used in this encounter with the one that refers to a diagnostic purposes as complete as possible and more suitable for the frame with the program of Aging Services.
Finally I
seems remarkable, though, mention the importance of the old build their own lives after thought from a psychological consultation .
source
http://psicopsi.com/Servicio-de-Psicologia-de-la-Vejez
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