NRNP 6640-14 Psychotherapy With Older Adults

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NRNP 6640-14 Psychotherapy With Older Adults

NRNP 6640-14 Psychotherapy With Older Adults

According to the Institute of Medicine, more than 20% of the growing older adult
population has a mental health disorder (IOM, 2012). In the past, many older adults
avoided psychotherapy because of the associated social stigma, but with the growing
acceptance of therapy and awareness of mental health issues, more of this population is
seeking the help they need. In your role, as the psychiatric mental health nurse
practitioner, you have the opportunity to help these older adult clients overcome challenges
that may have plagued them for a lifetime.
This week, as you explore psychotherapy with older adults, you assess clients and consider
the appropriateness of various therapeutic approaches.
Photo Credit: [diego_cervo]/[iStock / Getty Images Plus]/Getty Images

Learning Resources
Required Readings
Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-
to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing
 Chapter 18, “Psychotherapy With Older Adults” (pp. 625–660)
 Chapter 20, “Termination and Outcome Evaluation” (pp. 693–712)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental
disorders (5th ed.). Washington, DC: Author.

McGuire, J. (2009). Ethical considerations when working with older adults in psychology.
Ethics & Behavior, 19(2), 112–128. doi:10.1080/10508420902772702

Swift, J. K., & Greenberg, R. P. (2015). What is premature termination, and why does it
occur? In Premature termination in psychotherapy: Strategies for engaging clients and
improving outcomes (pp. 11–31). Washington, DC: American Psychological Association.

Document: Week 10 Case Study (PDF)

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,

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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.

Psychotherapy with Older Adults includes a comprehensive discussion of assessment and options for intervention. Numerous case examples illustrate the dynamics of the therapeutic task and issues covered in therapy and stress the human element in working with older adults. A concluding chapter considers ethical questions and the future of psychotherapy with older adults. The author has updated the Third Edition to reflect new research findings and has written two entirely new chapters covering psychotherapy with persons with dementia and psychotherapy with caregivers of frail older adults.

Since its initial publication in 1986, the book has been used as a course text and a professional reference around the world, including translations into French, Dutch, Chinese, and Japanese. It is a vital resource for practicing therapists and counselors who work with older adults and is also ideally suited as a text for advanced students in psychology, social work, gerontology, and nursing.

Praise for Previous Editions:

“Bob G. Knight’s largest contribution is his excellent discussion of therapy. The book is clearly written, with a good use of summaries and case examples to clarify the major points. By linking research findings to practice experience, Knight has provided a pragmatic introduction which should be helpful to psychiatrists, psychologists, social workers, and psychiatric nurses working with older adults.”  —JOURNAL OF APPLIED GERONTOLOGY

“I recommend this book to anyone interested in working with the elderly, partly because of the content and partly because the author presents the case for doing psychotherapy with the elderly with realism and enthusiasm.”  —BEHAVIOR RESEARCH & THERAPY

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