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Centre for Policy on Ageing | |
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| Psychotherapeutic treatment levels for personality disorders in older adults | | Author(s) | Arjan C Videler, Christina M Van Der Feltz-Cornelis, Gina Rossi |
| Journal title | Clinical Gerontologist, vol 38, no 4, July-September 2015 |
| Publisher | Taylor and Francis, July-September 2015 |
| Pages | pp 325-341 |
| Source | http://www.tandfonline.com |
| Keywords | Behaviour disorders ; Psychiatric treatment ; Clinical surveys ; Case studies ; United States of America. |
| Annotation | Treatment of personality disorders (PDs) in older adults is a highly underexplored topic. In this article, clinical applicability of the findings from a recent Delphi study regarding treatment aspects of PDs in older adults is explored. This concerns the relevance of three psychotherapeutic treatment levels for PDs in later life: personality-changing treatment, adaptation-enhancing treatment, and supportive-structuring treatment. By means of three cases concerning the three levels, all from a cognitive behavioural perspective, namely schema therapy, cognitive behavioural therapy (CBT), and behavioural therapy, the authors illustrate the usefulness of the different levels in the selection of treatment for older adults with PDs. Throughout all treatment levels, attention to specific age-related psychotherapeutic topics _ such as loss of health and autonomy, cohort beliefs, sociocultural context, beliefs about and consequences of somatic comorbidity, intergenerational linkages, and changing life perspectives _ is crucial, as they often cause an exacerbation of personality pathology in later life. Suggestions as to how to adapt existing treatments within a cognitive behavioural framework in order to better mould them to the needs and experiences of older adults with PDs are discussed. (RH). |
| Accession Number | CPA-150918229 A |
| Classmark | EP: LP: 3G: 69P: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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