Endorsements: "The Second Edition of Psychodynamic Perspectives on Aging and Illness is a timely and superb revision which offers health-care professionals working at the mind/body interface a paradigm shift. For far too long, the wisdom of psychoanalysis as a tool to understand the suffering inherent in aging and illness has been devalued and neglected. With this update, Dr. Greenberg incontrovertibly corrects this lapse. Her integration of current scientific research, alongside a user-friendly discussion of the theory and practice of psychodynamic psychotherapy, is an important contribution to the psychology of medicine. Several topics are elaborated; the constructs of hysteria and somatization, the biology of stress, the impact of attachment history on coping with sickness as well as the experiences of trauma and grief. As with the first edition, the idea that the patient’s experience of illness cannot be understood without including the subjectivity of the practitioner who provides care is considered and done so with more awareness of this complexity. Each chapter now contains a section on “Suggested Techniques” that succinctly presents a guideline for applying the ideas set forth. Other no table aspects of the book are its reflections on the culture of medicine and the insights about the influences of contemporary Western life on the manifestation and adjustment to illness. This edition is, above all, essential for those practitioners dedicated to providing collaborative and interdisciplinary health-care which is both biologically and psychologically informed. As with the First Edition, it will continue to be required reading." Marilyn S. Jacobs, Ph.D., ABPP, David Geffen School of Medicine at UCLA "A wonderful, well-researched, and important book that proves to be as much about humanity and resilience as it is about human psychology." Lee Daniel Kravetz Author of Supersurvivors: The surprising Link Between Suffering & Success "Tamara McClintock Greenberg is one of the leading health psychologists of our time. In this second edition of her classic text, she corrects the much overlooked interface between the psychodynamics of aging, illness, and the doctor-patient relationship offering insights that no other practitioner or theorist has accomplished to date. Combining her training and expertise in psychology and behavioural medicine, she facilely navigates the turbid waters of how medical illness and aging is informed by unconscious dynamics, childhood familial relations, somatisation, coping and recovery, and the convergence of mind and body. Healthcare practitioners of all types who work therapeutically with chronically ill and older adults will find this to be a perspicacious and indispensible approach to clinical praxis." Jon Mills, PsyD, PhD, C.Psych., ABPP, Professor of Psychology & Psychoanalysis, Adler Graduate Professional School, Toronto “In the second edition of Psychodynamic Perspectives on Aging and Illness Dr Tamara Greenberg makes a remarkable contribution to those who treat patients with medical illnesses as they age. Her psychodynamically informed approach to patients in later life couldn’t come at a better time as our population becomes older. Challenging the field's dogma that older patients are too set-in-their-ways to make personality changes, Dr Greenberg demonstrates in this book how wrong that notion was. We are all a work in-progress until the very end. This is a must-read practical book for therapists, nurses, families, physicians, family and estate lawyers, and health care navigators.” Louann Brizendine, M.D., Professor and Author of "The Female Brain" and "The Male Brain" , Lynne and Marc Benioff Endowed Professor of Clinical Psychiatry, Founder/ Women's Mood and Hormone Clinic, UCSF University of California, San Francisco This timely update of the bedrock text reflects what we now know—and are still finding out—about the benefits of psychodynamic psychotherapy for older adults facing chronic conditions. Expanding on the original, the author balances the physical and experiential factors affecting patients’ physical illnesses and related emotional distress while situating core psychodynamic constructs in the context of illness and aging. Special attention is paid to technique, giving therapists practical guidance on dealing with transference and countertransference issues, working with patients in cognitive decline, and navigating complexities of age, class, and culture. The book also reviews the current evidence on how and why psychodynamic therapy helps medical patients with coping, adapting, and healing. Included in the coverage: Technology, idealization, and unconscious dynamics in the culture of medicine. Narcissistic aspects of aging and illness. Grey areas: when illness may be particularly impacted by psychological variables. Cognitive changes and implications for the therapeutic encounter. The influence of psychological factors and relationships on medical illness. Hope and grief: the introduction of an emotional language. The Second Edition of Psychodynamic Perspectives on Aging and Illness skillfully follows its predecessor as a powerful, plain-spoken mentor to therapists working in hospitals, long-term care facilities, and outpatient practice.
This forward-thinking volume outlines several approaches to therapeutic treatment for individuals who have experienced complex childhood and adult trauma, providing a novel framework for helping patients with a number of challenging symptoms, with clinical hypothesis testing and solid therapeutic relationships as a vital foundation. Responding to the intense disagreement and competition among clinicians championing their own approaches, the book identifies the strengths and limitations of multiple therapeutic approaches, addressing the need for qualified clinicians to be versed in multiple theories and techniques in order to alleviate suffering in their clients. Among the topics discussed: How to choose specific therapeutic methods and when to shift techniques The neurobiology of trauma and management of fear Cultural and ethnic considerations in trauma treatment Addressing avoidance and creating a safe therapeutic environment Management of dissociation, substance abuse, and anger Treating Complex Trauma: Combined Theories and Methods serves as a practical guide for clinicians looking to expand their knowledge of approaches for treating complex trauma. It aims to provide clinicians with options for different therapeutic methods, along with the necessary context for them to select the most effective approach in their treatments. "For the first time in the professional literature we are finally afforded a clear, cogent, and detailed explication of complex trauma and the multifaceted parameters of treatment. Dr. Tamara McClintock Greenberg provides perspicacious insight and clinical wisdom only a seasoned career therapist can yield. Offering sophisticated and nuanced distinctions between complex trauma and PTSD, she shows how treatment is necessarily contextual and tailored to the unique clinical and personality dynamics of the sufferer that is thoroughly client specific within the therapeutic dyad. She dispenses with simplistic and supercilious attitudes that embarrassingly boast a uniform or manualized treatment to trauma, instead carefully taking into consideration polysymptomatic, neurobiological, and socialcultural differences that inform the interpersonal, emotional, and safety milieu from the beginning of treatment to stabilization, the working-through process, and then onto successful recovery. This is a must-read book for those in training and senior clinicians alike." --Jon Mills, PsyD, PhD, ABPP, Faculty, Postgraduate Programs in Psychoanalysis & Psychotherapy, Adelphi University, NY; author of Treating Attachment Pathology "Dr. Greenberg has written an invaluable book on treating complex trauma. She delves into multiple approaches, assessing what techniques the client can tolerate at a given therapeutic stage. She covers how to maintain consistency and connection through a flexible approach and avoid pitfalls. This is a must read for clinicians wishing to treat clients with complex PTSD." --Louann Brizendine, MD, Clinical Professor UCSF; author of The Female Brain
Reclaim your life from C-PTSD with this powerful and compassionate workbook. If you’ve experienced long-term or repeated trauma—such as childhood abuse or neglect, domestic violence, betrayal, or prolonged emotional abuse—you may struggle with intense feelings of sadness, anger, anxiety, shame, and distrust toward others. You should know that you aren’t alone, your pain is real, and there are ways to improve your mental health and begin to heal. This compassionate and evidence-based workbook can help you get started. This workbook offers an integrative approach for coping with complex post-traumatic stress disorder (C-PTSD) using cognitive behavioral therapy (CBT), acceptance and commitment therapy (ACT), dialectical behavior therapy (DBT), mindfulness, mentalization, and relational therapy. You’ll learn the most effective strategies to manage symptoms, overcome painful memories, and build self-confidence. Most importantly, you’ll find validation that your feelings aren’t “crazy” or “outsized,” and discover the skills needed to help you reclaim your life. This empowering workbook will help you: Identify and understand the root cause of your C-PTSD Overcome fear, hypervigilance, and avoidance Balance emotions before they interfere with daily life Seek out and maintain relationships based in equality and respect
Dr. Tamara Greenberg offers hope and practical advice to those impacted by a loved one's chronic illness. Providing easy-to-understand explanations for complicated feelings and behaviors, this book will help you not just cope, but thrive in your day-to-day life. Learn the important tools you need to help lighten the burden we all feel when someone we love is ill.
Reclaim your life from C-PTSD with this powerful and compassionate workbook. If you’ve experienced long-term or repeated trauma—such as childhood abuse or neglect, domestic violence, betrayal, or prolonged emotional abuse—you may struggle with intense feelings of sadness, anger, anxiety, shame, and distrust toward others. You should know that you aren’t alone, your pain is real, and there are ways to improve your mental health and begin to heal. This compassionate and evidence-based workbook can help you get started. This workbook offers an integrative approach for coping with complex post-traumatic stress disorder (C-PTSD) using cognitive behavioral therapy (CBT), acceptance and commitment therapy (ACT), dialectical behavior therapy (DBT), mindfulness, mentalization, and relational therapy. You’ll learn the most effective strategies to manage symptoms, overcome painful memories, and build self-confidence. Most importantly, you’ll find validation that your feelings aren’t “crazy” or “outsized,” and discover the skills needed to help you reclaim your life. This empowering workbook will help you: Identify and understand the root cause of your C-PTSD Overcome fear, hypervigilance, and avoidance Balance emotions before they interfere with daily life Seek out and maintain relationships based in equality and respect
This forward-thinking volume outlines several approaches to therapeutic treatment for individuals who have experienced complex childhood and adult trauma, providing a novel framework for helping patients with a number of challenging symptoms, with clinical hypothesis testing and solid therapeutic relationships as a vital foundation. Responding to the intense disagreement and competition among clinicians championing their own approaches, the book identifies the strengths and limitations of multiple therapeutic approaches, addressing the need for qualified clinicians to be versed in multiple theories and techniques in order to alleviate suffering in their clients. Among the topics discussed: How to choose specific therapeutic methods and when to shift techniques The neurobiology of trauma and management of fear Cultural and ethnic considerations in trauma treatment Addressing avoidance and creating a safe therapeutic environment Management of dissociation, substance abuse, and anger Treating Complex Trauma: Combined Theories and Methods serves as a practical guide for clinicians looking to expand their knowledge of approaches for treating complex trauma. It aims to provide clinicians with options for different therapeutic methods, along with the necessary context for them to select the most effective approach in their treatments. "For the first time in the professional literature we are finally afforded a clear, cogent, and detailed explication of complex trauma and the multifaceted parameters of treatment. Dr. Tamara McClintock Greenberg provides perspicacious insight and clinical wisdom only a seasoned career therapist can yield. Offering sophisticated and nuanced distinctions between complex trauma and PTSD, she shows how treatment is necessarily contextual and tailored to the unique clinical and personality dynamics of the sufferer that is thoroughly client specific within the therapeutic dyad. She dispenses with simplistic and supercilious attitudes that embarrassingly boast a uniform or manualized treatment to trauma, instead carefully taking into consideration polysymptomatic, neurobiological, and socialcultural differences that inform the interpersonal, emotional, and safety milieu from the beginning of treatment to stabilization, the working-through process, and then onto successful recovery. This is a must-read book for those in training and senior clinicians alike." --Jon Mills, PsyD, PhD, ABPP, Faculty, Postgraduate Programs in Psychoanalysis & Psychotherapy, Adelphi University, NY; author of Treating Attachment Pathology "Dr. Greenberg has written an invaluable book on treating complex trauma. She delves into multiple approaches, assessing what techniques the client can tolerate at a given therapeutic stage. She covers how to maintain consistency and connection through a flexible approach and avoid pitfalls. This is a must read for clinicians wishing to treat clients with complex PTSD." --Louann Brizendine, MD, Clinical Professor UCSF; author of The Female Brain
Dr. Tamara Greenberg offers hope and practical advice to those impacted by a loved one's chronic illness. Providing easy-to-understand explanations for complicated feelings and behaviors, this book will help you not just cope, but thrive in your day-to-day life. Learn the important tools you need to help lighten the burden we all feel when someone we love is ill.
More than ever, the aging process is recognized as carrying a special set of emotional challenges–especially when acute or chronic medical conditions are involved. In this light, Psychodynamic Perspectives on Aging and Illness presents a fresh, contemporary application of psychodynamic theory, addressing the complex issues surrounding declining health. Informed by the spectrum of psychodynamic thought from self, relational, and classical theories, this forward looking volume offers more modern interpretations of theory, and techniques for working with a growing, complicated, but surprisingly resilient population. It illuminates how to enhance the therapeutic relationship in key areas such as addressing body- and self-image issues, approach sensitive topics, and understand the disconnect that can occur between medical patients and the often impersonal, technology-driven health care system. At the same time, the author cogently argues for pluralism in a therapeutic approach that is frequently threatened by forces both within and outside the field. Among the topics covered: Medical illness as trauma. Idealization and the culture of medicine. Normative and pathological narcissism in the ill and/or aging patient. Noncompliant and self-destructive behaviors. Transference and countertransference issues. Psychotherapy with cognitively impaired adults. Grief, loss, and hope. Expanding on what we know and candid about what we don’t, Psychodynamic Perspectives on Aging and Illness offers mental health researchers and practitioners an insightful framework for improving the lives of older patients.
This book helps the primary care physician navigate the normative and non-normative psychological responses to illness, provides advice on coping and offers guidance on mental health referrals. The concise but comprehensive text emphasizes the basics, including responses to serious and potentially life-threatening illness, normal and maladaptive coping responses in medically ill individuals, and specific aspects of the illness process. Case examples illustrate the concepts discussed. Includes a chapter on psychotropic medications, and another on the special circumstances of non-compliant patients. The book concludes with discussion of family situations and offers recommendations on referring patients to a mental health provider who specializes in treating the medically ill.
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