The concerns of the family of later life have only recently become evident. Unlike other age groups, when problems of an elder surface, they almost always involve other family members. Family members tend to become highly involved, alter their lives, and offer support. All this provides a ready condition for family pathology to assert itself. Accordingly, three common strategies used by families of later life are presented and discussed. The effect on the whole family system is stressed. Also, two therapeutic interventions are presented. Since problems related to elders are particularly resistant to therapy, these two interventions are designed for “well” family members. Case material is presented.
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Ackerman, N.The psychodynamics of family life, New York, Basic Books, 1958.
Barnes, R., Raskind, M., Scott, M., & Murphy, C. Problems of families caring for Alzheimer patients: Use of a support group.Journal of the American Ceriatrics Society, 1981,29, 80–85.
Bateson, G., Jackson, D., Haley, J., & Weakland, J. Towards a theory of schizophrenia,Behavioral Science, 1956,1, 251–264.
Beavers, W.Psychotherapy and growth: Family systems perspective. New York: Brunner/Mazel, 1977.
Bengston, V. & Cutler, N. Generation and inter-generational relations: Perspectives on age groups and social change. In R. Binstock & E. Shanas (Eds.),Handbook of aging and the social science. New York: Van Nostrand Reinhold, 1976.
Birren, J., & Sloane, R.Handbook of mental health and aging. Englewood Cliffs, N.J.: Prentice Hall, 1980.
Blazer, D. The epidemiology of mental illness in later life. In E. W. Busse, & D. Blazen (Eds.),Handbook of geriatric psychiatry, New York: Van Nostrand Reinhold, 1980.
Blazer, D.Depression in late life. St. Louis: Mosby, 1982.
Blazer, D., & Maddox, G. Using epidemiological survey data to plan geriatric mental health services.Hospital and Community Psychiatry, 1982,33, 42–45.
Blenkner, M. Social work and family relationships in later life with some thoughts on filial maturity. In E. Shanas & G. Streib (Eds.),Social Structure and the family: Generational relations. Englewood Cliffs, N.J.: Prentice Hall, 1965.
Boszormenyi-Nagy, I. & Spark, G.Invisible loyalties, New York: Harper & Row, 1973.
Bowen, M. The use of family theory in clinical practice.Comprehensive Psychiatry, 19667, 345–374.
Brink, T. L.Ceriatric psychotherapy, New York: Human Sciences Press, 1977.
Busse, E., & Blazer, D.Handbook of geriatric psychiatry, New York: Van Nostrand Reinhold, 1980.
Carter, E., & McGoldrick, M.The family life cycle: A framework for family therapy. New York: Gardner Press, Inc., 1980.
Chiriboga, D., & Cutler, L. Stress and adaptation: Life span perspectives. In L. Poon (Ed.),Aging in the 1980s: Psychological Issues. Washington, D. C.: American Psychological Association, 1980.
Fisher, L., Anderson, A., & Jones, J. Types of paradoxical intervention and indications/contraindications for use in clinical practice.Family Process, 1980,20, 25–35.
Ford, F., & Herrick, J. Family rules: Family life styles.American Journal of Orthopsychiatry, 1974,44, 61–69.
Framo, J. The integration of marital therapy with sessions with the family of origin. In A. Gurman & D. Kniskern (Eds.),Handbook of family therapy, New York: Brunner/Mazel, 1981.
Frankl, V. E. Paradoxical intention and deflection: Two logotherapeutic techniques. In S. Arieti, & G. Chrzanowski (Eds.),New dimensions in psychiatry: A world view, New York: Wiley, 1975.
Gallagher, D., & Thompson, L.Depression in the elderly: A behavioral treatment manual. Los Angeles: The University of Southern California Press, 1981.
George, L. Social support and institutionalization. Paper presented at the Meeting of Older American Resources and Services, Duke University Medical School, Durham N.C., March, 1980.
Hagested, G. Problems and promises in the social psychology of inter-generational relations. Paper presented at Workshop on Stability and Change in the Family sponsored by the Committee on Aging, National Research Council, Annapolis, Md., March, 1979.
Haley, J.Problem-solving therapy, San Francisco: Jossey-Bass, 1976.
Hays-Bautista, D., Coaches, arbitrators, and access to medical care.Journal of Health and Social Behavior, 1979,20, 52–60.
Headley, L.Adults and their parents in family therapy: A new direction in treatment. New York: Plenum, 1977.
Herr, J., & Weakland, J.Counseling elders and their families: Practical techniques for applied gerontology, New York: Springer, 1979.
Herr, J., & Weakland, J. Communication with family systems: Growing older within and with the double bind. In P. K. Ragan (Ed.),Aging parents. Los Angeles: USC Press, 1979.
Hussian, R.Geriatric psychology: A behavioral perspective. New York: Van Nostrand Reinhold, 1981.
Hyer, L., & Blazer, D. Depression in long-term care facilities. In D. Blazer (Ed.),Depression in late life, St. Louis: Mosby, 1982.
Jackson, D. The study of the family.Family Process, 1965,4, 1–19.
Jessee, E., & L'Abate, L. The use of paradox with children in an inpatient treatment setting.Family Process, 1980,19, 59–64.
Kahn, R. Aging and social support. In M. Riley (Ed.),Aging from birth to death, interdisciplinary perspectives. Boulder, Colorado, Western Press, 1979.
LaWall, J. Conjoint therapy of psychiatric problems in the elderly.Journal of the American Geriatrics Society, 1981,26, 89–91.
Lowenthal, M. F., & Robinson, B. Social networks and solution. In R. Binstock, & E. Shanas (Eds.),Handbook of aging and the social sciences. New York: Van Nostrand Reinhold, 1976.
Lyons, W. Enhancing possibilities of client and caregiver satisfaction through the admission process to institutional care. Presented at Gerontological Society of America and Canadian Association of Gerontology, November 9, 1981.
Mace, N., & Rabins, P.Family handbook: A guide for the families of persons with declining intellectual function, Alzheimer's disease, and other dementias. Baltimore: The Johns Hopkins University School of Medicine, Johns Hopkins University, 1980.
McCullough, P. Launching children and moving on. In E. Carter & M. McGoldrick (Eds.),The Family life cycle: A framework for family therapy New York: Gardner Press, 1980.
Meyer, P. Between families: The unattached young adult. In E. Carter & M. McGoldrick (Eds.),The family life cycle: A framework for family therapy. New York: Gardner Press, 1980.
Miller, M. B., Bernstein, H., & Sharkey, H. Family extrusion of the aged patients: Family homeostasis and sexual conflict.The Gerontologist, 1975,15, 291–296.
Mozdierz, G., Maccitelli, F., & Lisiecki, J. The paradox in psychotherapy: An Adlerian perspective.Journal of Individual Psychology, 1976,32, 169–184.
Papp, P. The Greek chorus and other techniques of paradoxical therapy.Family Process, 1980,19, 45–48.
Ragan, P.Aging parents. Los Angeles: USC Press, 1979.
Rakowski, W., & Hickey T. Geriatric patients and family resource persons: Examining congruence of health beliefs and temporal perspective. Paper presented at the joint meeting of the Gerontological Society of America and the Canadian Association on Gerontology, Toronto, Ontario, November, 1981.
Raskin, D., & Klein, Z. Loving a symptom through keeping it: A review of paradoxical treatment techniques and rationale.Archives of General Psychiatry, 1976,33, 548–555.
Reifler, B., Cox, G., & Hanley, R. Problems of mentally ill elderly as perceived by patients, families, and clinicians.The Gerontologist, 1981,21, 2, 165–170.
Reifler, B. Diagnosis and treatment of mental illness in the elderly. Paper presented at the Department of Psychiatry Grand Rounds, Medical College of Georgia, Augusta, GA, January, 1982.
Riskin, J. Methodology for studying family interaction.Archives of General Psychiatry, 1963,8, 343–348.
Satir, V.Conjoint family therapy. Palo Alto, California: Science and Behavior Books, 1964.
Selvini Palazzoli, M., Boscolo, M., Cecchin, G., & Prata, G. Hypothesizing-circulating-neutrality: Three guidelines for the conductor of the session.Family Process, 1980,19, 3–12.
Shanas, E. The family as a social support system in old age.The Gerontologist, 1979,19, 169–174.
Shanas, E., & Maddox, G. Aging, health, and the organization of health resources. In R. H. Binstock & E. Shanas (Eds.),Handbook of aging and the social sciences. New York: Van Nostrand Reinhold, 1976.
Siegler, I., & Hyer, L. Common crises in the family life of older persons. In D. Blazer & I. Siegler (Eds.),A family approach to health care of the elderly. Boston: Addison Wesley, in press.
Silverstone, B., & Hyman, H.You and your aging parent. New York: Pantheon Books, 1976.
Sluzki, C. Marital therapy from a systems theory perspective. In T. Paolino & B. McCrady (Eds.),Marriage and marital therapy. New York: Brunner/Mazel, 1978.
Steinman, L. Reactivated conflicts in the aging parents. In P. Ragan (Ed.),Aging Parents. Los Angeles: USC Press, 1979.
Stuart, R. An operant interpersonal program for couples. In D. H. Olson (Eds.),Treating relationships. Lake Mills, Iowa. Graphic Publishing Company, Inc., 1976.
Tobin, S., & Lieberman, M.Last home for the aged. San Francisco: Jossey-Bass, 1976.
Treas, J. Family support systems for the aged: Some social and demographic considerations.The Gerontologist, 1977,17, 486–591.
Ward, R. Limitations of the family as a supportive institution in the lives of the aged.Family Coordinator, 1978,27, 365–374.
Weakland, J. Pursuing the evident into schizophrenia and beyond. In M. Berger (Ed.),Beyound the double bind: Communication and family systems, theories, and techniques with schizophrenics. New York: Brunner/Mazel, 1978.
Wynne, L. Methodologic and conceptual issues in the study of schizophrenics and their families. In D. Rosenthal & S. Kety (Eds.),The transmission of schizophrenia. New York: Pergamon Press, 1968.
Zarit, S.Aging and mental disorders: Psychological approaches to assessment and treatment. New York: Free Press, 1980.
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Hyer, L., Hawthorne, S.L. The family of later life: Strategies and interventions. International Journal of Family Therapy 4, 187–206 (1982). https://doi.org/10.1007/BF00924131
- Family Member
- Health Psychology
- Therapeutic Intervention
- Social Issue
- Ready Condition