On Demand Grand Rounds: From Resistance to Attachment: Psychodynamic Therapy with a Septuagenarian
This presentation was originally reviewed on May 20, 2020, and broadcast live online on May 20, 2020, from 12:00 PM - 1:00 PM ET.
The views and opinions expressed by this presenter in this lecture are their own, and do not represent the views of Sheppard Pratt.
Sigmund Freud wrote, "Near or about the fifties, the elasticity of the mental processes, on which the treatment depends, is as a rule lacking. Old people are no longer educable…the mass of material to be dealt with would prolong the course of treatment indefinitely.” In this talk I will present the case of a patient who I’ve been working with in weekly psychotherapy for nearly two years. This presentation will challenge Freud’s statement and illustrate that it is possible, even as a novice therapist, to work with a septuagenarian in a dynamic way. I will highlight some key moments in the treatment when interpreting the resistance and working in the transference allowed the patient to move from a place of extreme resistance to one of progressing attachment and intimacy. I will illustrate that, despite the mass of material to cover when working with a septuagenarian who has never been in treatment before, change can occur during a finite treatment period.
This activity is intended for physicians, nurses, psychologists, social workers, counselors and other mental health professionals.
1. Name defense mechanisms used by the highly resistant elderly patient to unconsciously evade emotional discomfort.
2. Recognize that, despite historic psychoanalytic beliefs, it is possible to do psychodynamic therapy with patients over 50 years old.
3. Identify different ways that geriatric patients could demonstrate their evolving attachment to the therapist.
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About this speaker:
Emily Haas, MD is from Wausau, Wisconsin. She completed her bachelor’s degrees in psychology and French at the University of Wisconsin. She attended medical school at the University of Wisconsin School of Medicine and Public Health. She currently is a fourth-year resident at the University of Maryland/Sheppard Pratt Psychiatry Residency. During her residency, she served as the Sheppard Pratt Chief Resident from July 2019-December 2019. She is the recipient of the Clarence G. Schulz award for Best Psychotherapy Paper. After completing residency, she will work as an attending physician on the Trauma Disorders Unit at Sheppard Pratt.
Sheppard Pratt holds the standard that its continuing medical education programs should be free of commercial bias and conflict of interest. In accord with Sheppard Pratt's Disclosure Policy, as well as standards of the Accreditation Council for Continuing Medical Education (ACCME) and the American Medical Association (AMA), all planners, reviewers, speakers and persons in control of content have been asked to disclose any relationship he /she (or a partner or spouse) has with any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients, during the past 12 months. All planners, reviewers and speakers have also been asked to disclose any payments accepted for this lecture from any entity besides Sheppard Pratt Health System, and if there will be discussion of any products, services or off-label uses of product(s) during this presentation.
Emily Haas, MD reports having no financial interest, arrangement or affiliation with any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients, during the past 12 months. She will not discuss any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients, or off-label uses in this presentation.
Event Planners/Reviewers Disclosures: The following event planners and/or reviewers are reported as having no financial interest, arrangement or affiliation with any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients, during the past 12 months: Todd Peters, M.D., Briana Riemer, M.D., Sunil Khushalani, M.D., Faith Dickerson, Ph.D., Carrie Etheridge, LCSW-C, Tom Flis, LCPC, Laura Webb, RN-BC, MSN, Stacey Garnett, RN, MSN, Paul Daugherty, RN, MBA, Heather Billings, RN, and Jennifer Tornabene.
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Grand Rounds: "From Resistance to Attachment: Psychodynamic Therapy with a Septuagenarian."
Emily Haas, MD
University of Maryland/Sheppard Pratt Resident
Originally reviewed May 20, 2020.
Originally broadcast live May 20, 2020, from 12:00 noon - 1:00 pm ET
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