RESUMEN
Of the triad of possible concepts of psychogeriatric therapy which includes pharmacotherapy, psychotherapy and social therapy, the non-medicinal treatment of the elderly is dealt with here, starting from the experience of our own team in the outpatient and part inpatient sphere and in the interdisciplinary team. For psychotherapy in its strict sense, approaches are described which arise from the elaboration of deep psychology, learning theory or client-centered therapy. Forms of treatment are described and possibilities for concrete aids in the patients' environment outlined.
Asunto(s)
Demencia/rehabilitación , Psicoterapia/métodos , Anciano , Terapia Conductista , Humanos , Terapia Psicoanalítica , Psicoterapia de Grupo , Ajuste SocialRESUMEN
Of the triad of possible concepts of psychogeriatric therapy which includes pharmacotherapy, psychotherapy and social therapy, the use of drugs in older people is dealt with primarily here, starting from the experience of our own work in the outpatient and part inpatient sphere and in the interdisciplinary team. In addition the literature relevant to the theme is also referred to. Characteristic peculiarities which are to be taken into consideration in drug treatment of old people are outlined. The groups of preparations important for therapy of psychological states are discussed with reference to indication and side-effects.
Asunto(s)
Trastornos Mentales/tratamiento farmacológico , Psicotrópicos/uso terapéutico , Anciano , Antidepresivos/uso terapéutico , Antipsicóticos/uso terapéutico , Humanos , Litio/uso terapéutico , Tranquilizantes/uso terapéuticoRESUMEN
According to modern understanding, bodily, spiritual and social symptoms are seen as the expression of a kind of transmissive disturbance. One could just as well speak of a disturbance in the cybernetic control systems. In this context we understand simultaneous diagnostics and therapy as a proper technique for the understanding and treatment of psychosomatic illnesses. In simultaneous diagnostics and therapy, it is not a matter of adding-up the various symptoms, but rather a matterof an independent method of integrating the various areas. As can be seen in a statistical evaluation of the patients in the clinical psychosomatic station in 1975, a few characteristic tendencies could be traced. By a listing of the frequency of complaints and the correlation with somatic findings, a somatic diagnosis could be found in 60% of the patients. With 36% of the patients no definite connection could be found between the somatic diagnosis, that is the clinical diagnosis, and the main complaints. Besides that, the duration of the symptoms was determined. Important new viewpoints were found in the psychological area in a total of 27 patients and in the somatic area in a total of 19 patients.