Counselling and Psychotherapy with Older People in Care: A Support Guide

242 Pages·2017·5.209 MB·English

by  Felicity Chapman

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“Felicity Chapman’s ‘out of the box’ approach to psychotherapeutic u
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work with older adults is a refreshing and much-needed text which
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infuses a strong interest in the lived narrative. This book provides
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clinicians with a manual filled with real-life accounts that are honest i
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and heart-warming. It is to be commended to anyone who cares g
about the wellbeing of older adults.”
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– Julianne Whyte, OAM, CEO and Founder of the Amaranth Foundation d

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“Felicity Chapman sets out to excite and equip psychotherapists across s Counselling
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disciplines to create spaces of hope for ageing populations in care. c
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The illuminating personal stories and the meticulous unpacking of
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work within residential care systems are written with rigor, elegance t
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and humor and make for compelling reading. A must-read guide!” e
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– Shona Russell, mental health social worker and Co-Director of Narrative Practices Adelaide a
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this suPPortive guide for psychotherapists, counsellors and other
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for mental health services for older adults. It covers a range of issues that o
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process, assessment and engagement, and attitudes towards ageing, while e
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contextualizing these issues within larger social and political frameworks.
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Specific interventions such as Narrative Therapy, Reminiscence Therapy, e
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Acceptance and Commitment Therapy and Cognitive Behavioural Therapy in care
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Felicity Chapman is an accredited mental health social n

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A Support Guide
www.jkp.com
Cover design: Tango Media
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“Dame Cicely Saunders, nurse, physician and founder of the modern
hospice movement once said, ‘You matter because you are you, and
you matter to the end of your life. We will do all we can not only to
help you die peacefully, but also to live until you die.’ In Counselling
and Psychotherapy with Older People in Care, Felicity Chapman puts life
into these words. Her ‘out of the box’ approach to psychotherapeutic
work with older adults is a refreshing and much-needed text
which infuses a strong interest in the lived narrative. This area of
health care has not received the attention, nor the research, that it
deserves. Felicity’s contribution redresses this oversight and offers a
rich, practice-informed account. It provides strength to the delivery
of evidence-based practice for this cohort while calling for a more
nuanced approach that is not diagnostic or disorder focused. Readers
are led on a journey of belief that older people in care still have much
to teach and share and deserve to be provided with opportunities to
work through a variety of psychological issues. This book provides
clinicians with a manual filled with real-life accounts that are honest
and heart-warming. It is to be commended to anyone who cares about
the wellbeing of older adults.”
– Julianne Whyte, OAM, CEO and Founder of the Amaranth Foundation
“In Counselling and Psychotherapy with Older People in Care, Felicity
Chapman sets out to excite and equip psychotherapists across
disciplines to create spaces of hope and re-invigoration for ageing
populations in care. Her book is a must-read guide! By sharing stories
of her psychotherapeutic work with seniors such as Harold, we are
invited into the complexities and challenges of the work as well as
being introduced to evidence-based practice and practice-based
evidence. The detailed account of relevant psychological approaches
offers a breadth of perspective. The illuminating personal stories of
the elderly and the meticulous unpacking of work within residential
care systems are written with rigor, elegance and humor and make for
compelling reading.”
– Shona Russell, mental health social worker and
Co-Director of Narrative Practices Adelaide
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COUNSELLING
AND
PSYCHOTHERAPY
WITH
OLDER PEOPLE
IN CARE
A Support Guide
Felicity Chapman
Jessica Kingsley Publishers
London and Philadelphia
The list on page 56 is from SEVEN STRATEGIES FOR POSITIVE AGING by Robert D. Hill.
Copyright © 2008 by Robert D. Hill. Used by permission of W. W. Norton & Company, Inc.
First published in 2018
by Jessica Kingsley Publishers
73 Collier Street
London N1 9BE, UK
and
400 Market Street, Suite 400
Philadelphia, PA 19106, USA
www.jkp.com
Copyright © Felicity Chapman 2018
Front cover image source: iStockphoto®
All rights reserved. No part of this publication may be reproduced in any material form
(including photocopying, storing in any medium by electronic means or transmitting)
without the written permission of the copyright owner except in accordance with the
provisions of the law or under terms of a licence issued in the UK by the Copyright Licensing
Agency Ltd. www.cla.co.uk or in overseas territories by the relevant reproduction rights
organisation, for details see www.ifrro.org. Applications for the copyright owner’s written
permission to reproduce any part of this publication should be addressed to the publisher.
Warning: The doing of an unauthorised act in relation to a copyright work
may result in both a civil claim for damages and criminal prosecution.
Library of Congress Cataloging in Publication Data
Names: Chapman, Felicity, author.
Title: Counselling and psychotherapy with older people in care : a support
guide / Felicity Chapman.
Description: Philadelphia : Jessica Kingsley Publishers, [2018] | Includes
bibliographical references.
Identifiers: LCCN 2017032047 (print) | LCCN 2017044179 (ebook) | ISBN
9781784507510 (ebook) | ISBN 9781785923968 (alk. paper)
Subjects: LCSH: Older people--Care. | Older people--Counseling of. |
Psychotherapy for older people.
Classification: LCC HV1451 (ebook) | LCC HV1451 .C624 2018 (print) | DDC
362.6/6--dc23
LC record available at https://lccn.loc.gov/2017032047
British Library Cataloguing in Publication Data
A CIP catalogue record for this book is available from the British Library
ISBN 978 1 78592 396 8
eISBN 978 1 78450 751 0
for Marjorie

Contents
Acknowledgements. . . . . . . . . . . . . . . . . . . . . . . . 9
Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Introduction. . . . . . . . . . . . . . . . . .. . . . . . . . 17
PART 1: THE CONTEXT
1. Residential Living. . . . . . . . . . . . . . . . . . . . . . . 38
2. Barriers to Engagement . . . . . . . . . . . . . . . . . . . . 48
3. Types of Distress . . . . . . . . . . . . . . . . . . . . . . . 62
PART 2: INTERVENTION
4. The Moving Wheel of Assessment. . . . . . . . . . . . . . . 78
5. Invitations for Engagement . . . . . . . . . . . . . . . . . . 95
6. Types of Engagement . . . . . . . . . . . . . . . . . . . . . 110
PART 3: THE BIGGER PICTURE
7. Caring for You the Psychotherapist . . . . . . . . . . . . . . 152
8. Disempowering Attitudes . . . . . . . . . . . . . . . . . . . 165
9. Building Senior-Friendly Care Systems . . . . . . . . . . . . 182
APPENDICES
Appendix 1: Determining Suitability and Tailoring Intervention . . . 206
Appendix 2: Intake and First Few Sessions . . . . . . . . . . . . . 207
Appendix 3: Some Experiences of Grief . . . . . . . . . . . . . . 208
Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . 209
References. . . . . . .. . . . . . . . . . . . . . . . . . . . . 218
Further Reading and Resources . . . . . . . . . . . . . . . . . . 226
Notes. . . . . . . . .. . . . . . . . . . . . . . . . . . . . . 228
Subject Index . . . . . . . . . . . . . . . . . . . . . . . . . . 230
Author Index . . . . . . . . . . . . . . . . . . . . . . . . . . 235