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Psychothérapie cognitive et dépression dans l'âge: un modèle d'intervention en psychiatrie gériatrique

Published online by Cambridge University Press:  29 November 2010

Lucio Bizzini  and
Lusmila Myers-Arrazola
Lucio Bizzini
Affiliation:
Institutions Universitaires de Psychiatrie de Genèe
Lusmila Myers-Arrazola
Affiliation:
Institutions Universitaires de Psychiatrie de Genèe
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Abstract

Psychological treatment of depression in the elderly has recently benefited from the development of the cognitive approach. In particular, cognitive psychotherapy seems well adapted to and accepted by older people. In this article, we attempt to show the course of this type of psychotherapy in the case of a 79 year-old depressive woman in our Cognitive Therapy Unit for Elderly. We emphasize the therapeutical setting and the content of the sessions, the techniques used, the changes that occurred, and finally, the therapeutic alliance is described. Although some negative views about psychotherapy with older people are not totally abandoned, this vignette is a good illustration of the benefits for the patient and the highly enriching work for the therapist.

Résumé

Le traitement psychologique de la dépression dans l'âge s'est enrichi ces dernières années des approches dites cognitives. En particulier, la psychothérapie cognitive est apparue adaptée, efficace et bien investie par la personne âgée. Dans cet article, nous montrons la trajectoire d'une psychothérapie cognitive menée avec une dame dépressive âgée de 79 ans se déroulant dans le cadre de notre Unité de Thérapie Cognitive de l'Âgé. La présentation du setting thérapeutique et du contenu des séances, la description des techniques cognitives utilisées, la discussion sur le changement ainsi que l'appréciation de l'alliance thérapeutique en seront les points forts. Cette vignette illustre bien le fait que, malgré les stéréotypes négatifs dont souffre encore la psychothérapie de la personne âgée, ce type d'intervention est bénéfique pour le patient et passionnant pour le thérapeute.

Keywords

Cognitive PsychotherapyElderlyDepressionClinical VignetteTherapeutic AllianceChange.Psychothérapie cognitivepersonne âgéedépressionvignette cliniquerelation thérapeutiquechangement.
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 15 , Issue 2 , Été/Summer 1996 , pp. 183 - 197
Copyright
Copyright © Canadian Association on Gerontology 1996

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