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OVERCOMING BARRIERS TO COLLABORATIVE CONCEPTUALIZATION IN COGNITIVE THERAPY WITH OLDER ADULTS

Published online by Cambridge University Press:  23 September 2004

Georgina Charlesworth
Affiliation:
North East London Mental Health Trust, UK Reprint requests to Georgina Charlesworth, Lecturer in Clinical & Health Psychology of Old Age, Centre for Behavioural and Social Sciences in Medicine, University College London, Wolfson Building, 48 Riding House Street, London W1W 7EY, UK. E-mail: g.charlesworth@ucl.ac.uk
Sally Greenfield
Affiliation:
North East London Mental Health Trust, UK

Abstract

This is the third in a series of three papers on cognitive therapy formulation with older people. The aims of this paper are to identify barriers to collaborative conceptualization, and to summarize useful strategies for overcoming these barriers. Obstacles to collaborative conceptualization with older clients have previously been thought of as a consequence of age-related skills deficits. In this paper we focus instead on the barriers created by therapistand client-held prejudicial beliefs. A social cognitive perspective is used to conceptualize stereotypical prejudices. Strategies are described for challenging or reframing prejudicial beliefs, and addressing the mechanisms that perpetuate these beliefs.

Type
Review Article
Copyright
2004 British Association for Behavioural and Cognitive Psychotherapies

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