GERIATRIC WARD PSYCHIATRY : Techniques in the Psychological Management of Elderly Psychotics

RAPHAEL GINZBERGAuthors Info & Affiliations

Publication: American Journal of Psychiatry

Volume 110, Number 4

https://doi.org/10.1176/ajp.110.4.296

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Abstract

1. Mental and intellectual deterioration are typical for psychoses in advanced life. Thus, an approach based on logical argumentation fails to facilitate contact with the elderly psychotic.

2. The emotional sphere is often not so much affected as the intellectual. Therefore, any therapeutic technique in treatment and psychological management of elderly psychotics has to be based primarily on the utilization of preserved emotional faculties, among them the preserved or only partly impaired ability for group identification.

3. Psychological management and treatment based on these principles is divided into the following 4 phases: Group occupational therapy; group and individual psychotherapy; training in self-care both inside, and in case of release, outside the hospital; adjustment of the elderly psychotic to the environment and adjustment of the immediate environment to the elderly person.

4. This program, which is already in action, takes care of the reversible psychological symptoms but not of the irreversible pathophysiological ones.

5. Although still in an experimental stage, the program opens the way for a more satisfactory management of elderly psychotics. The use of the methods described has therefore been advocated.

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Information & Authors

Information

Published In

American Journal of Psychiatry

Volume 110 • Number 4 • October 1953

Pages: 296 - 300

PubMed: 13092288

History

Published in print: October 1953

Published online: 1 April 2006

Authors

Details

RAPHAEL GINZBERG

Senior Physician in charge of geriatrics program, V. A. Hospital, Tomah, Wisconsin.

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GERIATRIC WARD PSYCHIATRY : Techniques in the Psychological Management of Elderly Psychotics

Abstract

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