Here reported are six patients with depression of late life and brain syndromes, who responded to an eclectic approach of tranquillizers, antidepressants and psychotherapy, using concepts from Gutheil, Rado and Arieti. Environmental manipulation, use of proprioceptive action self, and discussion of the origins of each depressive episode often helped to ameliorate symptoms and improve the clinical picture. Psychotherapy with these patients may necessarily involve newer but accepted techniques used in specific but different ways.
References
1.
AginH. V.: Phenylzine in the Treatment of Depression.Amer. J. Psychiat., 119: 1173–1174, (June) 1963.
2.
ArietiS.: The Psychotherapeutic Approach to Depression.Amer. J. of Psychotherapy,16: 397–406, (July) 1962.
3.
AydF. J.: Nialamide Therapy for the Depressed Geriatric Patient.J. Amer. Ger. Soc., 10: 432–435, (May) 1962.
4.
BusseE. W.: Psychopathology, In Handbook of Aging and the Individual, Ed. BirrenJ. E.. U. of Chicago Press, 1969, p. 389–391.
5.
BusseE. W.: The Treatment of Hypochondriasis.Tri State Medical Journal,2: 7–12, 1954.
6.
BusseE. W.: Treatment of the Non-Hospitalized Emotionally Disturbed Elderly Person.Geriatrics,2: 173–179, 1956.
7.
ClowH. E., and AllenE. B.: A Study of Depressive States in the Aging.Geriatrics,4: 11, 1949.
8.
ClowH. E., and AllenE. B.: Manifestations of Psychoneuroses Occurring in Later Life.Geriatrics,6: 1, (Jan.-Feb.) 1961.
9.
CummingsE., and HenryW. E.: Growing Old: The Process of Disengagement.N.Y., Basic Books Inc., 1961.
10.
EvansV. L.: Convulsive Shock Therapy—Elderly Patients—Risks and Results.Amer. J. Psychiat., 99: 531–533, 1943.
11.
FriedmanJ. H., and HaderM.: Evaluation of Prognostic Factors and Results in a Geriatric Mental Hygiene Clinic.Medical Times,92: 790–795, (Aug.) 1964.
12.
GallinekA.: Electroconvulsive Therapy in Geriatrics.N.Y.S.J. Med.,47. 1133, 1947.
13.
GoldfarbA. I.: Depression, Brain Damage, and Chronic Illness of the Aged; Psychiatric Diagnosis and Treatment.J. Chronic Disease,9: 220, (March) 1959.
14.
GoldfarbA. I., KahnR. L., PollachM., and GerberI. E.: The Relationship of Mental and Physical Status in Institutionalized Aged Persons.Amer. J. Psychiatry,117: 120–124, 1960.
15.
GoldsteinK.: Functional Disturbances in Brain Damage, In American Handbook of Psychiatry, Ed. ArietiS.N.Y., Basic Books Inc., 1959, pp. 770–794.
16.
GoldsteinK.: After-effects of Brain Injuries in War.N.Y., Grune and Stratton Inc., 1942, p. 159.
17.
GrauerH., and KralV. A.: Use of Imipramine (Tofranil) in Psychiatric Patients in a Geriatrics Out-patient Clinic.Canad. Med. Ass. J., 83: 1423–1426, 1960.
18.
GrauerH., and StrakerM.: Psychiatric Evaluation of a Chronically Ill Geriatric Hospital Population.J. Amer. Ger. Soc., 9: 1073–1077, (Dec.) 1961.
19.
GutheilE. A.: Reactive Depressions, American. Handbook of Psychiatry, Ed. ArietiS.. N.Y., Basic Books Inc.,1959, pp. 1541–1551.
20.
HochP. H.: Psychodynamics and Psychotherapy of Depressions.Canad. Psychiat. Ass. J., 4: 24–30, (Spec. Suppl.) 1959.
21.
HochP. H.: Drug Therapy, American Handbook of Psychiatry, Ed. ArietiS.N.Y., Basic Books Inc.,1959, pp. 1541–1551.
22.
HollanderM.: Early Psychiatric Reactions Associated with Organic Brain Disease in the Aged. N.Y.S.J. Med., 59: 802, 1959.
23.
LevinS.: Depression in the Aged: A Study of Salient External Features.Geriatrics,18: 302–307, (Apr.) 1963.
24.
LifshitzK., and KlineN. S.: Psychopharmacology of the Aged, in Clinical Principles and Drugs in the Aging, (ed.) FreemanJ. T.Springfield, Ill., C. C. Thomas, 1963, pp. 421–457.
25.
MeerlooJ. A. M.: Modes of Psychotherapy in the Aged.J.A. Ger. Soc., 9: 225–234, (March) 1961.
26.
MonratoffG. J.; Effectiveness and Tolerance of Nialamide for Geriatric Patients.Dis. Nerv. Syst., 20 (Suppl.) 38, 1959.
27.
RadoS.: The Automatic Motivating System of Depressive Behavior.Comprehensive Psychiatry,2: 248–260, (Oct.) 1961.
28.
SternK., WilliamsG. M., and PradosM.: Grief Reactions in Later Life.Amer. J. Psychiat., 108: 289, 1951.
29.
SternK., and MenzerD.: The Mechanism of Reactivation in Depressions of the Old Age Group.Psychiat. Quart., 20: 56–73, 1946.
30.
StrakerM., and RothE. M.: Use of Imipramine (Tofranil) in the Aged Chronically Ill.Canad. Med. Ass. J., 82: 362–364, Feb. 12, 1960.