Skip to main content

Abstract

The process of aging often poses unique challenges to the practice of couple’s counseling. This highlights the importance for mental health professionals working with this population to be aware of these challenges and provide effective interventions in an empathic and well-informed manner. Therefore, this chapter examines how Rational Emotive and Cognitive Behavior Therapy (RE&CBT) in addition to the implementation of wellness activities can help couples deal with the physical and psychological changes due to aging, as well as from conditions such as stroke, arthritis, diabetes and other ailments that are more commonly experienced as one ages. Furthermore, the transition to retirement for individuals and couples is addressed, as well as the stress on a couple when one partner has to assume the role of caretaker. Following a review of RE&CBT techniques with older couples, a case study is presented and the chapter authors reflect on various types of interventions to address issues illustrated by this case.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Addis, J., & Bernard, M. E. (2002). Marital adjustment and irrational beliefs. Journal of Rational Emotive and Cognitive-Behavior Therapy, 20, 3–13.

    Article  Google Scholar 

  • Alegría, M., Chatterji, P., Wells, K., Cao, Z., Chen, C. N., Takeuchi, D., Jackson, J., & Meng, X. L. (2008). Disparity in depression treatment among racial and ethnic minority populations in the United States. Psychiatric Services, 59(11), 1264–1272.

    Article  PubMed  Google Scholar 

  • Bartels, S. J., Blow, F., & Van Citters, A. (2005). Substance abuse and mental health among older Americans: The state of the knowledge and future directions. Substance abuse and mental health services administration. Retrieved April 7, 2012 from http://gsa-alcohol.fmhi.usf.edu/Substance%20Abuse%20and%Mental%20Health%20Among%20Older%20Adults-%20The%20State%20%of%20Knowledge%20and%20Future%20Directions.pdf

    Google Scholar 

  • Bowser, D. M., Utz, S., Glick, D., & Harmon, R. (2010). A systematic review of the relationship of diabetes mellitus, depression, and missed appointments in a low-income uninsured population. Archives of Psychiatric Nursing, 24(5), 317–329.

    Article  PubMed  Google Scholar 

  • DeLamatar, J. D., & Sill, M. (2005). Sexual desire in later life. Journal of Sex Research, 42, 138–149.

    Article  Google Scholar 

  • de Souto Barreto, P., Ferrandeaz, A. M., & Guihard-Costa, A. M. (2011). Predictors of body satisfaction: Differences between older men and women’s perceptions of their body functioning and appearance. Journal of Aging and Health, 23, 505–528.

    Article  PubMed  Google Scholar 

  • Druss, B. G. & Reisinger Walker, E. (2011). Mental disorders and medical comorbidity. Robert Wood John Synthesis report No 21. Princeton, NJ: Robert Wood Johnson Foundation.

    Google Scholar 

  • Ellis, A. (2003). How to age with style. New York: Albert Ellis Institute.

    Google Scholar 

  • Ellis, A. (2004). Rational emotive behavior therapy: It works for me—it can work for you. Amherst, NY: Prometheus.

    Google Scholar 

  • Ellis, A., Shaugnessy, M. F., & Mahan, V. (2002). An interview with Albert Ellis about rational emotive behavior therapy. North American Journal of Psychology, 4, 355–366.

    Google Scholar 

  • Goldsmith, T. (2009). Theories of biological aging: and implications for public health. www.azinet.com/aging

  • Harpole, L. H., Williams, J. W., Olsen, M. K., Stechuchak, K. M., Oddone, E., Callahan, C. M., Katon, W. J., Lin, E. H., Grypma, L. M., & Unützer, J. (2005). Improving depression outcomes in older adults with comorbid medical illness. General Hospital Psychiatry, 27(1), 4–12.

    Article  PubMed  Google Scholar 

  • Hay, E. L., & Diehl, M. (2011). Emotion complexity and emotion regulation across adulthood. European Journal of Ageing, 8, 157–168.

    Article  PubMed  Google Scholar 

  • Hudson, F. M. (1991). The adult years: Mastering the art of self-renewal. San Francisco: Jossey Bass.

    Google Scholar 

  • Insel, T., & Chamey, D. (2003). Research on major depression strategies and priorities. JAMA, 289(23), 3167–3168.

    Article  PubMed  Google Scholar 

  • Kastenschmidt, E. K., & Kennedy, G. J. (2011). Depression and anxiety in late life: Diagnostic insights and therapeutic options. The Mount Sinai Journal of Medicine, 78(4), 527–545.

    Article  Google Scholar 

  • Kim, J. E., & Moen, P. (2002). Retirement transitions, gender, and psychological well-being: A life-course, ecological model. Journal of Gerontology: Psychological Sciences, 57b, 212–222.

    Article  Google Scholar 

  • Kuczynski, A. (2004, August 8). The 37 Year Itch. New York Times, Sunday.

    Google Scholar 

  • Laidlaw, K. (2010). Are attitudes to ageing and wisdom enhancement legitimate targets for CBT for late life depression and anxiety. Nordic Psychology, 62, 27–42.

    Article  Google Scholar 

  • Laidlaw, K. & Pachana, N. (2011, November). Aging, with grace. Monitor on Psychology, pp. 66–71.

    Google Scholar 

  • Lawrence-Lightfoot, S. (2009). The third chapter: Passion, risk, and adventure in the 25 years after 50. New York: Sarah Crichton Books.

    Google Scholar 

  • McDonald-Misczak, L., Wister, A. V., & Gutman, G. M. (2001). Self-care among older adults: An analysis of the objective and subjective illness contexts. Journal of Aging and Health, 13, 120–145.

    Article  Google Scholar 

  • McKinley, N. M., & Lyon, L. A. (2008). Menopausal attitudes, objectified body consciousness, aging anxiety, and body esteem: European American women’s body experiences in midlife. Body Image, 5, 375–380.

    Article  PubMed  Google Scholar 

  • Miniño, A. M., Murphy, S. L., Xu, J., & Kochanek, K. D. (2011). Deaths: Final data for 2008. National Vital Statistics Reports; vol 59, no 10. Hyattsville, MD: National Center for Health Statistics.

    Google Scholar 

  • Neugarten, B. L (obit). (2001). Pioneering U of C gerontologist died Sunday, July 22. New York Times, Editorial Preview, 29.

    Google Scholar 

  • Nolen-Hoeksema, S., & Aldao, A. (2011). Gender and age differences in emotion regulation ­strategies and their relationship to depressive symptoms. Personality and Individual Differences, 51, 704–708.

    Article  Google Scholar 

  • Oh, K., & Damhorst, M. L. (2009). Coorientation of body image among older married couples. Body Image, 6, 43–47.

    Article  PubMed  Google Scholar 

  • Renn, B. N., Feliciano, L., & Segal, D. L. (2011). The bidirectional relationship of depression and diabetes: A systematic review. Clinical Psychology Review, 31(8), 1239–1246.

    Article  PubMed  Google Scholar 

  • Saucier, M. G. (2004). Midlife and beyond: Issues for aging women. Journal of Counseling and Development, 82, 420–425.

    Article  Google Scholar 

  • Schlossberg, N. K. (2009). Revitalizing retirement: Reshaping your identity, relationships, and purpose. Washington, DC: American Psychological Association.

    Google Scholar 

  • Seligman, M. E. P. (2008). Positive health. Applied Psychology: An International Review, 57, 3–18.

    Article  Google Scholar 

  • Speer, D. C., & Schneider, M. G. (2003). Mental health needs of older adults and primary care: Opportunity for interdisciplinary geriatric team practice. Clinical Psychology: Science and Practice, 10(1), 85–101.

    Article  Google Scholar 

  • Suzman, R. (2011). Study on aging. Washington, DC: National Institute on Aging.

    Google Scholar 

  • Swarbrick, M. (2012, March 2). Wellness and aging. Words of wellness, vol 5, Number 9.

    Google Scholar 

  • Thompson, S. C., Thomas, C., Rickabaugh, C. A., Tantamjarik, P., Otsuki, T., Pan, D., et al. (1998). Primary and secondary control over age-related changes in physical appearance. Journal of Personality, 66, 583–605.

    Article  PubMed  Google Scholar 

  • Umstattd, M. R., Wilcox, S., & Dowda, M. (2011). Predictors of change in satisfaction with body appearance and body function in mid-life and older adults: Active for life. Annals of Behavioral Medicine, 41, 342–352.

    Article  PubMed  Google Scholar 

  • Unützer, J., Bruce, M. L., & NIMH Affective Disorders Workgroup. (2002). The elderly. Mental Health Services Research, 4(4), 245.

    Article  PubMed  Google Scholar 

  • Vaillant, G. (2002). Aging well. New York: Little, Brown and Company.

    Google Scholar 

  • Van Solinge, H., & Henkens, K. (2005). Couples’ adjustment to retirement: A multi-actor panel study. Journal of Gerontology: Social Sciences, 60B, 811–820.

    Google Scholar 

  • Whitbourne, S. K. (2010). The search for fulfillment: Revolutionary new research that reveals the secret of long-term happiness. New York: Ballantine Books.

    Google Scholar 

  • Williams, P. T., & Wood, P. D. (2006). The effects of changing exercise levels on weight and age-related weight gain. International Journal of Obesity, 30, 543–551.

    Article  PubMed  Google Scholar 

  • Wurm, S., Tomasik, M. J., & Tesch-Römer, C. (2008). Serious health events and their impact on changes in subjective health: The role of age and a positive view on aging. European Journal of Ageing, 5, 117–127.

    Article  Google Scholar 

  • Wu, L. T., & Blazer, D. G. (2011). Illicit and nonmedical drug use among older adult review. Journal of Aging and Health, 23(3), 481–504.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Michael Hickey Ph.D. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer Science+Business Media New York

About this chapter

Cite this chapter

Hickey, M., McMahon, J., Swarbrick, M. (2012). Helping Couples Deal with Aging. In: Vernon, A. (eds) Cognitive and Rational-Emotive Behavior Therapy with Couples. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-5137-2_15

Download citation

Publish with us

Policies and ethics