Abstract
Mid-life poses many stresses that are taxing even for those with relatively cohesive selves and good compensatory structures as well as those who show more severe pathology. This article will discuss mid-life issues, a self psychological perspective on mid-life, and will describe three individuals whose presenting problems were triggered by mid-life events that stimulated their underlying narcissistic vulnerability. The article will discuss and illustrate special emphases in the treatment of such patients drawing on self psychological theory generally.
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References
Barnett, R.C. (1984). The anxiety of the unknown-choice, risk, responsibility: Therapeutic issues for today's adult women. In G. Baruch & J. Brooks-Gunn (Eds.)Women in mid-life. (pp. 341–357). New York: Plenum Press.
Berkowitz, D., Shapiro, R., Zinner, J., & Shapiro, E. (1974). Concurrent family treatment of narcissistic disorders in adolescence.International Journal of Psychoanalytic Psychotherapy, 3, 379–386.
Brooks-Gunn, J. & Kirsh, B. (1984). Life events and the boundaries of midlife for women. In G. Baruch & J. Brooks-Gunn (Eds.)Women in mid-life. (pp. 11–30). New York: Plenum Press.
Butler, R. (1963). The life review: an interpretation of reminiscence.Psychiatry, 26, 65–76.
Goldstein, E.G. (1990).Borderline disorders: Clinical models and techniques. new York: The Guilford Press.
Greenes, J.M. (1987). The aged in psychotherapy: psychodynamic contributions to the treatment process. In J. Sadovy & M. Leszcz (Eds.)Treating the elderly with psychotherapy (pp. 64–75). Madison, Wisconsin: International Universities Press.
Grunes, J.M. (1982). Reminiscence, regression and empathy—a psychotherapeutic approach to the impaired elderly. In S. I. Greenspan & G. H. Pollock (Eds.).The course of life. (Vol. 3, pp. 545–560). Washington: D.C.: National Institute of Mental Health.
Kohut, H. (1971).The analysis of the self. New York: International Universities Press.
Kohut, H. (1977).The restoration of the self. New York: International Universities Press.
Kohut, H. (1984).How does analysis cure? Chicago: University of Chicago Press.
Lazarus, W. (1980). Self psychology and psychotherapy with the elderly: Theory and practice.Journal of Geriatric Psychiatry, 13, 69–88.
Modell, A. H. (1975). A narcissistic defense against affects and the illusion of self-sufficiency.International Journal of Psychoanalysis, 56, 275–282.
Pollock, G. H. (1987). The mourning-liberation process: issues in the inner life of the older adult. In J. Sadovy & M. Leszcz (Eds.)Treating the elderly with psychotherapy. (pp. 3–30). Madison, Wisconsin: International Universities Press.
Sheehy, G. (1974).Passages. New York: Dutton.
Wolf, E. (1988).Treating the self. New York: The Guilford Press.
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Goldstein, E. When the bubble bursts: Narcissistic vulnerability in mid-life. Clin Soc Work J 23, 401–416 (1995). https://doi.org/10.1007/BF02191629
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DOI: https://doi.org/10.1007/BF02191629