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Behavioral Group Therapy with the Elderly

A Psychoeducational Approach

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Handbook of Behavioral Group Therapy

Abstract

Older adults comprise a rapidly increasing proportion of the population in the United States. In 1980, 9.9% of the population was 65 or older; between the 1960 and 1970 censuses, the number of aged increased 21.1% (Brotman, 1973). Pfeiffer (1980) reports that 11% of our population is over age 65, and 25% of these persons are thought to have psychological difficulties warranting professional attention. Approximately 25% of all suicides in this country are committed by persons over age 65 (Butler & Lewis, 1977). There is a well-documented gap, however, between the mental health needs of the elderly and the provision of services to meet these needs (Zarit, 1980). At least two-thirds of all psychologists do not work clinically with elderly clients (VandenBos, Stapp, & Kilberg, 1981). Only 4 to 5% of the case load in outpatient mental health clinics consists of elderly clients (Redick & Taube, 1980), and an even smaller percentage of elders are thought to be treated by private practitioners (Gottfredson & Dyer, 1978).

This chapter was supported in part by grants R01-MH37196 and T01-MH17621 from the National Institute of Mental Health.

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References

  • Abrams, D. B. Clinical developments in the behavioral treatment of obesity. Clinical Behavior Therapy Review, 1979, 1, 1–14.

    Google Scholar 

  • Archbold, P. An analysis of parent-caring by women. Home Care Services Quarterly, 1979, 3, 5–26.

    Article  Google Scholar 

  • Atthowe, J. Controlling nocturnal enuresis in severely disabled and chronic patients. In R. C. Katz & S. Zlutnick (Eds.), Behavioral therapy and health care: Principles and applications. New York: Per-gamon Press, 1975.

    Google Scholar 

  • Bakker, C. B., & Armstrong, H. E., Jr. The adult development program: An educational approach to the delivery of mental health services. Hospital and Community Psychiatry, 1976, 27, 330–334.

    PubMed  Google Scholar 

  • Bandura, A. Self-efficacy: Toward a unifying theory of behavior change. Psychological Review, 1977, 84, 191–215.

    Article  PubMed  Google Scholar 

  • Bandura, A. Self-efficacy mechanism in human agency. American Psychologist, 1982, 37, 122–147.

    Article  Google Scholar 

  • Barrett, C. J. Effectiveness of widows’ groups in facilitating change. Journal of Consulting and Clinical Psychology, 1978, 46, 20–31.

    Article  PubMed  Google Scholar 

  • Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. An inventory for measuring depression. Archives of General Psychiatry, 1961, 4, 561–571.

    Article  PubMed  Google Scholar 

  • Beck, A. T., Rush, A. J., Shaw, B., & Emery, G. Cognitive therapy of depression. New York: Guilford Press, 1979.

    Google Scholar 

  • Blazer, D., & Williams, C. D. Epidemiology of dysphoria and depression in various adult age groups. American Journal of Psychiatry, 1980, 137, 439–444.

    PubMed  Google Scholar 

  • Blumenthal, M. D. Mental deterioration and family burden: Some theoretical perspectives. Paper presented at annual meeting of the Gerontological Society of America, San Diego, 1980.

    Google Scholar 

  • Brody, S. J., Poulshock, S. W., & Masciocchi, C. F. The family caring unit: A major consideration in the long-term support system. The Gerontologist, 1978, 18, 556–561.

    Article  PubMed  Google Scholar 

  • Brotman, H. B. Who are the aging? In E. W. Busse & E. Pfeiffer (Eds.), Mental illness in later life. Washington, D.C.: American Psychological Association, 1973.

    Google Scholar 

  • Burnside, I. M. Working with the elderly: Group processes and techniques. Belmont, Calif.: Wadsworth, 1978.

    Google Scholar 

  • Butler, R. Alzheimer’s disease—senile dementia and related disorders: The role of NIA. In R. Katzman, R. Terry, & K. Bick (Eds.), Alzheimer’s disease: Senile dementia and related disorders. New York: Raven Press, 1978.

    Google Scholar 

  • Butler, R., & Lewis, M. Aging and mental health (2d ed.). St. Louis: Mosby, 1977.

    Google Scholar 

  • Cautela, J. R. A classical conditioning approach to the development and modification of behavior in the aged. The Gerontologist, 1969, 9, 109–113.

    PubMed  Google Scholar 

  • Christensen, A., Miller, W. R., & Munoz, R. F. Paraprofessionals, partners, peers, paraphernalia, and print: Expanding mental health service delivery. Professional Psychology, 1978, 33, 249–270.

    Article  Google Scholar 

  • Clayton, P. J. Bereavement. In E. S. Paykel (Ed.), Handbook of affective disorders. New York: Guilford Press, 1982.

    Google Scholar 

  • Coates, T. J., & Thoresen, C. E. Treating sleep disorders: Few answers, some suggestions, and many questions. In S. M. Turner, K. S. Calhoun, & H. E. Adams (Eds.), Handbook of clinical behavior therapy. New York: Wiley, 1981.

    Google Scholar 

  • Cohen, L. D., & Cooley, S. G. Psychology training programs for direct services to the aging (Status report, 1980). Professional Psychology, 1983, 14, 720–728.

    Article  Google Scholar 

  • Crossman, L., London, C., & Barry, C. Older women caring for disabled spouses: A model for supportive services. The Gerontologist, 1981, 21, 464–470.

    Article  PubMed  Google Scholar 

  • DeBor, L., Gallagher, D., & Lesher, E. Group counseling with bereaving elderly. Clinical Gerontologist, 1983, 1, 81–90.

    Article  Google Scholar 

  • Evans, R. L., & Jaureguy, B. M. Group therapy by phone: A cognitive behavioral program for visually impaired elderly. Social Work in Health Care, 1981, 7, 79–90.

    Article  PubMed  Google Scholar 

  • Fengler, A. P., & Goodrich, N. Wives of elderly disabled men: The hidden patients. The Gerontologist, 1979, 19, 175–183.

    Article  PubMed  Google Scholar 

  • Fordyce, W. E. Behavioral methods for chronic pain and illness. St. Louis: Mosby, 1976.

    Google Scholar 

  • Gallagher, D. Behavioral group therapy with elderly depressives: An experimental study. In D. Upper & S. Ross (Eds.), Behavioral group therapy: An annual review. Champaign, Ill.: Research Press, 1981.

    Google Scholar 

  • Gallagher, D. E., and Rappaport, M. Enhancing caregivers’ capacity to care for frail elders. NIH Grant Application AG04572–01, approved for funding by the National Institute on Aging, 1983.

    Google Scholar 

  • Gallagher, D., & Thompson, L. W. Treatment of major depressive disorder in older adult outpatients with brief psychotherapies. Psychotherapy: Theory, Research, and Practice, 1982, 19, 482–490.

    Article  Google Scholar 

  • Gallagher, D., Breckenridge, J., Thompson, L., Dessonville, C., & Amaral, P. Similarities and differences between normal grief and depression in older adults. Essence, 1982, 5, 127–140.

    Google Scholar 

  • George, L. K., & Bearon, L. B. Quality of life in older persons. New York: Human Sciences Press, 1980.

    Google Scholar 

  • Gerber, I., Rusalem, R., Hannon, N., Arkin, A., & Battin, D. Anticipatory grief and aged widows and widowers. Journal of Gerontology, 1975, 30, 225–229.

    PubMed  Google Scholar 

  • Gottfredson, G. D., & Dyer, S. E. Health service providers in psychology. American Psychologist, 1978, 33, 314–338.

    Article  PubMed  Google Scholar 

  • Gurland, B. The comparative frequency of depression in various adult age groups. Journal of Gerontology, 1976, 31, 283–292.

    PubMed  Google Scholar 

  • Hedlund, B., & Thompson, L. W. Teaching the elderly to control depression using an educational format. Paper presented at annual meeting of the American Psychological Association, Montreal, September 1980.

    Google Scholar 

  • Hedlund, B., Gilewski, M., & Thompson, L. The older person’s pleasant events schedule. In D. Gallagher & L. Thompson, Depression in the elderly: A behavioral treatment manual Los Angeles: University of Southern California Press, 1981.

    Google Scholar 

  • Hiltz, S. R. Helping widows: Group discussions as a therapeutic technique. The Family Coordinator, 1975, 24, 331–336.

    Article  Google Scholar 

  • Hoyer, W. J. Application of operant techniques to the modification of elderly behavior. The Geron-tologist, 1973, 13, 18–22.

    Google Scholar 

  • Kazdin, A. E., & Wilson, G. T. Evaluation of behavior therapy: Issues, evidence, and research strategies. Lincoln,: University of Nebraska Press, 1978.

    Google Scholar 

  • Klein, R., Dean, A., & Bogdonoff, M. The impact of illness upon the spouse. Journal of Chronic Diseases, 1967, 20, 241–248.

    Article  PubMed  Google Scholar 

  • Kline, N. S. Incidence, prevalence and recognition of depressive illness. Diseases of the Nervous System, 1976, 37, 10–14.

    PubMed  Google Scholar 

  • Larson, R. Thirty years of research on the subjective well-being of older Americans. Journal of Gerontology, 1978, 33, 109–125.

    PubMed  Google Scholar 

  • Lawton, N. P. Clinical geropsychology: Problems and prospects. Master lecture delivered at annual meeting of the American Psychological Association, Toronto, August 1978.

    Google Scholar 

  • Lawton, N. P. The varieties of wellbeing. Distinguished contribution award address, Division 20, presented at annual meeting of the American Psychological Association, Washington, D.C., August 1982.

    Google Scholar 

  • Levine, N. B., Dastoor, D. P., & Gendron, C. E. Coping with dementia: A pilot study. Journal of American Geriatrics Society, 1983, 31, 12–18.

    Google Scholar 

  • Levy, S., Derogatis, L., Gallagher, D., & Gatz, M. Intervention with older adults. In L. Poon (Ed.), Aging in the 1980’s: Psychological issues. Washington, D.C.: American Psychological Association, 1980.

    Google Scholar 

  • Lewinsohn, P. M., Biglan, T., & Zeiss, A. Behavioral treatment of depression. In P. Davidson (Ed.), Behavioral management of anxiety, depression, and pain. New York: Brunner/Mazel, 1976.

    Google Scholar 

  • Lewinsohn, P. M., Munoz, R. F., Youngren, M. A., & Zeiss, A. M. Control your depression. En-glewood Cliffs, N.J.: Prentice-Hall, 1978.

    Google Scholar 

  • Lewinsohn, P. M., Sullivan, J. M., & Grosscup, S. Changing reinforcing events: An approach to the treatment for depression. Psychotherapy: Theory, Research, and Practice, 1980, 17, 322–334.

    Article  Google Scholar 

  • Lewinsohn, P. M., Breckenridge, J. S., Antonuccio, D. O., & Teri, L. A behavioral group therapy approach to the treatment of depression. In D. Upper & S. Ross (Eds.), Handbook of behavioral group therapy. New York: Plenum Press, 1985.

    Google Scholar 

  • Lewinsohn, P. M., Antonuccio, D. O., Steinmetz, J. L., & Teri, L. Coping with depression: A psycho-educational approach. Eugene, Ore.: Castalia, 1984.

    Google Scholar 

  • Lezak, M. D. Living with the characterologically altered brain injured patient. Journal of Clinical Psychiatry, 1978, 39, 592–598.

    PubMed  Google Scholar 

  • Libb, J. W., & Clements, C. B. Token reinforcement in an exercise program for hospitalized geriatric patients. Perceptual and Motor Skills, 1969, 28, 957–958.

    Article  PubMed  Google Scholar 

  • MacDonald, M. L., & Butler, A. K. Reversal of helplessness: Producing walking behavior in nursing home wheelchair residents using behavior modification procedures. Journal of Gerontology, 1974, 29, 97–101.

    PubMed  Google Scholar 

  • Marks, I. M. Management of sexual disorders. In H. Leitenberg (Ed.), Handbook of behavior modification and behavior therapy. Englewood Cliffs, N.J.: Prentice-Hall, 1976.

    Google Scholar 

  • McLean, P. Therapeutic decision-making in the behavioral treatment of depression. In P. O. Davidson (Ed.), The behavioral management of anxiety, depression, and pain. New York: Brunner/Mazel, 1976.

    Google Scholar 

  • Miller, W. R., & Taylor, C. A. Relative effectiveness of bibliotherapy, individual, and group self-control training in the treatment of problem drinkers. Addictive Behavior, 1980, 5, 13–24.

    Article  Google Scholar 

  • Mintz, J., Steuer, J., & Jarvik, L. Psychotherapy with depressed elderly patients: Research considerations. Journal of Consulting and Clinical Psychology, 1981, 49, 542–548.

    Article  PubMed  Google Scholar 

  • Niederehe, G. Postgraduate training of psychologists for work in aging: Continuing education, retraining, and in-service education. In J. F. Santos & G. R. VandenBos (Eds.), Psychology and the older adult: Challenges for training in the 1980’s. Washington, D.C.: American Psychological Association, 1980.

    Google Scholar 

  • Okimoto, J. T., Barnes, R. F., Veith, R. C., Raskind, M. A., Inui, T. S., & Carter, W. B. Screening for depression in geriatric medical patients. American Journal of Psychiatry, 1982, 139, 799–802.

    PubMed  Google Scholar 

  • Parkes, C. M. Bereavement: Studies of grief in adult life. London: Tavistock, 1972.

    Google Scholar 

  • Patterson, R. L., & Eberly, D. A. Assessment and training of daily living and social skills in the elderly. In P. M. Lewinsohn & L. Teri (Eds.), Clinical geropsychology: New directions in assessment and treatment. New York: Pergamon Press, 1983.

    Google Scholar 

  • Pfeiffer, E. The psychosocial evaluation of the elderly patient. In E. W. Busse & D. G. Blazer (Eds.), Handbook of geriatric psychiatry. New York: Van Nostrand Reinhold, 1980.

    Google Scholar 

  • Pfeiffer, E., & Busse, E. W. Mental disorders in later life—Affective disorders; paranoid, neurotic, and situational reactions. In E. W. Busse & E. Pfeiffer (Eds.), Mental illness in later life. Washington, D.C.: American Psychological Association, 1973.

    Google Scholar 

  • Pinkston, E., Green, R., & Linsk, N. Community linkage and behavioral treatment in home based treatment of elderly. Paper presented at meeting of Gerontological Society of America, Toronto, Canada, November 1981.

    Google Scholar 

  • Rabins, P. V., Mace, N. L., & Lucas, M. J. The impact of dementia on the family. Journal of American Medical Association, 1982, 248, 333–335.

    Article  Google Scholar 

  • Redick, R. W., & Taube, C. A. Demography and mental health care of the aged. In J. E. Birren & R. B. Sloane (Eds.), Handbook of mental health and aging. Englewood Cliffs, N.J.: Prentice-Hall, 1980.

    Google Scholar 

  • Rehm, L. P. A self-control therapy program for treatment of depression. In J. F. Clarkin & H. I. Glazer (Eds.), Depression: Behavioral and directive intervention strategies. New York: Garland, 1981.

    Google Scholar 

  • Richards, W. S., & Thorpe, G. L. Behavioral approaches to the problems of later life. In M. Storandt, I. C. Siegler, & M. F. Elias (Eds.), The clinical psychology of aging. New York: Plenum Press, 1978.

    Google Scholar 

  • Roth, M. Epidemiological studies. In R. Katzman, R. D. Terry, & K. L. Bick (Eds.), Alzheimer’s disease: Senile dementia and related disorders. New York: Raven Press, 1978.

    Google Scholar 

  • Roth, M. Senile dementia and its borderlands. In J. Cole & E. Barrett (Eds.), Psychopathology in the aged. New York: Raven Press, 1980.

    Google Scholar 

  • Shanas, E., Townsend, P., Wedderburn, D., Friis, H., Milhoj, P., & Stehouwer, J. Old people in three industrial societies. New York: Atherton, 1968.

    Google Scholar 

  • Silver, R. J., Lubin, B., Miller, D. R., & Dobson, N. H. The group psychotherapy literature: 1980. International Journal of Group Psychotherapy, 1981, 31, 469–526.

    Google Scholar 

  • Silver, R. J., Miller, D. R., Lubin, B., & Dobson, N. H. The group psychotherapy literature: 1981. International Journal of Group Psychotherapy, 1982, 32, 481–554.

    Google Scholar 

  • Silverman, P. R. The Widow-to-Widow program. Archives of the Foundation of Thanatology, 1970, 2, 133–135.

    Google Scholar 

  • Smyer, M. The differential usage of services by impaired elderly. Journal of Gerontology, 1980, 35, 249–255.

    PubMed  Google Scholar 

  • Spencer, B. Overcoming the age bias of continuing education. In G. Darkenwald & G. Larson (Eds.), New directions for continuing education: Reaching hard to reach adults. San Francisco: Jossey-Bass, 1980.

    Google Scholar 

  • Steinmetz, J. L., Zeiss, A. M., & Thompson, L. W. The Life Satisfaction Course: An intervention for the elderly. Paper presented at NIMH State-of-the-Art Workshop on the Prevention of Depression, San Francisco, April 1983.

    Google Scholar 

  • Steinmetz, J. L., Zeiss, A. M., Hill, J. L., Parke, L. A., & Thompson, L. W. Leader manual and participant workbook for the Increasing Life Satisfaction Course for the elderly. Unpublished mimeo, 1983.

    Google Scholar 

  • Steuer, J. L., Mintz, J., Hammen, C. L., Hill, M. A., Jarvik, L., McCarley, T., Motoike, P., & Rosen, R. Cognitive-behavioral and psychodynamic group psychotherapy in treatment of geriatric depression. Unpublished manuscript, University of California, Los Angeles, 1983.

    Google Scholar 

  • Storandt, M. Clinical psychology of aging. In A proposal to the APA that a task force on training and aging be formed. American Psychological Association, Division 20, December 1976.

    Google Scholar 

  • Stroebe, M. S., & Stroebe, W. Who suffers most? Sex differences in health risks of the widowed. Psychological Bulletin, 1983, 93, 279–301.

    Article  PubMed  Google Scholar 

  • Thompson, L. W. Psychoeducational approaches to reducing depression in the elderly. Invited address at annual meeting of the American Psychological Association, Los Angeles, August 1981.

    Google Scholar 

  • Thompson, L., Gallagher, D., Nies, G., Epstein, D., & Machon, R. Evaluation of an educational model for teaching the elderly skills for coping with depression. Final progress report submitted to NRTA-AARP Andrus Foundation, Washington, D.C., December 1981.

    Google Scholar 

  • Thompson, L., Gallagher, D., Nies, G., & Epstein, D. Evaluation of the effectiveness of professionals and nonprofessionals as instructors of “Coping with Depression” classes for elders. The Geron-tologist, 1983, 23, 390–396.

    Google Scholar 

  • VandenBos, G. R., Stapp, J., & Kilberg, R. R. Health service providers in psychology. American Psychologist, 1981, 36, 1395–1418.

    Article  PubMed  Google Scholar 

  • Vernon, S. W., & Roberts, R. E. Use of the SADS-RDC in a tri-ethnic community survey. Archives of General Psychiatry, 1982, 39, 47–52.

    Article  PubMed  Google Scholar 

  • Zarit, S. Aging and mental disorders. New York: The Free Press, 1980.

    Google Scholar 

  • Zarit, S., & Zarit, J. Families under stress: Interventions for caregivers of senile dementia patients. Psychotherapy: Theory, Research, and Practice, 1982, 19, 461–471.

    Article  Google Scholar 

  • Zarit, S. E., Reever, K. E., & Bach-Peterson, J. Relatives of the impaired elderly: Correlates of feelings of burden. The Gerontologist, 1980, 20, 649–655.

    Article  PubMed  Google Scholar 

  • Zautra, A., Kochanowicz, N., & Goodhart, D. Surveying quality of life in the community. In R. Bell, M. Sundel, J. Aponte, & S. Murrell (Eds.), Assessing health and human service needs: Concepts, methods, and applications. New York: Human Sciences Press, 1982.

    Google Scholar 

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Breckenridge, J.S., Thompson, L.W., Breckenridge, J.N., Gallagher, D.E. (1985). Behavioral Group Therapy with the Elderly. In: Upper, D., Ross, S.M. (eds) Handbook of Behavioral Group Therapy. Applied Clinical Psychology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-4958-7_10

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