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The Unfolding of Unique Problems in Later Life Families

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Family Resilience and Chronic Illness

Part of the book series: Emerging Issues in Family and Individual Resilience ((EIIFR))

Abstract

In this chapter, we provide a perspective on common interactions in family care at later life. We start by discussing common later life problems and the typical features of the family. Chronic illness at later life is also addressed. Importantly, we emphasize how later life problems do not exist in a vacuum and are pervasive. We espouse an overall model of care for older adults that represents the real world of late life problems. Next, we briefly review psychotherapy at later life. We believe that we have one model of care, the Watch and Wait model, for older adults that is a necessary scaffold for meaningful change. We believe that the model best matches the requirements of traditional care with consideration for family dynamics. We further emphasize the one current empirically supported treatment for older adults that takes place in the context of the family: interpersonal psychotherapy (IPT). Then we spend time on caregiving, the poster boy for late life problems. Psychoeducation and the importance of resilience are stressed. We end with a discussion on three important issues related to family care at later life: culture, end of life, and elder abuse.

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Author information

Authors and Affiliations

  1. Mercer University Medical School & Georgia Neurosurgical Institute, 840 Pine Street Suite 800, Macon, GA, 31201, USA

    Lee Hyer Ph.D., A.B.P.P.

  2. Georgia Neurosurgical Institute, 840 Pine Street Suite 800, Macon, GA, 31201, USA

    Christine M. Mullen M.A. & Krystal Jackson M.S.

Authors
  1. Lee Hyer Ph.D., A.B.P.P.
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  2. Christine M. Mullen M.A.
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  3. Krystal Jackson M.S.
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Correspondence to Lee Hyer Ph.D., A.B.P.P. .

Editor information

Editors and Affiliations

  1. College of Human Sciences, Oklahoma State University, Stillwater, Oklahoma, USA

    Ginger L. Welch

  2. Oklahoma State University, Stillwater, Oklahoma, USA

    Amanda W. Harrist

Discussion Questions

Discussion Questions

  1. 1.

    What are the two most prevalent psychiatric difficulties that older adults struggle with? How do they affect quality of life? What other areas of life are affected by these psychiatric problems?

  2. 2.

    How does aging impact families? How do social support systems change? How can individuals improve social support systems?

  3. 3.

    How does family structure change once a parent is no longer able to take care of him/herself? How does this strain the family unit?

  4. 4.

    What does the typical family consist of? How does this change through the life cycle? What transitions must adult children make to accommodate for their dependent parents?

  5. 5.

    How does chronic illness impact the family? How does chronic illness impact quality of life? How does this impact the role of a caregiver?

  6. 6.

    In what ways is culture an important component in elder care? How does it play a role in end of life decisions?

  7. 7.

    What problem should clinicians screen for in elderly who are dependent on caregivers? What types of stressors make families more susceptible to this problem?

  8. 8.

    What types of therapeutic interventions may be useful later in life?

  9. 9.

    Describe the Watch and Wait Model . Why is it effective?

  10. 10.

    What is resilience? Why is it important in treatment? What are some ways to build resilience?

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Hyer, L., Mullen, C.M., Jackson, K. (2017). The Unfolding of Unique Problems in Later Life Families. In: Welch, G., Harrist, A. (eds) Family Resilience and Chronic Illness. Emerging Issues in Family and Individual Resilience. Springer, Cham. https://doi.org/10.1007/978-3-319-26033-4_10

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