SciELO - Scientific Electronic Library Online

 
vol.18 issue2Schistosomiasis of the spinal cordAnálises de livros author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

Share


Arquivos de Neuro-Psiquiatria

Print version ISSN 0004-282X

Arq. Neuro-Psiquiatr. vol.18 no.2 São Paulo June 1960

http://dx.doi.org/10.1590/S0004-282X1960000200005 

Problemas psiquiátricos em geriatria

 

Psychiatric problems of the aging and the aged

 

 

Marcelo Blaya

Ex-interno do Michael Reese Hospital (Chicago, Illinois); ex-fellow da Menninger School of Psychiatry (Topeka, Kansas); ex-residente em Psiquiatria do Topeka State Hospital e do Larned State Hospital; ex-psiquiatra do South Florida Hospital (Hollywood, Florida)

 

 


RESUMO

Foi apresentado um resumo das idéias comumente aceitas em psiquiatria dinâmica com relação aos problemas emocionais da velhice. A necessidade de uma solução eclética para esta questão de crescente importância na sociedade hodierna não impede que se utilize, com vantagem, uma orientação psicanalítica no tratamento dêsses indivíduos. No caso apresentado acham-se ilustrados alguns pontos de vista do autor.


SUMMARY

The emotional problems of the aging and the aged are increasing as the population grows older. To understand and treat these patients the physician has to know the premorbid personality, the past and present history and the precipitating factors responsible for the psychotic or neurotic reaction. The most frequent stresses to this group are: the physical and psychological impairment, the death of close relatives, the retirement problems and the cerebral injuries due to circulatory handicaps.
The effect of those stresses upon the conduct of the patient have to be understood at the light of the psychodynamics of the individual. The treatment is a consequence of this understanding and takes into consideration ego strength, instinctual and reality demands, types of mechanisms of defence utilized and degree of désintégration and impairment of the intelectual and physical functions.
The use of an eclectic approach with psychoanalytic orientation has proved to be the most fruitful way to treat this group of psychiatric patients.


 

 

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

 

 

REFERÊNCIAS

1. BUSSE, E. W.; BARNES, R. H. e outros - Studies of the process of aging. Am. J. Psychiat., 111:896, 1955.         [ Links ]

2. BUTLER, R. N.; PERLIN, S. - Depressive reactions in the aged. 113? Congresso da American Psychiatric Association, Chicago, 1957.         [ Links ]

3. DIETHELM, O.; ROCKWELL, F. V. - Psychopathology of aging. Am. J. Psychiat., 99:553, 1943.         [ Links ]

4. DOWNING, J.; GRUENBERG, E. M. - The prevalence of mental symptoms in an aged population. 113º Congresso da American Psychiatric Association, Chicago, 1957.         [ Links ]

5. EAST, W. N. - Crime, senescence and senility. J. Ment. Sc., 90:835, 1944.         [ Links ]

6. EBAUGH, F. G. - Age introduces stress into the family. Geriatrics, 11:146, 1956.         [ Links ]

7. GITELSON, M. - Emotional problems of elderly people. Geriatrics, 3:135, 1948.         [ Links ]

8. KOLB, L. - Mental hospitalization of the aged: is it being overdone? Am. J. Psychiat., 112:627, 1956.         [ Links ]

9. KUBIE, S. H.; LANDAU, G. - Group Work with the Aged. Intern. University Press, Nova York, 1953.         [ Links ]

10. LANSING, A. I. - Cowdry's Problems of Aging, 3° ed. Williams & Wilkins, Baltimore, 1952.         [ Links ]

11. LAWTON, G. - Aging Successfully. Columbia Univ. Press, Nova York, 1946.         [ Links ]

12. LINDEN, M. E. - The prevention of mental disturbance in the aging. 114º Congresso da American Psychiatric Association, São Francisco, 1958.         [ Links ]

13. Mc-FARLAND, R. A. - The psychological aspects of aging. Bull. New York Acad. Med., 52:14, 1956.         [ Links ]

14. MOORE, J. E.; MERRITT, H. H.; MASSELINK, R. J. - The neurologic and psychiatric aspects of the disorder of aging. Proc. A.R.N.M.D., vol. XXXV. Williams & Wilkins, Baltimore, 1956.         [ Links ]

15. SIMMONS, L. W. - Role of the aged in primitive society. Yale Univ. Press, New Haven, 1945.         [ Links ]

16. STIEGLITZ, E. J. - The Second Forty Years. Lippincott Co, Filadélfia, 1946.         [ Links ]

17. STIEGLITZ, E. J. - Geriatric Medicine, 2ª ed. Saunders Co., Filadélfia, 1949.         [ Links ]

18. STIEGLITZ, E. J. - The aging process. Conferência no Third Mental Hospital Institute, Louisville, 1951.         [ Links ]

19. WILLIAMS, A. M. - Recreation for the Aging. Association Press, Nova York, 1953.         [ Links ]

20. WILSON, D. C. - The pathology of senility. Am. J. Psychiat., 111:902, 1955.         [ Links ]

 

 

Travessa Miranda e Castro, 49 - Pôrto Alegre, Rio Grande do Sul

Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License