Psychodynamic Psychotherapy for the Patient with 患者心理治疗心理.pptVIP

* * Psychoanalytic Psychotherapy for Spousesof Terminally Ill Cancer Patients, and a Film “ The Courage To Survive, Facing the Loss of Your Soul –Mate” Norman Straker, M.D. Clinical Professor of Psychiatry Weill Cornell College of Medicine Consultant Memorial Sloan-Kettering Cancer Center Attending Psychiatrist, New York Presbyterian Hospital Faculty , New York Psychoanalytic Institute Financial Disclosure No financial relationships with pharmaceutical companies Film financed by a private grant from Department of Behavioral Science, Sloan Kettering Cancer Center Cancer Statistics in the U.S. 10.5 million cancer patients in US today 1.4 million new cases of cancer every year 560,000 people die each year from cancer Outline of the Presentation 1)Clinical observations of spouse caretakers 2) Psychoanalytic therapy with focused interventions that minimize psychiatric and medical morbidity during illness, and after death Including preparing for the loss and facilitating grief work 3) Film“ The Courage to Survive, Facing The Loss of Your Soul Mate”- Purpose Clinical Observations Of Spouse Caretakers Areas To Be Covered Gender differences Challenges facing males and females Identify vulnerabilities to pathogenic grief and depression Interventions to decrease that vulnerability Identify pathogenic communication with oncologists Gender Differences Of Spouses  Males a) have more difficulty with caretaking b) were inclined to search for new treatments when prognosis was poor, c) saw death as a failure d) were more inclined to denial, e) had much less support, f) had less difficulty finding a new romantic relationship Females a) more readily accept care taking roles b) more readily accepted a poor prognosis, prepared for loss better