Psychodynamic Perspectives on Aging and Illness by Tamara Greenberg

Author:Tamara Greenberg
Language: eng
Format: epub
Publisher: Springer US, New York, NY

Conclusion

Narcissistic issues in aging and illness are thought to be represented on a continuum of normative to pathological. We all experience, at some point, the narcissistic blows associated with growing older. Aging results in bodily changes, that if integrated successfully into an evolving adult-self character, can allow space for the development of new interests and motivations, or at the very least an ability to appreciate, in a genuine way, the pleasurable aspects of living a long life. Mourning, accepting loss, and acknowledging the actual conditions of one's life are essential to a more fully developed and meaningful later life. This ideally involves an awareness of the inevitability of life's finiteness, and with it the ability to disengage from the defenses of denial, magical thinking and omnipotence. These are not easy tasks, as the vicissitudes of aging and its consequences are difficult to accept and live with. For those with traumatic backgrounds, these dynamics are even more complicated, as relying on fantasies for comfort and support can become problematic when seeking support for issues of aging and illness. At some point, we all have to come to terms with the fact that as humans we are dependent on others. For people who have narcissistic characters or who have relied extensively on narcissistic defenses, this can be a daunting endeavor. As therapists we have the privilege and the responsibility to help such individuals develop a more structured and supportive internal world so that they can rely on others in their later years, without the terror that can be associated with dependence.

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