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APA Psychotherapy Training Videos are intended solely for educational purposes for mental health professionals. Viewers are expected to treat confidential material found herein according to strict professional guidelines. Unauthorized viewing is prohibited.
In Older Couples, Dr. Paula Hartman-Stein demonstrates her approach to conducting therapy with couples in their later years. Working with older couples involves many issues not common in therapy with younger people, including issues surrounding illness, cognitive impairment, and physical decline, all of which generally cause some stress in marital relationships. Hartman-Stein's approach is to teach couples better ways to cope with the challenges of aging with the resources they have available.
In this session, Dr. Hartman-Stein works with a couple in their early 60s who have become entrenched in negative patterns of interaction. After performing an assessment, she builds rapport with the couple and begins the work of instilling hope.
The basic theoretical approach used in this video is cognitive–behavioral. The goals of therapy are to enhance the couples' functioning together as partners and to increase their overall quality of life. Improving methods of conflict resolution and problem solving within the marital context are also important.
Read more about the approach
is founder of the Center for Healthy Aging, a behavioral health care practice in Kent, Ohio. She received her PhD from Kent State University and additional training through the Geriatric Clinician Development program at Case Western Reserve University. She has a national reputation for excellence as a clinical psychologist, consultant, and public speaker specializing in aging issues.
Read more about Dr. Hartman-Stein
- American Psychological Association, Working Group on the Older Adult. (1998). What practitioners should know about working with older adults. Professional Psychology: Research and Practice, 29, 413–427.
- Dickson, F. C. (1997). Aging and marriage: Understanding the long-term, later-life marriage. In W. K. Halford & H. J. Markman (Eds.), Clinical handbook of marriage and couples interventions (pp. 255–269). New York: Wiley.
- Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). Mini-mental state: A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198.
- Gottman, J. M. (1999). The seven principles for making marriage work. New York: Crown House Publishing.
- Hartman-Stein, P. E., & Reuter, J. M. (1996). The Behavioral Competence Inventory (2nd ed.). Kent, OH: Center for Healthy Aging.
- Knight, B. G. (1996). Psychotherapy with older adults. Thousand Oaks, CA: Sage.
- Markman, H. J., Stanley, S. M., & Blumberg, S. L. (1995). Fighting for your marriage: Positive steps for preventing divorce and preserving a lasting love. San Francisco: Jossey-Bass.
- Teri, L. (1991). Behavioral assessment and treatment of depression in older adults. In P. A. Wisocki (Ed.), Handbook of clinical behavior therapy with the elderly client (pp. 225–243). New York: Plenum Press.
- Yesavage, J. A., Brink, T. L., Rose, T. L., Lum, O., Huang, O., Adey, V., et al. (1983). Development and validation of a Geriatric Depression Scale: A preliminary report. Journal of Psychiatric Research, 7, 7–49.
- Zeiss, A. M., & Steffen, A. (1996). Treatment issues with elderly clients. Cognitive and Behavioral Practice, 3, 371–389.
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