Older patients' perspectives on the therapeutic relationship with young psychotherapists

• Published in: PloS one Vol. 19; no. 5; p. e0295834
• Main Authors: Boschann, Annika, Staats, Hermann, Wiegand-Grefe, Silke
• Format: Journal Article
• Language: English
• Published: United States Public Library of Science 14.05.2024; Public Library of Science (PLoS)
• Subjects: Adult; Aged; Aged patients; Biology and Life Sciences; Cognition & reasoning; Demographics; Female; Females; Health aspects; Humans; Intergenerational relationships; Interviews; Male; Medical research; Medicine and Health Sciences; Mental health care; Older people; Patients; People and Places; Professional-Patient Relations; Psychoanalysis; Psychologists; Psychotherapists - psychology; Psychotherapy; Psychotherapy - methods; Qualitative Research; Researchers; Sexuality; Social Sciences; Subordination; Therapists; Transference (Psychology); Germany
• ISSN: 1932-6203; 1932-6203
• DOI: 10.1371/journal.pone.0295834

The current demographic change means that young psychotherapists and older patients will increasingly come into contact. Unique for this constellation is the intergenerational therapeutic relationship, which forms the basis of psychotherapy, but has not yet been the focus of empirical research. This qualitative study provides preliminary insights into how older patients (aged over 65) experience and perceive the therapeutic relationship with young psychotherapists (aged in their mid-20s to mid-30s). We conducted semi-structured interviews with twelve older patients (8 women, 4 men) and analysed their data using the grounded theory approach. We found a connection between the type of transference a participant demonstrated and their biographical as well as social experiences, desires, and fantasies. Overall, a tendency to seek harmony was observed among the participants, which was reflected in their behaviour towards young psychotherapists: (a) conflict avoidance, (b) (fantasised) therapy discontinuation, (c) adaption/subordination, and (d) solidarity, support, and protection. Our findings demonstrated that various intergenerational transference phenomena, including the roles in which young therapists are perceived, are associated with certain particularities and challenges, such as the topic of sexuality. It can be valuable for young psychotherapists to become aware of a potential role reversal that may result in older patients trying to support them.