as the development of a positive social schedule; over time, the client identified some of his interests, including reading and chess, and was assisted in finding a book club and a chess partner. The improvement in activity level and the involvement with others did much to assist in reducing the clientÆs depression. Using the core skills of empathy, warmth and genuineness as described by Zarit and Zarit (2000), I assisted this client in recognizing that by asserting a more proactive self and becoming involved in pleasurable activities, he could eliminate some of his sense of isolation.
A third clinical concept addressed during my field experience was related to the question of how aging physically affects a clientÆ self-image. Moody (2001-2002) stated that modern technologies and treatments (including plastic surgeries and anti-aging interventions) are extending human life significantly. As individuals and society as a whole age, it is becoming necessary to recognize that new systems must be developed to care for older populations with unique needs and interests. Clinically, what is required is heightened sensitivity to the issues of the geriatric patient and awareness of the kinds of services that are locally available. Making appropriate referrals for additional services is important, particularly in light of the fact that many older individuals have multiple needs.
Depression was a problem for several older female clients with whom I worked at gateway. According to Altschuler (2001), for many women who have spent much of their lives in caretaking positions û caring for the needs of husbands, children and others û the loss of caring activities in old age can be devastating. Many such women experience a sense of uselessness and become clinically depressed. One patient with whom I worked, an African-American great-grandmother who had raised her own children and two of her grandchildren, was deeply depressed be...