Where Ego was, there Id shall be - A psycho-dynamic approach to psychological symptoms of dementiaName : Dr. Daphna Shefet
Affliation : Head of the Geriatric Psychiatry Service
University : Shalvata Mental Health Center
Country : Israel
Patients presenting with behavioral and psychological symptoms of dementia (BPSD) are commonly met with a pure medical-organic approach, while little attention is paid to psychological understanding and treatment.
With reference to Freud’s famous maxim, “where Id was, there Ego shall be”, dementia involves weakening of the ego and regression to behavior based on pure instinctual and innermost desires and fears. This presentation suggests a mental paradigm of understanding BPSD through examining the content of psychosis in the context of the person’s history and personality. Such approach may serve as a guide to non-pharmacological interventions and assist both patients and their caregivers. Clinical cases of BPSD will illustrate the technique and value of enhancing medical knowledge with psychological understanding.
Dr. Daphna Shefet is a specialist in both internal medicine and psychiatry, and a graduate of the Psychotherapy Program in Tel Aviv University. She is the Head of Geriatric Psychiatry Services and Coordinator of Ambulatory Services in Shalvata Mental Health Center (Israel) and a researcher in Tel Aviv University. Nationally, she is a board member of The Israeli Old Age Psychiatry Association (of the Israeli Medical Association) and a member of the Ministry of Health’s committee for implementation of the national dementia program.