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EFPP Review

Raquel Vidal

Raquel Vidal Arandes

Psychologist, Psychoanalytic Psychotherapist.
Post-Degree in Neuropsychology and Dementia.
Graduated in Fine Arts.
Working both individually and as a group therapist
for over 20 years.
Member of the AEPP
(Asociación Española de Psicoterapia Psicoanalítica)
and FEAP
(Federación Española de Asociación de Psicoterapeutas).
Delegate of the Group Section at the EFPP
(European Federation for Psychoanalytic Psychotherapy).
Teaching at the Emotions Seminar at ACPP/UdG
(Universitat de Girona) since 2013.
Currently and since 2011 collaborating with
la Fundació Sant Peter Claver from Barcelona
in the Psychotherapy Groups Research with Elderly Project.


Raquel Vidal Arandes

Close to Death:

The Reflections and Experiences of a Group Psychoanalytic Psychotherapist working with Elderly People in an Institution




    In this paper I would like to present the experience   I have had as a sychotherapist, working with a group   of elderly patients in an assisted living facility. I have illustrated this experience with four clinical vignettes and the pictures that often come to my mind when working with these patients. I have attempted to explain how death anxiety, along with a massive and overwhelming sense of loss, predominates in this group. I have also endeavoured to show the predominating defences that are used, and what I think should be the role and function of therapists who work with the elderly in an institutional environment.


Key words: anxiety, defences, death, loss, geriatric facility, old age.