Family therapy and systemic practice with older people: where are we now?

Older people are becoming an increasingly significant group as demographic and cultural change impacts on their roles within the family and society. In this article we consider how family therapy and systemic practice with older people has developed over the past ten years from the early foundations identified by Richardson et al. in 1994. Although older people face particular challenges, themes such as social constructionism, attachment and narrative, familiar to therapists working with people earlier in the life cycle, have also been influential in work in this field. These developments have resulted in increasing recognition of the relevance of systemic practice in older people's services, but significant challenges remain.