Aging and Mental Health: Positive Psychosocial and Biomedical Approaches

by Butler, Robert N.; Lewis, Myrna I.; Sunderland, Trey

• ISBN13: 9780205193363
• ISBN10: 0205193366
• Edition: 5th
• Format: Paperback
• Copyright: 1998-01-01
• Publisher: PRO-ED

Summary

The fifth edition of Aging and Mental health constitutes a major revision of the entire book. This new edition uses the latest demographic and epidemiologic Al data to create an all-encompassing portrait of older people in America today, their mental health care needs, and ways to respond to those needs. The book incorporates the newest information, often technical, concerning the dementias of old age, the neurobiology of depression, and geriatric psychopharmacology.

Table of Contents

FOREWORD TO THE FOURTH EDITION	ix	(2)
PREFACE	xi
PART ONE THE NATURE AND PROBLEMS OF OLD AGE	1	(200)
CHAPTER 1 WHO ARE THE ELDERLY?	3	(24)
Who Are the Elderly?	3	(2)
What Age Is Considered "Older"?	5	(1)
Number of Older Persons in the United States	5	(6)
Marital Status	11	(1)
Housing Status	12	(3)
Income	15	(2)
Employment	17	(1)
Physical and Mental Health	17	(1)
Education	18	(1)
Political Potential	18	(1)
National and Ethnic Identification	18	(1)
Hispanic or Latino Older Persons	18	(1)
Native American (American Indian, Eskimo, and Aleut) Older Persons	19	(1)
Asian American and Pacific Island American Older Persons	20	(1)
Rural and Semirural Older Persons	21	(1)
Selected Readings	22	(2)
Endnotes	24	(3)
CHAPTER 2 OLDER PEOPLE AND THEIR FAMILIES	27	(27)
Family Life Cycle	28	(3)
Do American Families "Abandon" Their Older Members?	31	(5)
Older People as Parents	36	(1)
Grandparenthood, Great-Grandparenthood and Great-Great-Grandparenthood	37	(3)
Older Married Couples	40	(3)
In-Laws	43	(1)
Siblings	43	(1)
Friendship	44	(1)
Older "Isolates" versus "Desolates"	44	(1)
Inheritance and the Family	45	(1)
Family Involvement in Mental Health Care of Older Persons	46	(2)
Selected Readings	48	(2)
Endnotes	50	(4)
CHAPTER 3 HEALTHY, SUCCESSFUL OLD AGE	54	(17)
Negative Stereotype of Old Age	55	(1)
What Is a Healthy Old Age?	55	(1)
Becoming "Old"	56	(4)
Historical Factors in Adaptation	60	(1)
Popular Myths about Aging	60	(1)
New Interpretations of Aging from Research	61	(1)
Psychosocial Theories of Aging	62	(2)
Some Special Characteristics of Older People	64	(2)
Middle Age and the Transition to Old Age	66	(1)
The Changing Awareness of Old Age	67	(1)
Selected Readings	68	(1)
Endnotes	69	(2)
CHAPTER 4 COMMON EMOTIONAL PROBLEMS	71	(23)
Common Emotional Reactions as Expressed in Old Age	72	(5)
Emotional Reactions to Age-Related Life Crises	77	(8)
Common Adaptive Techniques	85	(2)
Other Defensive Behavior	87	(3)
The Life Review	90	(1)
Selected Readings	91	(1)
Endnotes	92	(2)
CHAPTER 5 COMMON PSYCHIATRIC DISORDERS	94	(30)
Mood Disorders in the Elderly	95	(3)
Other Mood Disorders in the Elderly	98	(4)
Schizophrenia and Paranoid Disorders	102	(4)
Anxiety Disorders	106	(1)
Somatoform Disorders	107	(1)
Dissociative Disorders	108	(1)
Sexual and Gender Identity Disorders	109	(1)
Personality Disorders	109	(1)
How Important Is Diagnostic Classification?	110	(1)
Diagnostic Nomenclature	110	(3)
Selected Readings	113	(5)
Endnotes	118	(6)
CHAPTER 6 COGNITIVE DISORDERS	124	(33)
Delirium, Dementia, and Other Cognitive Disorders	124	(1)
Changes in Nomenclature	125	(1)
Delirium	126	(3)
Dementia	129	(14)
Possible Reversible Causes of Cognitive Impairment	143	(2)
Summary	145	(1)
Selected Readings	146	(6)
Endnotes	152	(5)
CHAPTER 7 SPECIAL CONCERNS: RACE AND ETHNICITY, OLDER WOMEN AND GENDER ISSUES, CRIME, ALCOHOLISM, DEAFNESS, BLINDNESS, AND SEXUALITY	157	(44)
The Impact of Race and Ethnicity on Mental Health Care	157	(9)
Older Women and Gender Issues	166	(6)
Crimes against the Elderly	172	(3)
Alcoholism	175	(3)
Hearing Impairment	178	(4)
Visual Impairment	182	(1)
Sexuality in Old Age	183	(6)
Selected Readings	189	(7)
Endnotes	196	(5)
PART TWO EVALUATION, TREATMENT, AND PREVENTION	201	(214)
CHAPTER 8 GENERAL TREATMENT PRINCIPLES	203	(25)
Changes in Perspectives toward Mental Health Treatment of Older Persons	203	(5)
Obstacles to Treatment in Old Age	208	(4)
Progress toward Developing Professional Interest and Skills in Providing Mental Health Care to the Elderly	212	(7)
Staff Considerations	219	(1)
Staff Training	220	(1)
Treatment Points to Remember	221	(3)
Right to Treatment	224	(1)
Selected Readings	225	(1)
Endnotes	226	(2)
CHAPTER 9 DIAGNOSTIC EVALUATION: HOW TO DO A WORKUP	228	(41)
The Purpose of Diagnostic Evaluation	228	(1)
The Role of Geriatric Assessment	228	(1)
How Comprehensive Should an Evaluation Be?	229	(1)
Conditions for a Good Evaluation	230	(4)
A Basic Evaluation	234	(28)
Selected Readings	262	(3)
Endnotes	265	(4)
CHAPTER 10 HOW TO KEEP PEOPLE AT HOME	269	(40)
Who Needs Home Care?	269	(1)
Living Alone	270	(2)
How Important Is "Home"?	272	(1)
Advantages of Home Care	273	(1)
The Initial Request for Mental Health Evaluation	274	(1)
Factors to Consider Regarding Home Care	274	(5)
Use of the Home for Screening and Evaluation	279	(1)
The Role of Geriatric Assessment and Care Coordination	280	(1)
Home Delivery of Services	281	(15)
Outpatient Care	296	(2)
Multipurpose Senior Centers	298	(1)
Protective Services	299	(1)
Models of Multiple Service Programs	300	(1)
Corporate Sector Efforts	301	(1)
The Pepper Commission	302	(1)
Selected Readings	302	(3)
Endnotes	305	(4)
CHAPTER 11 PROPER INSTITUTIONAL CARE	309	(37)
The Decision to Institutionalize an Older Person	309	(1)
The Different Kinds of Short- and Long-Term Institutional Care	310	(16)
Financing Institutional Care	326	(1)
Family Reaction to Institutionalization	327	(1)
Other Factors in Institutional Care	328	(14)
Selected Readings	342	(1)
Endnotes	343	(3)
CHAPTER 12 PSYCHOTHERAPY AND ENVIRONMENTAL THERAPY	346	(37)
Individual Psychotherapy	346	(14)
Group Therapy	360	(3)
Intergenerational Family Therapy and Couples Therapy	363	(1)
Behavioral Therapies	364	(1)
Environmental Therapy	365	(10)
Selected Readings	375	(3)
Selected Readings in Reminiscence and Life Review	378	(1)
Endnotes	379	(4)
CHAPTER 13 DRUG AND OTHER SOMATIC THERAPIES	383	(32)
General Principles in Drug Treatment with the Elderly	384	(5)
Specific Drug Treatments	389	(9)
Drug Treatments for Sleep Disorders	398	(2)
Drug Treatments of Pain	400	(1)
Electroconvulsive Therapy	401	(1)
Mental Health Therapist's Involvement in Drug Therapy	402	(1)
Future Directions in Drug and Somatic Therapies	403	(1)
Selected Readings	404	(4)
Endnotes	408	(7)
APPENDIXES	415	(78)
APPENDIX A SOURCES OF GERONTOLOGICAL LITERATURE	417	(4)
APPENDIX B ORGANIZATIONS PERTAINING TO THE ELDERLY	421	(12)
APPENDIX C GOVERNMENT PROGRAMS FOR THE ELDERLY	433	(13)
APPENDIX D TRAINING AND EDUCATION IN GERONTOLOGY AND GERIATRICS	446	(11)
APPENDIX E STAFF INSERVICE EDUCATION MATERIAL FOR WORK WITH OLDER PEOPLE	457	(5)
APPENDIX F U.S. POLICY ON AGING: A HISTORICAL SUMMARY	462	(4)
APPENDIX G PERSONAL MENTAL HEALTH DATA FORM FOR OLDER PERSONS	466	(27)
GLOSSARY	493	(2)
AUTHOR INDEX	495	(23)
SUBJECT INDEX	518