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9780205193363

Aging and Mental Health: Positive Psychosocial and Biomedical Approaches

by ; ;
  • ISBN13:

    9780205193363

  • ISBN10:

    0205193366

  • Edition: 5th
  • Format: Paperback
  • Copyright: 1998-01-01
  • Publisher: PRO-ED

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Supplemental Materials

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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

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