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Aging and Mental Health : Positive Psychosocial and Biomedical Approaches

Aging and Mental Health : Positive Psychosocial and Biomedical Approaches - 5th edition

Aging and Mental Health : Positive Psychosocial and Biomedical Approaches - 5th edition

ISBN13: 9781416400004

ISBN10: 1416400001

Aging and Mental Health : Positive Psychosocial and Biomedical Approaches by Robert N. Butler, Myrna I. Lewis and Trey Sunderland - ISBN 9781416400004
Cover type: Paperback
Edition: 5TH 98
Copyright: 1998
Publisher: Allyn & Bacon, Inc.
International: No
Aging and Mental Health : Positive Psychosocial and Biomedical Approaches by Robert N. Butler, Myrna I. Lewis and Trey Sunderland - ISBN 9781416400004

ISBN13: 9781416400004

ISBN10: 1416400001

Cover type: Paperback
Edition: 5TH 98

List price: $86.75

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This text is extremely well-respected in social work, geriatric medicine, nursing, and related disciplines for its comprehensive coverage of the aging process and its effects on mental health. Dr. Robert Butler is one of the nation's leading experts on the aging process; he has been director of the National Institute on Aging and has worked with national commissions and task forces on mental health and aging. Myrna Lewis, M.S.W., is a nationally known leader in social work and Trey Sunderland an Managing Director in geriatric psychopharmacology. This text sets out the nature and problems of old age, including the position of older people in their families, and then explores some common emotional problems and psychiatric disorders that can affect the elderly. Specific chapter coverage focuses on race, ethnicity, gender, crime, alcoholism, and physical disabilities including deafness and blindness, as well as Alzheimer's Disease and related disorders.


  • Comprehensive and authoritative coverage of the process of aging, issues of mental health and aging, and the evaluation, treatment, and prevention of some common effects of aging.
  • Includes coverage of the older person in the context of society as a whole, in the community (including rural, urban, and ethnic communities), and in the family, with a special chapter on the effects of race, gender, ethnicity, crime, alcoholism, and physical disabilities.
  • Coverage of specific practice-oriented issues including evaluation of the mental health of older persons, options for treatment (including coverage of home treatment versus institutionalization), and specific types of therapy.

Table of Contents

Table of Contents

(All chapters end with "Selected Readings" and "Endnotes.")


Chapter 1. Who Are the Elderly?

Who Are the Elderly?
What Age Is Considered "Older"?
Number of Older Persons in the United States.
Marital Status.
Housing Status.
Physical and Mental Health.
Political Potential.
National and Ethnic Identification.
Hispanic or Latino Older Persons.
Native-American (American Indian, Eskimo, and Aleut) Older Persons.
Asian-American and Pacific Island-American Older Persons.
Rural and Semirural Older Persons.

Chapter 2. Older People and Their Families.

Family Life Cycle.
Do American Families "Abandon" Their Older Members?
Older People as Parents.
Grandparenthood, Great-Grandparenthood, and Great-Great-Grandparenthood.
Older Married Couples.
Older "Isolates" versus "Desolates."
Inheritance and the Family.
Family Involvement in Mental Health Care of Older Persons.

Chapter 3. Healthy, Successful Old Age.

Negative Stereotype of Old Age.
What Is Healthy Old Age?
Becoming "Old."
Historical Factors in Adaptation.
Popular Myths about Aging.
New Interpretations of Aging from Research.
Psychosocial Theories of Aging.
Some Special Characteristics of Older People.
Middle Age and the Transition to Old Age.
The Changing Awareness of Old Age.

Chapter 4. Common Emotional Problems.

Common Emotional Reactions as Expressed in Old Age.
Emotional Reactions to Age-Related Life Crises.
Common Adaptive Techniques.
Other Defensive Behavior.
The Life Review.

Chapter 5. Psychiatric Disorders.

Mood Disorders in the Elderly.
Schizophrenia and Paranoid Disorders.
Anxiety Disorders.
Somatoform Disorders.
Dissociative Disorders.
Sexual and Gender Identity Disorders.
Personality Disorders.
How Important Is Diagnostic Classification?
Diagnostic Nomenclature.

Chapter 6. Cognitive Disorders.

Dementia, Delirium and Other Cognitive Disorders.
Changes in Nomenclature.
Possible Reversible Causes of Cognitive Impairment.

Chapter 7. Special Concerns : Race and Ethnicity, Older Women and Gender Issues, Crime, Alcoholism, Deafness, Blindness, and Sexuality.

The Impact of Race and Ethnicity of Mental Health Care.
Older Women and Gender Issues.
Crimes against the Elderly.
Hearing Impairment.
Visual Impairment.
Sexuality in Old Age.


Chapter 8. General Treatment Principles.

Changes in Perspectives toward Mental Health Treatment of Older Persons.
Obstacles to Treatment in Old Age.
Progress toward Developing Professional Interest and Skills in Providing Mental Health Care to the Elderly.
Staff Considerations.
Staff Training.
Treatment Points to Remember.
Right to Treatment.

Chapter 9. Diagnostic Evaluation : How to Do a Workup.

The Purpose of Diagnostic Evaluation.
The Role of Geriatric Assessment.
How Comprehensive Should an Evaluation Be?
Conditions for a Good Evaluation.
A Basic Evaluation.

Chapter 10. How to Keep People at Home.

Who Needs Home Care?
Living Alone.
How Important Is "Home"?
Advantages of Home Care.
The Initial Request for Mental Health Evaluation.
Factors to Consider Regarding Home Care.
Use of the Home for Screening and Evaluation.
The Role of Geriatric Assessment and Care Coordination.
Home Delivery of Services.
Outpatient Care.
Multipurpose Senior Centers.
Protective Services.
Models of Multiple Service Programs.
Corporate Sector Efforts.
The Pepper Commission.

Chapter 11. Proper Institutional Care.

The Decision to Institutionalize an Older Person.
The Different Kinds of Short- and Long-Term Institutional Care.
Financing Institutional Care.
Family Reaction to Institutionalization.
Other Factors in Institutional Care.

Chapter 12. Psychotherapy and Environmental Therapy.

Individual Psychotherapy.
Group Therapy.
Intergenerational Family Therapy and Couples Therapy.
Behavioral Therapies.
Environmental Therapy.

Chapter 13. Drug and Other Somatic Therapies.

General Principles in Drug Treatment with the Elderly.
Specific Drug Treatments.
Drug Treatments for Sleep Disorders.
Drug Treatment of Pain.
Electroconvulsive Therapy.
Mental Health Therapist's Involvement in Drug Therapy.
Future Directions in Drug and Somatic Therapies.

Appendix A : Sources of Gerontological Literature.
Appendix B : Organizations Pertaining to the Elderly.
Appendix C : Government Programs for the Elderly.
Appendix D : Training and Education in Gerontology and Geriatrics.
Appendix E : Staff Inservice Education Material for Work with Older People.
Appendix F : U.S. Policy on Aging : A Historical Summary.
Appendix G : Personal Mental Health Data Form for Older Persons.

Author Index.
Subject Index.

Other Editions of Aging and Mental Health : Positive Psychosocial and Biomedical Approaches

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