Principles and Practice of Geriatric Psychiatry
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As the global population ages, all disorders related to ageing are of greater interest to researchers, but none more so than mental disorders. Consequently, geriatric psychiatry has emerged in the last two decades as an important clinical and scientific discipline.
The 2nd Edition of this very successful book brings the reader up-to-date on the most recent advances in this area as well as a diverse range of other fields. Drawing on the knowledge of leading international experts the book encompasses the range of scientific and clinical disciplines relevant to mental health in old age, from neuroscience and molecular pathology, psychology and sociology, to community care, management and organisation.
- A comprehensive, well-respected reference work, essential for everyone working in this relatively new specialty.
- Covers the whole range of mental illness in old age in detail with chapters on normal mental and cognitive ageing.
- Includes UK and US approaches to care as well as sampling the problem of ageing in a number of other countries.
fruitful regarding observation or obtaining additional volunteered information, if the atmosphere is supportive and relaxed. It is not necessary to keep a dialogue going non-stop throughout the interview. Silence should be considered as a positive strategy. Sometimes, silent observation is extremely useful, especially with patients who seem to be actively hallucinating or exhibiting abnormal motor movements. The examiner must function at many levels of interaction simultaneously, which can be
interview takes 30–60 minutes to complete. Informants are questioned for another 20–30 minutes, by telephone if necessary. Diagnoses are based on all available data using criteria virtually identical to those in ICD-10. Since judgement is required, interviewers should have a clinical background and have received training in formulating complex data, applying diagnostic criteria and rating dementia severity. CAMDEX, which is available in English, Dutch, French, German, Italian, Spanish and Swedish
2nd edn. Edited by J. R. M. Copeland, M. T. Abou-Saleh and D. G. Blazer &2002 John Wiley & Sons, Ltd 170 PRINCIPLES AND PRACTICE OF GERIATRIC PSYCHIATRY physical and instrumental autonomy of elderly subjects. It takes 5 min to deliver and has been used as a base instrument for more recent developments in this ﬁeld. Both the IADL and the PADL are task-based scales using simple scoring systems. The Stockton and other scales20 inspired the Physical and Mental Impairment of Function Evaluation in
53–69. 37. Thomae H, Lehr U. Stages, crises, conﬂicts and life-span development. In Sorensen AB, Weinert FE, Sherrod LR, eds, Human Development and the Life Course: Multidisciplinary Perspectives. Hillsdale, NJ: Erlbaum, 1986, 429–44. 38. Erikson EH. Identity and the life cycle. In Psychological Issues, I. New York: International Universities Press, 1959, 120. 39. Botwinick J. Cautiousness with advanced age. J Gerontol 1966; 21: 347–53. 40. Okun MA, Siegler IC, George LK. Cautiousness and verbal
based on medical registers. Risch et al.10 report on the diﬃculties encountered in recruiting ‘‘normal’’ volunteers for psychiatric research. Systematic psychiatric screening, over the telephone, failed to exclude 25% of unsatisfactory volunteers, as judged by subsequent tests. However, in a smaller subsequent study, a warning that reimbursement would be withheld if their toxicology test proved positive was eﬀective. In reply, Halbreich conﬁrms the need for close examination of research