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Index
Cover
Half title page
Title page
Copyright page
Dedication
Preface
Part I: Introduction
1 Mental Health and Aging
What is Normal Aging?
What is Abnormal or Unusual Aging?
Mental Health and Mental Disorder
Linking the Physical and Mental in Later Life: Comorbidity
Individual Differences and Assessment of Risk
The Context of Clinicians and Clients: Now What Do We Do?
Summary and Conclusions
2 Basic Gerontology for Working with Older Adults
Developmental Issues in Mental Health and Aging
Working with Older Adults: The Contextual, Cohort-Based, Maturity, Specific-Challenge Model
Summary and Conclusions
Part II: Models of Mental Health in Later Life
3 Psychodynamic Model
Introduction to the Model
Adult Development: The Context for Aging
Development in the Second Half of Life
Mental Health in Later Life
Development of Psychopathology
Assessment
Treatment
Summary and Conclusions
4 Cognitive-Behavioral Model
Introduction to the Model
Cognitive Aspects of the Model
Behavioral Aspects of the Model
Mental Health from the Cognitive-Behavioral Model
Mental Health in Older Adults
Assessment
Treatment
Additional Comments about the Cognitive-Behavioral Model
Summary and Conclusions
5 Stress and Coping Model
Introduction to the Model
Stress and Coping: Normal and Abnormal Adaptation
Assessment Strategies
General Treatment Strategies and the Emergence of Health Psychology
Treatment Strategies
Summary and Conclusions
6 Family Systems Model
Introduction to the Model: Aging Families
Family Dynamics: A Systems Model
Mental Health Within a Systems Model
Assessment
Intervention
Summary and Conclusions
Applying Models to Individual Life Circumstances
Part II Summary and Commentary
Part III: Introduction to Mental Disorders
7 Cognitive Impairment
Is CI Normal for Older Adults?
Delirium: A Common, Reversible Cause of CI
Dementia: The Most Devastating Cause of CI
Mild Cognitive Impairment (MCI)
Depression and Cognitive Impairment
Summary of Four Types of Cognitive Impairment
Assessment
Interventions
Planning
Environmental Interventions
Behavior Management
Interventions to Enhance Cognitive Functioning
Summary and Conclusions
8 Depression
Definition of Depression
Prevalence of Depression in Older Adults
Theories of Etiology
Other Risk Factors for Depression
Vascular Depression and its Link to Dementia
Assessment
Interventions
Prevention of Depression
Suicide
Summary and Conclusions
9 Severe Mental Disorders in Older Adults
Overview of Schizophrenia throughout the Life Span
Differences in the Onset, Course, and Outcome of Schizophrenia
Factors Complicating Course and Outcomes of Schizophrenia
The Aging Person with Schizophrenia: Early-Onset Schizophrenia (EOS)
The Aging Person with Schizophrenia: Late-Onset Schizophrenia (LOS)
Future Challenges
Summary and Conclusions
10 Anxiety, Sexual, and Sleep Disorders
Anxiety
Types of Anxiety Disorders
Sexual Disorders and Difficulties
Sleep Disorders and Difficulties
Summary and Conclusions
11 Substance Abuse, Personality Disorders, and Marital/Family Conflict
Substance Abuse
Personality Disorders
Marital Conflicts
Family Problems
Summary and Conclusions
12 Settings and Contexts of Mental Health Services
Housing
Social Services
Health Care
Legal Contexts
The Roles of Mental Health Providers across Settings
Summary and Conclusions
Epilogue
References
Index
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