Handbook of Clinical Behavior Therapy with the Elderly Client (Google eBook)

Front Cover
Patricia A. Wisocki
Springer Science & Business Media, Apr 30, 1991 - Psychology - 510 pages
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Although we speak of "the elderly" as if there were one body of people with common characteristics, older adults are more heterogeneous than any other popu lation. People over the age of 65 are also the fastest-growing segment of the population in the United States, currently numbering 25 million. The majority of older adults reside in their communities; a small fraction of them are cared for in institutions. Most may expect to experience some kind of physical impairment. Approximately a quarter of the population may expect to suffer amental health impairment. While traditional therapies have not been especially effective for older adults, behavior therapy has shown exceptional promise as a treatment modality. This book presents a comprehensive explication of the relatively new field of behavioral gerontology. It was written for the clinician interested in the interaction of medical, environmental, and psychological variables and their effects on treatment of elderly clients and for the researcher who will be looking to extend knowledge about interventions with this population. It will be useful for the graduate student in clinical psychology, as weIl as the experienced clinician, who will want to include the elderly in his or her therapeutic population.
  

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Contents

Behavioral Gerontology
3
Summary and General Conclusions
42
A Guide for the NonPrescribing
55
A Proposed Interface between Pharmacological and Behavioral
67
Nutritional Factors in Aging
73
Research Studies
89
Residential Factors in Behavioral Programming for Elderly
97
Architectural Design Features
103
WordFinding DifficultyA Neglected Problem
267
Insomnia as a Problem for the Elderly
273
Treatments for Insomnia
284
Clinical Recommendations
291
Behavioral Treatment of Aged Alcoholics and Drug Addicts
299
Drug Use among the Elderly
310
The Problem of Urinary Incontinence
317
Intervention
326

BehavioralEnvironmental Research
109
Summary
115
The Influence of Social Support Factors on the WellBeing of the Elderly
121
Theories of Social Support and Health
127
Clinical Recommendations
134
The Complexities of Cognitive Impairment and the Process of Aging
141
Assessment of Cognitive Dysfunction
152
Conclusions and Implications
160
Stress and Stress Management with the Elderly
169
Summary
180
Relevance of Social Skills Training for the Elderly
186
Case Studies
195
Summary
201
Behavioral Approaches to the Elderlys Goals
203
The Case against Discrimination
209
Behavioral Marital Therapy
215
References
221
Assessment
227
Case Illustration
236
CognitiveBehavioral Interventions for AgeRelated Memory Impairment
245
Toward a Theory of AgeRelated Memory Impairment and Its Treatment
252
Practical Applications
333
Psychological Problems of the Elderly in Nursing Homes
340
General Guidelines for Treatment
355
Behavioral Medicine for the Health Concerns of the Elderly
363
Factors Contributing to Health Problems
374
Pain Management
383
Assessment and Treatment
389
Summary
398
Historical Development of PetFacilitated Therapy
404
Clinical Recommendations
415
Behavioral Staff Training and Management in Geriatric LongTerm
423
A Model for Training and Management of Nursing Aides in Geriatric
433
Behavioral Programs for Families of Dependent Elderly
439
Summary
456
The Delivery of Health Care Services to Older Adults
459
PhysicianPatient Interactions
465
Studies Assessing Attitudes toward the Elderly
471
Teaching the Use of Community Services to Elderly People
479
Service Research
488
Further Research
500
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