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activity ageism aging clients aging individual aging person American American Geriatrics Society attitudes behavior Busse caller cerebral cortex chronic client complaints clinical cognitive impairment community aging death deficits depression diagnosis disability disease disorders drug effective elderly emotional environment environmental design evaluation example exercise factors feedback feelings fessional functioning geriatric patient Gerontologist goal Gray Panthers group therapy health professionals hospital Hoyer important incontinence institutionalized institutions interac intervention interview involves Kastenbaum labeling lack Learned Helplessness loss Meichenbaum ment mental health mental illness milieu therapy nonverbal normal aging nursing home nutritional occur organic brain syndrome paraprofes paraprofessional participant observer physical population prosthesis psychiatric psychological problems psychosocial psychotherapy reaction referral reinforcement response result role schizophrenic senile sensory Settin sexual sional situation skills staff stereotypes strategy stress symptoms techniques therapeutic therapist therapy aides tion tive treatment verbal Worksheet York younger persons