FOREWORD TO THE FOURTH EDITION |
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ix | (2) |
PREFACE |
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xi | |
PART ONE THE NATURE AND PROBLEMS OF OLD AGE |
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1 | (200) |
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CHAPTER 1 WHO ARE THE ELDERLY? |
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3 | (24) |
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3 | (2) |
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What Age Is Considered "Older"? |
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5 | (1) |
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Number of Older Persons in the United States |
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5 | (6) |
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11 | (1) |
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12 | (3) |
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15 | (2) |
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17 | (1) |
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Physical and Mental Health |
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17 | (1) |
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18 | (1) |
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18 | (1) |
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National and Ethnic Identification |
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18 | (1) |
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Hispanic or Latino Older Persons |
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18 | (1) |
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Native American (American Indian, Eskimo, and Aleut) Older Persons |
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19 | (1) |
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Asian American and Pacific Island American Older Persons |
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20 | (1) |
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Rural and Semirural Older Persons |
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21 | (1) |
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22 | (2) |
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24 | (3) |
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CHAPTER 2 OLDER PEOPLE AND THEIR FAMILIES |
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27 | (27) |
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28 | (3) |
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Do American Families "Abandon" Their Older Members? |
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31 | (5) |
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36 | (1) |
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Grandparenthood, Great-Grandparenthood and Great-Great-Grandparenthood |
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37 | (3) |
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40 | (3) |
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43 | (1) |
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43 | (1) |
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44 | (1) |
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Older "Isolates" versus "Desolates" |
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44 | (1) |
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Inheritance and the Family |
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45 | (1) |
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Family Involvement in Mental Health Care of Older Persons |
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46 | (2) |
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48 | (2) |
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50 | (4) |
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CHAPTER 3 HEALTHY, SUCCESSFUL OLD AGE |
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54 | (17) |
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Negative Stereotype of Old Age |
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55 | (1) |
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What Is a Healthy Old Age? |
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55 | (1) |
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56 | (4) |
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Historical Factors in Adaptation |
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60 | (1) |
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Popular Myths about Aging |
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60 | (1) |
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New Interpretations of Aging from Research |
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61 | (1) |
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Psychosocial Theories of Aging |
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62 | (2) |
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Some Special Characteristics of Older People |
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64 | (2) |
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Middle Age and the Transition to Old Age |
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66 | (1) |
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The Changing Awareness of Old Age |
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67 | (1) |
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68 | (1) |
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69 | (2) |
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CHAPTER 4 COMMON EMOTIONAL PROBLEMS |
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71 | (23) |
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Common Emotional Reactions as Expressed in Old Age |
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72 | (5) |
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Emotional Reactions to Age-Related Life Crises |
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77 | (8) |
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Common Adaptive Techniques |
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85 | (2) |
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87 | (3) |
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90 | (1) |
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91 | (1) |
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92 | (2) |
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CHAPTER 5 COMMON PSYCHIATRIC DISORDERS |
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94 | (30) |
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Mood Disorders in the Elderly |
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95 | (3) |
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Other Mood Disorders in the Elderly |
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98 | (4) |
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Schizophrenia and Paranoid Disorders |
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102 | (4) |
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106 | (1) |
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107 | (1) |
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108 | (1) |
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Sexual and Gender Identity Disorders |
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109 | (1) |
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109 | (1) |
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How Important Is Diagnostic Classification? |
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110 | (1) |
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110 | (3) |
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113 | (5) |
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118 | (6) |
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CHAPTER 6 COGNITIVE DISORDERS |
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124 | (33) |
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Delirium, Dementia, and Other Cognitive Disorders |
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124 | (1) |
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125 | (1) |
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126 | (3) |
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129 | (14) |
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Possible Reversible Causes of Cognitive Impairment |
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143 | (2) |
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145 | (1) |
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146 | (6) |
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152 | (5) |
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CHAPTER 7 SPECIAL CONCERNS: RACE AND ETHNICITY, OLDER WOMEN AND GENDER ISSUES, CRIME, ALCOHOLISM, DEAFNESS, BLINDNESS, AND SEXUALITY |
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157 | (44) |
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The Impact of Race and Ethnicity on Mental Health Care |
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157 | (9) |
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Older Women and Gender Issues |
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166 | (6) |
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Crimes against the Elderly |
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172 | (3) |
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175 | (3) |
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178 | (4) |
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182 | (1) |
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183 | (6) |
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189 | (7) |
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196 | (5) |
PART TWO EVALUATION, TREATMENT, AND PREVENTION |
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201 | (214) |
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CHAPTER 8 GENERAL TREATMENT PRINCIPLES |
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203 | (25) |
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Changes in Perspectives toward Mental Health Treatment of Older Persons |
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203 | (5) |
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Obstacles to Treatment in Old Age |
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208 | (4) |
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Progress toward Developing Professional Interest and Skills in Providing Mental Health Care to the Elderly |
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212 | (7) |
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219 | (1) |
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220 | (1) |
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Treatment Points to Remember |
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221 | (3) |
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224 | (1) |
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225 | (1) |
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226 | (2) |
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CHAPTER 9 DIAGNOSTIC EVALUATION: HOW TO DO A WORKUP |
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228 | (41) |
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The Purpose of Diagnostic Evaluation |
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228 | (1) |
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The Role of Geriatric Assessment |
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228 | (1) |
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How Comprehensive Should an Evaluation Be? |
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229 | (1) |
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Conditions for a Good Evaluation |
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230 | (4) |
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234 | (28) |
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262 | (3) |
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265 | (4) |
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CHAPTER 10 HOW TO KEEP PEOPLE AT HOME |
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269 | (40) |
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269 | (1) |
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270 | (2) |
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272 | (1) |
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273 | (1) |
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The Initial Request for Mental Health Evaluation |
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274 | (1) |
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Factors to Consider Regarding Home Care |
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274 | (5) |
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Use of the Home for Screening and Evaluation |
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279 | (1) |
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The Role of Geriatric Assessment and Care Coordination |
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280 | (1) |
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Home Delivery of Services |
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281 | (15) |
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296 | (2) |
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Multipurpose Senior Centers |
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298 | (1) |
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299 | (1) |
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Models of Multiple Service Programs |
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300 | (1) |
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301 | (1) |
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302 | (1) |
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302 | (3) |
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305 | (4) |
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CHAPTER 11 PROPER INSTITUTIONAL CARE |
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309 | (37) |
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The Decision to Institutionalize an Older Person |
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309 | (1) |
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The Different Kinds of Short- and Long-Term Institutional Care |
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310 | (16) |
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Financing Institutional Care |
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326 | (1) |
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Family Reaction to Institutionalization |
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327 | (1) |
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Other Factors in Institutional Care |
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328 | (14) |
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342 | (1) |
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343 | (3) |
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CHAPTER 12 PSYCHOTHERAPY AND ENVIRONMENTAL THERAPY |
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346 | (37) |
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346 | (14) |
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360 | (3) |
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Intergenerational Family Therapy and Couples Therapy |
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363 | (1) |
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364 | (1) |
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365 | (10) |
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375 | (3) |
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Selected Readings in Reminiscence and Life Review |
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378 | (1) |
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379 | (4) |
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CHAPTER 13 DRUG AND OTHER SOMATIC THERAPIES |
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383 | (32) |
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General Principles in Drug Treatment with the Elderly |
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384 | (5) |
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389 | (9) |
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Drug Treatments for Sleep Disorders |
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398 | (2) |
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400 | (1) |
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Electroconvulsive Therapy |
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401 | (1) |
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Mental Health Therapist's Involvement in Drug Therapy |
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402 | (1) |
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Future Directions in Drug and Somatic Therapies |
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403 | (1) |
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404 | (4) |
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408 | (7) |
APPENDIXES |
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415 | (78) |
APPENDIX A SOURCES OF GERONTOLOGICAL LITERATURE |
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417 | (4) |
APPENDIX B ORGANIZATIONS PERTAINING TO THE ELDERLY |
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421 | (12) |
APPENDIX C GOVERNMENT PROGRAMS FOR THE ELDERLY |
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433 | (13) |
APPENDIX D TRAINING AND EDUCATION IN GERONTOLOGY AND GERIATRICS |
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446 | (11) |
APPENDIX E STAFF INSERVICE EDUCATION MATERIAL FOR WORK WITH OLDER PEOPLE |
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457 | (5) |
APPENDIX F U.S. POLICY ON AGING: A HISTORICAL SUMMARY |
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462 | (4) |
APPENDIX G PERSONAL MENTAL HEALTH DATA FORM FOR OLDER PERSONS |
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466 | (27) |
GLOSSARY |
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493 | (2) |
AUTHOR INDEX |
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495 | (23) |
SUBJECT INDEX |
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518 | |