By Asenath LaRue

It is a privilege to be requested to put in writing the foreword for thus very good a e-book, so well timed and quite a bit wanted via the sphere. not just is it most unique nowadays to have a unmarried­ authored quantity on so huge an issue, yet Dr. l. a. Rue has performed a good activity of delivering either a scholarly treatise and a realistic instruction manual. With a burgeoning aged inhabitants and the corresponding bring up in geriatric psychopathology, the wishes of psychological wellbeing and fitness providers are exceeding by way of a ways the availability of acceptable prone. to be able to meet this want, psychiatry, medication, neurology, pharmacology, psychology, nursing, and social paintings have all made the supply of teaching in geriatrics and gerontology a excessive priority-but I worry we're wasting the race. for instance, multidisciplinary groups that determine, diagnose, and deal with psychological health and wellbeing issues in aged sufferers are incomplete with no scientific psychologists and neuropsy­ chologists, and but there's slightly a handful of medical psychologists proficient in facing geriatric sufferers. we will be able to expect our hands the extra ones graduated every year. In hospitals, clinics, and personal practices around the nation, differently expert psychologists are unprepared to reply to the distinct psychological well-being wishes of the aged. a couple of CME courses are assisting to deal with this want, yet they're basically no longer enough.

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Infrequent. "From Handbook ofNeuropsychological Assessment: A Biopsychosocial Perspective (pp. 86, 93) by A. Puente and R. McCaffrey, 1992, New York: Plenum Press. Copyright 1992 by Plenum Press, Inc. Adapted by permission. Corsellis (1980) reported no change in the volume of cerebral hemispheres between the ages of 20 and 50 years, followed by a 2% decrease per decade through age 98 for both sexes. , 1980). , association and limbic cortices, as opposed to motor, someshetic, visual, and auditory regions; Kemper, 1984).

Older people are hospitalized twice as often as younger adults, make more outpatient visits to physicians (in a ratio of 3:2), and use twice as many prescription drugs (National Center for Health Statistics, 1987a). In 1985, persons over the age of 65 years accounted for 30% of all hospital discharges and 41% of all short-stay hospital days. People aged 75 years and above, who constitute only 5% of the current population, accounted for 16% of hospital discharges and 22% of short-stay hospital days (National Center for Health Statistics, 1987c).

L988a). dRovner et al. (1986). 'Higher estimate of depressive disorder is from Blazer et al. (1987). 20 CHAPTER I underlies many of the day-to-day problems of older people and is the principal reason why elderly individuals (or concerned family members) seek help from mental health professionals. 2). However, further analysis of data from this study suggested that at least 8% of the elderly respondents had significant depressive symptoms and nearly 19% had less severe dysphoric symptomatology (Blazer, Hughes, & George, 1987).

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