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| Preface | |
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| Acknowledgments | |
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| Special Acknowledgment | |
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| The Caregiver Experience | |
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| What Is Alzheimer's Disease? | |
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| A Case History | |
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| Early Detection and Treatment | |
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| Causes of Disease--Multiple Factors | |
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| The Statistics | |
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| Symptoms and Phases of Alzheimer's Disease | |
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| Symptoms of Alzheimer's Disease | |
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| Phases of Alzheimer's Disease | |
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| Early Confusional Phase | |
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| Late Confusional Phase | |
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| Early Dementia | |
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| Middle Dementia | |
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| Late Dementia | |
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| Depression and the Person with Alzheimer's Disease | |
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| Risk Factors for Depression | |
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| Signs and Symptoms of Depression | |
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| Depressive Symptoms and Disorders | |
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| Causes of Depression with Alzheimer's Disease | |
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| Treatment for Depression | |
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| Grief and Coping | |
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| Possible Causes of Alzheimer's Disease | |
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| What Does Not Cause Alzheimer's | |
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| The Genetic Theory | |
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| The Viral Theory | |
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| The Immune System Theory | |
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| The Aluminum Theory | |
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| Psychosocial Factors and Dementia | |
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| Six Common Myths About Alzheimer's | |
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| Alzheimer's Symptoms Are a Normal Sign of Old Age | |
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| Senility Is the Usual Cause of Problems in Old Age | |
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| Nothing Can Be Done for the Person with Alzheimer's | |
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| Alzheimer's Is Strictly a Mental Illness | |
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| Only the Family Should Care for the Person with Alzheimer's | |
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| All Relatives of People with Alzheimer's Are Likely to Inherit the Disease | |
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| Coping: A Step-by-Step Guide to the Caregiver's Experience | |
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| A Hypothetical Case History | |
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| Noticing Initial Symptoms | |
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| Confirming Suspicions | |
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| Seeking Information | |
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| Taking Action | |
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| Weighing Findings | |
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| Identifying Resources | |
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| Planning Care | |
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| Managing Caregiver Stress | |
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| From Family Care to Alzheimer's Care: Preparing for Caregiving | |
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| Differences in Alzheimer's Caregiving and Traditional Family Care | |
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| Coping with Problems Common to Chronic Disease | |
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| Motivations for Helping | |
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| Understanding Behavioral Changes | |
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| Early Threats to Who We Are | |
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| The Impact of Losses on Relating | |
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| Attempts to Understand Behavior | |
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| Revising Your Expectations | |
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| Questioning Old Beliefs About Behavior | |
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| Emotions and Alzheimer's Behavior | |
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| Emotional and Behavioral Communication | |
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| Behavior and Stress | |
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| Catastrophic Reactions | |
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| Excess Disability | |
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| Summary | |
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| Stages of Family Adjustment | |
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| Accepting the Disease | |
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| Denial | |
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| Overinvolvement | |
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| Anger | |
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| Guilt | |
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| Acceptance | |
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| Family Responses to Care | |
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| Need for Family Support | |
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| Compatible vs. Conflictual Families | |
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| New Views of Parent | |
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| Cohesive vs. Fragmented Families | |
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| Productive vs. Nonproductive Families | |
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| Fragile vs. Stable Families | |
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| Family Roles and Rules | |
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| Family Roles During Crisis | |
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| Caregivers and Caregiving | |
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| Values, Beliefs, and the Caregiver Experience | |
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| Expectations Influence Our Feelings and Reactions | |
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| How to Respond Positively to Alzheimer's Behaviors | |
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| Depression and the Alzheimer's Caregiver | |
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| How Common Is Caregiver Depression? | |
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| Reasons We Fail to Recognize Depression | |
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| Depressive Disorders | |
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| Generalized Anxiety Disorder | |
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| Risk Factors for Caregiver Depression | |
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| Coping with Ongoing Caregiver Stress | |
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| Learning to Analyze and Manage Change | |
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| Stressors, Stress, and Coping | |
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| Responding to Thoughts and Stressors | |
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| Stress and Self-Talk | |
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| Irrational Beliefs Cause Stress | |
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| Coping Model | |
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| Different Types of Stress | |
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| Manifestations of Stress | |
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| Coping Examples | |
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| Coping Approaches for Different Stressors | |
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| Twelve Steps for Caregivers | |
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| Exploring Community Resources | |
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| Drawing upon Community Resources Reduces Strain on the Caregiver | |
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| Community Resources for Alzheimer's Care | |
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| Considerations for Nursing Home Care | |
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| Final Resource Considerations | |
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| Research and Treatment | |
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| Abnormal Changes in the Brain | |
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| Physical Changes in the Brain | |
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| Anatomy of the Brain | |
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| Neurofibrillary Tangles | |
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| Senile or Neuritic Plaques | |
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| Granulovacuolar Degeneration | |
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| Hirano Bodies | |
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| Congophilic Angiopathy | |
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| Chemical Changes in the Brain | |
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| More About Brain Anatomy | |
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| The Cholinergic System | |
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| The Serotonergic System | |
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| The Noradrenergic System | |
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| Somatostatin | |
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| The Glutaminergic System | |
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| Treating Neurotransmitter Deficiencies | |
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| Summary | |
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| Treatment Possibilities | |
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| Role of Drugs in Alzheimer's Treatment | |
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| Should You Participate in Drug Research Study? | |
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| Inconsistencies in Drug Studies | |
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| Cholinergic Agents | |
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| Available Cholinesterase Inhibitors | |
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| Cholinergic Receptor Agonists | |
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| Naloxone and Naltrexone | |
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| Vasodilators and Nootropic Agents | |
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| Neuropeptides | |
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| Psychostimulants | |
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| Glutaminergic Agents | |
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| Combination Drug Studies | |
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| Estrogen, Anti-Inflammatory Agents, and Antioxidants | |
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| Statins | |
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| Neuronal Transplants | |
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| Psychiatric Medications and Dementia | |
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| Side Effects | |
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| Major Tranquilizers (Neuroleptics or Antipsychotics) | |
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| Minor Tranquilizers | |
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| Antidepressants | |
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| Summary | |
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| An Afterword | |
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| Worksheets | |
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| Self-Help Groups and Organizations That Can Help | |
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| Internet and World Wide Web Resources | |
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| Bibliography | |
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| Index | |