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| Introduction to the Geriatric Imperative | |
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| Core Concepts from Sociology and Clinical Sciences | |
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| The New Psychopharmacology: Burdens and Benefits | |
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| Attributes of Successful Geriatric Practice | |
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| References | |
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| Depression and Anxiety | |
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| Assessment | |
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| Symptom Identification, Screening for the Disorders | |
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| Geriatric Syndromes, Depression, and Anxiety | |
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| Comorbidity of Mental and Physical Disorders | |
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| Anxiety Disorders | |
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| Suicide | |
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| Comprehensive Treatment of Depression and Anxiety Disorders | |
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| References | |
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| The Dementias | |
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| Dementia Defined | |
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| Epidemiology | |
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| Genetic and Other Risk Factors | |
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| Diagnostic Criteria and Procedures | |
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| Differential Diagnosis | |
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| Cognitive Assessment | |
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| Assessment of Functional Impairment | |
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| General Treatment Considerations | |
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| Medications to Palliate Cognitive Impairment | |
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| Environmental Modifications | |
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| Management of Behavioral and Psychological Signs and Symptoms | |
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| Specific Problem Behaviors and Symptoms | |
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| Medications to Lessen Behavioral and Psychological Disturbances | |
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| Caregiver Burden and Dysfunctional Family Dynamics | |
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| Practitioner as De Facto Guardian and Other Medical--Legal Issues | |
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| Management of Financial Resources | |
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| Preparations for End-of-Life Care | |
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| Summary | |
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| References | |
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| Psychosis and Mania | |
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| Achieving and Sustaining the Alliance | |
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| The Schizophrenias | |
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| Delusional Disorder | |
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| Mania | |
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| Antipsychotics and the Avoidance of Movement Disorders | |
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| Electroconvulsive Therapy for Mania or Psychosis | |
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| Summary | |
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| References | |
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| Sleep Disturbances | |
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| Assessment | |
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| Treatment | |
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| Summary | |
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| References | |
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| Personality, Somatoform, and Pain Disorders | |
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| Personality Disorders | |
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| Somatoform and Pain Disorders | |
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| References | |
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| Individual Psychotherapies for Older Adults | |
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| Arguments for Psychotherapy in Late Life | |
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| Assessment for Psychotherapy | |
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| Brief Psychodynamic versus Supportive Therapy | |
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| General Principles of Cognitive-Behavioral Therapy | |
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| Interpersonal Therapy for Late-Life Depression | |
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| Life Review or Reminiscence Therapy | |
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| Problem-Solving Therapy | |
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| Treatment of Caregiver Burden and Depression | |
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| Bereavement Therapy | |
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| Summary | |
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| References | |
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| Adapting Principles of Marital, Group, and Family Therapy to the Needs of Older Patients | |
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| Marriage or Couple Therapy with Older Adults | |
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| Models | |
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| Group Therapy with Older Adults: General Considerations | |
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| Family Work | |
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| Work with Ethnic Elders, Emigres, and Religious Minorities | |
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| Preparing for Genetic Counseling | |
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| Summary | |
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| References | |
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| Sexuality | |
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| Myths about Sex and Aging | |
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| Realities | |
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| The Genesis of Late-Life Sexual Dysfunction | |
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| Evaluation | |
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| Management of Sexual Dysfunction | |
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| Sex in the Nursing Home | |
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| Summary | |
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| Suggested Reading for Patients | |
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| References | |
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| Elder Abuse, Neglect, and Self-Injurious Behaviors | |
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| Definitions | |
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| Problem with Reports of Elder Mistreatment | |
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| Detection | |
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| Intervention | |
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| Summary | |
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| Appendix | |
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| References | |
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| Alcohol and Substance Abuse | |
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| Prevalence of Alcohol Problems among Older Adults | |
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| Prevalence of Nonalcohol Substance Abuse in Late Life | |
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| Pharmacodynamics of Alcohol in the Aged | |
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| Uncertain Diagnostic Criteria | |
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| Symptom Presentation of Alcohol Abuse in Old Age | |
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| Detection and Screening | |
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| Assessment | |
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| Treatment | |
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| Presentation of a Case | |
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| Summary | |
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| Books for Patients and Families | |
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| References | |
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| Recognition and Reduction of Suicide Risk | |
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| Trends in the Prevalence of Late-Life Suicide | |
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| Gender, Race, and Social Factors | |
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| Historical and Generational Effects | |
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| Methods of Death | |
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| Physical Illness | |
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| Excesses of Modern Medicine | |
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| Attitudes of Older Adults Regarding Suicide | |
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| The Neurobiology of Suicidality | |
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| Mental Disorders and Suicide | |
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| Personality and Neuropsychology | |
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| The Clinical Assessment of Suicidal Thought and Behavior | |
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| Management of Acute Suicidal Risk | |
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| Management of Chronic Suicidal Risk | |
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| When Prevention Fails | |
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| Public Policy and Prevention | |
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| Summary | |
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| References | |
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| Mental Health Consultation in the General Hospital, Home, or Nursing Facility | |
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| Patterns of Mental Health Consultation | |
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| Models and Methods | |
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| Mental Health Care in Nursing Homes | |
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| Consultation to Certified Home Health Agencies: How to Make a House Call | |
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| Summary | |
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| References | |
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| Legal and Ethical Issues | |
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| Modern History of the Doctor--Patient Relationship | |
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| Autonomy, Abandonment, and the Sanctity of Life | |
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| Assessment of Decision Making: Competence or Capacity? | |
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| Other Bioethical Issues of Concern | |
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| Medical Futility: Who Decides, Who Defines? | |
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| Physician-Assisted Suicide | |
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| How to Conduct a Bioethics Consultation | |
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| Summary | |
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| Appendix | |
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| References | |
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| Advice on Exercise and Nutrition | |
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| Nutrition and Exercise as Primary and Secondary Prevention | |
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| Dietary Intervention | |
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| Gaining Weight | |
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| Treatment of Overweight and Obesity | |
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| Constipation | |
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| Healthy Exercise for Seniors | |
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| Summary | |
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| Books on Exercise and Nutrition for the General Reader | |
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| References | |
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| Index | |