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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 | |