By Asenath LaRue

It is a privilege to be requested to jot down the foreword for thus first-class a e-book, so well timed and rather a lot wanted by way of the sphere. not just is it most original nowadays to have a unmarried­ authored quantity on so vast a subject, yet Dr. l. a. Rue has performed an excellent activity of supplying either a scholarly treatise and a realistic instruction manual. With a burgeoning aged inhabitants and the corresponding raise in geriatric psychopathology, the wishes of psychological future health prone are exceeding by way of a long way the provision of acceptable services. with the intention to meet this want, psychiatry, drugs, neurology, pharmacology, psychology, nursing, and social paintings have all made the supply of educating 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 overall healthiness problems in aged sufferers are incomplete with out scientific psychologists and neuropsy­ chologists, and but there's slightly a handful of scientific psychologists expert in facing geriatric sufferers. we will expect our hands the extra ones graduated every year. In hospitals, clinics, and personal practices around the state, differently expert psychologists are unprepared to reply to the distinct psychological wellbeing and fitness wishes of the aged. a number of CME courses are supporting to deal with this desire, yet they're basically now not enough.

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Weaker associations were noted between CT number (a measure related to attenuation of brain material at a particular scanning location) and tests of memory and attention. These findings suggest that quantitative CT measures may be related to cognitive performance in normal aging, but that the strength and pattern of relationships vary considerably for different CT measures. , 1986). Under some circumstances, ventricle enlargement appears to be reversible, so that brain shrinkage as visualized in CT may not be directly proportional to neuronal death or deactivation (Jernigan, Zatz, Feinberg, & Fein, 1980).

Where, in an attempt to avoid discrimination against the aged, health care professionals may exaggerate the competencies and excuse or overlook the deficits of their elderly patients. A trend toward "compassionate stereotyping" has also been observed, where older people in general are perceived to need support because of helplessness and infirmities (Binstock, 1983; Revenson, 1989). An additional area of concern is that both the general public and health care professionals may be forging too strong an association between old age and possible INTRODUCTION TO AGING 21 Alzheimer's disease.

19 INTRODUCTION TO AGING Rapp, Parisi, and Walsh (l988a) provided a relatively careful look at mental disorder in medically ill older adults. More than 300 elderly inpatients (age ~ 65 years) on medical/surgical services of a Veterans Administration hospital were screened for participation. Nearly a third of these patients had possible cognitive impairment, as estimated by Mini-Mental State scores and were excluded from further assessment. With the use of Research Diagnostic Criteria (Spitzer, Endicott, & Robbins, 1978), more than a quarter of those who remained were found to have other psychiatric disorders.

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