This book has a forward-thinking orientation that reflects the reality of aging with older adults throughout the aging life course... Dr. Youdin integrates an advanced clinical social work practice with in-depth knowledge of evidence-based practice as well asd geriatric medicine, psychiatry and gerontology." -- The Lamp Written by an expert in gerontological social work and curriculum development, this book provides a wealth of clinical information for social workers and other health care professionals who counsel older adults. It describes a strengths-based, empowerment approach to treatment…mehr
This book has a forward-thinking orientation that reflects the reality of aging with older adults throughout the aging life course... Dr. Youdin integrates an advanced clinical social work practice with in-depth knowledge of evidence-based practice as well asd geriatric medicine, psychiatry and gerontology." -- The Lamp Written by an expert in gerontological social work and curriculum development, this book provides a wealth of clinical information for social workers and other health care professionals who counsel older adults. It describes a strengths-based, empowerment approach to treatment that integrates theory, technique, advocacy, and social policy, and encompasses the tenets of human rights. The book's content has been tested in the classroom setting for a three-year period with advanced social work undergraduate and graduate students. The book examines various theories of aging including a contrast between the strengths-based person-in-environment theory and the pathologically based medical model of psychological problems. It advocates truly engaging with the older client during the assessment phase, and discusses a variety of intervention modalities. The psychological construct of stigma regarding aging is examined, along with the major psychopathological problems common to older adults. The book also considers Alzheimer's disease and dementia, medical problems of older adults and co-occurring psychological problems, substance abuse, older adult sexuality, elder abuse, and the vulnerabilities of gay, lesbian, bisexual, and transgender older adults. Additionally, the book addresses mental health issues pertaining to residential settings and the aspects of death and dying that give older people concern. Extensive case studies, learning objectives, and discussion questions are featured in each chapter. The book also includes an instructor packet, PowerPoint slides, and an interactive PDF. Key Features: Provides a wealth of classroom-tested clinical information Espouses a strengths-based approach to treatment that integrates theory, technique, advocacy, and social justice Consistent with social work mandates for a human rights focus Presents extensive case studies, learning objectives, and discussion questions in each chapter Includes an instructors packet, PowerPoint slides, and interactive PDFHinweis: Dieser Artikel kann nur an eine deutsche Lieferadresse ausgeliefert werden.
Robert Youdin, PhD, is an independent scholar at the Princeton Research Forum. He has been a private practitioner for the past 31 years and practices in Princeton, New Jersey.
Inhaltsangabe
Foreword Patricia Brownell, PhD xiii Preface xvii Acknowledgments xxiii PART I: OVERVIEW OF THEORIES, ASSESSMENT TECHNIQUES, AND TREATMENT APPROACHES TO THE OLDER ADULT CLIENT 1. Theories to Inform the Social Worker Practicing With Older Adults 3 The Need for a Unifying Gerontological Social Work Theoretical Orientation 4 Theory Circle 5 Suggested Theories to Inform the Social Worker Treating Older Adults 6 Age Stages 6 Psychological and Social Aging Theories 8 Erikson's Stages Theory 8 The Medical Model 9 Person-in-Environment Theory and Resilience: A Good Partnership 10 Person-in-Environment Theory: The Beginning 12 Perception of Control 13 The Case of Georgina 14 Summary 17 Discussion Topics 17 2. Assessing an Older Adult 19 Part 1: Environmental and Communication Challenges to Be Overcome by the Social Worker and Older Client 20 Offi ce Assessment Setting 20 A Matter of Speaking 20 Home, Nursing Home, Assisted Care Facility, or Hospital Assessment Setting 21 Working the Clock 21 To Take or Not Take Notes 22 Part 2: Assessment Categories 22 Gender, Age, Ethnicity, Sexual Orientation 22 Presenting Problem 23 Environmental and Demographic Information 24 Developmental History 24 Medical Status 25 Sexual Assault History 26 Sexual History 26 Substance Use 26 Psychiatric History 27 Appearance 27 Attitude 27 Motor Status 27 Speech Quality 28 Thought Process 28 Mood/Affect 28 Sleep/Appetite Status 29 Suicide Assessment 29 Rational Suicide 31 Homicidal Assessment 32 Mental Status Exam 33 Spirituality/Religion 36 Older Adult Abuse 36 Collateral Interviews 36 DSM-5 Diagnosis 36 The Case of Dr. Frank 37 Gender, Age, Ethnicity, Sexual Orientation 37 Presenting Problem 37 Environmental and Demographic Information 37 Developmental History 38 Medical Status 39 Sexual Assault History 40 Sexual History 40 Substance Use 40 Psychiatric History 40 Appearance 41 Attitude 41 Motor Status 41 Speech Quality 41 Thought Process 41 Mood/Affect 41 Sleep/Appetite Status 41 Suicide Assessment 42 Homicidal Assessment 42 Mental Status Exam 43 Sensorium 43 Spirituality/Religion 43 Older Adult Abuse 44 Collateral Interviews 44 DSM-5 Diagnosis 44 Goals for Change 44 Summary 44 Discussion Topics 45 3. Intervention Theories Informing the Clinician Treating Older Adults 47 Are Theories an Uncontaminated View of an Older Adult? 49 Sources of Contamination 49 Sorry, No Theory Available 49 Ageism 49 The New Ageism 50 The Incompetence Model 50 The Geriactivist Model 50 Theoretical Orientations for Treating Older Adults 51 Foundations Underlying Existential, Brief Solution, Cognitive Behavioral, and Narrative Therapies 51 Empowerment Theory and the Strength Perspective 51 Constructivist Theory 52 Existential Theory 52 Cognitive Behavioral Theory 55 Narrative Theory 56 Reminiscence Therapy 58 Feminist Theory 58 The Case of Henriqua 59 Summary and Applications of Theoretical Orientations to Henriqua's Case 60 Henriqua Through the Optic of Existential-Phenomenological Theory 60 Henriqua Through the Optic of Cognitive Behavioral Theory 62 Henriqua Through the Optic of Narrative and Reminiscence Theory 63 Henriqua Through the Optic of Feminist Theory 64 Discussion Topics 64 4. Stigma and Older Adults 65 Examples of Optics Affected by Stigma and Their Subsequent Effects on Older Adults 66 Ageism 67 Race/Ethnicity/Sexual Orientation 68 Gender 69 Poverty 70 Policy 71 Psychological Problems 72 Medical Illness 75 The Internet: A Tool for Fighting Stigma 76 The Case of Michael 77 Summary 79 Discussion Topics 79 PART II: SPECIALIZED PROBLEMS AND ORIENTATIONS IN GERONTOLOGICAL SOCIAL WORK PRACTICE 5. Psychopathological Problems in Older Adults 83 The Medical Model of Psychopathology 83 Psychopathological Problems in Older Adults 85 Anorexia Tardive 86 Anxiety Disorders 86 Co-Occurring Psychological Disorders and Substance Abuse/Dependence Disorders 87 Delusional Disorder 88 Mood Disorders 88 Personality Disorders 90 Schizophrenia 91 Suicide 91 The Case of Anthony 93 Summary 94 Discussion Topics 95 6. Alzheimer's Disease and Other Dementias 97 Mild Cognitive Impairment 97 Vascular Dementia 98 Dementia With Lewy Bodies 98 Frontal Lobe Dementia (Including Pick's Disease) 99 Korsakoff Syndrome 99 Parkinson's Disease 99 Alzheimer's Disease 99 Stage 1 100 Stage 2 100 Stage 3 100 Stage 4 100 Stage 5 101 Stage 6 101 Stage 7 101 A Basic Guide to Medicines for Alzheimer's Disease 101 Neurotransmitters 102 Therapeutic Interventions for Alzheimer's Disease Patients 104 Agitation States Common to Dementias 104 Caregiver Support Groups 105 Psychotherapeutic Interventions in Early-Stage Dementias 105 Psychoeducational Support Groups for Alzheimer's Disease Patients 105 Leisure Activities and Therapeutic Recreation 106 Cognitive Training Intervention Programs 107 Driving Retirement 107 Fall Risk With Dementia 108 Inappropriate Sexual Behaviors 108 Dementia in Imprisoned Older Adults 108 Long-Term Care for Dementia 108 The Case of Daiki 108 Summary 110 Discussion Topics 111 7. Medical Problems in Older Adults 113 Commonly Occurring Medical Problems Experienced by Older Adults 113 Arthritis 113 Cardiovascular Diseases 114 Cancers 116 Chronic Obstructive Pulmonary Disease 117 Diabetes 117 Eye Disorders 118 Hearing Disorders 119 Osteoporosis 119 Pain 120 Pressure Ulcers 121 Sleep Disorders 121 Urinary Disorders 121 Interventions for Older Adults With Chronic Illnesses and Their Families 122 The Case of Miguel 122 Summary 124 Discussion Topics 125 8. Older Adult Substance Abusers 127 Chronic Versus Situational Substance Abuse 129 Alcohol Abuse/Dependence 130 Nonalcohol Substance Use Disorders 132 Benzodiazepine Abuse/Dependence Disorders 132 Opioid/Synthetic Opioid Abuse/Dependence Disorders 133 An Existential Analysis of Older Adult Substance Abuse/Dependence 134 Motivational Interviewing 135 Cognitive Behavioral Interventions 136 Integrating Motivational Interviewing With Other Therapeutic Modalities 137 The Case of Pauline 138 Summary 139 Discussion Topics 140 9. Older Adult Sexuality 141 Men 142 Erectile Dysfunction Treatments 143 Women 143 Gay Male and Lesbian Couples 144 Heterosexual Couples 144 Sexuality and Dementia 146 Caregiver Sexual Education for Dementia Patients 146 HIV/AIDS 147 Nursing Homes 148 Older Adult Sexuality and Religion/Spirituality 149 The Case of Lim and Jun 149 Summary 150 Discussion Topics 151 10. Older Adult Abuse 153 Prevalence of Older Adult Abuse 155 Perpetrators of Older Adult Abuse 156 Assisted Living Facilities and Nursing Homes 156 Long-Term Care at Home 157 Older Adults' Perceptions as Potential Crime Victims 158 Sexual Violence 158 Disabled Older Adults 159 Older Adult Prisoner Abuse 159 Historical Programs to Address Older Adult Prisoner Abuse 159 Older Adults' Self-Abuse 160 Self-Neglect 160 Self-Harm 161 Interventions for Older Adult Abuse, Self-Neglect, and Self-Harm 162 The Case of Gloria 164 Summary 166 Discussion Topics 166 11. Gay Male, Lesbian, Bisexual, and Transgender Older Adults 167 Coming Out in Later Life 168 Older LGBT Sexuality and HIV 169 Substance Abuse 170 Older Gay Inmates 171 Clinical Intervention 171 Concerns About Health Service Delivery 172 Interventions 173 Mental Health Issues 173 Retirement and Housing 175 The Case of Sheri and Camila 176 Summary 177 Discussion Topics 178 12. Care and Residential Settings for Older Adults 179 Retirement Communities 180 Gay-Oriented Retirement Communities 181 Aging in Place 181 Adult Day Care Services 182 Continuing Care and Assisted Living 183 Housing for Aging Inmates: A New Type of Aging in Place 185 Nursing Homes 185 Goals for Improved Experiences in All Types of Care and Residential Settings 186 The Case of Adanna 188 Summary 190 Discussion Topics 191 13. Dying and Death 193 End-of-Life Planning 193 End-of-Life Palliative Care 195 Intensive Care and Terminal Illness 198 Euthanasia 199 Place of Death 200 End-of-Life Psychotherapy 201 Grief Counseling 201 The Case of Yael 204 Summary 205 Discussion Topics 205 References 207 Index 251
Foreword Patricia Brownell, PhD xiii Preface xvii Acknowledgments xxiii PART I: OVERVIEW OF THEORIES, ASSESSMENT TECHNIQUES, AND TREATMENT APPROACHES TO THE OLDER ADULT CLIENT 1. Theories to Inform the Social Worker Practicing With Older Adults 3 The Need for a Unifying Gerontological Social Work Theoretical Orientation 4 Theory Circle 5 Suggested Theories to Inform the Social Worker Treating Older Adults 6 Age Stages 6 Psychological and Social Aging Theories 8 Erikson's Stages Theory 8 The Medical Model 9 Person-in-Environment Theory and Resilience: A Good Partnership 10 Person-in-Environment Theory: The Beginning 12 Perception of Control 13 The Case of Georgina 14 Summary 17 Discussion Topics 17 2. Assessing an Older Adult 19 Part 1: Environmental and Communication Challenges to Be Overcome by the Social Worker and Older Client 20 Offi ce Assessment Setting 20 A Matter of Speaking 20 Home, Nursing Home, Assisted Care Facility, or Hospital Assessment Setting 21 Working the Clock 21 To Take or Not Take Notes 22 Part 2: Assessment Categories 22 Gender, Age, Ethnicity, Sexual Orientation 22 Presenting Problem 23 Environmental and Demographic Information 24 Developmental History 24 Medical Status 25 Sexual Assault History 26 Sexual History 26 Substance Use 26 Psychiatric History 27 Appearance 27 Attitude 27 Motor Status 27 Speech Quality 28 Thought Process 28 Mood/Affect 28 Sleep/Appetite Status 29 Suicide Assessment 29 Rational Suicide 31 Homicidal Assessment 32 Mental Status Exam 33 Spirituality/Religion 36 Older Adult Abuse 36 Collateral Interviews 36 DSM-5 Diagnosis 36 The Case of Dr. Frank 37 Gender, Age, Ethnicity, Sexual Orientation 37 Presenting Problem 37 Environmental and Demographic Information 37 Developmental History 38 Medical Status 39 Sexual Assault History 40 Sexual History 40 Substance Use 40 Psychiatric History 40 Appearance 41 Attitude 41 Motor Status 41 Speech Quality 41 Thought Process 41 Mood/Affect 41 Sleep/Appetite Status 41 Suicide Assessment 42 Homicidal Assessment 42 Mental Status Exam 43 Sensorium 43 Spirituality/Religion 43 Older Adult Abuse 44 Collateral Interviews 44 DSM-5 Diagnosis 44 Goals for Change 44 Summary 44 Discussion Topics 45 3. Intervention Theories Informing the Clinician Treating Older Adults 47 Are Theories an Uncontaminated View of an Older Adult? 49 Sources of Contamination 49 Sorry, No Theory Available 49 Ageism 49 The New Ageism 50 The Incompetence Model 50 The Geriactivist Model 50 Theoretical Orientations for Treating Older Adults 51 Foundations Underlying Existential, Brief Solution, Cognitive Behavioral, and Narrative Therapies 51 Empowerment Theory and the Strength Perspective 51 Constructivist Theory 52 Existential Theory 52 Cognitive Behavioral Theory 55 Narrative Theory 56 Reminiscence Therapy 58 Feminist Theory 58 The Case of Henriqua 59 Summary and Applications of Theoretical Orientations to Henriqua's Case 60 Henriqua Through the Optic of Existential-Phenomenological Theory 60 Henriqua Through the Optic of Cognitive Behavioral Theory 62 Henriqua Through the Optic of Narrative and Reminiscence Theory 63 Henriqua Through the Optic of Feminist Theory 64 Discussion Topics 64 4. Stigma and Older Adults 65 Examples of Optics Affected by Stigma and Their Subsequent Effects on Older Adults 66 Ageism 67 Race/Ethnicity/Sexual Orientation 68 Gender 69 Poverty 70 Policy 71 Psychological Problems 72 Medical Illness 75 The Internet: A Tool for Fighting Stigma 76 The Case of Michael 77 Summary 79 Discussion Topics 79 PART II: SPECIALIZED PROBLEMS AND ORIENTATIONS IN GERONTOLOGICAL SOCIAL WORK PRACTICE 5. Psychopathological Problems in Older Adults 83 The Medical Model of Psychopathology 83 Psychopathological Problems in Older Adults 85 Anorexia Tardive 86 Anxiety Disorders 86 Co-Occurring Psychological Disorders and Substance Abuse/Dependence Disorders 87 Delusional Disorder 88 Mood Disorders 88 Personality Disorders 90 Schizophrenia 91 Suicide 91 The Case of Anthony 93 Summary 94 Discussion Topics 95 6. Alzheimer's Disease and Other Dementias 97 Mild Cognitive Impairment 97 Vascular Dementia 98 Dementia With Lewy Bodies 98 Frontal Lobe Dementia (Including Pick's Disease) 99 Korsakoff Syndrome 99 Parkinson's Disease 99 Alzheimer's Disease 99 Stage 1 100 Stage 2 100 Stage 3 100 Stage 4 100 Stage 5 101 Stage 6 101 Stage 7 101 A Basic Guide to Medicines for Alzheimer's Disease 101 Neurotransmitters 102 Therapeutic Interventions for Alzheimer's Disease Patients 104 Agitation States Common to Dementias 104 Caregiver Support Groups 105 Psychotherapeutic Interventions in Early-Stage Dementias 105 Psychoeducational Support Groups for Alzheimer's Disease Patients 105 Leisure Activities and Therapeutic Recreation 106 Cognitive Training Intervention Programs 107 Driving Retirement 107 Fall Risk With Dementia 108 Inappropriate Sexual Behaviors 108 Dementia in Imprisoned Older Adults 108 Long-Term Care for Dementia 108 The Case of Daiki 108 Summary 110 Discussion Topics 111 7. Medical Problems in Older Adults 113 Commonly Occurring Medical Problems Experienced by Older Adults 113 Arthritis 113 Cardiovascular Diseases 114 Cancers 116 Chronic Obstructive Pulmonary Disease 117 Diabetes 117 Eye Disorders 118 Hearing Disorders 119 Osteoporosis 119 Pain 120 Pressure Ulcers 121 Sleep Disorders 121 Urinary Disorders 121 Interventions for Older Adults With Chronic Illnesses and Their Families 122 The Case of Miguel 122 Summary 124 Discussion Topics 125 8. Older Adult Substance Abusers 127 Chronic Versus Situational Substance Abuse 129 Alcohol Abuse/Dependence 130 Nonalcohol Substance Use Disorders 132 Benzodiazepine Abuse/Dependence Disorders 132 Opioid/Synthetic Opioid Abuse/Dependence Disorders 133 An Existential Analysis of Older Adult Substance Abuse/Dependence 134 Motivational Interviewing 135 Cognitive Behavioral Interventions 136 Integrating Motivational Interviewing With Other Therapeutic Modalities 137 The Case of Pauline 138 Summary 139 Discussion Topics 140 9. Older Adult Sexuality 141 Men 142 Erectile Dysfunction Treatments 143 Women 143 Gay Male and Lesbian Couples 144 Heterosexual Couples 144 Sexuality and Dementia 146 Caregiver Sexual Education for Dementia Patients 146 HIV/AIDS 147 Nursing Homes 148 Older Adult Sexuality and Religion/Spirituality 149 The Case of Lim and Jun 149 Summary 150 Discussion Topics 151 10. Older Adult Abuse 153 Prevalence of Older Adult Abuse 155 Perpetrators of Older Adult Abuse 156 Assisted Living Facilities and Nursing Homes 156 Long-Term Care at Home 157 Older Adults' Perceptions as Potential Crime Victims 158 Sexual Violence 158 Disabled Older Adults 159 Older Adult Prisoner Abuse 159 Historical Programs to Address Older Adult Prisoner Abuse 159 Older Adults' Self-Abuse 160 Self-Neglect 160 Self-Harm 161 Interventions for Older Adult Abuse, Self-Neglect, and Self-Harm 162 The Case of Gloria 164 Summary 166 Discussion Topics 166 11. Gay Male, Lesbian, Bisexual, and Transgender Older Adults 167 Coming Out in Later Life 168 Older LGBT Sexuality and HIV 169 Substance Abuse 170 Older Gay Inmates 171 Clinical Intervention 171 Concerns About Health Service Delivery 172 Interventions 173 Mental Health Issues 173 Retirement and Housing 175 The Case of Sheri and Camila 176 Summary 177 Discussion Topics 178 12. Care and Residential Settings for Older Adults 179 Retirement Communities 180 Gay-Oriented Retirement Communities 181 Aging in Place 181 Adult Day Care Services 182 Continuing Care and Assisted Living 183 Housing for Aging Inmates: A New Type of Aging in Place 185 Nursing Homes 185 Goals for Improved Experiences in All Types of Care and Residential Settings 186 The Case of Adanna 188 Summary 190 Discussion Topics 191 13. Dying and Death 193 End-of-Life Planning 193 End-of-Life Palliative Care 195 Intensive Care and Terminal Illness 198 Euthanasia 199 Place of Death 200 End-of-Life Psychotherapy 201 Grief Counseling 201 The Case of Yael 204 Summary 205 Discussion Topics 205 References 207 Index 251
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