Handbook of Clinical Geropsychology PDF
Preview Handbook of Clinical Geropsychology
Handbook of Clinical Geropsychology The Plenum Series in Adult Development and Aging SERIES EDITOR: Jack Demick, Suffolk University, Boston, Massachusetts ADULT DEVELOPMENT, THERAPY, AND CULTURE A Postmodern Synthesis Gerald D. Young THE AMERICAN FATHER Biocultural and Developmental Aspects Wade C. Mackey THE DEVELOPMENT OF LOGIC IN ADULTHOOD Postformal Thought and Its Applications Jan D. Sinnott HANDBOOK OF AGING AND MENTAL HEALTH An Integrative Approach Edited by Jacob Lomranz HANDBOOK OF CLINICAL GEROPSYCHOLOGY Edited by Michel Hersen and Vincent B. Van Hasselt HANDBOOK OF PAIN AND AGING Edited by David 1. Mostofsky and Jacob Lomranz HUMAN DEVELOPMENT IN ADULTHOOD Lewis R. Aiken PSYCHOLOGICAL TREATMENT OF OLDER ADULTS An Introductory Text Edited by Michel Hersen and Vincent B. Van Hasselt Handbook of Clinical Geropsychology Edited by Michel Hersen Pacific University Forest Grove, Oregon and Vincent B. Van Hasselt Nova Southeastern University Fort Lauderdale, Florida Springer Science+Business Media, LLC Library of Congress Cataloging-in-Publication Data Handbook of clinical geropsycho logy / edited by Michel Hersen and Vincent B. Van Hasselt. p. cm. — (The Plenum series in adult development and aging) Includes bibliographical references and index. 1. Geriatric psychiatry—Handbooks, manuals, etc. 2. Aged--Mental health—Handbooks, manuals, etc. 3. Clinical psychology—Handbooks, manuals, etc. I. Hersen, Michel. II. Van Hasselt, Vincent B. III. Series. [DNLM: 1. Mental Disorders—in old age. 2. Mental Disorders- -therapy. 3. Geriatric Psych i atry—methods . 4. Aged—psycho logy . WT 150 H23441 1998] RC451.4.A5H356 1998 618.97*689—dc21 DNLM/DLC for Library of Congress 98-21527 CIP ISBN 978-1-4899-0132-3 ISBN 978-1-4899-0130-9 (eBook) DOI 10.1007/978-1-4899-0130-9 © Springer Science+Business Media New York 1998 Originally published by Plenum Press, New York in 1998 Softcover reprint of the hardcover 1st edition 1998 http: / /www.plenum.com 10 987654321 All rights reserved No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, microfilming, recording, or otherwise, without written permission from the Publisher Contributors RONALD D. ADELMAN, Division of Geriatrics and Gerontology, New York Hospi tal-Cornell Medical Center, New York, New York 10021 PATRICIA A. AREAN, Department of Psychiatry, University of California-San Fran cisco, San Francisco, California 94143-0984 J. GAYLE BECK, Department of Psychology, State University of New York, Buffalo, New York 14260 STEPHEN J. BARTELS, Department of Psychiatry and Community and Family Med icine, New Hampshire-Dartmouth Psychiatric Research Center, Dartmouth Medical School, Concord, New Hampshire 03301 GARY R. BIRCHLER, Department of Psychiatry, School of Medicine, University of California, San Diego, La Jolla, California 92093-0603 FRANCE C. BLAIS, Ecole de Psychologie, Universite Laval, Cite Universitaire, Quebec, Canada G1K 7P4 LOUIS D. BURGIO, Center for Aging, Division of Gerontology and Geriatric Medi cine, and Department of Psychology, University of Alabama at Birmingham, Birmingham, Alabama 35294-4410 TONY CELLUCCI, Department of Psychology, Francis Marion University, Florence, South Carolina 29501-0547 KATIE E. CHERRY, Department of Psychology, Louisiana State University, Baton Rouge, Louisiana 70803-5501 ANTONIA CHRONOPOLOUS, Center for Psychological Studies, Nova Southeastern University, Fort Lauderdale, Florida 33314 JOAN M. COOK, Center for Psychological Studies, Nova Southeastern University, Fort Lauderdale, Florida 33314 DAVID W. COON, Older Adult Center, Veterans Affairs Health Care System, Palo Alto, California 94304 v vi Contributors ELLEN M. CorrnR, Center for Aging, Division of Gerontology and Geriatric Medi cine, and Department of Psychology, University of Alabama at Birmingham, Birmingham, Alabama 35294-4410 PATRICK H. DELEON, Administrative Assistant to U.S. Senator Daniel K. Inouye, U.S. Senate, Hart Senate Building, Washington, D.C. 20510-1102 LARRY W. DUPREE, Department of Aging and Mental Health, The Florida Mental Health Institute, University of South Florida, Tampa, Florida 33612-3899 BUNNY FALK, Center for Psychological Studies, Nova Southeastern University, Fort Lauderdale, Florida 33314 WILLIAM FALS-STEWART, Department of Psychology, Old Dominion University, Norfolk, Virginia 23529-0267 NANCY FOLDI, Division of Neurology, Winthrop-University Hospital, Mineola, New York 11501 MARY J. GAGE, Mellon Center, Cleveland Clinic, Cleveland, Ohio 44195 DOLORES GALLAGHER-THOMPSON, Older Adult Center, Veterans Affairs Health Care System, Palo Alto, California 94304 and Stanford University School of Medi cine, Stanford, California CHARLES J. GOLDEN, Center for Psychological Studies, Nova Southeastern Uni versity, Fort Lauderdale, Florida 33314 ANTHONY J. GORECZNY, Director of Clinical Training Program, Department ofPsy chology, University ofIndianapolis, Indianapolis, Indiana 46227-3697 IGOR GRANT, Department of Psychiatry, School of Medicine, University of Cali fornia, San Diego, La Jolla, California 92093-0680 CHERYL BURNS HARDISON, Program for Research on Black Americans, Institute for Social Research, University of Michigan, Ann Arbor, Michigan 48106-1248 MICHEL HERSEN, School of Professional Psychology, Pacific University, Forest Grove, Oregon 97116 JAMES S. JACKSON, Program for Research on Black Americans, Institute for Social Research, University of Michigan, Ann Arbor, Michigan 48106-1248 MICHAEL LAVIN, Department of Psychology, University of Arizona, Tucson, Ari zona 85721 HOWARD D. LERNER, Department of Psychology, University of Michigan, Ann Ar bor, Michigan 48104 EDITH S. LISANSKy-GOMBERG, Alcohol Research Center, Department of Psychology, University of Michigan, Ann Arbor, Michigan 48104 NATHANIEL MCCONAGHY, Psychiatric Unit, Prince of Wales Hospital, Randwick 2031, New South Wales, Australia Contributors vii KEITH M. MILES, Department of Psychiatry and Community and Family Medi cine, New Hampshire-Dartmouth Psychiatric Research Center, Dartmouth Med ical School, Concord, New Hampshire 03301 VERONIQUE MIMEAULT, Ecole de Psychologie, Universite Laval. Cite Universitaire, Quebec, Canada G1K 7P4 CHARLES M. MORIN, Ecole de Psychologie, Universite Laval. Cite Universitaire, Quebec, Canada G1K 7P4 DEBRA S. MORLEY, Department of Psychology, Boston University, Boston, Massa chusetts 02215 DAVID I. MOSTOFSKY, Laboratory for Experimental Behavioral Medicine, Depart ment of Psychology, Boston University, Boston, Massachusetts 02215 KIM T. MUESER, Department of Psychiatry and Community and Family Medicine, New Hampshire-Dartmouth Psychiatric Research Center, Dartmouth Medical School, Concord, New Hampshire 03301 TED D. NIRENBERG, Department of Psychiatry and Human Behavior, and Center for Alcohol and Addiction Studies, Brown University, and Department of Emer gency Medicine, Rhode Island Hospital, Providence, Rhode Island 02908 THOMAS L. PATTERSON, Department of Psychiatry, School of Medicine, University of California, San Diego, La Jolla, California 92093-0680 DAVID POWERS, Older Adult Center, Veterans Affairs Health Care System, Palo Alto, California 94304 PETER V. RAsINs, Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland 21287-7279 PATRICIA RIvERA, Older Adult Center, Veterans Affairs Health Care System, Palo Alto, California 94304 BRUCE D. SALES, Department of Psychology, University of Arizona, Tucson, Ari zona 85721 DEREK SATRE, Department of Psychiatry, University of California-San Francisco, San Francisco, California 94143-0984 LAWRENCE SCHONFELD, Department of Aging and Mental Health, The Florida Men tal Health Institute, University of South Florida, Tampa, Florida 33612-3899 DANIEL L. SEGAL, Department of Psychology, University of Colorado at Colorado Springs, Colorado Springs, Colorado 80933-7150 SHERRILL L. SELLERS, Program for Research on Black Americans, Institute for So cial Research, University of Michigan, Ann Arbor, Michigan 48106-1248 SHIRLEY SEMPLE, Department of Psychiatry, School of Medicine, University of California, San Diego, La Jolla, California 92093-0680 viii Contributors WILLIAM S. SHAW, Department of Psychiatry, School of Medicine, University of California, San Diego, La Jolla, California 92093-0680 HENNA SIDDIQUI, Division of Geriatrics, Winthrop-University Hospital, Mineola, New York 11501 ANDERSON D. SMITH, School of Psychology, Georgia Institute of Technology, At lanta, Georgia 30332-0001 MELINDA A. STANLEY, Department of Psychiatry and Behavioral Sciences, Uni versity of Texas Mental Sciences Institute, Health Science Center at Houston, Houston, Texas 77030 WARREN W. TRYON, Department of Psychology, Fordham University, Bronx, New York 10458-5198 HEATHER UNCAPHER, Department of Psychiatry, University of California-Berkeley, Berkeley, California 94720 VINCENT B. VAN HASSELT, Center for Psychological Studies, Nova Southeastern University, Fort Lauderdale, Florida 33314 GARY R. VANDENBos, American Psychological Association, Washington, D.C. 20002-4242 PATRICIA A. WISOCKI, Department of Psychology, University of Massachusetts, Amherst, Massachusetts 01003 ANTONETTE M. ZEISS, Training and Program Development, Psychology Service, and Interprofessional Team Training and Development Program, Older Adult Center, Veterans Affairs Health Care System. Palo Alto, California 94304 Preface Clinical psychology is a relatively young profession, with its major growth spurt having occurred in the period after World War II. Clinical geropsychology, a subspecialty of clinical psychology, is of most recent vintage, with its growth spurt paralleling the dramatic increase in older adults in the United States. In deed, in the past two decades the number of persons over 65 years of age has in creased by 65%. In the year 2030, one third ofthe population is projected to be 55 years of age and older. In addition, the number of very old (Le., those more than 85 years of age) is expected to increase by a factor of 6 by the middle of the next century. Given this so-called graying of America, it should not be surprising that clinical psychologists have turned their attention to the assessment and reme diation of the problems that are faced (and will continue to be faced) by our se nior citizens. It is paradoxical that despite our aging population and increased longevity, the age designated as the beginning of study for geropsychology has decreased from 65 to 55, and in some instances even 50. Also of interest are the changes in terminology with respect to study of older individuals, going from the more pejorative geriatrics, to the less pejorative gerontology, to clinical geropsychology, which now reflects the work of clinical psychologists. Editors of other handbooks have used the words aging and gerontology in their titles. This is the first compendium referred to as the Handbook of Clinical Psychol ogy and it, of course, highlights the contributions of clinical psychology. The Handbook of Clinical Geropsychology contains 25 chapters divided into three parts. In Part I ("General Issues"), in addition to a historical perspective, the chapters are about clinical geropsychology and U.S. federal policy, psychody namic issues, the values of behavioral perspectives in treating older adults, moral and ethical considerations in geropsychology, and normal memory aging. Part II ("Psychopathology, Assessment, and Treatment") incorporates de scription, assessment, and treatment for dementia, substance abuse disorders, schizophrenia, depression, anxiety disorders, sexual dysfunction, sleep distur bances in late life, personality disorders, aging and mental retardation, and be havioral medicine interventions with older adults. m Finally, in Part ("Special Issues"), nine problem areas faced by older adults and their caregivers are given consideration, including health and well-being in retirement, pain management, the experience of bereavement by older adults, marriage and divorce, family caregiving, prevention, minority issues, physical ac tivity, and approaches to diagnosis and treatment of elder abuse and neglect. ix
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