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Psychotherapy for Depression in Older Adults (Wiley Series in Clinical Geropsychology) PDF

291 Pages·2006·1.09 MB·English
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Psychotherapy for Depression in (cid:2) Older Adults Edited by Sara H. Qualls and Bob G. Knight John Wiley & Sons, Inc. Psychotherapy for Depression in (cid:2) Older Adults Wiley Series in Clinical Geropsychology Series Editor, Sara H. Qualls Psychotherapy for Depression in Older Adults Sara H. Qualls and Bob G. Knight, Eds. Forthcoming: Change in Decision-Making Capacity in Older Adults Sara H. Qualls and Michael A. Smyer, Eds. Forthcoming: Aging Families and Caregiving Sara H. Qualls and Steven H. Zarit, Eds. Psychotherapy for Depression in (cid:2) Older Adults Edited by Sara H. Qualls and Bob G. Knight John Wiley & Sons, Inc. This book is printed on acid-free paper. ➇ Copyright © 2006 by John Wiley & Sons, Inc. All rights reserved. Published by John Wiley & Sons, Inc., Hoboken, New Jersey. Published simultaneously in Canada. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, scanning, or otherwise, except as permitted under Section 107 or 108 of the 1976 United States Copyright Act, without either the prior written permission of the Publisher, or authorization through payment of the appropriate per-copy fee to the Copyright Clearance Center, Inc., 222 Rosewood Drive, Danvers, MA 01923, (978) 750-8400, fax (978) 646-8600, or on the web at www.copyright.com. Requests to the Publisher for permission should be addressed to the Permissions Department, John Wiley & Sons, Inc., 111 River Street, Hoboken, NJ 07030, (201) 748-6011, fax (201) 748-6008, or online at http://www.wiley.com/go/permissions. Limit of Liability/Disclaimer of Warranty: While the publisher and author have used their best efforts in preparing this book, they make no representations or warranties with respect to the accuracy or completeness of the contents of this book and specifically disclaim any implied warranties of merchantability or fitness for a particular purpose. No warranty may be created or extended by sales representatives or written sales materials. The advice and strategies contained herein may not be suitable for your situation. You should consult with a professional where appropriate. Neither the publisher nor author shall be liable for any loss of profit or any other commercial damages, including but not limited to special, incidental, consequential, or other damages. This publication is designed to provide accurate and authoritative information in regard to the subject matter covered. It is sold with the understanding that the publisher is not engaged in rendering professional services. If legal, accounting, medical, psychological, or any other expert assistance is required, the services of a competent professional person should be sought. Designations used by companies to distinguish their products are often claimed as trademarks. In all instances where John Wiley & Sons, Inc. is aware of a claim, the product names appear in initial capital or all capital letters. Readers, however, should contact the appropriate companies for more complete information regarding trademarks and registration. For general information on our other products and services please contact our Customer Care Department within the United States at (800) 762-2974, outside the United States at (317) 572-3993 or fax (317) 572-4002. Wiley also publishes its books in a variety of electronic formats. Some content that appears in print may not be available in electronic books. For more information about Wiley products, visit our web site at www.wiley.com. Library of Congress Cataloging-in-Publication Data: Qualls, Sara Honn. Psychotherapy for depression in older adults / by Sara H. Qualls and Bob G. Knight. p. cm. — (Wiley series in clinical geropsychology) Includes bibliographical references. ISBN-13: 978-0-470-03797-3 (cloth) ISBN-10: 0-470-03797-0 (cloth) 1. Depression in old age—Treatment. 2. Psychotherapy for older people. I. Knight, Bob. II. Title. III. Series. RC537.5.Q34 2007 618.97’68527-—dc22 2006005812 Printed in the United States of America. 10 9 8 7 6 5 4 3 2 1 (cid:2) Contents Preface ix Contributors xiii PART I: Depression and Aging 1 Sara H. Qualls 1 Unique Aspects of Psychotherapy with Older Adults 3 Bob G. Knight Background: The Contextual, Cohort-Based Maturity/ Specific Challenge Model 3 Adapting Psychotherapy for Work with Older Clients 13 Conclusion 23 References 25 2 The Nature of Depression in Later Life 29 Amy Fiske Definition 29 Etiology 31 Risk and Protective Factors 33 Course 37 Presentation 38 Conclusion 39 References 40 3 Assessing Depression in Older Adults 45 Melissa Snarski and Forrest Scogin The Purpose of Geriatric Depression Assessment 46 Instruments Commonly Used to Assess Geriatric Depression 52 Assessment Methods 58 v vi CONTENTS Interdisciplinary Nature of Depression Assessment in Older Adults 69 References 70 PART II: Therapy Systems 79 Bob G. Knight 4 Cognitive Behavior Therapy with Older Adults 83 Ken Laidlaw Appropriateness with Older Adults 84 The Application of Cognitive Behavior Therapy with Older Adults 87 Suitability for Cognitive Behavior Therapy 90 Modifying Cognitive Behavior Therapy with Older Adults 91 A New Conceptualization Framework for Cognitive Behavior Therapy with Older Adults 92 Transitions in Role Investments 93 Summary of Conceptualization Framework for Cognitive Behavior with Older Adults 97 Conclusion 105 References 106 5 Interpersonal Psychotherapy with Older Adults 111 Gregory A. Hinrichsen The Structure and Ethos of Interpersonal Psychotherapy 112 Interpersonal Psychotherapy in the Treatment of Late Life Depression 115 Issues in the Application of Interpersonal Psychotherapy to Depressed Older Adults 118 Comments on the Case of Helen 125 Conclusion 127 References 127 6 Problem-Solving Therapy with Older Adults 133 Patricia A. Areán and Terri Huh Support for Problem-Solving Therapy in Older Adults 135 Modifying Problem-Solving Therapy for Older Adults 136 Conclusion 147 References 149 Afterword 152 Contents vii 7 Evidence-Based Psychological Treatment with Older Adults 157 Forrest Scogin and Adriana Yon The Evidence-Based Practice Movement 158 Meta-Analyses with Older Adults 159 Categorical Reviews with Older Adults 161 Identifying Evidence-Based Treatments 169 Exemplary Studies of Geriatric Depression 169 Conclusion 171 References 172 Part III: The Contexts of Geropsychology Practice 177 Sara H. Qualls 8 The Social and Cultural Context of Psychotherapy with Older Adults 179 Martha R. Crowther, Gia Robinson Shurgot, Martinique Perkins, and Rachel Rodriguez Defining Race, Ethnicity, Culture, and Minority Status 180 The Role of Culture 182 Adapting Psychotherapy to Work with Older Ethnic Minorities 189 Conclusion 193 Recommended Reading 194 References 195 9 Psychotherapy in the Context of Long-Term Care 201 Deborah W. Frazer General Principles across All Residential Settings 201 Characteristics of Residents in Residential Settings 203 Ethical Issues in Residential Settings 222 Conclusion 226 Recommended Reading 226 References 227 10 The Basics of Building and Managing a Geropsychology Practice 229 Paula E. Hartman-Stein Know Thy Business 230 Know Thy Market and Thy Customer 241

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The first book in the new Wiley Series on Geropsychology, Psychotherapy for Depression in Older Adults is a practical resource created by a team of international luminaries in the field. Developed in conjunction with the Gerontology Center of the University of Colorado, this expert guide provides ev
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