Helping Relationships With Older Adults
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Оглавление
Adelle M. Williams. Helping Relationships With Older Adults
Helping Relationships With Older Adults
Brief Contents
Detailed Contents
Series Editors’ Preface
The Author’s Purpose
Acknowledgments
From the Author’s Chair
Chapter 1 Introduction
Learning Objectives
Aging
Biological Theories Associated With Aging
Neuroendocrine Theory
Autoimmune Theory of Aging
Free Radical Theory of Aging
Cross-Linkage Theory of Aging
Genetic Control Theory of Aging
Somatic Mutation Theory of Aging
Wear and Tear Theory of Aging
Physical Changes That Accompany Aging
Central Nervous System
Sensory Perception
Vision
Hearing
Taste
Smell
Sensation
Balance
Respiratory System
Cardiovascular System
Integumentary System
Gastrointestinal System
Musculoskeletal System
Lymphatic System
Emotions
Cognitive Changes That Accompany Aging
Attention
Learning and Memory
Language
Intelligence
Keystones
Additional Resources. Print Based
Web Based
References
Chapter 2 Historical Perspectives and Changing Attitudes Toward Older Adults
Learning Objectives
Introduction
Perceptions of Growing Older and Societal Influences
Stereotypes
Prejudice
Historical Aspects of Aging
Aging of the Baby Boomer Generation
Differences in the Baby Boomer Generation
Reconfiguring Work and Retirement
Challenges Facing Baby Boomers
Aging and Mental Health
Rethinking the Value of Aging
Keystones
Additional Resources. Print Based
Web Based
References
Chapter 3 Characteristics of Positive Older Adults and the Helping Process
Learning Objectives
Introduction
Successful Aging and Mental Wellness
Defining Successful Aging
Productive, Healthy, and Active Aging
Mental Wellness
Positive Aging Characteristics
Resiliency
Healthy Lifestyle
Exercise
Nutrition
Active Engagement
Social Participation
Perspective
Leisure Activities
Intimacy
Counseling Older Adults
Developing New Perspectives, Attitudes, and Knowledge
Remaining Flexible and Open
Promoting Successful Aging
Optimizing the Vision for Aging
Attributes of Successful Practitioners
General Attributes Needed for Success
Attributes Needed for Success With Older Adults
Keystones
Additional Resources. Print Based
Web Based
References
Chapter 4 Health Challenges That Impact the Well-Being of Older Adults
Learning Objectives
Introduction
Impact of Age-Related Diseases on Activities of Daily Living
Cardiovascular Diseases
Atherosclerosis
Angina Pectoris
Myocardial Infarction
Congestive Heart Failure
Cardiac Arrhythmias
Hypertension
Cardiovascular Diseases and Mental Health
Cardiovascular Diseases and Mental Health Practice
Diabetes
Diagnosis
Treatment
Diabetes and Mental Health
Diabetes and Mental Health Practice
Cancer
Impact of Aging
Prevention
Treatment
Cancer and Mental Health
Cancer and Mental Health Practice
Arthritis
Osteoarthritis
Rheumatoid Arthritis
Gout
Arthritis and Mental Health
Arthritis and Mental Health Practice
Osteoporosis
Treatment
Osteoporosis and Mental Health
Osteoporosis and Mental Health Practice
Falls
Fall Prevention Strategies
Falls and Mental Health
Falls and Mental Health Practice
Vision Disorders
Cataracts
Macular Degeneration
Glaucoma
Vision Disorders and Mental Health
Vision Disorders and Mental Health Practice
Cerebrovascular Disease
Stroke Prevention and Treatment
Cerebrovascular Disease and Mental Health
Cerebrovascular Disease and Mental Health Practice
HIV/AIDS
Interventions
HIV/AIDS and Mental Health
HIV/AIDS and Mental Health Practice
Keystones
Additional Resources. Print Based
Web Based
References
Chapter 5 Challenging Conditions Experienced by Older Adults
Learning Objectives
Introduction
Alzheimer’s Disease
Prevalence of Alzheimer’s
Treatment and Prevention
Depression
Diagnosis
Treatment
Anxiety
Diagnosis
Treatment
Substance Abuse
Prescription Drug Abuse
Risk Factors for Alcohol Abuse
Risk Factors for Prescription Drug/Other Substance Misuse and Abuse
Treatment
Prescription Drug Abuse Prevention
Elder Abuse
Physical Abuse
Emotional Abuse
Financial Abuse
Protecting Against Elder Abuse
Keystones
Additional Resources. Print Based
Web Based
References
Chapter 6 Family Issues and Support Systems
Learning Objectives
Introduction
Caregiving
Informal Caregiving
Benefits of Caregiving
Challenges of Caregiving
Women as Caregivers
Caregiver Burden
Decline in Health
Competing Priorities
Living Situation
Psychosocial Interventions
Grandparenting
Effects of Caregiving by Grandparents
Increase in Stress
Schooling Issues
Emotional Benefits
Support Mechanisms
Support Systems
Formal Support Systems
Social Support
Measuring Social Relationships
Benefits of Social Support
Social Ties and Demographics
Relationships and Health
Friendships
Keystones
Additional Resources. Print Based
Web Based
References
Chapter 7 Loss and Its Effect on Older Adults
Learning Objectives
Introduction
Loss
Cognitive Losses
Loss of Mobility
Loss of Stability
Social Loss
Role Loss
Major Loss
Divorce
Age and Divorce
Factors Affecting Divorce
Divorce and Its Effects
Parent–Adult Children Relationships
Economic and Psychological Effects
Widowhood
Effects of Widowhood
Adaptation and Coping
Variability in Response to Widowhood
Grief Interventions and Programs
Importance of Social Engagement
Dying and Death
The Process of Dying
Reactions to Grief
Defining Death
Death and Culture
Denying Death
Death Anxiety
Learning to Honor Death
Keystones
Additional Resources. Print Based
Web Based
References
Chapter 8 Opportunities in Later Life
Learning Objectives
Introduction
Psychosocial Theories Related to Engagement
Disengagement Theory
Activity Theory of Aging
Continuity Theory
Employment
Ageism in the Workplace
Changing Practices
Retirement
Factors Affecting the Retirement Decision
Pensions
Employer-Provided Benefits
Ability to Work
Adaptation and Adjustment to Retirement
Working in Retirement
New Lifestyles
Leisure
Definition
Health Benefits
Psychological Well-Being
Improved Physical and Cognitive Health
Volunteerism
Positive Impact on Health
Formal Volunteer Programs
Keystones
Additional Resources. Print Based
Web Based
References
Chapter 9 Skills, Attitudes, and Knowledge of Effective Practitioners
Learning Objectives
Introduction
Counselor Preparation and Development
Professional Standards/Competencies
Counseling and Relationship Skills
Attitudes and Values
Multicultural Issues in Counseling Older Adults
Ethical Issues and Older Persons
Principle Ethics
Virtue Ethics
Supervision and Consultation
Strategies to Use in Counseling Older Adults
Needs and Services for Older Persons
Client Empowerment
Impairment and Adaptations
Living Arrangements
Developmental Crises/Transitions
Resources
Keystones
Additional Resources. Print Based
Web Based
References
Chapter 10 Professional Practice With Goals for Older Adults
Learning Objectives
Introduction
Psychosocial Interventions
Common Goals of Psychosocial Interventions
Common Psychosocial Intervention Approaches
Stages of the Helping Relationship
Creating Therapeutic Relationships
Therapeutic Relationship and Treatment Outcomes
Special Concerns About the Therapeutic Relationship With Older Adults
Client Assessment
Clinical Interview
Comprehensive Geriatric Assessment
Unique Challenges for Assessment
Geriatric Assessment Measures
Goal Setting
Intervention and Evaluation
Termination and Providing Closure
Alternative Counseling Approach
Issues Brought to the Helping Relationship
Health Concerns
Dealing With Uncertainty
Relationship Issues and Sexuality
Late-Life Transitions
Widowhood
Caregiving
Grandparenthood
Terminal Illness
Death and Dying
Keystones
Additional Resources. Print Based
Web Based
References
Chapter 11 Therapeutic Approaches and Appropriateness for Older Clients
Learning Objectives
Introduction
Problem-Solving Therapy
Problem-Solving Process
Support for PST and SPST in Older Adults
Brief Dynamic Therapy
Behavioral Therapy
Cognitive Therapy
Cognitive-Behavioral Therapy
Integrative Approach
Strengths-Based Approach
Reminiscence Therapy and Life Review. Reminiscence Therapy
Life Review Therapy
Family Systems Approach
Family as the Therapeutic Unit
Family Stresses in Later Life
Reality Orientation
Treatment Approach
Use in Individuals With Dementia
Keystones
Additional Resources. Print Based
Web Based
References
Chapter 12 Future Trends
Learning Objectives
Introduction
Positive Aging
Health Care
Employment and Retirement
Counseling Considerations
Keystones
Additional Resources. Print Based
Web Based
Reference
Index
About the Author
Отрывок из книги
From Theory to Practice
The specific knowledge, skills, and professional disposition required of those serving the psychological and emotional needs of an aging population are brilliantly articulated in Fundamentals of Helping Relationships With Older Adults: From Theory to Practice written by Dr. Adelle M. Williams. In this text, Dr. Williams employs her extensive expertise and clinical experience in working with the older adults to provide counselors-in-training with a guide to adult normative development as well as ways of recognizing and responding to that which is non-normative.
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While the pragmatics of intelligence are expected to grow into adulthood and then remain stable into old age, there is abundant evidence of age-related decline in the mechanics of intelligence (Salthouse, 2003). This decline compromises individual capacities beginning in midlife only under conditions of multitasking and time pressure (Lindenberger et al., 2000). Thus, the implications of these declines for everyday functioning in midlife are constrained to time-sensitive multitasking in everyday behavior (e.g., talking on the phone while merging into freeway traffic) and select professions (e.g., air traffic controllers). Strategies that are part of the pragmatics of intelligence (e.g., sequence activities to avoid multitask overload) in midlife can compensate for the weaknesses in the mechanics of intelligence. Such strategies may become increasingly insufficient as cognitive decline progresses in advanced old age. Guided Practice Exercise 1.4 provides the opportunity to examine physiological changes and one’s personal adaptation to inevitable changes.
Guided Practice Exercise 1.4
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