Geriatrics

Aging and Neuropsychological Assessment by Asenath LaRue

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 a lot wanted via the sphere. not just is it most original nowadays to have a unmarried­ authored quantity on so large a subject, yet Dr. los angeles Rue has performed a very good task of supplying either a scholarly treatise and a realistic instruction manual. With a burgeoning aged inhabitants and the corresponding elevate in geriatric psychopathology, the wishes of psychological overall healthiness companies are exceeding by means of some distance the provision of acceptable companies. to be able to meet this desire, psychiatry, drugs, neurology, pharmacology, psychology, nursing, and social paintings have all made the availability of educating in geriatrics and gerontology a excessive priority-but I worry we're wasting the race. for instance, multidisciplinary groups that investigate, diagnose, and deal with psychological well-being issues in aged sufferers are incomplete with out scientific psychologists and neuropsy­ chologists, and but there's slightly a handful of scientific psychologists educated in facing geriatric sufferers. we will be able to expect our arms the extra ones graduated every year. In hospitals, clinics, and personal practices around the state, another way expert psychologists are unprepared to answer the specified psychological health and wellbeing wishes of the aged. a couple of CME courses are assisting to handle this want, yet they're truly now not enough.

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Electroencephalographic methods are less direct but can provide important information about the time course of different sensory and cognitive processes. Brain Metabolism Among the procedures currently used to measure human brain metabolism, two of the most prominent are regional cerebral blood flow (rCBF) and positron emission tomography (PET). Metter (1988) provided an excellent description of these methods as applied to the study of aging, and Phelps and Mazziotta (1985) gave an informative overview of emission-tomographic methods and their application to brain-behavior questions.

Barriers to Mental Health Services There is general consensus that older people are poorly served by the mental health system. Elderly people account for only 2% of the patients seen by private therapists and only about 6% of those served by community mental health centers (Roybal, 1988). Among clinical psychologists, fewer than 1% report a primary focus on aging, and less than 5% of all psychological services are delivered to clients over the age of 65 years (VandenBos & Stapp, 1983). The gap between mental health needs and services has been attributed to several factors.

40 CHAPTER 2 Normal Healthy Volunteers First Visit 2-11 Month Visit --7'- Risk·Factored MUlti-Infarct 12-23 Month Visit ..... 3. Cerebral blood flow measurements for optimally healthy volunteers and patients with varying degrees of cerebrovascular illness.

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