Table of Contents

Preface viii

Part I Introduction 1

1 Mental Health and Aging: An Introduction 3

2 Basic Gerontology for Working with Older Adults 16

Part II Models of Mental Health in Later Life 33

Part II Introduction 33

3 Psychodynamic Model 37

4 Cognitive-Behavioral Model 53

5 Stress and Coping Model 74

6 Family Systems Model 89

Part II Summary and Commentary: Choosing Among Models of Mental Disorders in Later Life 105

Part III Introduction to Mental Disorders 111

Part III Introduction 111

7 Cognitive Impairment 115

8 Depression 136

9 Severe Mental Disorders in Older Adults: Schizophrenia and Other Late-Life Psychoses 157
Stephen J. Bartels

10 Anxiety, Sexual, and Sleep Disorders 178

11 Substance Abuse, Personality Disorders, and Marital/Family Confl ict 199

12 Settings and Contexts of Mental Health Services 223

Epilogue 241

References 243

Name Index 278

Subject Index 293

About the Author

Daniel L. Segal is Professor of Psychology andDirector of Clinical Training at University of Colorado at ColoradoSprings. Sara Honn Qualls is KraemerProfessor of Aging Studies, Professor of Psychology, and Directorof the Gerontology Center at University of Colorado at ColoradoSprings. Michael A. Smyer is Professor of Psychology andProvost at Bucknell University.

Reviews

"In conclusion, this book is an excellent resource for mentalhealth students and professionals working with aging adults. Itaddresses a need in the literature for a reliable text to helpinform the field of aging and mental health ... Aging and MentalHealth is a valuable contribution to the gerontologicalliterature." (The Gerontologist, 8 August 2011) "Segal (psychology, U. of Colorado at Colorado Springs) et al.provide a revised and updated edition of their introduction toaging and mental health for psychology students, academics, andpractitioners in gerontology, as well as service providers inpsychology, psychiatry, social work, and nursing. After an overviewof basic gerontology, they consider models of mental health andtheir application to the aging, and the prevalence, assessment, andtreatment of older adults with various mental disorders, with afinal chapter on geriatric mental health practice contexts andsettings. (Annotation (c)2011 Book News Inc. Portland, OR)"(Reference and Research Book News, February 2011)"A fullyrevised second edition offers a complete introduction to ageing andmental health for psychology students and academics, andpractitioners in gerontology. The authors present models of mentalhealth and mental illness, together with their implications fortreatment, and a pragmatic analysis of assessment and treatmentapproaches." (Times Higher Education, November 2010)