Geriatric Neuropsychology

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Author: Marilyn S. Albert
Published: July 1988
Publisher: Guilford Publications, Inc.
ISBN: 0898627222
Hardcover Book
Number of Pages: 316

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Geriatric Neuropsychology

Interest in geriatric neuropsychology has accelerated in recent years due to considerable growth of the elderly population. Because the prevalence of diseases that cause cognitive impairment rises sharply with age, there is an increasing need for physicians, psychologists, and other health practitioners to understand the principles of neuropsychology and employ neuropsychological consultations and techniques in the diagnosis and treatment of elderly patients. Filling the need for a single volume resource, this uniquely practical volume provides a broad overview of the field. It summarizes what is known about age-related cognitive changes in health and disease, evaluates the use and limitations of imaging and electrophysiological techniques, and presents guidelines for diagnosis and management.

Clinically relevant, the book is divided into five sections for easy reference. Section I provides a general overview of such topics as demography, characteristics of aging, methodology in the study of aging, and the relationships among neuropsychological, neurological, and psychosocial factors. Addressing the normal aging changes in cognition, Section II reviews in depth the existing data on changes in intelligence testing with age and presents new information regarding IQ testing and its relationship to standardized neuropsychological
test batteries. Section III, focusing on the areas of greatest relevance to clinical assessment in the elderly, covers common problems of differential diagnosis and treatment with individual chapters on acute confusional states, depression and other psychiatric disorders, Alzheimer's disease and related dementing disorders, and cerebrovascular disease. Investigating neuroimaging and its relevance to neuropsychological changes in aging and dementia, Section IV provides an update on the value and limitations of such techniques as CT scanning, positron emission tomography, regional cerebral blood flow, electroencephalography, and evoked potentials. For those who are less familiar with the most recent technological innovations, each chapter in this section opens with a general introduction that describes the technology in basic terms followed by a review of the pertinent data. Concluding the volume, Section V discusses future directions for the field.

A clinically pertinent book that provides a broad overview of neuropsychological and behavioral aspects of aging and dementia, Geriatric Neuropsychology is an invaluable resource for neuropsychologists, neurologists, psychiatrists, psychologists, and all health professionals who assess elderly individuals on a regular basis. It is also an informative text for any graduate-level course on aging.

Table of ContentsI. Introduction
1. General Issues in Geriatric Neuropsychology, Marilyn S. Albert
Demography. Characteristics of Aging. Methodological Issues. Relationships Between Neuropsychological, Neurological, and Psychosocial Factors.
II. Normal Aging Changes in Cognition.
2. Intelligence Testing, Marilyn S. Albert & Robert K. Heaton
The Development of Intelligence Tests. Previous Data Concerning Age-Related Changes in IQ. Verbal Performance Differences in Age-Related Declines. Additional Discontinuities of Age-Related Change. Relationships of Age, Education, and Sex with WAIS and WAIS-R Performance.
3. Cognitive Function, Marilyn S. Albert
Attention. Language. Memory. Visuospatial Ability. Abstraction and Set Maintenance.
III. Common Problems of Differential Diagnosis and Treatment
4. Assessment of Cognitive Dysfunction, Marilyn S. Albert
Multidisciplinary Evaluation. Medical and Cognitive History. Testing Environment. Cognitive Assessment. Behavioral Assessment. Assessment Outcome.
5. Clinical Assessment of Psychiatric Symptoms,Caron Christison & Dan Blazer Psychiatric Syndromes and Personality. Hypochondriasis. Psychiatric Symptoms Secondary to Physical Illness. Sleep Disorders. Drug-and Alcohol-Related Disorders. Depression. Schizophrenia-Like Disorders and Paranoia. Overall Assessment of Psychiatric Morbidity.
6. Acute Confusional States, Marilyn S. Albert
Clinical Presentation. Management of Acute Confusional State. Cognitive Hallmarks. Prevalence, Incidence, and Consequences of Acute Confusional State. Possible Causes of Acute Confusion.
7. Depression and Other Psychiatric Disorders, Michael Jenike
Affective Illness. Psychosis. Anxiety. Insomnia. Psychiatric Symptoms Associated with Common Neurological Illnesses.
8. Alzheimer's Disease and Other Dementing Disorders, Mark B. Moss & Marilyn S. Albert.
Epidemiology. Pathophysiology. Clinical Diagnosis. Neuropsychological Testing.
9. Cerebrovascular Disorders, H. Harris Funkenstein
Epidemiology of Stroke. Variety of Strokes. Elements of Stroke Diagnosis. Types of Stroke. Stroke Syndromes. Investigation of Stroke. Determination of Vascular Pathology. Diffuse Behavioral Syndromes. Cartoid Endarterectomy.
IV. Neuroimaging and Its Relationship to Cognition.
10. Computer Tomography Studies, Marilyn S. Albert & Julienne L. Stafford
Methodology. Normal Aging. Presenile and Senile Dementia of the Alzheimer Type.
11. Positron Emission Tomography and Cerebral Blood Flow Studies, E. Jeffrey Metter
Methodology. Studies in Normal Subjects: General Considerations. Normal Aging: Regional Cerebral Blood Flow and Brain Metabolism. Neuropsychological Correlates. Alzheimer's Disease. Neuropsychological Correlates to Physiological Variables. Other Dementias.
12. Electrophysiological Studies, Frank H. Duffy & Gloria McAnulty
Methodology. Normal Aging. Dementia of the Alzheimer Type.
V. Conclusion
13. Future Directions in the Study of Aging, Mark B. Moss & Marilyn S. Albert
Successful Aging. Cognitive Remediaton. Biomarkers of Aging. Animal Models of Aging. Neuronal Plasticity. Neuronal Transplantation.

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