Senile Dementia

Policy and services

  • Bernard Ineichen

Table of contents

  1. Front Matter
    Pages i-vii
  2. Bernard Ineichen
    Pages 1-5
  3. Bernard Ineichen
    Pages 7-22
  4. Bernard Ineichen
    Pages 23-47
  5. Bernard Ineichen
    Pages 49-53
  6. Bernard Ineichen
    Pages 55-76
  7. Bernard Ineichen
    Pages 77-103
  8. Bernard Ineichen
    Pages 105-109
  9. Bernard Ineichen
    Pages 111-115
  10. Back Matter
    Pages 117-132

About this book


The concept of dementia has itself been the subject of increasing refinement and precision in definition and diagnosis. Two important sub-types have been identified: Alzheimer's disease and multiple-infarct dementia. Alzheimer's disease or Senile Dementia of the Alzheimer Type (SDA T), arises out of changes in the brain which are as yet poorly understood and identifiable with certainty only at post­ mortem examination. This type of dementia has been named after Alois Alzheimer, who first identified these changes, in the earliest years of this century. Alzheimer's is the commonest type of identified dementia. The second commonest type is multi-infarct dementia (MID), which follows a stroke or strokes affecting the relevant part of the brain. Like SDA T, it can be diagnosed with certainty only after death, although Jorm (1987, Ch. 8) reviews progress in using various types of tests which can suggest, if not confirm, its presence during the sufferer's lifetime. As will be shown in Chapter 2, some populations appear to reverse the general picture and exhibit more MID than SDAT. Many dementia sufferers cannot, even after a post-mortem examination, be neatly categorized as one or the other of these sub-types. A considerable uncertain 'grey area' of dementia remains at present very poorly understood. Some elderly people develop dementia as a side-effect of known physical disease. Some of these conditions are curable. Care of the demented person has traditionally taken place in the community: hospitalization is a fairly recent innovation.


Alzheimer's disease Alzheimer´s disease brain care death dementia diagnosis hospital physical disease population research stroke

Authors and affiliations

  • Bernard Ineichen
    • 1
  1. 1.Newham Health Authority and The Polytechnic of East LondonUK

Bibliographic information

  • DOI
  • Copyright Information Springer Science+Business Media New York 1989
  • Publisher Name Springer, Boston, MA
  • eBook Packages Springer Book Archive
  • Print ISBN 978-0-412-33790-1
  • Online ISBN 978-1-4899-3476-5
  • Buy this book on publisher's site
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