Skip to main content

Senile Dementia: Psychological and Behavioral Treatments

  • Conference paper
Aging 2000: Our Health Care Destiny

Summary

Cognitive models of pathology. It is important to continue studying two basic psychological parameters: memory and attention since accurate definition of pathology and measurement of function is necessary for both the diagnosis and treatment evaluation.

Assessment. Although discussion of psychological probles in the dementias often centers on cognitive dysfunction, two major behavioral probles are often associated with such patients: depression and emotional lability.

Psychological retraining and other interventions. Although there is some evidence for clinical effects of cognitive retraining with elderly demented, outcome studies of such therapies have suffered from lack of controls and lack of sophistication of the interventions proposed.

The family. Of major importance is the development of methods of family support which will enable the demented patient to live at home as long as possible without the need for dehumanizing and expensive institutionalization.

Environmental considerations. There is little data on how demented patients respond to environmental manipulations.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Atkinson, J.W., and Raynor, J.O.: Motivation and Achievement, pp. 193–267. Washington D.C.: V.H. Winston, 1974.

    Google Scholar 

  • Barnes, J.A.: Effects of reality orientation classroom on memory loss, confusion, and disorientation in geriatric patients. The Gerontologist 14, 138 - 142 (1974).

    Article  PubMed  CAS  Google Scholar 

  • Birkhill, W.R., and Schaie, K.W.: The effects of differential reinforcement of cautiousness in intellectual performance. J. Geron. 30, 578 - 583 (1975).

    CAS  Google Scholar 

  • Botwinick, J.: Aging and Behavior, 2nd ed. New York: Springer-Verlag, 1978.

    Google Scholar 

  • Bower, G.H.: Mental imagery and associative learning. In Gregg, L. (Ed.), Cognition in Learning and Memory, pp. 51 - 58. New York: John Wiley and Sons, 1972.

    Google Scholar 

  • Canestrari, R.E.: Age changes in acquisition. In Talland, G.A. (Ed.), Human Aging and Behavior, pp. 169 - 188. New York: Academic, 1968.

    Google Scholar 

  • Citrin, R.S., and Dixon, D.N.: Reality orientation: A milieu therapy used in an institution for the aged. The Gerontologist 17, 39 - 43 (1977).

    Google Scholar 

  • Cornbleth, T., and Cornbleth, C.: Reality Orientation for the Elderly. MS 1539, Journal Supplement Abstract Service. Washington, D.C.: Am. Psychological Association, 1977.

    Google Scholar 

  • Craik, F.I.M.: The nature of the age decrement in performance on dichotic listening tasks. Quarterly J. Experimental Psychology 17, 227 - 240 (1965).

    Article  CAS  Google Scholar 

  • Craik, F.I.M., and Lockart, R.S.: Levels of processing: A framework for memory research. J. Verbal Learning and Verbal Behavior 11, 671 - 684 (1972).

    Article  Google Scholar 

  • Eisdorfer, C., and Cohen, D.: The assessment of organic impairment in the aged: In search of a new mental status examination. In Burdock et al. (Eds.), Quantitative Techniques for the Evaluation of Psychiatric Patients. New York: Marcel Dekker, 1981.

    Google Scholar 

  • Eysenck, M.W.: Age differences in incidental learning. Developmental Psychology 10, 936 - 941 (1974).

    Article  Google Scholar 

  • Frederiksen, J.R.: Some cautions we might exercise in attributing age deficits in memory to attentional dysfunctions. In Poon, L.W. et al. (Ed.), New Directions in Memory and Aging, pp. 131 - 134. Hillsdale, NJ.: Laurence Erlbaum Associates, 1980.

    Google Scholar 

  • Glasgow, R.E., Zeiss, R.A., Barrera, M. Jr., and Lewinsohn, P.M.: Case studies on remediating memory deficits in brain-damaged individuals. J. Clinical Psy-chology 33, 1049 - 1054 (1977).

    Google Scholar 

  • Haley, W.E.: Behavioral self management. Clinical Gerontologist 1 (3), 45 - 52 (1983).

    Article  Google Scholar 

  • Harris, C.S., and Ivory, P.: An outcome evaluation of reality orientation therapy with geriatric patients in a state mental hospital. The Gerontologist 16, 496 - 503 (1976).

    Article  PubMed  CAS  Google Scholar 

  • Herr, J.J., and Weakland, J.H.: Counseling Elders and their Families. New York: Springer-Verlag, 1979.

    Google Scholar 

  • Hoyer, W.J., Labouvie-Vief, G., and Baltes, P.B.: Modification of response speed deficits and intellectual performance in the elderly. Human Development 16, 233 - 242 (1973).

    Article  PubMed  CAS  Google Scholar 

  • Hussian, R.A.: Geriatric Psychology: A Behavioral Perspective. New York: Van Nostrand Reinhold, 1981.

    Google Scholar 

  • Kahn, R.L., and Tobin, S.S.: Community treatment for aged persons with altered brain function. In Miller, N.E., and Cohen, G.D. (Eds.), Clinical Aspects of Alzheimer’s Disease and Senile Dementia, pp. 113 - 130. New York: Raven, 1982.

    Google Scholar 

  • Kahn, R.L., Zarit, S.H., Hilbert, N.M., and Niederehe, G.: Memory complaint impairment in the aged. Archives of General Psychiatry 32, 1569 - 1593 (1975).

    PubMed  CAS  Google Scholar 

  • Kinsbourne, M.: Attentional dysfunctions and the elderly: Theoretical models and research perspectives. In Poon, L.W. et al. (Eds.), New Directions in Memory and Aging, pp. 113 - 130. Hillsdale, NJ: Laurence Erlbaum Associates, 1980.

    Google Scholar 

  • Labouvie-Vief, G.: Toward optimizing cognitive competence in later life. Ed. Geront. 1, 75 - 92 (1976).

    Google Scholar 

  • Labouvie-Vief, G., and Gonda, J.N.: Cognitive strategy training and intellectual performance in the elderly. J. Geront. 31, 327 - 332 (1976).

    PubMed  CAS  Google Scholar 

  • Lawton, M.P., Liebowitz, B., and Charon, H.: Physical structure and the behavior of senile patients following ward remodeling. Aging Hum. Devel. 1, 231 - 239 (1970).

    Article  Google Scholar 

  • Lawton, M.P.: Sensory deprivation and the effect of the environment on management of the patient with senile dementia. In Miller, N.E., and Cohen, G.D. (Eds.), Clinical Aspects of Alzheimer’s Disease and Senile Dementia (Aging) Vol. 15, pp. 227 - 251. New York: Raven, 1982.

    Google Scholar 

  • Lewinsohn, P.M., Danaher, B.G., and Kikel, S.: Visual imagery as a mnemonic: Aid for brain injured persons. J. Con. and Clinical Psychology 45, 717 - 723 (1977).

    Article  CAS  Google Scholar 

  • Luria, A., Naydin, V., Tsvetkova, L., and Vinarskays, E.N.: Restoration of higher cortical function following focal brain. In Bruyn, G., Vinken, P.J. (Eds.), Handbook of Clinical Neurology, pp. 369 - 380. Amsterdam: North-Holland, 1969.

    Google Scholar 

  • Mason, S.E., and Smith, A.D.: Imagery in the aged. Experimental Aging Research 3, 17 - 32 (1977).

    Article  PubMed  CAS  Google Scholar 

  • Mishara, B.L., Robertson, B., and Kastenbaum, R.: Self-injurious behavior in the elderly. The Gerontologist 13, 311 - 314 (1973).

    Article  PubMed  CAS  Google Scholar 

  • Moos, R.H., and Lemke, S.: Evaluating specialized living environments for older people. In Birren, J.E., and Schaie, K.W. (Eds.), Handbook of Psychology of Aging. New York: Van Nostrand Reinhold, 1983.

    Google Scholar 

  • Patterson, R.L., and Jackson, G.M.: Behavior modification with the elderly. In Hersen, M., Eisler, R.M., and Miller, P.M. (Eds.), Progress in Behavior Modification. New York: Academic, 1980.

    Google Scholar 

  • Perlmuter, L.C., and Tenny, Y.J., and Smith, P.A.: The Evaluation and Remediation of Memory Problems in the Aged, Tech. Rep. 80-02. Geriatric Research, Educational and Clinical Center, VA Outpatient Clinic, Boston, 1980.

    Google Scholar 

  • Plemons, J.K., Willis, S.L., and Baltes, P.B.: Modifiability of fluid intelligence in aging: A short-term longitudinal training approach. J. Gerontology 33, 224 - 231 (1978).

    CAS  Google Scholar 

  • Poon, L.W., Fozard, J.L., and Treat, N.J.: From clinical and research findings on memory to intervention programs. Experimental Aging Research 4, 235 - 253 (1978).

    Article  PubMed  CAS  Google Scholar 

  • Poon, L.W., Walsh-Sweeny, L., and Fozard, J.L.: Memory skill training in the elderly: Salient issues on the use of imagery mnemonics. In Poon, L.W. et al., New Directions in Memory and Aging: Proceedings of the George A. Talland Memorial Conference. Hillsdale, NJ: Laurence Erlbaum Associates, 1980.

    Google Scholar 

  • Rahbitt, P.: Age-decrement in the ability to ignore irrelevant information. J. Gerontology 20, 233 - 238 (1965).

    Google Scholar 

  • Reifler, B.V., and Wu, S.: Managing families of the demented elderly. J. Fam. Pract. 6, 1051 - 1056 (1982).

    Google Scholar 

  • Reus, V.I., Weingartner, H., and Post, R.M.: Clinical implications of state- dependent learning. Am. J. Psychiatry 136, 927 - 931 (1979).

    PubMed  CAS  Google Scholar 

  • Rimm, D.C., and Master, J.C.: Behavior Therapy Techniques and Empirical Findings. New York: Academic, 1974.

    Google Scholar 

  • Robertson-Tchabo, E.A., Hausman, C.P., and Arneberg, D.: A classic mnemonic for older learners: A trip that works! Educational Gerontology 1, 215 - 226 (1976).

    Article  Google Scholar 

  • Roediger, H.L.: The effectiveness of four mnemonics in ordering recall. J. Experimental Psychology: Human Learn. Mem. 25, 558 - 567 (1980).

    Article  Google Scholar 

  • Smith, A.D., and Winograd, E.: Adult age differences in remembering faces. Dev. Psychology 14, 443 - 444 (1978).

    Article  Google Scholar 

  • Spiegel, H., and Spiegel, D.: Trance and treatment: Clinical uses of hypnosis. New York: Basic Books, 1978.

    Google Scholar 

  • Steurer, J.L., and Clark, E.O.: Family support groups within a research project on dementia. Clinical Gerontologist 1, 87 - 95 (1982).

    Article  Google Scholar 

  • Thompson, L.W.: Periodic “lapses” in attentional processes: A possible correlate of memory impairment in the elderly. In Poon et al. (Eds.), New Directions in Memory and Aging, pp. 239 - 242. Hillsdale, NJ: Laurence Erlbaum Associates, 1980.

    Google Scholar 

  • Treat, N.J., Poon, L.W., Fozard, J.L., and Popkin, S.J.: Toward applying cognitive skill training to memory problems. Experimental Aging Research 4, 305 - 319 (1978).

    Article  PubMed  CAS  Google Scholar 

  • Troll, L.E.: Families in Later Life. Belmont, CA: Wadsworth Publishers, 1979.

    Google Scholar 

  • Verwoerdt, A.: Individual psychotherapy in senile dementia. In Miller, N.E., and Cohen, G.E. (Eds.), Clinical Aspects of Alzheimer’s Disease and Senile Dementia, Aging, Vol. 15, pp. 187 - 208. New York: Raven, 1982.

    Google Scholar 

  • Weiss, B., and Laties, V.G.: Enhancement of human performance by caffeine and the amphetamines. Pharmacological Review 14, 1 - 36 (1962).

    CAS  Google Scholar 

  • Weiss, B., and Laties, V.G.: Enhancement of human performance by caffeine and the amphetamines. Pharmacological Review 14, 1 - 36 (1962).

    CAS  Google Scholar 

  • Willis, S.L., Blieszner, R., and Baltes, P.B.: Intellectual training research in aging: Modification of per on the fluid ability of figure relations. J. Educational Psychology 73, 41 - 50 (1981).

    Article  Google Scholar 

  • Yerkes, R.M., and Dodson, J.D.: The relation of strength of stimulus to rapidity of habit formation. J. Comparative and Neurological Psychology 18, 459 - 482 (1908).

    Article  Google Scholar 

  • Yesavage, J.A., and Karasu, T.B.: Psychotherapy with elderly patients. Am. J. Psychotherapy 36, 41 - 55 (1982).

    CAS  Google Scholar 

  • Yesavage, J.A., and King, R.: Drug treatment of cognitive impairment in the elderly. In Eisdorfer, C. (Ed.), Annual Review of Gerontology and Geriatrics, pp. 199 - 210. New York: Springer-Verlag, 1981.

    Google Scholar 

  • Yesavage, J.A., Rose, T.L., and Bower, G.H.: Interactive imagery and affective judgements improve face-name learning in the elderly. J. Gerontology 38, 197 - 203 (1983).

    CAS  Google Scholar 

  • Zarit, S.H., Cole, K.D., and Guider, R.L.: Memory training strategies and subjective complaints of memory in the aged. The Gerontologist 21, 158 - 164 (1981a).

    Article  CAS  Google Scholar 

  • Zarit, S.H., Gallagher, D., and Kramer, N.: The effects of group training on memory and memory complaints. Educational Gerontology 6, 11 - 27 (1981b).

    Article  Google Scholar 

  • Zarit, S.H., Zarit, J.M., and Reever, K.E.: Memory training for severe memory loss: Effects on senile dementia patients and their families. The Gerontologist 22, 373 - 377 (1982).

    Article  PubMed  CAS  Google Scholar 

  • Zelinski, E.M., and Thompson, L.W.: Do laboratory tests relate to self- assessment of memory ability in the young and old? In Poon, L.W. et al. (Eds.), New Directions in Memory and Aging, pp. 519–544. Hillsdale, NJ: Laurence Erlbaum Associates, 1980.

    Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1985 Springer-Verlag New York Inc.

About this paper

Cite this paper

Yesavage, J.A., Widrow, L.A. (1985). Senile Dementia: Psychological and Behavioral Treatments. In: Gaitz, C.M., Samorajski, T. (eds) Aging 2000: Our Health Care Destiny. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-5058-6_39

Download citation

  • DOI: https://doi.org/10.1007/978-1-4612-5058-6_39

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4612-9544-0

  • Online ISBN: 978-1-4612-5058-6

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics