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.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
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.
Barnes, J.A.: Effects of reality orientation classroom on memory loss, confusion, and disorientation in geriatric patients. The Gerontologist 14, 138 - 142 (1974).
Birkhill, W.R., and Schaie, K.W.: The effects of differential reinforcement of cautiousness in intellectual performance. J. Geron. 30, 578 - 583 (1975).
Botwinick, J.: Aging and Behavior, 2nd ed. New York: Springer-Verlag, 1978.
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.
Canestrari, R.E.: Age changes in acquisition. In Talland, G.A. (Ed.), Human Aging and Behavior, pp. 169 - 188. New York: Academic, 1968.
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).
Cornbleth, T., and Cornbleth, C.: Reality Orientation for the Elderly. MS 1539, Journal Supplement Abstract Service. Washington, D.C.: Am. Psychological Association, 1977.
Craik, F.I.M.: The nature of the age decrement in performance on dichotic listening tasks. Quarterly J. Experimental Psychology 17, 227 - 240 (1965).
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).
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.
Eysenck, M.W.: Age differences in incidental learning. Developmental Psychology 10, 936 - 941 (1974).
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.
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).
Haley, W.E.: Behavioral self management. Clinical Gerontologist 1 (3), 45 - 52 (1983).
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).
Herr, J.J., and Weakland, J.H.: Counseling Elders and their Families. New York: Springer-Verlag, 1979.
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).
Hussian, R.A.: Geriatric Psychology: A Behavioral Perspective. New York: Van Nostrand Reinhold, 1981.
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.
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).
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.
Labouvie-Vief, G.: Toward optimizing cognitive competence in later life. Ed. Geront. 1, 75 - 92 (1976).
Labouvie-Vief, G., and Gonda, J.N.: Cognitive strategy training and intellectual performance in the elderly. J. Geront. 31, 327 - 332 (1976).
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).
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.
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).
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.
Mason, S.E., and Smith, A.D.: Imagery in the aged. Experimental Aging Research 3, 17 - 32 (1977).
Mishara, B.L., Robertson, B., and Kastenbaum, R.: Self-injurious behavior in the elderly. The Gerontologist 13, 311 - 314 (1973).
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.
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.
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.
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).
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).
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.
Rahbitt, P.: Age-decrement in the ability to ignore irrelevant information. J. Gerontology 20, 233 - 238 (1965).
Reifler, B.V., and Wu, S.: Managing families of the demented elderly. J. Fam. Pract. 6, 1051 - 1056 (1982).
Reus, V.I., Weingartner, H., and Post, R.M.: Clinical implications of state- dependent learning. Am. J. Psychiatry 136, 927 - 931 (1979).
Rimm, D.C., and Master, J.C.: Behavior Therapy Techniques and Empirical Findings. New York: Academic, 1974.
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).
Roediger, H.L.: The effectiveness of four mnemonics in ordering recall. J. Experimental Psychology: Human Learn. Mem. 25, 558 - 567 (1980).
Smith, A.D., and Winograd, E.: Adult age differences in remembering faces. Dev. Psychology 14, 443 - 444 (1978).
Spiegel, H., and Spiegel, D.: Trance and treatment: Clinical uses of hypnosis. New York: Basic Books, 1978.
Steurer, J.L., and Clark, E.O.: Family support groups within a research project on dementia. Clinical Gerontologist 1, 87 - 95 (1982).
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.
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).
Troll, L.E.: Families in Later Life. Belmont, CA: Wadsworth Publishers, 1979.
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.
Weiss, B., and Laties, V.G.: Enhancement of human performance by caffeine and the amphetamines. Pharmacological Review 14, 1 - 36 (1962).
Weiss, B., and Laties, V.G.: Enhancement of human performance by caffeine and the amphetamines. Pharmacological Review 14, 1 - 36 (1962).
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).
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).
Yesavage, J.A., and Karasu, T.B.: Psychotherapy with elderly patients. Am. J. Psychotherapy 36, 41 - 55 (1982).
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.
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).
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).
Zarit, S.H., Gallagher, D., and Kramer, N.: The effects of group training on memory and memory complaints. Educational Gerontology 6, 11 - 27 (1981b).
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).
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.
Editor information
Editors and Affiliations
Rights 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