Counseling Troubled Older Adults

Overview

"Counseling Troubled Older Adults is designed to be a pastoral care text for those in training for pastoral ministry as well as a useful resource casebook for those engaged in pastoral work with older persons. The book addresses mental health problems commonly found among elderly people. Part 2 is presented in case vignette format in much the same style used to train mental health professionals. The case vignettes employ a multidisciplinary approach, integrating current clinical knowledge in psychology, ...

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Overview

"Counseling Troubled Older Adults is designed to be a pastoral care text for those in training for pastoral ministry as well as a useful resource casebook for those engaged in pastoral work with older persons. The book addresses mental health problems commonly found among elderly people. Part 2 is presented in case vignette format in much the same style used to train mental health professionals. The case vignettes employ a multidisciplinary approach, integrating current clinical knowledge in psychology, psychiatry, medicine, pastoral care, family therapy, and social work with the latest advances in research on how individuals utilize religion to help them cope with emotional distress in later life. This book is written for persons of all faiths, with a sensitivity to the multicultural reality of North America. The authors are both committed Christians who work as specialists in mental health. Dr. Koenig is a geriatric psychiatrist and researcher in religion and mental health. Dr. Weaver is a clinical psychologist and ordained United Methodist minister who has served rural and urban parishes."

"This book is designed so that the reader may quickly and easily locate information about different mental and emotional conditions for which older persons and their families seek help. It is a practical guide on how to assess problems and what to do about them..." (excerpts from the authors' "How to Use This Book")

"One of the many institutions being called upon to help care for the nation's elderly is the religious establishment. That there are dynamic and intricate relationships between aging, religion, and health can no longer be denied or overlooked. Indeed, much contemporary research demonstrates overwhelmingly that religion and aging are for many American citizens interwoven realities, often of life-and-death proportion. Standing at the interface of religion and aging is a cadre of caregivers--physicians, specialists in geriatrics, nurses, psychologists, psychiatrists, social workers, professional counselors, clergy, and mental health specialists of many kinds."

"The particular focus of this volume is on pastors and other religious caregivers and the roles they might play in this 'new business' of a nation of older persons, many of whom find this developmental phase of life difficult to negotiate. Their difficulties, as the authors show, take sundry forms--depression, anxiety, substance dependency, psychoses, abuse, and so on. And, sooner or later, all must deal with what some existentialist philosophers and psychologists claim to be the base of most, if not all, of our human dilemmas--death and dying." (excerpts from the Preface by Orlo C. Strunk, Jr.)

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Product Details

  • ISBN-13: 9780687091362
  • Publisher: Abingdon Press
  • Publication date: 3/30/1997
  • Pages: 256
  • Product dimensions: 7.00 (w) x 9.90 (h) x 0.70 (d)

Meet the Author

Harold G. Koenig is Assistant Professor of Psychiatry and Internal Medicine and Director of the Program on Religion, Aging, and Health at Duke University Medical Center, Durham, North Carolina.
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Table of Contents

Preface 9
How to Use This Book 11
Part I Introduction
The Role of the Clergy in Geriatric Mental Health Care 15
New Confirmation of Old Beliefs 21
Normal Aging, Religion, and the Clergy 27
Part II Case Studies
Depression
Case 1 Normal Grief and Complicated Bereavement 35
Case 2 Major Depression 41
Case 3 Minor Depression 49
Case 4 Chronic Dysthymia 55
Case 5 Bipolar Disorder or Manic-Depressive Illness 61
Case 6 Increased Risk for Suicide 69
Anxiety
Case 7 Generalized Anxiety Disorder 75
Case 8 Panic Disorder and Agoraphobia 83
Case 9 Post-Traumatic Stress Disorder 89
Case 10 Obsessive-Compulsive Disorder 95
Case 11 Mixed Anxiety-Depression 101
Alzheimer's Disease and Related Disorders
Case 12 Age-Related Cognitive Decline 107
Case 13 Delirium 111
Case 14 Early-Stage Alzheimer's Dementia 115
Case 15 Middle-Stage Alzheimer's Dementia 123
Case 16 Late-Stage Alzheimer's Dementia 129
Case 17 Caregiver Stress 137
Major Psychoses
Case 18 Schizophrenia 145
Case 19 Depression with Psychosis 153
Case 20 Delirium with Psychosis 159
Case 21 Dementia with Delusions 165
Substance Abuse and Dependence
Case 22 Alcohol Abuse and Dependence 171
Case 23 Over-the-Counter Drug Abuse and Dependence 179
Case 24 Prescription Drug Abuse and Dependence 185
Other Disorders and Issues Facing Older Adults
Case 25 Somatization Disorder 193
Case 26 Sexual Dysfunction 201
Case 27 Insomnia 209
Case 28 Elder Abuse 217
Case 29 Death and Dying 223
Part III Resources
A Plan to Meet the Needs of Older Adults 231
Empowerment in the Mental Health Network: Building Your Team 237
Summary and Conclusions 241
Glossary of Terms 243
List of Agencies 249
Index 253
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