Handbook of the Clinical Psychology of Ageing

The first authoritative reference on clinical psychology and aging, the Handbook of the Clinical Psychology of Ageing was universally regarded as a landmark publication when it was first published in 1996. Fully revised and updated, the Second Edition retains the breadth of coverage of the original, providing a complete and balanced picture of all areas of clinical research and practice with older people. Contributions from the UK, North America, Scandinavia and Australia provide a broad overview of the psychology of aging, psychological problems (including depression, anxiety, psychosis, and dementia), the current social service context, and assessment and intervention techniques.

About the Editors viii

List of Contributors X

Preface XV

1 Introduction
Bob Woods 1

Part One: Ageing

2 Ageing and adaptation 17
Peter G. Coleman, Ann O’Hanlon

3 Memory and cognition in ageing 33
Boo Johansson

4 Ageing and physical health 57
Valerie Morrison

5 Death, dying and bereavement 75
Jan R. Oyebode

Part Two: Psychological Problems

6 Manifestations of depression and anxiety in older adults 97
Inger Hilde Nordhus

7 Suicide and attempted suicide in later life 111
Bob Woods

8 Psychological trauma in late life: conceptualization, assessment and treatment 121
Steve Davies

9 Late onset psychosis 133
Linda Clare, Sharon Giblin

10 Dementia as a biopsychosocial condition: implications for practice and research 145
Muma Downs, Linda Clare, Elizabeth Anderson

11 The Neuropsychology of dementia: Alzheimer’s disease and other neurodegenerative disorders 161
Robin G. Morris

12 Parkinson’s disease 185
Peter Hobson

13 Stroke 201
Janet Cockbum

14 Sleep and insomnia in later life 219
Kevin Morgan

Part Three: Service Context

15 Values and diversity in working with older people 237
Kate Allan

16 Family caregiving: research and clinical intervention 255
Steven H. Zarit, Anne B. Edwards

17 Residential care 289
Bob Woods

18 Elder abuse and neglect 311
Alice Campbell Reay, Kevin D. Browne

19 Primary care psychology and older people 323
Gita E. Bhutani

20 Ageing, dementia and people with intellectual disability 34
Chris Oliver, Dawn Adams, Sunny Kalsy

21 Palliative care for people with dementia: principles, practice and implications 351
Katherine Froggatt, Murna Downs, Neil Small

Part Four: Assessment

22 Neuropsychological assessment of the older person 363
Linda Clare

23 Assessing function, behaviour and need 385
Adrienne Little, Breid Doherty

24 Assessing mood, wellbeing and quality of life 415
Bob Woods

25 Capacity and consent: empowering and protecting vulnerable older people 429
Charles Twining

Part Five: Intervention

26 The socio-cultural context in understanding older adults: contextual adult lifespan theory for adapting psychotherapy 439
Bob G. Knight, Cecilia Poon

27 Cognitive behaviour therapy with older people 457
Ken Laidlaw

28 Psychoanalysis and old age 473
Rachael Davenhill

29 Systemic interventions and older people 489
Alison Roper-Hall

30 Neuropsychological rehabilitation in later life: special considerations, contributions and future directions 505
Margaret Crossley

31 Psychological interventions with people with dementia 523
Bob Woods, Linda Clare

32 Interventions for family caregivers of people with dementia 549
Henry Brodaty, Karen Berman

33 Challenging behaviour in dementia: a psychosocial approach to intervention 571
Mike Bird, Esme Moniz-Cook

34 Interventions at the care team level 595
Dawn Brooker

Index

Bob Woods has been practising as a clinical psychologist with older people for over 30 years. His interest was activated prior to clinical training by his experience working initially as a clinical psychologist in Newcastle-upon-Tyne, where the is a strong tradition of old age research. Subsequently he combined extensive clinical work with older people with academic appointment at the Institute of Psychiatry. London and University College, London. In both settings he was heavily involved in training clinical psychologist in work with older people. in 1996, he was appointed to the first Chair in Clinical Psychology with Older People in the UK, At the University of Wales, Bangor, where he is also-Co-Director of the Dementia services Development Centre Wales, Academic Directors of the North Wales Clinical Psychology Programme and Director of the Wales Dementias Neurodegenerative Diseases Research Network (NEURODEM Cymru). His publications have included over 120 books, book chapters and journal articles, and his research has included studies on both depression and dementia,on assessment and therapeutic approaches, and on family caregivers. he received the Alzheimer's Society therapeutic approaches, and on family caregivers. He received the Alzhemier's Society therapeutic approaches, and on family caregivers. He received the Alzheimer's Society twenty-fifth Anniversary Award "for contributions to the Alzheimer's Society and to the twenty-fifth Anniversary Award 'for contributions to the Alzheimer's Society and to the cause of people with dementia and their careers in 2004, and the British Psychological Society Division of Clinical Psychology M B Shapiro Award, for a career contribution to the development of clinical psychology in 2006. He continues o work clinically, in the Bangor memory Clinic.

Linda Clare is a chartered clinical psychologist and clinical neuropsychologist. She holds the post of Reader in Psychology at the School of Psychology, University of Wales Bangor, interests focus primarily on the theoretical and clinical issues surrounding awareness and self-concept, the impact of progressive cognitive impairment on self and relationship and the potential of neuropsychological rehabilitation for people with early-stage dementia. Her career and recent research focuses on the application of cognitive rehabilitation for people with early stage dementia, on the implications and impact of differing feels of people with early sage dementia, on the implications and impact of differing levels of awareness in people with early-stage dementia, and on issue sin family caregiving. She has also published a substantial set of qualitative studies analyzing the subjective experience of dementia and the way in which both people with dementia and their family members attempt to adjust and cope at different stages of he disorder. As well as publishing over 70 journal articles, Dr Clare has coauthored a book for patients and families on coping with memory problems and has authored and coedited texts on cognitive rehabilitation in dementia and on disturbances of awareness. She currently serves as Editor for the Cochrane Dementia and Cognitive Impairment Group, is on the Editorial board of the journal Neuropsychological rehabilitation, and contributes to a number of research and professional networks. In 2003, she received the May Davidson Award from the British Psychological Society for her contribution to the development of clinical psychology.

Across the world, the proportion of the population who are older people continues to grow. In the UK, over the past thirty years, the largest percentage growth in population was among those aged 85 and over. Currently, 1.2 million people in the UK are in this age group, and 16% of the population are over 65.

The ageing population presents clinical psychologists with new challenges, as this client group has its own specific mental health and psychological issues. This has been reflected in the increasing amount of research on areas such as psychosis in older age, the assessment and treatment of dementia, and the application of CBT to older clients. The Handbook of the Clinical Psychology of Aging reviews this research and offers clinicians an authoritative and practical guide to working with older people. Over a third of the chapters in this second edition are on topics that were not well-developed enough to be covered in depth in the first edition, indicating the progress being made in this field.

With a particular focus on professional practice, this book covers:

• Psychological disorders in later life
• Client assessment, including neuropsychological assessment
• Clinical interventions, including CBT, psychodynamic and emotion-focused approaches

Edited by an internationally renowned team, this book will be essential reading for clinical psychologists and psychiatrists as well as nurses, occupational therapists and social workers.

Contributors:

Dawn Adams, UK
Kate Allan, UK
Karen Berman, Australia
Gita E. Bhutani, UK
Mike Bird, Australia
Helen Brodaty, Australia
Dawn Brooker, UK
Kevin D. Browne, UK
Alice Campbell-Reay, UK
Linda Clare, UK
Janet Cockburn, UK
Peter G. Coleman, UK
Margaret Crossley, UK
Rachel Davenhill, UK
Steve Davies, UK
Bried Doherty, UK
Murna Downs, UK
Anne B. Edwards, USA
Katherine Frogatt, UK
Sharon Giblin, UK
Peter Hobson, UK
Boo Johansson, Sweden
Sunny Kalsy, UK
Bob G. Knight, USA
Ken Laidlaw, UK
Adrienne Little, UK
Esme Moniz-Cook, UK
Kevin Morgan, UK
Robin G. Morris, UK
Valerie Morrison, UK
Inger Hilde Nordhus, Norway
Ann O’Hanlon, Ireland
Chris Oliver, UK
Jan R. Oyebode, UK
Cecilia Poon, USA
Alison Roper-Hall, UK
Neil Small, UK
Charles Twining, UK
Bob Woods, UK
Steven H. Zarit, USA