Evidence-Based Counseling and Psychotherapy for an Aging Population (Practical Resources for the Mental Health Professional)

Evidence-Based Counseling and Psychotherapy for an Aging Population......Page 4
Copyright Page......Page 5
Contents......Page 6
Dedication......Page 12
About the Author......Page 14
Preface......Page 16
Acknowledgements......Page 20
Part I: Psychosocial Perspectives of Aging......Page 22
1.1 Introduction......Page 24
1.2 Some Demographics of Aging......Page 25
1.3 Future Growth of Older Adults......Page 27
1.4 Common Emotional Problems Experienced by Older Adults......Page 28
1.5 Studies of Counseling and Psychotherapy Use by Older Adults......Page 29
1.6 Older Adults Benefit from Human Service Interventions......Page 31
1.8 Summary......Page 38
1.9 Questions from the Chapter......Page 39
2.2 Definitions of Successful Aging......Page 44
2.3 Achieving Successful Aging......Page 45
2.4 Optimism as an Aspect of Successful Aging......Page 49
2.5 Resilience as an Aspect of Successful Aging......Page 51
2.6 Attributes of Resilient People......Page 52
2.7 Coping with Stress Improves Successful Aging......Page 57
2.8 Personal Story: An Example of Successful Aging: Life in the Slow Lane......Page 60
2.10 Questions from the Chapter......Page 61
Part II: Understanding Evidence-Based Practice......Page 66
3.1 Introduction......Page 68
3.2 The Current State of Clinical Practice......Page 69
3.3 Defining Evidence-Based Practice......Page 72
3.4 Concerns about Evidence-Based Practice from the Practice Community......Page 76
3.5 Responses to Criticisms of Evidence-Based Practice......Page 79
3.6 Why Practitioners Sometimes Resist the Use of EBP......Page 81
3.7 Is Evidence-Based Practice Applicable to the Human Services?......Page 83
3.8 A Personal Story: Life is Good At 86......Page 85
3.9 Summary......Page 86
3.10 Questions from the Chapter......Page 87
4.1 Introduction......Page 92
4.2 Diagnostic Checklists......Page 99
4.3 An Evidence-Based Practice Psychosocial Assessment Using the Strengths Perspective with Older Adult Clients......Page 100
4.4 Summary......Page 116
4.5 Questions from the Chapter......Page 117
5.1 Introduction......Page 122
5.2 Defining the Therapeutic Relationship......Page 123
5.3 Evidence of the Importance of the Therapeutic Relationship to Treatment Outcomes......Page 125
5.4 Special Concerns About the Therapeutic Relationship with Older Adults......Page 127
5.5 Gender and the Therapeutic Relationships......Page 132
5.6 Racial and Ethnic Variables in Therapeutic Effectiveness......Page 133
5.8 Questions from the Chapter......Page 137
Part III: Evidence-Based Practice and Psychosocial Problems of Older Adults......Page 142
6.1 Introduction......Page 144
6.2 Sex and Intimacy......Page 145
6.3 Natural Changes may Affect Intimacy......Page 147
6.4 Suggestions for Helping Older Adults Improve their Sex Lives......Page 149
6.5 Determining the Cause of Sexual Difficulties in Older Adults......Page 150
6.6 Love in a Time of Older Adulthood: A Personal Story......Page 155
6.8 Questions from the Chapter......Page 159
7.1 Introduction......Page 162
7.2 Retirement Stress......Page 164
7.3 Best Evidence for Work with Retirement-Related Stress......Page 167
7.4 Bridge Jobs Between Long Term Careers and Total Retirement......Page 172
7.5 Personal Story: Working After Retirement......Page 175
7.6 Summary......Page 176
7.7 Questions from the Chapter......Page 177
8.1 Introduction......Page 180
8.2 Definitions and Causation of Loneliness and Isolation......Page 182
8.3 The Impact of Loneliness on Older Adults......Page 184
8.4 Treating Loneliness......Page 187
8.5 The Internet as a Way of Coping with Loneliness......Page 189
8.6 A Personal Story: Isolation from an Adult Child......Page 194
8.7 Summary......Page 196
8.8 Questions from the Chapter......Page 197
9.1 Introduction......Page 202
9.2 Legal Definitions of Adult Abuse and Neglect......Page 203
9.3 Indicators of Elder Abuse......Page 205
9.4 Abusive Caretakers......Page 206
9.5 Interventions with Caretakers......Page 207
9.6 Treating Abused Older Adults: Effective Interventions......Page 209
9.7 Community Services......Page 216
9.8 Research Questions......Page 217
9.9 Summary......Page 218
9.10 Questions from the Chapter......Page 219
10.2 Depression in Older Adults......Page 222
10.3 Reasons for Older Adult Depression......Page 225
10.4 Best Evidence for Treating Depression in Elderly Clients......Page 226
10.5 Evaluating One's Own Practice with Older Depressed Adults......Page 233
10.6 Single Subject Approaches to Evaluate Depression in Older Adults......Page 234
10.7 A Goal Attainment Scale Measuring Improvement in Jake's Depression......Page 236
10.9 Questions from the Chapter......Page 239
11.1 Introduction......Page 244
11.2 Diagnosing Anxiety in Older Adults......Page 246
11.3 Best Evidence for the Treatment of Anxiety with an Older Adult Population......Page 248
11.4 A Personal Story about Social Anxiety......Page 253
11.6 Questions from the Chapter......Page 254
12.1 Introduction......Page 256
12.2 Diagnostic Markers of Substance Abuse......Page 259
12.3 Best Evidence for the Treatment of Substance Abuse......Page 264
12.4 Research Problems and Best Evidence......Page 277
12.6 Questions from the Chapter......Page 278
Part IV: The Impact of Spirituality and Religion and the Significance of Self-Help Groups......Page 284
13.1 Introduction......Page 286
13.2 Definitions of Spirituality and Religious Involvement......Page 287
13.3 The Impact of Spirituality and Religious Involvement on the Health and Mental Health of Older Adults......Page 288
13.4 Dissenting Views about the Benefit of Religious Involvement and Prayer......Page 292
13.5 Why Does Religious and Spiritual Involvement Impact Health and Mental Health?......Page 293
13.6 Should Issues of Religion and Spirituality be Included in the Work of Human Service Professionals with Older Adults?......Page 295
13.7 Dissenting View......Page 298
13.8 Conclusions......Page 299
13.9 Problematic Research Issues......Page 301
13.11 Questions from the Chapter......Page 308
14.1 Introduction......Page 314
14.2 Defining Self-Help Groups......Page 315
14.3 The Indigenous Leaders of Self-Help Groups......Page 317
14.4 Best Evidence of the Effectiveness of Self-Help Groups......Page 321
14.5 Q and A with the Author about the Meaning of these Studies......Page 326
14.6 A Personal Support Group Story: Coping with the Death of Loved Ones......Page 332
14.8 Questions from the Chapter......Page 334
Part V: Evidence-Based Practice and Health Issues of Older Adults......Page 342
15.2 Definitions of Alzheimer's Disease and Dementia......Page 344
15.3 Diagnosis......Page 345
15.4 Stages of Alzheimer's Disease......Page 346
15.5 Evidence-Based Practice with AD Clients and Caretakers......Page 347
15.6 Caring for Loved Ones with Dementia......Page 351
15.7 A Personal Story: Taking the Car Keys away from a Parent......Page 358
15.8 Summary......Page 359
15.9 Questions from the Chapter......Page 360
16.1 Introduction......Page 364
16.2 Disabilities in Older Adults......Page 365
16.3 Assisted Living......Page 370
16.4 Terminal Illness......Page 371
16.5 Best Evidence for Work with Terminal Illness......Page 373
16.6 Nursing Homes......Page 377
16.7 Helping Older Adults Make an Informed Decision about Nursing Homes......Page 378
16.8 A Personal Story: Reconnecting with an Absent Terminally Ill Parent......Page 382
16.10 Questions from the Chapter......Page 383
17.2 Hospice......Page 390
17.3 Bereavement......Page 395
17.5 Questions from the Chapter......Page 401
Part VI: Policy Issues and the Future of Care for Older Adults......Page 404
18.1 A Looming Financial Crisis for Older Americans Caused by the Lack of Savings and Significant Increases in the Cost of Living, Particularly Health Care Costs......Page 406
18.2 The Lack of Available Medical Care......Page 407
18.3 More Pressure on Older Adults to Care for their Children and their Children's Children......Page 408
18.4 Older Men and their Special Needs......Page 409
18.5 Making Better use of Older Adults......Page 412
18.6 Concluding Words......Page 413
18.7 Personal Story: On the Joys of Being an Older Published Author......Page 415
C......Page 418
E......Page 419
M......Page 420
R......Page 421
V......Page 422
W......Page 423