Ageing-ethical Issues and Stigma

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
N. Tataru ◽  
A. Dicker

During the twentieth century, many behavioural and biological theories of aging have been advanced that ageing is a multidimensional phenomenon. Ageing is a progressive decline in function and performance, which accompanies advancing years. Cicero noticed that the old people preserved their intellects if they maintained their interests.To the social, economical and medical problems that old age arises to the society, one may add the continue increase of old people proportion in the general population. The ageing of population is becoming a reality in developed and in less developed countries too. We talk about a conceptual definition of normal ageing and also about successful and morbid ageing. Normal ageing is an ageing process without any clinical somatic or mental disorder and a morbid ageing is characterized by a process presenting clinical disorders which affects the somatic and mental health, the successful ageing being an ageing process in a favourable environmental conditions to promote individual development. We can consider not only the presence/absence of a disorder but also its impact in someone's life. The functioning capacity loss could be considered as a marker of the presence of a clinical disorder.Stigma remains a major obstacle to ensuring access to good care for elderly with mental disorders, these patients suffers of a double jeopardy (old age and mental disorders). Both stigma and discrimination against these old persons depend on the type of mental disorder and we have to protect them against discrimination and improve their quality of life.

1964 ◽  
Vol 110 (468) ◽  
pp. 668-682 ◽  
Author(s):  
D. W. K. Kay ◽  
P. Beamish ◽  
Martin Roth

In a previous paper (Kay, Beamish and Roth, 1963) we studied the prevalence of various kinds of psychiatric disorder in a random sample of old people living at home in Newcastle upon Tyne. During the interviews, special attention was paid to the collection of social data. For, as Townsend (1957a) pointed out, old age is an epoch of diminishing social contacts and domestic support, and isolated old people make disproportionately heavy demands on the institutions of the Health and Welfare Services. By comparing the medical status and social circumstances of subjects with organic brain syndromes, those with functional disorders, and those without psychiatric abnormality, we have attempted to explore further the relative importance of these factors in the two main groups of mental disorders in old age.


Author(s):  
Vijay Kumar Chattu ◽  
Paula Mahon

Mental health problems affect society as a whole, and not just a small, isolated segment. In developed countries with well-organized healthcare systems, between 44% and 70% of patients with mental disorders do not receive treatment whereas in developing countries the treatment gap being close to 90%. Schizophrenia is a severe mental disorder affecting more than 21 million people worldwide. People with schizophrenia are 2-2.5 times more likely to die early than the general population. The case study highlights about agnosia in a schizophrenic patient in a primary care setting and how to address the management at a broader perspective using the appropriate antipsychotic medication and ensuring the support from a family without violating the human rights of the patient. The World Economic Forum estimated that the cumulative global impact of mental disorders in terms of lost economic output will amount to US$ 16 trillion over the next 20 years, equivalent to more than 1% of the global gross domestic product. Mental health should be a concern for all of us, rather than only for those who suffer from a mental disorder. The mental health action plan 2013-2020, endorsed by the World Health Assembly in 2013, highlights the steps required to provide appropriate services for people with mental disorders including schizophrenia. A key recommendation of the action plan is to shift services from institutions to the community. Mental health must be considered a focus of renewed investment not just in terms of human development and dignity but also in terms of social and economic development.


1994 ◽  
Vol 6 (2) ◽  
pp. 131-133
Author(s):  
Manfred Bergener

Mental disorders and illnesses in old age are not an inescapable fate, particularly if physicians can look beyond the medical aspects of an illness to the potential interpersonal, familial, and social influences. Indeed, the different factors involved in the genesis of mental disorder intertwine to form an intricate network, from which it is very difficult to isolate single components. Moreover, the importance of the components that trigger an acute mental disorder and shape the course and diversity of the symptomatology can continue to change. The interweaving of different pathogenic factors contributes further to the diversity and ambiguity of the clinical symptomatology.


2020 ◽  
Vol V (1) ◽  
pp. 182-185
Keyword(s):  
Old Age ◽  

The group of senile psychoses, the author says, can only include those that develop in old people who have not suffered from any mental disorder before. The author tries to classify the psychoses of old age, at which it is stipulated that he proposes his own classification without claims to its naturalness.


2010 ◽  
Vol 56 ◽  
pp. 377-389
Author(s):  
Michael Rutter ◽  
Aaron Klug

Martin Roth was distinguished for his major contributions to the understanding and classification of mental disorders in the elderly. These led to a new discipline, psychogeriatrics, as the problems of late life became recognized as constituting a major medical and social problem. His pioneering investigations led to the crucial demonstration of the differences between the dementias and the affective and other mental disorders of old age. The quantitative neuropathological and psychological studies undertaken by Roth and his colleagues established the pathology of Alzheimer disease as indicative of a disease separate from normal ageing and from other psychiatric disorders. These early studies led to collaborative molecular studies that pointed to a possibly causal pathological process.


2021 ◽  
pp. 9-12
Author(s):  
M.M. Bikbov ◽  
◽  
T.R. Gilmanshin ◽  
R.M. Zainullin ◽  
G.M. Kazakbaeva ◽  
...  

Currently, the percentage of old people is growing from year to year in developed countries their share ranges from 10 to 15% of the entire population. In connection with such trends the issue of old age should be given special attention. Purpose. Identify the main risk factors and assess the incidence of ophthalmopathology among the elderly. Material and methods. In Ufa Eye Research Institute was examined 1526 people over 85 years old. Ophthalmological examination included standard and additional diagnostic methods: ultrasound biometry, keratotopography, computed perimetry, ophthalmoscopy using a fundus camera, optical coherence tomography. Results. The main cause of vision loss in the elderly was cataract – 41.7%, followed by AMD – 32.6%, then glaucoma – 10.1%, other eye diseases – 8.1%, optic disc pathology – 54.1% and diabetic angioretinopathy – 2.4%. The most significant association of the ophthalmopathology development is associated with such factors as age, gender, region of residence, axial length of the eye. Conclusions. Timely detection of ophthalmic pathology among old people will allow to preserve the patients visual functions, increase the social rehabilitation level and ensure their active and creative longevity. Key words: old age, cataracts, age-related macular degeneration, glaucoma.


Stanovnistvo ◽  
2002 ◽  
Vol 40 (1-4) ◽  
pp. 35-52 ◽  
Author(s):  
Biljana Radivojevic

This study analyzes the level and structure of old age population mortality in Yugoslavia with an aim to determine the intensity of realized changes and to provide an answer to how much they are significant and to approach the positive trends noted in developed countries in the latest period. Although it was insufficiently represented in the demographic analysis, the analysis of mortality in old people is gaining importance in the world. Apart from the reasons which result from the increase in the number of old people and thus their greater participation in the total number of deceased, enviable results have been achieved in decreasing old age mortality, which are more and more in focus of interest. While earlier research reported on the dominant influence of the decrease of younger age mortality to the increase of the expectation of life at birth, recent analysis precisely confirm the importance of decreasing mortality in old people. In mortality conditions from 1997/98, an additional 13.4 years of life in average is expected for men in Yugoslavia, and 15.2 for women. During more than five decades, the anticipated life expectancy for people over the age of 65 increased for only 1.2 years for men and 1.9 years for women. Out of that, the greatest increase was realized in the period 1950/51 - 1960/61 in both sexes. A small decrease in the average life expectancy was marked with men in the period 1960/61 - 1970/71, and with women in the latest period. Otherwise, all up to the eighties, the annual rate of increase was considerably lower than the rate of increase for zero year. It was only in the period 1980/81-1990/91 that faster growth had an anticipated life expectancy for the 65 years old. However, during the nineties unfavorable changes continued with the older, especially, female population. When comparing the values of the average life expectancy for people over 65 in Yugoslavia with corresponding values in developed countries, the lagging in average amounted to about 3 years for the male and about 5 years for the female population. In Japan in 1998 it amounted to 17.1 years, namely 22.0 years respectively. However, it is interesting that all up to the seventies these indexes were almost at the same level in our country and Japan, and only after this period the differences appeared as a consequence of putting an end to the positive tendencies in differential mortality by age, even in the increase rate with the older population in Yugoslavia. On the other hand, the anticipated life expectancy for the age of 65 (for both sexes) was increased by 40%, in Japan from 1970 to 1998, in contrast to an increase of 9% for 0 age. In the same period in Yugoslavia, although there was a considerably lower increase percentage, it was still more significant with newborns (above 6% for both sexes), than with population older than 65 (under 5%). Hence, such an inclination and intensity of changes resulted, in relation to Japan, in a relatively greater lagging with people aged 65 than with 0 age. The anticipated life expectancy for people aged 85 and over, in the whole observed period, increased only by 8% with the male population and 10% with the female population of Yugoslavia. Its present level is the result of small changes in the mortality rates of the oldest population. In average, people aged 85 + will live another 4.2, namely 4.4 years respectively under the assumed mortality from 1997/98. At the same time the Japanese men are expected to live another 5.4, and Japanese women another 7.2 years. Therefore, middle aged and old population in Yugoslavia has had unfavorable mortality tendencies in relation to the young population, more distinct beginning from the seventies, and especially with men. The nineties were again unfavorable for the old population, this time especially for the female population, where a slight decrease of this rate was marked. Having in mind the changes and achieved level of anticipated life expectancy in developed countries, it can be said that the deviations in relation to the rates in our country are significant, relatively greater with the older population. For this reason, mortality reduction of the old age population is a chance for an increase in the life span, although all possibilities in our country, for the decrease of mortality with the young as well, especially newborns, have not been exploited. In that sense, it seems that the greatest importance would be control of cardiovascular illnesses and risk factors regarding individual behavior.


Author(s):  
Jacqueline M Atkinson ◽  
Hilary J Patrick

<p>The impact of compulsory measures of medical treatment for mental disorders have for some time interested medical and legal commentators, possibly because of the complex ethical issues these raise. In a context where stigma and discrimination are realities for many of those who use mental health services some people argue that holistic legislation, which places treatment for mental disorder within amore general framework of incapacity law, could reduce the stigma of mental ill health. Szmukler, Daw and Dawson have made an interesting attempt to show how such a law might look inpractice. They have built on and reflected the work of the Bamford Committee in Northern Ireland, which, while recommending a single legislative basis for mental health and incapacity law, fell short ofproducing a draft bill.</p><p>In looking at these proposals from a Scottish perspective, we have resisted the temptation to focus on points of detail and have attempted to discuss certain themes. In particular, we have looked at how Scotland has introduced a capacity-based threshold for mental health law and how this compares with Szmukler et al’s proposed approach.</p>


1988 ◽  
Vol 12 (11) ◽  
pp. 476-480 ◽  
Author(s):  
John R. Robinson

A worldwide demographic shift towards old age is being accompanied by a corresponding increase in the number of old people presenting with psychiatric disorders, and traditional systems are unable to cope with the problem.


1946 ◽  
Vol 92 (386) ◽  
pp. 182-194 ◽  
Author(s):  
H. Goldschmidt

The object of my study was an attempt to discover what social factors might be said to contribute to either mental health or mental ill-health in old age. I studied the histories of four groups of 50 aged in four different settings which in retrospect might be said to form a spectrum. That is to say that each subsequent social background seemed to be more conducive to normal ageing than the preceding one. The actual sequence of the whole investigation, for technical reasons, was, however, as follows: In the first place I made contact with patients in Tooting Bec Mental Hospital; as a second group I chose people in a Club for Old Age Pensioners in Streatham; thirdly, I visited old people living by themselves in Fulham; and finally, 1 interviewed a group who are living on an Estate at Mill Hill, the Estate being maintained by the Society of Linen and Woollen Drapers. In all but the last sample I studied the cases of 25 men and 25 women.


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