The experience of depression

Author(s):  
Dening et

The majority of chapters in this book demonstrate clinical aspects of various aspects of old age psychiatry. These accounts tend to focus only on the viewpoints of the healthcare professionals involved in the investigation, diagnosis, and management of the condition. This chapter is different, and provides a first-person account of an anonymous author and his experience of having episodes of depression. The author describes the course of the condition at various times in his life and the various ways in which it has affected him at various stages. This chapter also describes his experiences of treatment and contact with professionals.

2012 ◽  
Vol 18 (6) ◽  
pp. 400-407 ◽  
Author(s):  
Bradley Ng ◽  
Martin Atkins

SummaryAn initial psychiatric assessment of elderly people at home is an important component of many old age psychiatry services. This article explores the clinical aspects of conducting such assessments and the skills required in addition to those brought to a standard psychiatric interview. Safety considerations and risk management when conducting home assessments are also discussed.


2011 ◽  
Vol 24 (2) ◽  
pp. 175-184 ◽  
Author(s):  
Susan Mary Benbow

ABSTRACTBackground: Patient and carer participation in old age psychiatry is less developed than in other areas of mental health. What can we learn from the historical context about increasing participation and how can it be conceptualized?Methods: The historical and policy context of patient and carer participation in the National Health Service is reviewed and related to the development of old age psychiatry in England and the parallel development of the mental health user movement.Results: Systemic theory is offered as a way of understanding how partnership between healthcare professionals, patients and carers might lead to service evolution by bringing a range of perspectives together in order to co-construct a mutually influenced outcome. It is further suggested that this might empower not only patients and carers but also healthcare staff at a time when they are under increasing pressures.Conclusions: Old age psychiatry patients and carers struggle to be heard but have much to offer to services in partnership with healthcare professionals as partners and allies in service development.


Author(s):  
Amanda Thompsell

This chapter describes an interview with Dr Nori Graham, a key figure in older people’s mental health, former Chairman of the Alzheimer’s Society and of Alzheimer’s Disease International, and an inspiration to generations of doctors. This reflective interview provides a first-person account of the development of mental health services for older people over the last 40 years, paying tribute to some of the pioneers and architects of the astonishing growth of old age psychiatry services during this period, and comparing the challenges then and now. Nori Graham also provides insights and advice on how to develop a successful career, and on dealing with the challenges for women doctors with children. Finally, she describes her work in helping to build up the Alzheimer’s Society and Alzheimer’s Disease International, both of which expanded considerably during her period as Chairman.


2009 ◽  
Vol 22 (6) ◽  
pp. 874-885 ◽  
Author(s):  
Andrew Teodorczuk ◽  
Mark Welfare ◽  
Sally Corbett ◽  
Elizabeta Mukaetova-Ladinska

ABSTRACTBackground:Deficiencies in the knowledge, skills and attitudes of all healthcare professionals working within the general hospital contribute towards the suboptimal care of older hospitalized patients with confusion. In the U.K., policy dictates that Liaison Old Age Psychiatry teams deliver effective education to general hospital clinical staff. The purpose of this paper is to review the literature concerning the learning needs of healthcare professionals in relation to managing confusion in the older patient in order to inform effective educational approaches for Liaison Old Age Psychiatry teams.Methods:A broad range of medical and educational databases were searched. Identified English language studies were selected for further analysis if they had a specific educational focus in the hospital setting and then further subdivided into intervention and naturalistic studies. The impact of intervention studies was evaluated by Kirkpatrick's system. Learning needs, as determined from the naturalistic studies, were mapped to identify themes.Results:13 intervention studies were identified. Despite a high level of effectiveness for educational interventions, it was unclear what the active components were. A further 23 naturalistic studies were identified; their findings focused on knowledge gaps, diagnostic behaviors and experiences, attitudes and training issues. Few studies specifically researched learning needs or the educational role of liaison teams. Conspicuous by its absence was reference to relevant educational theories.Conclusions:The findings of this review can be incorporated in the planning of local curricula by Liaison Teams in order to design educational strategies. There is a need for further research, especially studies exploring the learning needs ofallhealthcare professionals.


1996 ◽  
Author(s):  
Colm Cooney ◽  
Margaret Kelleher
Keyword(s):  
Old Age ◽  

2001 ◽  
Author(s):  
Alistair Burns ◽  
Tom Dening ◽  
Brian Lawlor

2002 ◽  
Vol 180 (3) ◽  
pp. 282-283 ◽  
Author(s):  
Alistair Burns
Keyword(s):  
Old Age ◽  

Author(s):  
Anne Nobels ◽  
Ines Keygnaert ◽  
Egon Robert ◽  
Christophe Vandeviver ◽  
An Haekens ◽  
...  

Humanities ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. 55
Author(s):  
Leonardo Buonomo

This essay re-examines Henry James’s complex relationship with Edgar Allan Poe by focusing on the echoes of one of Poe’s most celebrated tales, “The Tell-Tale Heart” (1843), that later reverberate in James’s “The Aspern Papers” (1888). It highlights the similarities, both in mindset and behavior, between the two stories’ devious and deranged first-person narrators, whose actions result in the death of a fellow human being. It further discusses the narrators’ fear and refusal of their own mortality, which finds expression in their hostility, and barely contained revulsion against a man (in “The Tell-Tale Heart”) and a woman (in “The Aspern Papers”), whose principal defining traits are old age and physical decay.


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