Oxford Textbook of Old Age Psychiatry

860 Pages·2013·0.5 MB·English

by  Tom Dening

Oxford Textbook of
Old Age Psychiatry
Oxford Textbooks in Psychiatry
Oxford Textbook of Community Mental Health
Edited by Graham Th ornicroft , George Szmukler, Kim T. Mueser, and Robert E. Drake
Oxford Textbook of Suicidology and Suicide Prevention
Edited by Danuta Wasserman and Camilla Wasserman
Oxford Textbook of Women and Mental Health
Edited by Dora Kohen
Oxford Textbook of
Old Age
Psychiatry
SECOND EDITION
Edited by
Tom Dening
Institute of Mental Health, University of Nottingham, Nottingham, UK
Alan Thomas
Institute for Ageing and Health, Newcastle University,
Newcastle upon Tyne, UK
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Second Edition published in 2013
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To our families, with love.
Karen, Lizzy, Jon, and Alex;
and Shona, Elspeth, Douglas, and Bethan.
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Preface
Although this is the second edition of the O xford Textbook of Old another. Somewhat surprisingly, in countries such as the UK that
Age Psychiatry , it is also the fi ft h edition of the book that originally have specialists in old age psychiatry, there may paradoxically be
appeared as P sychiatry in the Elderly in 1991. It is the fi rst edition not threats to the existence of the speciality at a time of ever-increasing
to have been edited by Robin Jacoby and Catherine Oppenheimer, demand. Nonetheless, the core of knowledge about the science of
whose brilliant conception 25 years ago of the need for this book and practice in relation to mental disorders in later life is robust and
has stood the test of time. Both of us were privileged to work along- continues to improve. It is the latest version of this canon that we
side Robin and Catherine in producing the last edition, which we are proud to share with you in this volume.
hope has allowed for handover and continuity as well as evolution- Whilst maintaining the tried and tested book structure, in this
ary change. It has nonetheless been daunting and exciting for us to edition all chapters have again been thoroughly revised and updated
take responsibility for what we believe is the leading textbook in and we have benefi ted from an increase in the number of authors to
our speciality across the world. 96, of whom 59 have written for this book for the fi rst time. Th ese
One of the central features of ‘Jacoby and Oppenheimer’ has new contributors have brought fresh perspectives, helped perhaps
always been its clear structure, leading from basic science (both by them bringing a larger breadth of international experience (rep-
neurobiological and social varieties), through clinical practice, spe- resenting Australia, Austria, Canada, China, France, Germany,
cifi c disorders, and service provision, to a collection of ethical and Ireland, the Netherlands, Norway, Sweden, Switzerland, the UK,
legal chapters on some of the hard challenges for old age psychia- and the US). Developments have led us to add some wholly new
trists. We think this structure was visionary, and we have retained chapters (on palliative care, ethics of caring, and of living and dying
it as we believe that old age psychiatrists and those in related dis- with dementia) and to ask for expansions and larger changes in
ciplines will appreciate the breadth of information and scholarship the chapters on brain stimulation therapies (rather than just ECT),
that is contained within it. memory clinics (now more broadly known as memory services),
Old age psychiatry has arisen because of the particular health and capacity (now widened to all mental capacity and decision-
and social issues that surround ageing, dementia, comorbidity, making from the narrower focus before on testamentary capacity).
dependency, and the end of life in ageing societies across the world. We are grateful to all our contributors, especially those who have
Th e global burden and cost of dementia is enormous; so too is that shared their personal experiences. It has been a pleasure working
of depression and other mental illnesses. Dementia has become a with you all. We would also like to thank our editors, Martin Baum
major public policy issue in many countries across the world, so and Charlotte Green, and Pete Stevenson and Eloise Moir-Ford, at
our ability to recognize the condition and to off er appropriate and Oxford University Press for their support and diligence.
aff ordable help and support is already really important and will
only become more so. However, the way in which mental health Tom Dening, Nottingham
services are organized for older people varies from one country to Alan Th omas, Newcastle upon Tyne
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Acknowledgements
T.D. acknowledges the support of the NIHR Cambridgeshire A.T. expresses thanks to the NIHR Biomedical Research Centre in
and Peterborough CLAHRC (Collaboration for Leadership in Ageing and the Biomedical Research Unit in Lewy Body Dementia
Applied Health Research and Care) and the Cambridgeshire and at Newcastle University and to Gateshead Health NHS Foundation
Peterborough NHS Foundation Trust. Also thanks to Nottingham Trust for their support.
University, Nottinghamshire Healthcare NHS Trust, and Barchester
Healthcare for their encouragement.