April 24, 1987

Assessment and Treatment of the Elderly Neuropsychiatric Patient

Author Affiliations

Stanford University School of Medicine Stanford, Calif

Stanford University School of Medicine Stanford, Calif


edited by Gabe J. Maletta and Francis J. Pirozzolo (Advances in Neurogerontology, vol 4), 271 pp, $45, New York, Praeger Publishers, 1986.

JAMA. 1987;257(16):2223-2224. doi:10.1001/jama.1987.03390160109043

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This book constitutes the fourth volume in an outstanding series edited by a Minneapolis Veterans Administration Medical Center neurologist and Baylor University neuropsychologist. One reason that the previous volumes were so well done was that they were focused: The Aging Nervous System, Behavioral Assessment and Psychopharmacology, and The Aging Motor System. A lack of focus plagues the present volume, which should have been titled An Introduction to Geriatric Psychiatry.

Chapters cover intake and assessment of dementia, with an emphasis on medical laboratory workups (Larson and Featherstone), neuroleptic indications and side effects (Dysken, Miles, and Schenck), antidepressants (Janowsky), psychodynamic psychotherapy (Newton and Lazarus), family therapy (Maletta), cognitive psychotherapy (Gallagher and Thompson), psychosocial and environmental milieus (Bourstrom, Chock, and Rosenberg), bereavement (Gallagher), and Belgian health care provision (Baro and Dom).

This reviewer has several criticisms of this present volume. First, although most of the authors are authorities within their respective areas, there is little that is new in this volume, for the authors have made their points before