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Psychiatry and the elderly: an overview.

R N Butler

    The American Journal of Psychiatry
    |September 1, 1975
    PubMed
    Summary

    Elderly individuals face inadequate mental health services, with conditions often mislabeled as "senility." Addressing ageism and socioeconomic factors is crucial for improving care and research for older adults.

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    Area of Science:

    • Gerontology
    • Psychiatry
    • Public Health

    Background:

    • The elderly population experiences a disproportionate burden of psychopathology, suicide, and poverty.
    • Current treatment, research, and services for older adults are insufficient to meet their needs.

    Purpose of the Study:

    • To highlight the unmet mental health needs of the elderly.
    • To identify ageism within the psychiatric profession as a barrier to care.
    • To advocate for improved services and research for older adults.

    Main Methods:

    • Literature review and critical analysis of existing practices.
    • Examination of socioeconomic and medical factors contributing to mental health issues in the elderly.
    • Discussion of psychological barriers, including countertransference and ageism.

    Main Results:

    • Many conditions attributed to "senility" are treatable socioeconomic or medical issues.
    • Therapeutic nihilism towards the elderly stems from prejudice (ageism) within psychiatry.
    • Existing services and research do not adequately address the mental health challenges faced by the aging population.

    Conclusions:

    • Reforming psychiatric attitudes and practices is essential to combat ageism.
    • Establishing a multidisciplinary commission for elderly mental health is recommended.
    • Increased representation of older adults in psychiatric services, training, and research is vital.

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