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Social breakdown in the elderly, I. Case studies and management
1Wakari Hospital, Dunedin, New Zealand.
Comprehensive Psychiatry
|September 1, 1991
Summary
The syndrome of social breakdown of the elderly (SBE) involves severe isolation and self-neglect, often overlooked in geriatric psychiatry. This report details its characteristics and management, particularly for "pure SBE" cases triggered by life events.
Area of Science:
- Geriatric Psychiatry
- Clinical Psychology
- Social Gerontology
Background:
- The syndrome of social breakdown of the elderly (SBE) is a prevalent yet under-researched condition in geropsychiatry.
- SBE is characterized by profound social isolation, extreme self-neglect, and persistent refusal of assistance.
Observation:
- SBE can manifest as a secondary condition linked to major psychiatric illnesses.
- Alternatively,
Findings:
- Pure SBE, arising from stressful life events exacerbating personality abnormalities, presents distinct clinical features.
- Case studies illustrate the specific presentation and therapeutic approaches for pure SBE.
Implications:
- Increased clinical awareness and research into SBE are crucial for effective elderly care.
- Understanding the distinct pathways to SBE (secondary vs. pure) can refine diagnostic and treatment strategies.