Sexuality and Dementia


Book Description

The First Comprehensive Guide for Dealing with Dementia's Effect on Sex, Intimacy, and Relationships It is common for a person with dementia to exhibit inappropriate and uncharacteristic sexual behavior, including promiscuity, verbal abuse, aggression, grabbing, exhibitionism, and jealous paranoia. This behavior puts a strain on spouses and partners, as well as other loved ones and caregivers. Now, for the first time, esteemed geriatric neuropsychiatrist, Douglas Wornell, MD, provides essential information and practical solutions to cope with these troubling and often embarrassing actions by providing: information on the contributing role of medication (and overmedication), both prescribed and over-the-counter ways to handle inappropriate behaviors that respect the person with dementia, their loved ones, and their caregivers recommendations to minimize the legal risk and potential for injury in long-term care facilities personal stories of the many ways couples have chosen to deal with the changes to their sexual dynamic and relationship




Pathy's Principles and Practice of Geriatric Medicine


Book Description

This new edition of the comprehensive and renowned textbook Principles and Practice of Geriatric Medicine offers a fully revised and updated review of geriatric medicine. It covers the full spectrum of the subject, features 41 new chapters, and provides up-to-date, evidence-based, and practical information about the varied medical problems of ageing citizens. The three editors, from UK, USA and France, have ensured that updated chapters provide a global perspective of geriatric medicine, as well as reflect the changes in treatment options and medical conditions which have emerged since publication of the 4th edition in 2006. The book includes expanded sections on acute stroke, dementia, cardiovascular disease, and respiratory diseases, and features a new section on end-of-life care. In the tradition of previous editions, this all-encompassing text continues to be a must-have text for all clinicians who deal with older people, particularly geriatric medical specialists, gerontologists, researchers, and general practitioners. This title is also available as a mobile App from MedHand Mobile Libraries. Buy it now from Google Play or the MedHand Store. Praise for the 4th edition: "...an excellent reference for learners at all clinical and preclinical levels and a useful contribution to the geriatric medical literature." —Journal of the American Medical Association, November 2006 5th edition selected for 2012 Edition of Doody's Core TitlesTM




Capacity and the Law


Book Description




Sex and Gender Differences in Alzheimer's Disease


Book Description

Sex and Gender Differences in Alzheimer's Disease: The Women's Brain Project offers for the first time a critical overview of the evidence documenting sex and gender differences in Alzheimer's disease neurobiology, biomarkers, clinical presentation, treatment, clinical trials and their outcomes, and socioeconomic impact on both patients and caregivers. This knowledge is crucial for clinical development, digital health solutions, as well as social and psychological support to Alzheimer's disease families, in the frame of a precision medicine approach to Alzheimer's disease.This book brings together up-to-date findings from a variety of experts, covering basic neuroscience, epidemiology, diagnosis, treatment, clinical trials development, socioeconomic factors, and psychosocial support. Alzheimer's disease, the most common form of dementia, remains an unmet medical need for the planet. Wide interpersonal variability in disease onset, presentation, and biomarker profile make Alzheimer's a clinical challenge to neuroscientists, clinicians, and drug developers alike, resulting in huge management costs for health systems and society. Not only do women represent the majority of Alzheimer's disease patients, but they also represent two-thirds of caregivers. Understanding sex and gender differences in Alzheimer's disease will lead to novel insights into disease mechanisms, and will be crucial for personalized disease management strategies and solutions, involving both the patient and their family. Endorsements/Reviews: "There is a clear sex and gender gap in outcomes for brain health disorders like Alzheimer's disease, with strikingly negative outcomes for women. This understanding calls for a more systematic way of approaching this issue of inequality. This book effectively highlights and frames inequalities in all areas across the translational spectrum from bench-to-bedside and from boardroom-to-policy and economics. Closing the Brain Health Gap will help economies create recovery and prepare our systems for future global shocks." Harris A. Eyre MBBS, PhD, co-lead, Neuroscience-inspired Policy Initiative, OECD and PRODEO Institute. Instructor in Brain Health Diplomacy, Global Brain Health Institute, UCSF and TCD. "Sex and Gender Differences in Alzheimer's disease is the most important title to emerge on Alzheimer's disease in recent years.This comprehensive, multidisciplinary book is a must read for anyone with a serious interest in dementia prevention, diagnosis, treatment, care, cure and research. Precision medicine is the future of healthcare and this book represents an incredible and necessary resource to guide practice, policy and research in light of the fact that Alzheimer's disease disproportionately affects women. The combination of contributions from the most eminent experts and the most up-to-date research makes this an invaluable resource for clinicians, care providers, academics, researchers and policy makers. Given the complex nature of dementia and the multiple factors that influence risk and disease trajectory the scope of the book is both impressive and important covering sex differences in neurobiological processes, sex and gender differences in clinical aspects and gender differences linked to socioeconomic factors relevant to Alzheimer's disease. If you work in Alzheimer's disease, or indeed other dementias, then Sex and Gender Differences in Alzheimer's disease is a must have for your bookshelf." -- Sabina Brennan, PhD., C.Psychol.,PsSI., National representative for Ireland on Alzheimer Disease International's Medical and Scientific Advisory Panel




The Ethics of Sex and Alzheimer's


Book Description

A growing epidemic, Alzheimer’s punishes not only its victims but also those married to them. This book analyzes how Alzheimer’s is quietly transforming the way we think about love today. Without meaning to become rebels, many people who find themselves "married to Alzheimer’s" deflate the predominant notion of a conventional marriage. By falling in love again before their ill spouse dies, those married to Alzheimer’s come into conflict with central values of Western civilization – personal, sexual, familial, religious, and political. Those who wait sadly for a spouse’s death must sometimes wonder if the show of fidelity is necessary and whom it helps. Most books on Alzheimer’s focus on those who have it, as opposed to those who care for someone with it. This book offers a powerful and searching meditation on the extent to which someone married to Alzheimer’s should be expected to suffer loneliness. The diagnosis of dementia should not amount to a prohibition of sexual activity for both spouses. Portmann encourages readers to risk honesty in assessing the moral dilemma, using high-profile cases such as Nancy Reagan and Justice Sandra Day O'Connor to illustrate the enormity of the problem. Ideal for classes considering the ethics of aging and sexuality.




Sex in the Brain


Book Description

What controls our sex lives? Our brains. Yet there is surprisingly little research into how our brains influence one of the most fundamental of all human behaviors. And there is even less understanding of what can happen to the sexuality of a person who suffers a brain injury or illness such as a stroke, Parkinson’s disease, or dementia. In Sex in the Brain, clinical neuropsychologist Amee Baird explores fascinating case studies of dramatic changes in sexual behavior and explains what these exceptional stories have to say about human sexuality. She illuminates the extraordinary insights into how the brain works that injury or disease can divulge. Each chapter includes striking personal accounts, many from individuals Baird has met in her clinical practice, of unexpected shifts in sexuality. Until now these fascinating, frightening, and funny stories have been hidden in medical journals or untold outside of the clinical setting. This revealing and sometimes heartbreaking book unfolds a better understanding of the links between brain function and our sexual selves.




Love and Care


Book Description

*** 'An honest and thoughtful memoir. Moving but, ultimately, full of hope. Beautiful.' KATE MOSSE 'Superb. Love & Care is a book about the unbreakable bonds of family, the cruelty of passing time and a love that never dies.' TONY PARSONS 'A beautiful, intimate story of love and understanding - candid and funny. This is a lyrical memoir of hope and forgiveness.' RAYNOR WINN, author of The Salt Path * Shaun is finally free of responsibilities to anyone but himself; single, with two grown up daughters, he is just embarking on a new life in a new country when he gets a call to say his father is dying. His mother has Parkinson's Dementia and is in a care home. Shaun faces a stark choice: should he give up his new-found freedom, or turn his back on the woman he'd fought so hard to protect, not least from his own father? Shaun's mother had loved and cared for her son all her life. Could he now do the same for her? 'A heart-warming, heart-wrenching, and beautifully humane account of loving and caring.' NICCI GERRARD, novelist and author of What Dementia Teaches Us About Love 'An insightful tale of care . . . this book needed to be written.' JO GOOD, BBC Radio London 'A vital subject, a really strong voice and, hurrah, humour makes this absorbing reading.' CAROLINE RAPHAEL, Radio 4's Book at Bedtime 'An eye-opening - and at times jaw dropping - account that will make you weep with its tenderness and compassion . . . A highly readable tale of redemption and a celebration of love's many hues.' PAUL BLEZARD, Love Reading 'Moving' DAILY MAIL




Clinical Perspectives on Elderly Sexuality


Book Description

With the growth of the older adult population and the increasing need for healthcare providers with geriatric training, students and practitioners must become familiar with the multifaceted issues of elderly sexuality. This text features a combination of research findings, clinical case studies and specific guidelines for assessment and intervention. A variety of topics typically neglected in this population, such as body image and eating disorders, HIV, the long-term impact of sexual trauma in late life, sexuality in institutional settings, sexuality for partners of older adults with dementia and other chronic illnesses, traditional and non-traditional relationships, and information about medications that can cause sexual dysfunction are reviewed in detail. In addition, practitioners are given practical suggestions for interviewing older adults about sexual issues, working with character-disordered older adults, managing sexualized transference in the therapeutic relationship, mediating conflict between professionals on interdisciplinary teams, and assessing HIV and HIV-induced dementia. This volume will be of interest to both clinicians and students of psychology, social work, gerontology, sociology, and physical therapy.




Sexuality & Ageing


Book Description

Across the globe, both in developed and developing countries, the population is rapidly ageing. In the fields of sexual and relationship therapy and sexual health, ageing has not been an issue of priority. Too often, ageing is thought of as a process that relates to problems, deficits, and taboos, and less to pleasure, change, growth and diversity. It is treated as a separate life stage and not a process throughout the lifecycle. Sexuality and sexual health are important parts of the lives of older people, as they have a significant impact on quality of life, psychological well-being and physical health, as well as social and family life. This book brings together contributions from those currently writing on and researching ageing as it relates, in a therapeutic context, to gender identity, to sex and sexuality, and to intimate relationships. This book was originally published as a special issue of Sexual and Relationship Therapy.




Loving Someone Who Has Dementia


Book Description

Research-based advice for people who care for someone with dementia Nearly half of U.S. citizens over the age of 85 are suffering from some kind of dementia and require care. Loving Someone Who Has Dementia is a new kind of caregiving book. It's not about the usual techniques, but about how to manage on-going stress and grief. The book is for caregivers, family members, friends, neighbors as well as educators and professionals—anyone touched by the epidemic of dementia. Dr. Boss helps caregivers find hope in "ambiguous loss"—having a loved one both here and not here, physically present but psychologically absent. Outlines seven guidelines to stay resilient while caring for someone who has dementia Discusses the meaning of relationships with individuals who are cognitively impaired and no longer as they used to be Offers approaches to understand and cope with the emotional strain of care-giving Boss's book builds on research and clinical experience, yet the material is presented as a conversation. She shows you a way to embrace rather than resist the ambiguity in your relationship with someone who has dementia.