
Contents
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Introduction Introduction
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Mental Health in Old Age: A Lifespan Perspective Mental Health in Old Age: A Lifespan Perspective
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Paradigms of lifespan theory Paradigms of lifespan theory
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Defining Mental Health in Old Age Defining Mental Health in Old Age
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Mental Illness in Old Age Mental Illness in Old Age
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Positive Mental Health in Old Age Positive Mental Health in Old Age
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Additional Core Propositions of Clinical Geropsychology Additional Core Propositions of Clinical Geropsychology
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Heterogeneity Heterogeneity
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Aetiological complexity Aetiological complexity
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Plasticity and resilience Plasticity and resilience
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Cohort flow and historical embeddedness Cohort flow and historical embeddedness
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A Taxonomy of Clinical Phenomena Addressed by Clinical Geropsychology A Taxonomy of Clinical Phenomena Addressed by Clinical Geropsychology
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Dysfunctional psychological reactions to normal ageing Dysfunctional psychological reactions to normal ageing
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Mental health problems in the course of pathological ageing of the brain Mental health problems in the course of pathological ageing of the brain
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Chronic pathological processes persisting from earlier life periods Chronic pathological processes persisting from earlier life periods
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Limitations of the Offered Taxonomy Limitations of the Offered Taxonomy
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Intervention Strategies in Clinical Geropsychology Intervention Strategies in Clinical Geropsychology
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A taxonomy of intervention strategies A taxonomy of intervention strategies
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Barriers to Treatment of Older Adults: The Role of Age Attitudes and Age Stereotypes Barriers to Treatment of Older Adults: The Role of Age Attitudes and Age Stereotypes
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Practical Implications Practical Implications
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Summary Summary
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Key References and Sources for Further Reading Key References and Sources for Further Reading
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References References
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1 Clinical Geropsychology: A Lifespan Perspective
Get accessDr. Eva-Marie Kessler, Heidelberg University, Network Aging Research (NAR) and Institute of Psychology, Germany
Andreas Kruse, Institute of Gerontology, Heidelberg University
Professor Dr. Hans-Werner Wahl, Heidelberg University, Institute of Psychology, Germany
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Published:02 September 2014
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Abstract
In this chapter, we define an older individual’s mental health as a unique configuration of risk factors and protective factors having accumulated over the whole life course that is potentially reflected in various degrees of adaptive behaviour. Four central propositions guide clinical geropsychology in both research and practice: namely heterogeneity, etiological complexity, plasticity, and historical embeddedness. Three phenomena are the foundation of clinical geropsychology: (1) dysfunctional psychological reactions to normal ageing; (2) mental health problems in the course of pathological ageing of the brain; and (3) mental health problems as a result of pathological developmental processes that started earlier in life. We discuss practical implications of a lifespan approach to maladaptive behaviour and psychopathology in old age.
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