Abstract
Chronic organic brain syndrome is a disabling but little understood disease that can be viewed within a family burden perspective. Since senile dementia relates to multi-dimensional functioning and creates various levels of dependency, family burden is a major factor in the decision to institutionalize. Clinical social workers should understand the problems contributing to the burden of a family with a mentally impaired older member. A variety of interventions is possible and these interventions can be used to alleviate many problems of the family and to create a more responsive system of support.
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References
Baizerman, M., & Ellison, D. L. A social role analysis of senility.Gerontologist, 1971,11, 163–170.
Bergmann, K., Foster, D., & Kay, D. W. K. The need for an integrated geriatric service. InPsychiatric disorders in the aged. Symposium presented at the meeting of the World Psychiatric Association, Royal College of Physicians, London, September 28–30, 1965.
Bollerup, T. R. Prevalence of mental illness among 70-year-olds domiciled in nine Copenhagen suburbs.Acta Psychiatrica Scandinavia 1975,51, 327–329.
Brocklehurst, J. C. Brain failure in old age—Social implications.Age and Ageing, 1977,b(Supplement), 30–41.
Butler, R. N., & Lewis, M. I.Aging and mental health: Positive psychosocial approaches. St. Louis: C. V. Mosby, 1973.
Butler, R. N.Why survive: being old in America. New York: Harper and Row, 1975.
Clemmey, R., Kennard, D., & Mandelbrote, B. The assessment of social breakdown in newly-admitted psychiatric patients.British Journal of Psychiatry 1975,127, 417–431.
Ellsworth, R. Consumer feedback in measuring effectiveness of mental health programs. In M. Guttentag & E. L. Struening (Eds.)Handbook of evaluation research. Beverly Hills, California: Sage Publications, 1975.
Godber, C. Planning services for the elderly demented patient.Age and Ageing, 1977,b Supplement, 100–103.
Grad de Alarcon, J. Social causes and social consequences of mental illness in old age. In D. W. K. Kay & A. Walk, (Eds.),Recent developments in psychogeriatrics: A symposium. Ashford, Kent: Royal Medico-Psychological Association, 1971.
Gruenberg, E. M. Community conditions and psychoses of the elderly.American Journal of Psychiatry, 1954,110, 888–896.
Gruenberg, E. M. A mental health survery of older persons. In P. H. Hoch & J. Zubin (Eds.),Comparative epidemiology of mental disorders. New York: Gruen and Stratton, 1961.
Gruenberg, E. M. The social breakdown syndrome—Some origins.American Journal of Psychiatry, 1967,123, 1481–1489.
Hoening, J. & Hamilton, M. W.The desegregation of the mentally ill. London: Routledge & Kegan Paul, 1969.
Kay, D. W. K., Bergmann, K., Foster, E. M., McKechnie, A. A., & Roth, M. Mental illness and hospital usage in the elderly: A random sample followed up.Comprehensive Psychiatry, 1970,11, 26–35.
Kay, D. W. K., & Walk, A. (Eds.).Recent developments in psychogeriatrics: A symposium. Ashford, Kent: Royal Medico-Psychological Association, 1971.
Kobrynski, B. The mentally impaired elderly—Whose responsibility?Gerontologist, 1975,15, 407–411.
Krause, A. S., Spasoff, R. A., Beattie, E. J., Holden, E. W., Lawson, J. S., Rodenburg, M., & Woodcock, G. M. Elderly applicants to long-term care institutions. I: Their characteristics, health problems, and state of mind.Journal of the American Geriatrics Society, 1976,24, 117–125.
Kreisman, D., & Joy, V. The family as reactor to the mental illness of a relative. In M. Guttentag and E. Struening (Eds.)Handbook of evaluation research. Beverly Hills, California: Sage Publications, 1975.
Kuypers, J. A., & Bengston, V. L. Social breakdown and competence: A model of normal aging.Human Development, 1973,16, 181–201.
Lasswell, T., Burma, J., & Aaronson, S. (Eds.),Life in society: Introductory readings in sociology. Chicago: Scott, Forseman, 1965.
Lezak, M. D. Living with the characterologically altered brain injured patient.Journal of Clinical Psychology, 1978,39, 592–598.
Libow, L. S. Pseudo-senility: Acute and reversible organic brain syndromes.Journal of American Geriatrics Society, 1973,21, 112–120.
Lowenthal, M. F., Berkman, P. L., and Associates,Aging and mental disorder in San Francisco, San, Francisco: Jossey-Bass, 1967.
Macmillan, D. Features of senile breakdown.Geriatrics, 1969,24, 109–118.
Maddox, G. L. The patient and his family. In S. Sherwood (Ed.),The hidden patient: knowledge and action in long-term care. New York: Spectrum Publications, 1975.
Miller, E.Abnormal ageing: the psychology of senile and presenile dementia. London: John Wiley and Sons, 1977.
Ross, H. E., & Kedward, H. B. Psychogeriatric hospital admissions from the community and institutions.Journal of Gerontology, 1977,32, 420–427.
Roth, M. The natural history of mental disorders in old age.Journal of Mental Science, 1955,101, 281–301.
Sainsbury, P., & Grad, J. Mental illness and the family.The Lancet, 1963,i, 544–547.(a)
Sainsbury, P., & Grad, J. Evaluating a community care service. In Freeman, H. L. and Farndale, J. (Eds.)Trends in the Mental Health Services: A Symposium of Original and Reported Papers. Oxford: Pergamon Press, 1963.(b)
Sainsbury, P. Evaluation of community mental health programs. In M. Guttentag & E. Struening (Eds.),Handbook of evaluation research. Beverly Hills, California: Sage Publications, 1975.
Sanford, J. R. A. Tolerance of debility in elderly dependents by supporters at home: Its significance for hospital practice.British Medical Journal, 1975,3, 471–473.
Savitsky, E., & Sharkey, H. The geriatric patient and his family: Study of family interaction in the aged.Journal of Geriatric Psychiatry, 1972,5, 3–19.
Shanas, E. & Maddox, G. L. Aging, health, and organization of health resources. In R. H. Binstock & E. Shanas (Eds.)Handbook of aging and the social sciences. New York: Van Nostrand Rheinhold, 1976.
Simon, A. A model for comprehensive mental health care for the aged. In A. Schwartz & I. Mensch (Eds.)Professional obligations and approaches to the aged. Springfield, Ill.: Charles G. Thomas, 1974.
Verwoerdt, A.Clinical geropsychiatry. Baltimore, Md.: Williams & Wilkins, 1976.
Wahl, P. R. Psychosocial implications of disorientation in the elderly.Nursing Clinics of North America, 1976,11, 145–155.
Wang, H. S. Dementia of old age. In W. L. Smith and M. Kinsbourne (Eds.),Aging and dementia. New York: Spectrum Publications, 1977.(a)
Wang, H. S. Organic brain syndrome In E. W. Busse and E. Pfeiffer (Eds.),Behavior and Adaptation in late life (2nd ed.). Boston: Little, Brown & Co., 1977.(b)
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Morycz, R.K. An exploration of senile dementia and family burden. Clin Soc Work J 8, 16–27 (1980). https://doi.org/10.1007/BF00761074
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DOI: https://doi.org/10.1007/BF00761074