Diagnosis and Treatment of Senile Dementia by M. Bergener (auth.), Professor Dr. med. Manfred Bergener,

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By M. Bergener (auth.), Professor Dr. med. Manfred Bergener, Professor Barry Reisberg M. D. (eds.)

Senile dementia is among the significant illnesses confronting mankind during this century. to a point the matter has, in fact, continually existed. The situation used to be sufficiently troubling to classical philosophers and jurists to have it seems that provoked reviews by way of Solon in nearly 500 B. C. and Plato within the fourth century B. C. (Plutarch 1967 translation; Plato 1921 translation). clinical acceptance may be traced a minimum of way back to the second one century A. D. (Adams 1861). even if, a number of elements have converged during this century to increase absolutely the dimensions of the matter of senile dementia and to extend societal, clinical, and medical recogni­ tion of the significance of the . maybe an important issue on the subject of the current significance of senile dementia is demographic. even though the human inhabitants has been expanding because the mid-eighteenth century, it has in basic terms been because the creation of the 20 th century lessen in mortality has been famous for these over the age of forty five (McKeown 1976). as a result, absolutely the variety of elderly individuals and the share of more and more elderly folks within the populations of the world's commercial countries were gradually expanding. for instance, within the usa, four% ofthe inhabitants used to be over the age of sixty five in 1900. within the 1970 census, this percentage had grown to 10%.

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Let us avoid resignation when expectations and hopes are replaced by disillusion. Let us face the challenge with all our courage to take the chance. References Alzheimer A (1907) Uber eine eigenartige Erkrankung der Himrinde. Allg Zschr Psychiat 64: 146-148 Arie THD (1983) Organization of services for the elderly: implications for education and patient care - experience in Nottingham. In: Bergener M (ed) Geropsychiatric dignostics and treatment. Springer Publishing, New York, pp 189-195 Bergener M (1983) Etiology, pathogenesis, and classification of senile and presenile dementias.

Procedure for Surt'ey The survey consisted of two parts. The primary survey was of the general health status of the sample of 1800 respondents by means of a semistructured interview conducted by lay raters. The period of the primary survey was 20 days from 28 August 1984. ) Diagnosis and Treatment of Senile Dementia © Springer-Verlag Berlin Heidelberg 1989 24 K. Hasegawa, and Y. Imai the secondary survey, the 330 subjects who were scret:ned out from those in the primary survey as possibly having mental illness were interviewed individually by a small team comprising a psychiatrist and a psychologist at home during 3 months from 1 November 1984, to 31 January 1985.

Full orientation. Independent function at usual level in daily life Occasional inability to recall recent events. Disorientation for time. Mild impairment in problem-solving. Difficulty with independent function at usual level in everyday life. Decrease in initiative. Occasional prompting for personal care Usual inability to recall recent events. Disorientation in time and place. Definite impairment in problem-solving. Requires assistance in dressing, hygiene, and keeping personal effects Severe memory loss - new material rapidly lost.

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