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After the End: The powerful, life-affirming novel from the Sunday Times Number One bestselling author
by Clare MackintoshHave you read the book that everyone's talking about?'If I could give this book 10 stars I would' (Reader review)'This book touched my soul' (Reader review)'I could not put it down. What a story. What a storyteller' (Reader review)'This is in my top five books of all time. Absolutely incredible' (Reader review)'I have never felt so emotionally wrapped up in characters in a book' (Reader review)No. 1 bestseller Clare Mackintosh brings you the most moving book you'll read this year. After the End is powerful, uplifting and full of hope.__________________________Max and Pip are the strongest couple you know. Only now they're facing the most important decision of their lives - and they don't agree.With the consequences of an impossible choice threatening to devastate them both, nothing will ever be the same again.But anything can happen after the end . . .Clare Mackintosh returns with an unmissable thriller this summer - Hostage is out now.***********'The most moving book you'll read this year' LISA JEWELL'Life-affirming . . . richly drawn' SUNDAY TIMES 'Compelling and clever, tender and true. I can't stop thinking about it' LIANE MORIARTY'Heart-wrenching . . . an absolute must-read' MIKE GAYLE'Put this on the top of your list. You won't regret it' JANE CORRY'One of the most moving stories I have ever read. It's perfect' JOANNA CANNON
After the End: The powerful, life-affirming novel from the Sunday Times Number One bestselling author
by Clare MackintoshHave you read the book that everyone's talking about?'If I could give this book 10 stars I would' (Reader review)'This book touched my soul' (Reader review)'I could not put it down. What a story. What a storyteller' (Reader review)'This is in my top five books of all time. Absolutely incredible' (Reader review)'I have never felt so emotionally wrapped up in characters in a book' (Reader review)Powerful, uplifting and full of hope, AFTER THE END is the most moving book you'll read this year - from number one bestseller Clare Mackintosh__________________________Max and Pip are the strongest couple you know. Only now they're facing the most important decision of their lives - and they don't agree.With the consequences of an impossible choice threatening to devastate them both, nothing will ever be the same again.But anything can happen after the end . . .***********'The most moving book you'll read this year' LISA JEWELL'Life-affirming . . . richly drawn' SUNDAY TIMES 'Compelling and clever, tender and true. I can't stop thinking about it' LIANE MORIARTY'Heart-wrenching . . . an absolute must-read' MIKE GAYLE'Put this on the top of your list. You won't regret it' JANE CORRY'One of the most moving stories I have ever read. It's perfect' JOANNA CANNON
After the Roof Caved In: An Immigrant's Journey from Ireland to America
by Charles Kenney Michael J. DowlingThe moving story of an Irish immigrant's life, from a poverty-stricken childhood in Ireland to becoming a captain of industry, After the Roof Caved In is a powerful, poignant look at how hard work and education enabled one young man to change his life and circumstances completely. Today, Michael J. Dowling is president and CEO of Northwell Health, New York state's largest healthcare provider and private employer, with over 68,000 employees and over 700 facilities. But he grew up in deep poverty in the village of Knockaderry in rural Ireland, in a small home without running water or a stable roof, in a family with little hope for improvement and a place with little opportunity—and he overcame it all to become wildly successful. After the Roof Caved In is Dowling's rags-to-riches story of his life and journey from his destitute youth to his realization of the power of education and his eventual departure from his home to attend university in Cork, and onward through his life as he gradually improved himself and his circumstances. Full of memories both fond and painful, this powerful memoir examines the family dynamics of his childhood—including the lives of his deaf mother and arthritic father—as well as the social systems of the time, the politics and concerns of the day, and the way a variety of disparate events came together to help Dowling change his life completely. Most importantly, it chronicles his lifelong effort to rise above the circumstances into which he was born and to create the sort of life he dreamed possible. For anyone interested in the stories of immigrants, the experiences of the Irish in the mid-20th century, or the value of hard work and education in changing one's life, After the Roof Caved In is an essential read, and a heartfelt, deeply moving meditation on an extraordinary life.
After the Stroke: A Journal
by May SartonAn intimate and uplifting memoir chronicling May Sarton's efforts to regain her health, art, and sense of self after suffering from a stroke Feeling cut off and isolated--from herself most of all--after suffering a stroke at age 73, May Sarton began a journal that helped her along the road to recovery. She wrote every day without fail, even if illness sometimes prevented her from penning more than a few lines. From her sprawling house off the coast of Maine, Sarton shares the quotidian details of her life in the aftermath of what her doctors identified as a small brain hemorrhage. What they did not tell her was the effect it would have on her life and work. Sarton's journal is filled with daily accounts of the weather, her garden, beloved pets, and her concerns about losing psychic energy and no longer feeling completely whole. A woman who had always prized her solitude, Sarton experiences feelings of intense loneliness. When overwhelmed by the past, she tries to find comfort in soothing remembrances of her travels, and struggles to learn to live moment by moment. As Sarton begins to regain her strength, she rejoices in the life "recaptured and in all that still lies ahead." Interspersed with heartfelt recollections about fellow poets and aspiring writers who see in Sarton a powerful muse, this is a wise and moving memoir about life after illness.
After the Winter (MacLehose Press Editions #10)
by Guadalupe Nettel"I envy how naturally she makes use of language; her resistance to ornamentation and artifice; and the almost stoic fortitude with which she dispenses her profound and penetrating knowledge of human nature. What's more, in this novel, she has impeccable syntactic control, and her ear is sharper than ever before" Valeria Luiselli, GuernicaA shy young Mexican woman moves to Paris to study literature. Cecilia has few friends, and a morbid fascination with watching the funerals taking place in Père-Lachaise cemetery outside her apartment. She suddenly strikes up a close relationship with her neighbour, a sickly young man who shares her interest in death and believes we can communicate with the dead. After coming to entirely depend on him for company and routine, Cecilia is left devastated by his decision to go to Sicily for his health, and is left alone in an unfriendly city once more.Claudio, meanwhile, lives in New York with the submissive, quiet, but very wealthy Ruth. She makes few demands of him, while acquiescing to all his desires and indulging his obsessive, misogynistic nature. He meets Cecilia by chance when visiting a friend in Paris and their two very different worlds collide with transformative consequences.With startling intensity, humour and insight, Nettel conjures a dark fable about obsession, denial and our modern ability to reach out across the globe in search of love.Translated from the Spanish by Rosalind Harvey
After the Worst Day Ever: What Sick Kids Know About Sustaining Hope in Chronic Illness
by Duane R. BidwellFor those who care for chronically ill children, a new understanding of hope that equips adults to better nurture pediatric hope among sick kids—articulated by the children themselvesAs anyone with a chronic illness knows, hope can sometimes be hard to come by. For parents and caregivers of children with serious illness, there can be a real struggle to move beyond one's own grief, fear, and suffering to see what hope means for these kids.Duane Bidwell, a scholar, minister, and former hospital chaplain who has struggled with serious illness himself, spent time with 48 chronically ill children in dialysis units and transplant clinics around the United States. Chronically ill kids, he found, don&’t adhere to popular or scholarly understandings of hope. They experience hope as a sense of well-being in the present, not a promise of future improvement, an ability to set goals, or the absence of illness and suffering. With this mindset, these kids suggest a new understanding of pediatric hope, saying hope becomes concrete when they (1) realize community, (2) claim power, (3) attend to Spirit, (4) choose trust, and (5) maintain identity.Offering textured portraits of children with end-stage kidney disease, After the Worst Day Ever illustrates in their words how sick children experience, maintain, and turn toward hope even when illness cannot be cured and severely limits quality of life. Their insights reveal how the adults in a sick child's world—parents, chaplains, medical professionals, teachers, and others—can nurture hope. They also shift our understanding of hope from an internal resource located &“inside&” an individual to a shared, communal experience that becomes a resource for individuals.Rich and moving, Bidwell&’s work helps us imagine anew what it means to sustain hope despite inescapable suffering and the limits of chronic illness.
Afterlife: A Novel
by Paul MonetteA powerful exploration of the way AIDS reshapes relationships and livesAfterlife is a haunting and unforgettable story of men facing loss and seeking love, movingly capturing the moment in the 1980s when the AIDS epidemic was completely devastating the American gay community. Here, National Book Award winner Paul Monette depicts three men of various economic and social backgrounds, all with one thing in common: They are widowers, in a way, and all of their lovers died of AIDS in an LA hospital within a week of one another. Steven, Sonny, and Dell meet weekly to discuss how to go on with their lives despite the hanging sword of being HIV positive. One tries to find a semblance of normalcy; one rebels openly against the disease, choosing to treat his body as a temple that he can consecrate and desecrate at will; and one throws himself into fierce political activism. No matter what path each one takes, they are all searching for one thing: a way to live and love again.Afterlife finds Paul Monette at his most autobiographical, portraying men in a situation that he himself experienced, and one that he described to critical acclaim in the award-winning Borrowed Time: An AIDS Memoir. This ebook features an illustrated biography of Paul Monette including rare images and never-before-seen documents from the Paul Monette papers of the UCLA Library Special Collections.
Aftershock (A Dr. Jessie Teska Mystery)
by Judy Melinek T.J. MitchellWhen an earthquake strikes San Francisco, forensics expert Jessie Teska faces her biggest threat yet in this explosive new mystery from the New York Times bestselling duoThere’s a body crushed under a load of pipes on a San Francisco construction site, and medical examiner Dr. Jessie Teska is on call. So it’s her job to figure out who it is—and her headache when the autopsy reveals that the death is a homicide staged as an accident.Jessie is hot on the murderer’s trail, then an earthquake sends her and her whole city reeling. When the dust clears, her case has fallen apart and an innocent man is being framed. Jessie knows she’s the only one who can prove it, and she races to piece together the truth—before it gets buried and brings her down in the rubble.With Melinek and Mitchell’s trademark blend of propulsive prose, deft plotting and mordant humor, this rollicking new installment in the Jessie Teska Mystery series will shake you up and leave you rattled.
Afzien en staken van intensive-carebehandeling: Routeplanners voor de verpleegkundige praktijk
by Erwin J.O. KompanjeCasussen over ethische kwesties op de ic voor de verpleegkundige, voorzien van stroomdiagram en onderbouwing/uitleg.
Agache's Measuring the Skin: Non-invasive Investigations, Physiology, Normal Constants
by Howard I. Maibach Philippe Humbert Ferial Fanian Pierre AgacheSince the first edition of this book was published in 2004, to much acclaim, the pace of innovation in the field of skin metrology has increased and various new technologies have become available. This new, revised edition reflects these advances by presenting the current theory and practice of noninvasive investigation and measurement of the skin and its appendices in health and disease. The first, extensive part of this authoritative work is devoted to the physiology and metrology of the various structural components of the skin. Skin functions and their measurement are then discussed in detail, with sections on mechanical protection, photoprotection, barrier function, immune function, thermoregulation, and sensory function. In addition, careful consideration is given to skin disease rating and skin maps, and a unique list of physical and biological constants and units is provided. Not only is this new edition the first comprehensive, practical handbook in this domain - it will also serve as a manual of skin physiology and collates anatomical, functional, and physical quantitative data that would otherwise be arduous to retrieve because of their dispersal throughout the literature. It will prove a valuable resource for dermatologists, cosmetologists, bioengineers, physiologists, pharmacists, and all others who deal with the skin in their work.
Against Bioethics
by Jonathan BaronGovernments, health professionals, patients, research institutions, and research subjects look to bioethicists for guidance in making important decisions about medical treatment and research.
Against Health: How Health Became the New Morality (Biopolitics #18)
by Anna Kirkland Jonathan M. MetzlNavigates the divergent cultural meanings of health, and its entanglement with morality in current political discourseYou see someone smoking a cigarette and say,“Smoking is bad for your health,” when what you mean is, “You are a bad person because you smoke.” You encounter someone whose body size you deem excessive, and say, “Obesity is bad for your health,” when what you mean is, “You are lazy, unsightly, or weak of will.” You see a woman bottle-feeding an infant and say,“Breastfeeding is better for that child’s health,” when what you mean is that the woman must be a bad parent. You see the smokers, the overeaters, the bottle-feeders, and affirm your own health in the process. In these and countless other instances, the perception of your own health depends in part on your value judgments about others, and appealing to health allows for a set of moral assumptions to fly stealthily under the radar.Against Health argues that health is a concept, a norm, and a set of bodily practices whose ideological work is often rendered invisible by the assumption that it is a monolithic, universal good. And, that disparities in the incidence and prevalence of disease are closely linked to disparities in income and social support. To be clear, the book's stand against health is not a stand against the authenticity of people's attempts to ward off suffering. Against Health instead claims that individual strivings for health are, in some instances, rendered more difficult by the ways in which health is culturally configured and socially sustained.The book intervenes into current political debates about health in two ways. First, Against Health compellingly unpacks the divergent cultural meanings of health and explores the ideologies involved in its construction. Second, the authors present strategies for moving forward. They ask, what new possibilities and alliances arise? What new forms of activism or coalition can we create? What are our prospects for well-being? In short, what have we got if we ain't got health? Against Health ultimately argues that the conversations doctors, patients, politicians, activists, consumers, and policymakers have about health are enriched by recognizing that, when talking about health, they are not all talking about the same thing. And, that articulating the disparate valences of “health” can lead to deeper, more productive, and indeed more healthy interactions about our bodies.
Against Her Will
by Ronald J. WatkinsRichard and Victoria Tinyes feared the worst when their thirteen-year-old daughter Kelly Ann vanished from their quiet suburban community of Valley Stream, New York on March 3, 1989. But the nightmare to come was worse than they could ever imagine. Only five doors away, in the home of John and Elizabeth Golub, police found Kelly Ann's body stuffed in a plastic garbage bag. She'd been brutally beaten, stabbed, strangled and mutilated. After weeks of intense investigation, police arrested the Golubs' twenty-one-year--old son. Robert--a reclusive young man obsessed with bodybuilding and given to fits of rage. The sensational trial and subsequent conviction of Robert Golub shocked the nation and tore the once-peaceful community apart. Neighbors took sides. So did the media. And no one who lived on Horton Road would ever be the same.
Against Medical Advice: A True Story
by James Patterson Hal FriedmanCory Friedman woke up one morning when he was five years old with the uncontrollable urge to twitch his neck. From that day forward his life became a hell of irrepressible tics and involuntary utterances, and Cory embarked on an excruciating journey from specialist to specialist to discover the cause of his disease. Soon it became unclear what tics were symptoms of his disease and what were side effects of the countless combinations of drugs. The only certainty is that it kept getting worse. Simply put: Cory Friedman's life was a living hell.AGAINST MEDICAL ADVICE is the true story of Cory and his family's decades-long battle for survival in the face of extraordinary difficulties and a maddening medical establishment. It is a heart-rending story of struggle and triumph with a climax as dramatic as any James Patterson thriller.
Against My Better Judgment: An Intimate Memoir of an Eminent Gay Psychologist
by Roger BrownAgainst My Better Judgment: An Intimate Memoir of an Eminent Gay Psychologist is an extraordinary and moving account of the life of a gay man in his late 60s after he loses his companion of 40 years to cancer. A leading professor of psychology at Harvard University, Roger Brown bravely comes forth with his compelling story of grief, loneliness, and a relentless search for intimacy, healing, and self-acceptance. Readers gain insight into a stage of life experienced by gay men of which little is written or spoken due to the ageism that characterizes homosexual culture. Against My Better Judgment reveals deeply personal truths that will prepare gay men for what to expect in the later stages of life. Universal in nature, these truths will speak to readers from various lifestyles and of all ages. Readers will recognize the book as a story of looking for love in all the wrong places, but will also see in it a process of discovery--both internal and external. In the aftermath of his lover&’s death, Brown turns to prostitutes for companionship, for relieving repressed sexual energy, and even for love. Through his unique relationships with three young men, he does not find the romantic love he so desperately seeks, but discovers that his idea of human nature has been formed by his particular life position and association with people who share his values, knowledge, and privileges. Once he goes outside his social and intellectual circle, he acquires a new perspective on life and realizes how far from universal truth his notions of humanity have been.Readers of Against My Better Judgment will gain a different perspective on the complexities of love, relationships, fidelity, human nature, and the hardships of life inevitably faced by all humans--straight, gay, or bisexual. Gay men, lesbians, psychologists, widowers, therapists, and anthropologists, as well as sensitive readers of any background, will heighten their understanding of what it means to be human. This remarkable story makes a tremendous contribution to existing gay literature and the timeless struggle of art and literature to make sense of the universe and the place of humans within it. Echoing life, Against My Better Judgment, with its brutal honesty, intrigues and repels alternately, just as it elicits both sadness and laughter.
Against Relativism: Cultural Diversity and the Search for Ethical Universals in Medicine
by Ruth MacklinThis book analyzes the debate surrounding cultural diversity and its implications for ethics. If ethics are relative to particular cultures or societies, then it is not possible to hold that there are any fundamental human rights. The author examines the role of cultural tradition, often used as a defense against critical ethical judgments, and explores key issues in health and medicine in the context of cultural diversity: the physician-patient relationship, disclosing a diagnosis of a fatal illness, informed consent, brain death and organ transplantation, rituals surrounding birth and death, female genital mutilation, sex selection of offspring, fertility regulation, and biomedical research involving human subjects. Among the conclusions the author reaches are that ethical universals exist but must not be confused with ethical absolutes. The existence of ethical universals is compatible with a variety of culturally relative interpretations, and some rights related to medicine and health care should be considered human rights. Illustrative examples are drawn from the author's experiences serving on international ethical review committees and her travels to countries in Africa, Asia, and Latin America, where she conducted educational workshops and carried out her own research.
Against White Interiority: A Racial Critique of Therapeutic Reason
by Sam BinkleyThis book presents a bold critique of the new racial sensibility that has attained global prominence following the police murder of George Floyd. Through a set of managerial and therapeutic discourses, this new sensibility describes the inner racial life of white subjects, inducing them to adopt a therapeutic attitude toward deeply interiorized white emotions and conflicts. In so doing, the new racial sensibility promises to remake whiteness in the image of the self-aware racial ally. However, such an appeal, it is argued, serves the subtle function of the preservation of white racial dispositions, and the reproduction of the very racism it sets out to transform. Adopting a critical lens derived from Michel Foucault’s analysis of sexuality, together with an engagement with sociological, psychoanalytic and phenomenological reflections on shame as a racial affect, a critique of white interiority considers alternative frames through which white anti-racist subjection might be imagined.
Against‐Medical‐Advice Discharges from the Hospital: Optimizing Prevention And Management To Promote High Quality, Patient-Centered Care
by David AlfandreFirst-of-its-kind text addressing the problem of against medical advice discharges in hospital-based healthcare.<P><P> Provides a comprehensive, multidisciplinary overview of a significant health care quality problem.<P> Addresses the legal, ethical, and institutional aspects of the problem as well as provides a framework for best practices for varied clinical disciplines including emergency medicine, pediatrics, psychiatry, hospital medicine, and nursing.<P>This first-of-its-kind text provides a multidisciplinary overview of a significant problem in hospital-based healthcare: patients who decline inpatient medical care and leave the hospital against medical advice (AMA). Compared to standard hospital discharges, AMA discharges are associated with worse health and health services outcomes. Patients discharged AMA have been found to have disproportionately higher rates of substance use, psychiatric illness, and report stigmatization and reduced access to care. By providing a far reaching examination of AMA discharges for a wide academic and clinical audience, the book serves as a reference for clinical care, research, and the development of professional guidelines and institutional policy. The book provides both a broad overview of AMA discharges with chapters on the epidemiology, ethical and legal aspects, as well as social science perspectives. For clinicians in the disciplines of hospital medicine, pediatrics, emergency medicine, nursing, and psychiatry, the book also provides a patient-centered analysis of the problem, case-based discussions, and a discussion of best practices. This comprehensive review of AMA discharges and health care quality will interest physicians and other health care professionals, social workers, hospital administrators, quality and risk managers, clinician-educators, and health services researchers.
Agammaglobulinemia (Rare Diseases of the Immune System #4)
by Alessandro Plebani Vassilios LougarisThis book provides an updated overview of agammaglobulinemia, a rare form of primary immunodeficiency which is considered the prototype of the congenital humoral defects, and which is characterized by the absence of peripheral B cells and very low serum immunoglobulin levels. The book opens by discussing the highly orchestrated early B cell development in the bone marrow and the genes involved based on both human and animal models. The pathogenesis and clinical presentation of X-linked agammaglobulinemia, caused by mutations in the BTK (Bruton's tyrosine kinase) gene, are then presented in detail, followed by descriptions of the clinical manifestations and molecular basis of the less frequent autosomal recessive and autosomal dominant forms of agammaglobulinemia. Patients' management in terms of respiratory complications, gammaglobulin replacement therapy and the potential value of novel experimental therapeutic strategies are discussed. The book's closing chapters offer a comprehensive and updated description of mutations in the BTK gene, and the expression and function of BTK in cells other than B cells.
Age Right
by Greg Ptacek Karlis UllisWelcome to the new age in antiaging therapyDon't resign yourself to growing old gracefully. With Age Right as your guide, you can reduce body fat, increase strength and energy, and boost your sex drive, all while adding years to your life. With his revolutionary approach, Karlis Ullis, M.D,, provides you with the latest methods for stopping -- and even reversing -- the aging process. Based on twenty years of pioneering work with Olympic and professional athletes, Age Right offers an antiaging program that helps you extend your life span by identifying your unique aging pathway through the "Mind-Body-Spirit" test.USING A STEP-BY-STEP, PERSONALIZED PLAN OF EXERCISE, NUTRITION, AND ANTIAGING SUPPLEMENTS, THIS UNIQUE PROGRAM OFFERSThe most up-to-date information on how and why we age, and the four key factors in the aging processSelf-tests to determine your "biological age" (versus your chronological age)Expert advice on the best combination of nutrition, exercise, and supplements to fight the effects of age-related problems as indicated by your aging pathwaySpecific guidelines for modifying your antiaging regimen based on gender, fitness level, and lifestyleDetailed descriptions of all the antiaging supplements available today as well as treatments for the next millenniumPractical and extensive resources for choosing the right supplements, creating a specific diet and exercise plan, and finding the best antiaging health professionals
Age Right: Turn Back the Clock with a Proven, Personalized, Anti-Aging Program
by Greg Ptacek Karlis UllisWelcome to the new age in antiaging therapyDon't resign yourself to growing old gracefully. With Age Right as your guide, you can reduce body fat, increase strength and energy, and boost your sex drive, all while adding years to your life. With his revolutionary approach, Karlis Ullis, M.D,, provides you with the latest methods for stopping -- and even reversing -- the aging process. Based on twenty years of pioneering work with Olympic and professional athletes, Age Right offers an antiaging program that helps you extend your life span by identifying your unique aging pathway through the "Mind-Body-Spirit" test.USING A STEP-BY-STEP, PERSONALIZED PLAN OF EXERCISE, NUTRITION, AND ANTIAGING SUPPLEMENTS, THIS UNIQUE PROGRAM OFFERSThe most up-to-date information on how and why we age, and the four key factors in the aging processSelf-tests to determine your "biological age" (versus your chronological age)Expert advice on the best combination of nutrition, exercise, and supplements to fight the effects of age-related problems as indicated by your aging pathwaySpecific guidelines for modifying your antiaging regimen based on gender, fitness level, and lifestyleDetailed descriptions of all the antiaging supplements available today as well as treatments for the next millenniumPractical and extensive resources for choosing the right supplements, creating a specific diet and exercise plan, and finding the best antiaging health professionals
Age and Identity in Eighteenth-Century England ("The Body, Gender and Culture" #11)
by Helen YallopYallop looks at how people in eighteenth-century England understood and dealt with growing older. Though no word for ‘aging’ existed at this time, a person’s age was a significant aspect of their identity.
Age into Race: The Coronization of the Old (International Perspectives on Aging #38)
by Haim HazanAge into Race is a socio-anthropological essay on the repercussions of the Covid-19 pandemic on the cultural status of the old. As the worldwide horrors of the Corona era have since been publicly repressed, the text is geared to revisit and relive the tenor of that time while considering its latent revolutionary aftermath. There was wide agreement that Covid-19 policies targeted older people as a risk group in need of protection, setting it apart from the rest of society. Yet, paradoxically, long-term facilities for older people effectively became Covid-19 death traps. What kind of abandonment propelled this apparent contradiction? This book provides an answer by looking at ageist practices regarding Covid-19 triaging, lockdowns and distancing that affected older people around the world, devising Covid-19 as an inevitable "problem of the elderly" and, by implication, instating and categorizing "the elderly" as a public problem to be bio-politically managed and wrought. The Covid-19 pandemic and its concomitant "state of emergency" triggered an accelerated transmutation of customary ageism into emergent racism, spelling a fatal switch to designating the old as bearers of "bare" life unworthy of human living, thus turning old age from a seemingly cultural category to a socially fabricated viral menace of nature. The book tracks down the process through which the "Coronization" of culture legitimized and impelled a further stigmatization of old age beyond mere ageism to sheer racism. Thus, this transmutation, while compromising their autonomy and subjectivity via imposed lockdowns, social isolation, excommunication and selective discrimination rendered the old a race apart. Subsequently, the moral panic invoked by the specter of the pandemic transformed the social perceptions of later life from a containable social problem to an unbridled public hazard that summoned total measures presented as bureaucratically regimented regulations that dehumanized its victims with impunity.
Age of Onset of Mental Disorders: Etiopathogenetic and Treatment Implications
by Norman Sartorius Giovanni De Girolamo Patrick D. McGorryThis book presents a thorough and critical review of current knowledge about the age of onset of mental disorders. The opening chapters offer information about the impact of the age of onset on the clinical picture, course, and outcome of physical illnesses, and about the neurobiological implications and correlates of different ages of onset. The impact and correlates of the ages of onset of all the most important mental disorders are then discussed in detail by internationally renowned scientists. The background to the book is the recognition that a better understanding of age of onset makes it possible to estimate the lifetime risk of disorders, helps to elucidate pathogenesis, and facilitates efficient, targeted clinical management. The book will be of value for clinicians, mental health professionals, mental health researchers, epidemiologists, and different stakeholders in the mental health field.
Age-Adjusted Psychiatric Treatment for the Older Patient
by James A. Bourgeois Howard H. Fenn Catharine Birtley FennThis book offers practical age-adjusted recommendations to treat the most common psychiatric symptoms and syndromes in the geriatric patient. The principles described here are not new; advice for prescribing to the aging patient has always been to “start low, go slow.” This book fleshes out that dictum based on research evidence, clinical experience, and trends in the literature. An age-adjusted approach endorses medication interventions when needed as part of a comprehensive treatment plan. A combination of psychotherapeutic interventions, non-pharmacological modalities, and judiciously managed medications can improve quality of life and minimize risks inherent in pharmacotherapy applied to aging physiology.Age-Adjusted Psychiatric Treatment for the Older Patient is divided into five sections, covering the foundations of evaluation and treatment, neurocognitive disorders, psychiatric syndromes, therapeutics and interventions, and special topics. Each chapter begins with a complex case example that illustrates the topic. It then reviews current evidence-based evaluation and treatments. Age-adjusted recommendations, distilled from the literature, are offered at the end of each chapter. The intent is to provide actionable advice to supplement, but not supplant, good clinical judgement, which can improve quality of life by managing psychiatric symptomatology while averting untoward results.This volume is an essential guide for experienced clinicians as well as trainees across many health care disciplines, both generalists and geriatric specialists, who all see increasing numbers of aged patients with psychiatric symptomatology.