There is growing evidence that the sexual rights of older people are not being met. One reason, perhaps the main reason, relates to the way that old age is viewed. In many cultures, being old is associated with decline and disease, which positions older people as dependent and powerless. Furthermore, an absence of positive or celebratory discourses around older people's sexuality is particularly striking. The book addresses a gap in research and policy. Using an adaptation of the Declaration of Sexual Rights from the World Association of Sexual Health, it provides readers with an innovative and evidence-based framework for achieving the sexual rights of older people. Drawing on interdisciplinary research, it explores the cultural and social locations of old age and its intersections with sexual orientation, gender identity, and intersex status. Key themes include stigma, silencing, invisibility, prejudice, discrimination, and a lack of information, awareness, and understanding. Addressing the Sexual Rights of Older People: Theory, Policy and Practice is a text for academics, health professionals, social professionals, service providers, and policy-makers. It is a timely and insightful collection which suggests ways to apply the sexual rights framework, raise awareness, and engage communities in constructing strategies for reform.

To begin new relationships in later life is increasingly common in large parts of the Western world. This timely book, part of the Ageing in a Global Context series, addresses the gap in knowledge about late life repartnering and provides a comprehensive map of the changing landscape of late life intimacy.

This book provides the first comprehensive overview of a new scientific discipline termed Geroscience. Geroscience examines the molecular and cellular mechanisms that might explain why aging is the main risk factor for most chronic diseases affecting the elderly population. Over the past few decades, researchers have made impressive progress in understanding the genetics, biology and physiology of aging. This book presents vital research that can help readers to better understand how aging is a critical malleable risk factor in most chronic diseases, which, in turn, could lead to interventions that can help increase a healthy lifespan, or 'healthspan.' The book begins with an analysis of the Geroscience hypothesis, as well as the epidemiological underpinnings that define aging as a candidate main risk factor for most chronic diseases. Next, each chapter focuses on one particular disease, or group of diseases, with an emphasis on how basic molecular and cellular biology might explain why aging is a major risk factor for it. Coverage in the book includes: cancer, cardiovascular disease, dementias, stroke, Parkinson's and Alzheimer's diseases, osteoporosis, arthritis, diabetes asthma, emphysema, kidney disease, vision impairment, and AIDS/HIV. It finishes with a chapter on pain in the elderly and an overview of future steps needed to bring the newly acquired knowledge into the clinic and the public at large.

Decades of research have demonstrated that normal aging is accompanied by cognitive change. Much of this change has been conceptualized as a decline in function. However, age-related changes are not universal, and decrements in older adult performance may be moderated by experience, genetics, and environmental factors. Cognitive aging research to date has also largely emphasized biological changes in the brain, with less evaluation of the range of external contributors to behavioral manifestations of age-related decrements in performance. This handbook provides a comprehensive overview of cutting-edge cognitive aging research through the lens of a life course perspective that takes into account both behavioral and neural changes. Focusing on the fundamental principles that characterize a life course approach - genetics, early life experiences, motivation, emotion, social contexts, and lifestyle interventions - this handbook is an essential resource for researchers in cognition, aging, and gerontology.

Our understandings of both ageing and spirituality are changing rapidly in the twenty-first century, and grasping the significance of later life spirituality is now crucial in the context of extended longevity. Spiritual Dimensions of Ageing will inform and engage those who study or practise in all fields that relate to the lives of older people, especially in social, psychological and health-related domains, but also wherever the maintenance and development of spiritual meaning and purpose are recognised as important for human flourishing. Bringing together an international group of leading scholars across the fields of psychology, theology, history, philosophy, sociology and gerontology, the volume distils the latest advances in research on spirituality and ageing, and engages in vigorous discussion about how we can interpret this learning for the benefit of older people and those who seek to serve and support them.

The psychology of aging usually focuses upon cognitive changes, with a particular focus on dementia and other forms of cognitive decline. But getting older is about more than simply changes to the brain and related health issues. Changes to our social and emotional lives are also hugely significant as we adapt across our lifespan. The second edition of Aging and Development is the only textbook available that responds to the growing interest in social, personal and emotional development in older age. Ideally suited to complement texts on cognitive change, the book provides a holistic developmental perspective on aging. It highlights a range of issues, including the development of personal meaning and spirituality, improvements in emotional control, uses of reminiscence and life review, the importance of healthy attitudes to aging, as well as the maintenance of close personal relationships. It does not avoid the difficult issues of late life decline, but illustrates how even in circumstances of physical and mental frailty a positive sense of self can be created and enhanced. Fully updated to provide the most cutting-edge overview on this burgeoning topic of interest, Aging and Development includes a glossary and list of useful websites both on the study of gerontology and the psychology of aging. It will be essential reading for all students of developmental psychology, as well as anyone either training to work or already working with older people.

In the summer of 1996, Ruth Ray, a gerontologist in her forties, befriended an eighty-two-year-old man suffering from Parkinson's. The two remained close until the end of his life, sharing stories and memories while building a deep relationship. Part memoir, part biography, "Endnotes" explores how people construct meaning through their interactions with others. With grace and wit, Ray situates her friend's past experiences and present relationships within the theories and literature of gerontology, providing a deeper understanding of autonomy at the end of life. She also delves into the complexities of sexuality and intimacy in old age, communication across disabilities and age groups, the disabling nature of nursing homes, and the trials of death and dying. Writing as both a woman and a gerontologist, Ray finds that the "quality of care" we provide for others requires not only an understanding of the relationships that have given a person's life meaning but also a willingness to accept and share deeply in the emotional process of physical and mental decline.

"We are awash in time, savoring a few moments of it; we project ourselves into it, reinvent it, play with it; we take our time or let it slip away: it is the raw material of our imagination. Age, on the other hand, is the detailed account of the days that pass, the one-way view of the years whose total sum when set forth can stupefy us. Age wedges each of us between a date of birth that, at least in the West, we know for certain and an expiration date that, as a general rule, we would like to defer. Time is a freedom, age a constraint." Marc Auge remembers his beloved childhood cat, who seemed to grow wise with age, though her essential nature remained unchanged. He considers our belief that objects mature, when it is our perception of them that evolves over time. He wonders why public demonstrations of affection between the elderly make the young so uncomfortable and why we torture ourselves with regret at what might have been. Time can be liberating, he finds; it is a resource we can squander or relish. Yet age is a burden, bound by our personal and cultural neuroses. With an ethnologist's understanding of construct and practice, Auge isolates age from the development of consciousness, desire, and representations of the self. In bold, eye-opening strokes, he casts age as a physical marker and treats one's youthful approach to the world as the true measure of life's value.

We are all living longer. The World Health Organisation predicts that by 2050 there will be two billion people over 60 with 434 million of those over 80 years of age. But there's a catch: the quality of those extra years of life is shockingly poor. Many of us will find ourselves living with diseases and dependent on non-curative drugs and health carers as a result. We are not ageing well nor wisely. Dr Norman Lazarus, 84, is an exception. He is an expert on the physiology of healthy human ageing and living proof that our later years can be lived well. Even now, in his eighties, he leads an active and medication-free lifestyle, regularly walking and cycling long distances. Dr Lazarus has now written a remarkable book, with the aim of helping others to stay well for longer. The Lazarus Strategy is a part how-to and part manifesto on the art of healthy ageing to guide readers along the path to a more active, productive, independent future and a medication-free life. Norman will show us that our lifestyle choices now will determine how we will age through our golden years and how fast - in the future. The three main factors crucial to keeping healthy are physical activity, food and the mind. Norman explains how each of these affect ageing and how we need to make changes to these areas of our life from the age of 50 and beyond.

Governments are encouraging later-life working and state pension ages are being raised. There is also a growing debate on intergenerational equity and on ageism/age discrimination. John Macnicol, one of Europe's leading academic analysts of old age and ageing, examines the effect of neoliberalism on the recent ageing and social policy agenda in the UK and the USA. He argues that the demographic and economic impulses behind recent policy changes are in fact less important than the effect of neoliberalism as an ideology, which has caused certain key problems to be defined in a particular way. The book outlines past theories of old age and examines pensions reform, the debate on life expectancy gains, the causes of retirement, the idea of intergenerational equity, the current debate on ageism/age discrimination and the likely human consequences of raising state pension ages.

Governments are encouraging later-life working and state pension ages are being raised. There is also a growing debate on intergenerational equity and on ageism/age discrimination. John Macnicol, one of Europe's leading academic analysts of old age and ageing, examines the effect of neoliberalism on the recent ageing and social policy agenda in the UK and the USA. He argues that the demographic and economic impulses behind recent policy changes are in fact less important than the effect of neoliberalism as an ideology, which has caused certain key problems to be defined in a particular way. The book outlines past theories of old age and examines pensions reform, the debate on life expectancy gains, the causes of retirement, the idea of intergenerational equity, the current debate on ageism/age discrimination and the likely human consequences of raising state pension ages.

More than thirty-five years ago, a longitudinal study was established to research the health and well-being of older people living in an English city. Self and Meaning in the Lives of Older People provides a unique set of portraits of forty members of this group who were interviewed in depth from their later seventies onwards. Focusing on sense of self-esteem and, especially, of continued meaning in life following the loss of a spouse and onset of frailty, this book sensitively illustrates these persons' efforts to maintain independence, to continue to have a sense of belonging and to contribute to the lives of others. It examines both the psychological and the social resources needed to flourish in later life and draws attention to this generation's ability to benefit from strong family support and from belonging to a faith community. In conclusion, it questions whether future generations will be as resilient.

People are leading significantly longer lives than previous generations did, and the proportion of older people in the population is growing. Residential care for older people will become increasingly necessary as our society ages and, we will require more of it. At this moment in time, the rights of older people receive attention at international and regional levels, with the United Nations, the Organization of American States and the African Union exploring the possibility of establishing new conventions for the rights of older persons. This book explores the rights of older people and their quality of care once they are living in a care home, and considers how we can commence the journey towards a human rights framework to ensure decent and dignified care for older people. The book takes a comparative approach to present and future challenges facing the care home sector for older people in Africa (Kenya), the Arab world (Egypt), Australia, China, England, Israel, Japan and the USA. An international panel of experts have contributed chapters, identifying how their particular society cares for its older and oldest people, the extent to which demographic and economic change has placed their system under pressure and the role that residential elder care homes play in their culture. The book also explores the extent to which constitutional or other rights form a foundation to the regulatory and legislative structures to residential elder care and it examines the important concept of dignity. As a multi-regional study of the care of older person from a human rights perspective, this book will be of excellent use and interest, in particular to students and researchers of family and welfare law, long-term care, social policy, social work, human rights and elder law.

Filling a major gap in neuropsychological references and training materials, this is the first guide to conducting effective clinical interviews as a core component of neuropsychological practice. Prominent experts provide state-of-the-art information about clinical interviewing in the context of 16 different adult populations and settings. Chapters outline critical areas of inquiry and key considerations for differential diagnosis, as well as what initial and follow-up questions to ask, rapport-building strategies, and common interviewing pitfalls. Tips for record reviews and behavioral observations are also offered. Chapters follow a consistent format and include extensive tables for easy reference.

Due to improvements in health and healthcare, the elderly population is expanding rapidly within the developed world. However, more and more elderly people require some form of psychological support at some point in their later years. The types of problems faced by this population are quite distinct and often more complex than those faced by younger adults, and throw up many new challenges - in both assessment and treatment. Though there are books available that focus individually on assessment or treatment, few have combined the two into a single framework. Within this book Knight and Pachana argue that psychological assessment needs to be more tightly integrated with therapy, especially with older adult clients. Using the Contextual Adult Lifespan Theory for Adapting Psychotherapy (CALTAP) as a framework for applying our knowledge about developmental, social contextual, and cohort/generational factors that influence age differences in response to psychological assessment and therapy, they present an integrated framework for psychological assessment and therapy with older adults. This text is valuable for practitioners looking for a solid theoretical basis for the practice of assessment and therapy with older clients, students in graduate courses looking at later lifespan issues, and educators looking for material to enhance generalist psychotherapy courses with a lifespan perspective.

The many significant technological and medical advances of the 21st century cannot overcome the escalating risk posed to older adults by such stressors as pain, weakness, fatigue, depression, anxiety, memory and other cognitive deficits, hearing loss, visual impairment, isolation, marginalization, and physical and mental illness. In order to overcome these and other challenges, and to maintain as high a quality of life as possible, older adults and the professionals who treat them need to promote and develop the capacity for resilience, which is innate in all of us to some degree. The purpose of this book is to provide the current scientific theory, clinical guidelines, and real-world interventions with regard to resilience as a clinical tool. To that end, the book addresses such issues as concepts and operationalization of resilience; relevance of resilience to successful aging; impact of personality and genetics on resilience; relationship between resilience and motivation; relationship between resilience and survival; promoting resilience in long-term care; and the lifespan approach to resilience. By addressing ways in which the hypothetical and theoretical concepts of resilience can be applied in geriatric practice, Resilience in Aging provides inroads to the current knowledge and practice of resilience from the perspectives of physiology, psychology, culture, creativity, and economics. In addition, the book considers the impact of resilience on critical aspects of life for older adults such as policy issues (e.g., nursing home policies, Medicare guidelines), health and wellness, motivation, spirituality, and survival. Following these discussions, the book focuses on interventions that increase resilience. The intervention chapters include case studies and are intended to be useful at the clinical level. The book concludes with a discussion of future directions in optimizing resilience in the elderly and the importance of a lifespan approach to aging.

An estimated 10,000 baby boomers retire every day, and many of them are gardeners. As part of maintaining a healthy and active lifestyle, they need to adapt how they garden to ensure they can continue enjoying the hobby for years to come. In The Lifelong Gardener, popular garden speaker Toni Gattone shares adaptive gardening techniques that help readers garden smarter, not harder. Gattone offers tried-and-true methods that help eliminate the physical strain of gardening like buying new ergonomic tools, using raised beds, making small adjustments like using kneeling pads, and dozens of simple ways to make the garden comfortable. Throughout, Gattone maintains a positive and empowering tone that honors the garden and the gardener and focuses on the joy of aging. The perfect gift for older home gardeners, The Lifelong Gardener shows how a little advanced planning can make gardening a safe and fun daily activity.

Winner of the 2018 Hilary Weston Writers' Trust Award for Non-fiction A poignant, complex and hugely resonant memoir about the shift from being a daughter to a guardian and caregiver, by a prizewinning author. From Elizabeth Hay, one of Canada's most celebrated novelists, comes a startling and beautiful memoir about the drama of her parents' end, and the longer drama of being their daughter. Jean and Gordon Hay were a formidable pair. She was an artist and superlatively frugal; he was a proud and principled schoolteacher with an explosive temper. Elizabeth, the so-called difficult child, always suspected she would end up caring for them in their final years, in part to atone for her childhood sins. Philip Roth once said, "Old age is a massacre". All Things Consoled takes you inside the massacre as Hay's ferociously independent parents become increasingly dependent on her. With remarkable wit and honesty, Hay lays bare the agony of a family coping as old age turns into the tragedy of living too long. In the end she arrives at a more nuanced understanding of her mother and father, and of herself as their daughter. They were and remain the two vivid giants in her life.

Use poetry and the arts to encourage and facilitate communication with people with dementia in a fun and unique way! Dementia Arts guides readers in incorporating poetry, music, and other arts into activity programming to increase interaction and encourage amusement and joy in dementia care. Author Gary Glazner, founder of the Alzheimer's Poetry Project and Institute for Dementia Education and Arts (IDEA), demonstrates how anyone-not just poets or artists-can incorporate creative verbal expression into activities of daily living (as well as day-to-day activities) in an effortless, economical, and enjoyable way. Using simple techniques that build on poetry as a communication tool, you can achieve positive outcomes with people in all stages of dementia, as well as those with challenging behavior. A fun and engaging read, Dementia Arts is perfect for professional and family caregivers, and truly provides the ""recipe"" for communication success through poetry and art.

This well-established and accessible text has been completely revised in this expanded fifth edition. Each chapter has been updated, often extensively, to reflect current thinking, and an important new chapter on death, dying and bereavement has been added. Providing a comprehensive overview of the psychological processes of ageing, the text examines what constitutes older age, and presents the latest theory and research in a variety of domains, including intellectual change in later life; ageing and memory; ageing and language; ageing, personality and lifestyle; and mental health and ageing. Consideration is given to the problems inherent in measuring the psychological status of older people, and the author looks to the future to answer the question "what will constitute 'being old'?" This new edition is essential reading for all those working or training to work with older people, and a key text for students.

A typically pessimistic view of aging is that it leads to a steady decline in physical and mental abilities. In this volume leading gerontologists and geriatric researchers explore the immense potential of older adults to overcome the challenges of old age and pursue active lives with renewed vitality. The contributors believe that resilience capacities diminishing with old age is a misconception and argue that individuals may successfully capitalize on their existing resources, skills and cognitive processes in order to achieve new learning, continuing growth, and enhanced life-satisfaction. By identifying useful psychological resources such as social connectedness, personal engagement and commitment, openness to new experiences, social support and sustained cognitive activity, the authors present a balanced picture of resilient aging. Older adults, while coping with adversity and losses, can be helped to maintain a complementary focus on psychological strengths, positive emotions, and regenerative capacities to achieve continued growth and healthy longevity.

Nations around the world are experiencing a spectacular increase in longevity. Society as a whole is being challenged by issues arising from this revolution in longevity. Although the specter of the loneliness and existential suffering of older citizens is such that some people under the age of 65 find it difficult to conceive of a long-term future, persons over 85 have proven that aging does not necessarily preclude a healthy and productive life. Extraordinary progress in both curative and preventive medicine justifies optimism about the quality of life and state of well-being that can be enjoyed even in great old age. We should look to professionals in diverse fields to develop creative solutions to the inevitable issues that will arise with aging. Governments must prepare for the future health of their citizens by making long-term investments to educate all sectors of society in the value of good nutrition, exercise, and lifestyles that enhance well-being throughout life. Also, governments should realize that the main cause of health care expenditure is serious illness which occurs in persons of all ages, and not predominantly in older people. Early detection can help save lives, as well. Health and longevity of life will ultimately end as a political issue. What is needed is long-term government investments necessary for a viable health policy. The question arises: will world leaders be able to commit to such a policy? Two major socioeconomic phenomena may have a regulating effect on this issue. The first is the emergence of pressure groups that have come into being in response to a particular health issue, such as AIDS. The second is the emergence of ethics committees in developed nations that deal solely with health issues.

Although most advanced industrialized countries are facing population aging and other social changes, public long-term care programs for the aged are remarkably diverse across them. This book accounts for the variations in elderly care policy by combining statistical analysis with historical case studies of Sweden, Japan and the USA.