H. Hafner, G. Moschel, N. Sartorius The size of the world's population aged over 65 was estimated at about 250 million in 1980; by the year 2025 it is expected to grow to about 760 million (see Hauser, this volume). This sharp increase in life expectancy at birth, in some countries amounting to almost 100% in only a hundred years, has resulted from better nutrition and improved living conditions, hygiene and medical care. Not only life expectancy at birth, but also further life expectancy in advanced age has shown a clear, though more moderate increase. This increased life expectancy, together with a simultaneous fall in birth rates, has caused the mean age of the world population and, especially, the average age of the population of industrial nations to climb substantially in recent times, a development which will reach its peak only some decades from now. For these demographic reasons alone, health care authorities will have to devote more attention to the health problems of the elderly. The main task of medical research is to develop improved methods of disease prevention and treatment. Yet, because the full benefits of such research are only realized after many years of work, researchers have already begun to respond to demographic pressures by focussing part of their efforts on the study of illnesses characteristic of old age.

According to the World Health Organization's World Health Report 2001, one family in four worldwide has at least one member currently suffering from a mental disorder. This disorder often remains undiagnosed and untreated, but the behaviour of the ill person usually has a significant impact on the quality of life of the family and on the mental health of the other members of the family, and generates feelings of shame, guilt, helplessness and despair.

This book provides a comprehensive picture of currently available evidence about the specific characteristics of the burden on the families of people with the various mental disorders, the coping strategies which increase or decrease this burden, the family interventions of proven efficacy, and what should be said and what should not be said to the relatives of people with the various conditions.

Die 4. Auflage der Psychiatrie der Gegenwart ist voellig neu konzipiert; sie umfasst jetzt 6 Bande. Beibehalten hat man den editorischen Leitgedanken, der auch die Vorauflagen pragte: Nicht enzyklopadische Vollstandigkeit, sondern der aktuelle Erfahrungsstand der Psychiatrie wird - paradigmatisch - vermittelt. Das Werk bringt zu jedem Thema eine UEbersicht des wissenschaftlich gesicherten Wissens, dessen Anwendung in der Praxis sowie Brennpunkte, Entwicklungstrends, Zukunftsperspektiven des Fachs. Wesentliche Akzentsetzungen der 4. Auflage sind die internationale Vielfalt der Beitrage, die Gewichtung von "Migration, Postraumatischer Belastungsstoerung - allgemein: Spezifischen Lebenssituationen", die Integration neuer Erkenntnisse etwa in der Molekularbiologie, im Bereich bildgebender Verfahren oder in der Neuropsychologie. Neu und leserfreundlich ist das zweifarbige, mit Mariginalienspalte versehene Innenlayout.

This book was published in 1974 as a guide to a method of partially standardising the assessment of a subject's mental state with the object of achieving greater comparability between different examiners. The basis of the technique is a glossary of definitions of symptoms which is firmly grounded in the European school of psychiatry, with its long tradition of clinical observation and emphasis on the importance of listening to the a patient's description of unusual experiences. The definitions clearly set out the experiences which constitute psychiatric symptoms. An interview technique - the Present State Examination - which allows the symptoms to be elicited and reliably recorded is descried. The system was developed over a period of a decade and was still evolving at the time of this book's publication. The importance of this book lies in the fact that it shows how much the subjective element of psychiatric diagnosis may be brought under control.

In order to help people with a mental illness it is important to be able to understand and measure the severity of the experiences that they find distressing and disabling and which can affect their behaviour. SCAN is a form of interview, found acceptable to patients, which provides a detailed and accurate picture of 'mental state'. When analysed by computer it provides a diagnosis that is comparable wherever the system is used. The 9th edition of the Present State Examination (PSE-9) was published in 1974 and served to link the two main approaches to the description and classification of psychological problems. PSE-10/SCAN builds on the experience of extensive tests using PSE-9. It retains the main features of PSE-9 and links together the two international classification systems, ICD-10 and DSM-IV. This reference manual is a companion to the SCAN interview schedule and software. It describes the rationale and development of the system and provides a valuable introduction to its uses.

In order to help people with a mental illness it is important to be able to understand and measure the severity of the experiences that they find distressing and disabling and which can affect their behaviour. SCAN is a form of interview, found acceptable to patients, which provides a detailed and accurate picture of mental state. When analyzed by computer it provides a diagnosis that is comparable wherever the system is used. The 9th edition of the Present State Examination (PSE-9) was published in 1974 and served to link the two main approaches to the description and classification of psychological problems. PSE-10/SCAN builds on the experience of extensive tests using PSE-9. It retains the main features of PSE-9 and links together the latest two international classification systems D ICD-10 and DSM-IV. This reference manual is a companion to the SCAN interview schedule and software. It describes the rationale and development of the system and provides a valuable introduction to its uses.