Presents a uniquely comprehensive picture of the current research about older adults with schizophrenia. With normal aging used as the point of comparison, the author explores several issues in the domain of schizophrenia and aging. The central issue is that of age-related changes in the clinical features of schizophrenia, which include delusions, hallucinations, emotional changes, cognitive impairments, and adaptive life skills. The book also examines whether the course of schizophrenia changes over time. Do some patients improve in their symptoms and functioning as they age, manifesting fewer signs of the illness and experiencing reductions in the level of care that they require? Does full recovery ever take place? Also considered are the implications of pharmacological and behavioral treatments for schizophrenia. Harvey evaluates whether specific interventions hold the same promise for older patients that they do for younger patients and examines why some of these interventions have not been used. The book concludes with health policy recommendations and a call for treatment guidelines specifically targeted to older adults.
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