Measuring the social climate of congregate residences for older people: Sheltered Care Environment Scale

We developed the Sheltered Care Environment Scale (SCES) to provide researchers and practitioners with a practical means of assessing the social climate in congregate residential settings for the elderly. The SCES, a 63-item yes/no questionnaire that can be completed by residents and staff members of a facility, taps their perceptions of seven dimensions of the social environment. These dimensions concern the quality of relationships, the personal growth orientation present in the facility, and maintenance and change of the social system. The SCES discriminates among settings, has moderate to high internal consistency and split-half reliability, and is sensitive to environmental change against a backdrop of relative stability over time. The SCES reflects actual, agreed-on qualities of a setting and is relatively unaffected by characteristics of the respondent. Normative data are available from a national sample of 244 facilities representing the variety of residential settings available to the elderly.     

Old-age deficits in the sense of smell as gauged by thresholds, magnitude matching, and odor identification

Twenty elderly subjects (70-90 years old) and 20 young control subjects (18-24 years old) underwent three kinds of olfactory testing: absolute thresholds to three odorants (d-limonene, iso-amyl butyrate, benzaldehyde), magnitude matching of these odorants to salt tastes, and odor identification of 30 common substances. For all three odorants elderly subjects' mean threshold significantly exceeded that of the young by about ninefold for d-limonene, about threefold for benzaldehyde, and about twofold for iso-amyl butyrate. These threshold differences predict approximate concentration differences necessary to arouse the same estimated odor strength above the threshold for the elderly and the young. Young subjects also scored better than the elderly in odor identification, even when subjects were given four alternatives from which to select the correct label. Unimpaired olfactory functioning is uncommon in the elderly; correlational tests show that as a group the young have better olfactory ability and show more interindividual uniformity.     

Interventions with care givers of dementia patients: comparison of two approaches

We compared the effect of two approaches, family counseling and support groups, for relieving the stress and burden experienced by care givers of dementia patients. Both treatments are designed to implement features of a stress-management model that have been identified in prior research with this population: providing information about the patient's disease and its effects on behavior, teaching behavioral problem solving for managing difficult behavior, and identifying potential support for care givers. Subjects were primary care givers of dementia patients living in the community; they included husbands, wives, daughters, and other relatives. Although subjects in the treatment groups made significant gains over time, they did not differ from wait-list subjects who showed similar improvements. One-year follow-up interviews indicated that gains made during the treatment period were maintained.     

Old is old is old?

We examined potential differences between two matched subgroups of elderly men: young-old (65-74 years of age; n = 53) and old-old (75 years of age and older; n = 56). Subjects were fairly healthy men from community agencies, who were interviewed and tested on a number of characteristics involving personality, mood, attitudes, and behaviors. Although t tests and correlations indicated some differences between the groups, the overall findings underlined their similarity on the vast majority of variables scrutinized. The crucial base for enhancing understanding in gerontology should not only focus on the age-advancing senescent person but on the whole individual.     

Battered Women: A Developmental Life-Career Counseling Perspective

The authors describe a career counseling strategy based on specific psychosocial characteristics of battered women. The approach is developmental in nature, focusing on the client's self-concept. A group format based on a pilot intervention is proposed to assist battered women in developing appropriate life and career decision-making skills.