Book Review
Gerontology: A multidisciplinary approach
V Minichiello, L Alexander and D Jones
ISBN: 0 7248 0615 0 432; 1992; 432 pages; Prentice Hall, Sydney;
Bridget Swearse
Monash University, Gippsland VIC
The extensive preface of this book should be read thoroughly before having even a quick browse through the chapters. The reader will find exactly what each chapter consists of and thus be able to confine research to those chapters.
However the reader should be aware that this sort of hopscotch reading will lead to a compulsion to 'just dip into one of the other chapters'. The first four chapters which invite the reader to take up the challenge of the study of ageing through biological, psychological and sociological aspects present the most thorough and occasionally startling arguments. The wide research and foundations for the discussions gives the reader the opportunity to explore even further the issues raised. Some both entertaining and 'readable' examples enhance the presentation.
If the aim of Chapter 5, Research Methods in Gerontology, is to stimulate the reader into leaping into the wondrous world of research, it has been achieved. The discussion of both how and why to do research in the world of gerontology is stimulating. If governments are to plan long term programs based on research findings, then this chapter will give plenty of impetus to researchers to aim their studies towards a positive end. The section on Practical Geriatrics is refreshing. I found myself delighted to see many of my thoughts and frustrations echoed in these chapters.
The case studies used as illustrations highlight the situations discussed very well. I think all nurses will have seen similar episodes and know all too well the sadness of an inappropriate diagnosis followed by the joy of recovery and return to a fit life. Practical Geriatrics gave me the sense of 'here is something I can get my teeth into'. Useful ideas for care, deep understanding of the real problems and a sensible approach to solving those problems was offered. The Care Team was a disappointment after the previous chapters.
It follows the general theme of the challenge of study through the disciplines of biology, psychology and sociology, however it felt somewhat disconnected as do care teams in the community. The section on the 'common difficulties in teamwork' is so real that it is frightening. I would have liked some recommendations rather than the mild suggestions expressed here. The final paragraph explains the whole chapter very well. The final chapter, A Framework to Make Sense of Public Policy and Aged Care, is a wonderful tour de force through the minefield of government grenades, bureaucratic blinkers and a positive armoury of policies, laws, recommendations, enquires and reports. It stimulates the desire to deeper reading.
In the Appendices is a list of journals, addresses of service agencies to access, and a detailed table of all the Acts which affect older people in Australia and New Zealand. Overall the book was a pleasure to read, it has given a clear account of approaches to gerontology, and the references are extensive. An indispensable book for all health professionals and an important text for those who are involved in making decisions both with and for the aged.
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