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Previous Volume 329:67 July 1, 1993 Number 1 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Edited by Robert H. Binstock, Stephen G. Post, and Peter J. Whitehouse. 184 pp. Baltimore, Johns Hopkins University Press, 1992. $18.95. ISBN 0-8018-4545-9.

Dementia poses an enormous ethical problem to U.S. society and to other societies and cultures in the world. The "old old" are the fastest-growing segment of our population, and dementia is alarmingly prevalent in this group. The most common dementias are inevitably fatal after there has been a decade or more of progressive intellectual and physical deterioration. The great majority of patients with dementia spend their final years in nursing homes, bed-bound, incontinent, unable to recognize their family members, and unaware even of their own identities. The issues such patients raise are extreme versions of problems we now face in . . . [Full Text of this Article]

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