The three D's of Geriatric Psychiatry-delirium, dementia, and depression-represent some of the most common and challenging diagnoses for older adults. Delirium is often difficult to diagnose and treatment is sometimes controversial with the use of antipsychotic medications, but it is common in a variety of patient care settings and remains an independent risk factor for morbidity and mortality in older adults. Dementia may affect a significant number of older adults and is associated with delirium, depression, frailty, and failure to thrive. Treatment of dementia is challenging and while medication interventions are common, environmental and problem solving therapies may have some of the greatest benefits. Finally, depression increases with age and is more likely to present with somatic complaints or insomnia and is more likely to be reported to a primary care physician than any other healthcare provider by older adults. Depression carries an increased risk for suicide in older adults and proven therapies should be initiated immediately. These three syndromes have great overlap, can exist simultaneously in the same patient, and often confer increased risk for each other. The primary care provider will undoubtedly benefit from a solid foundation in the identification, classification, and treatment of these common problems of older adulthood.

This article considers the recent publishing phenomenon, E.L. James's Fifty Shades trilogy, from what may be termed a 'sex-critical' perspective. That is, it evaluates, without endorsing, the differing responses to the trilogy issuing from both sex-positive and radical feminist perspectives. Further, it subjects to equal scrutiny the ways in which the trilogy and discourses about it represent both BDSM practices and the rituals of 'vanilla' heterosexual romance/marriage. It concludes that both the trilogy and kinkphobic mainstream responses to it collude in rendering invisible the ethically and politically problematic aspects of heteronormative courtship narratives ending in marriage and reproduction by othering and scapegoating non-normative practices such as those included under the BDSM umbrella. IntroductionThis article explores some of the problems raised by E.L. James's popular Fifty Shades trilogy from the perspective of critical sexuality studies. It focuses in particular on three issues. First, it addresses the ways in which feminist responses to the trilogy have tended to revert to the unhelpful 'sex-positive'/'sex-negative' dichotomy. Second, it explores how the generic expectations of romance and the books' very mainstream intended readership limit the representation of the female character, Anastasia Steele, and result in a protagonist who expresses no degree of autonomous desire outside of conventional romantic heteronorms. Third, it examines how the structural inequalities and political questions underpinning and determining 'vanilla' romance and its flagship institution, marriage, are obfuscated in the book by means of the focus on the titillating 'wrongness' of power exchange sex and BDSM. 1 The exceptional popularity of this trilogy and the number of media and academic commentaries it has attracted and continues to attract make it of relevance to a journal that concerns itself with the cultural and psychological meanings of sexuality -including fashions in sexual representation. This article, authored by a scholar trained primarily in literary studies and continental philosophy, with an interest in critical psychology, offers a pointed critique of the trilogy. Rather than offering a traditional literary-critical analysis of Fifty Shades, or a reader-response study of the trilogy, however, this article will consider the extent to which the mainstream discourses about gender and sexuality that underlie

French philosopher and historian Michel Foucault is essential reading for students in departments of literature, history, sociology and cultural studies. His work on the institutions of mental health and medicine, the history of systems of knowledge, literature and literary theory, criminality and the prison system, and sexuality, has had a profound and enduring impact across the humanities and social sciences. This introductory book, written for students, offers in-depth critical and contextual perspectives on all of Foucault's major published works. It provides ways in to understanding Foucault's key concepts of subjectivity, discourse, and power and explains the problems of translation encountered in reading Foucault in English. The book also explores the critical reception of Foucault's works and acquaints the reader with the afterlives of some of his theories, particularly his influence on feminist and queer studies. This book offers the ideal introduction to a famously complex, controversial and important thinker.

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