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The article explores contemporary and future options for better personal and societal ageing. The phenomena of significantly more present and projected elders, especially the upcoming diverse American baby boomers, have generated peaked interest in ageing-related issues from academic, practicing professional, business, governmental, and adult constituencies. Although much of ageing-related theory, research, and practice remains discipline-specific, an integration of physical, psychological, and social ageing domains is suggested as a paradigm for personal and societal intervention. The integrative physical, psychological, and social successful ageing paradigm is used to illustrate advantages for the conceptual perspectives of multidimensional, multidirectional adult lifestyles, applied and interdisciplinary research agendas, and intervention strategies for productive ageing. Findings from a number of research programs emphasizing the integrative successful ageing approach are shared. Personal and societal priorities for productive ageing are reviewed. Successful ageing intervention strategies are presented in the context of personal decisions and lifestyles related to societal opportunities and restrictions. Preventive, rather than remedial intervention, is emphasized.

This paper deals with the techniques of integrating a child psychiatrist into a pediatric-surgical service. The use of executive meetings between the heads of both departments and the psychiatrist allowed for immediate clarification of misunderstandings and the formalization of decisions into administrative procedures. The special technique whereby the surgeon, on the basis of psychiatric information, acts as the spokesman for the joint psychiatric-surgical decision is discussed. The conceptualization of severe physical illness with rapid hospitalization as a crisis, allowed us to apply the crisis intervention theory as the basis for remedial intervention.