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Parenthood
Being childless is more accepted
People having fewer children
Decision to have children
Women with traditional role are more likely to have children
more thinking about financial implications of having children
Singlehood
Individuals not living with intimate partner
Men in bluecollar jobs and women in demanding careers overrepresented after age 30
Advantages (freedom/mobility)
Disadvantages
Loneliness, limited sexual/social life, reduced sense of security ,exclusion from world of married couples
Grandparenting
Grandmothers have more contact with gc than grandfathers
Role and functions vary in family ethnic group, culture
Divorce
Disrupted relationships
Other:
Young age at marriage
Different religious beliefs
Previously divorced
Age and the brain
smaller/lighter with age
Space between skull and brain doubles from 20-70
Number of neurons decline in some parts of the brain, but not as much as previously thought
75 year old heart pumps less than 75% of blood during early adulthood
Efficiency of respiratory system declines with age
Digestive system produces less digestive juice and less efficient in pushing food through the system (more constipation)
Alzheimer's symptoms
Gradual
Forgetfulness first
Affect recent memories first, then older memories fade
Causes confusion, inability to speak intelligibly or recognize closest family members
Loss of voluntary control of muscles occurs
Quality of life
Activities of Daily Living (ADLs)
Basic self-care tasks
Bathing, dressing, eating
Instrumental Activities of daily living (IADLs)
Conducting business of everyday life
Require cognitive competence
shopping, food preparation, housekeeping
Psych/mental disorders
Common
Depression
Drug-induced disorders
Not just alcohol
Chronic illness
Most older people have one+ chronic illness
Arthritis
Inflammation of one or more joins, common, 50% of older people
Hypertension
High blood pressure 33% of older people
Gender differences
Women experiene more non-life threatening illnesses, but men face more serious illness
Women smoke less, drink less alcohol, less dangerous jobs
Medical research has typically studied diseases of men with all male samples; the medical community only now beginning to study women's health issues
Deliberate vs automatic memory
Deliberate
Recall more difficult
Content helps retrieval, slower processing, smaller working memory make context harder to encode
Automatic
Recognition easier than recall
More environmental support
Implicit memory better than deliberate memory
without conscious awareness
Depends on familarity
(Freudian) Ego-integrity versus despair
Last stage of Erikson
Creates wisdom if successful
Despair
Occurs when people feel dissatisfied with their life, and experience gloom, unhappiness, depression, anger, or the feeling that they have failed
Can result in bitterness and unwillingness to accept aging and death
Integrity vs despair
Individual experiences sense or mortality
Manifests as a review of life and career
In response to retirement, death of spouse or close friends, or changing social roles
Reminiscence or introspection is most productive when experienced with significant others
Outcome of this life-career reminiscence can be either positive or negative
Peck: Three tasks of Ego Integrity
* Ego differentiation versus work-role preoccupation
People must redefine themselves in ways that do not relate to their work-roles or occupations
Why might it be difficult for one to find a new role in late adulthood?
* Body transcendence versus body preoccupation
Individuals
undergo changes in their physical identity as they age
Peck: we must learn to cope with and move beyond these physical changes (transcendence)
Why is this so difficult? loss of independence
* Ego transcendence versus ego preoccupation
People must come to grips with their coming death
If people in late adulthood see these contributions, they will experience ego transcendence
If not, they may become preoccupied with the question of whether their lives had value an worth to society
Levinson
People enter late adulthood by passing through transition stage
View themselves as "old" - not getting old
Recognize stereotypes and loss of power and respect
Not always looked at as resources to younger individuals
No longer center of work and family activities
But...
One can serve as resource to younger individuals
Advice is sought and relied upon when viewed as wise older adult
Does this always happen in US?
Once can focus on new freedom to do things simply for fun
Bernice Neugarten
Four personality types for people in 70s
Disintegrated and idsorganized
- unable to accept aging, experience despair as they get older
- Often found in nursing homes or are hospitalized
Passive-dependent
- Become fearful with age - fear of falling ill, fear of the future, fear of their own inability to cope
Defended Personalities
- Try to stop aging, may attempt to act young, exercising vigorously, and engage in youthful activities
Integrated personalities
- most successful cope comfortably with aging
-they accept becoming older and maintain a sense of self dignity
-- majority of people studies fall into this category
The New Old Age
Third Age
Age 65-79+
Marked by personal fulfillment, self-realization
high life satisfaction
need more opportunities to stay active
Spirituality and religion in late adulthood
- About 3/4 us elders say religion is very important
- Half attend services weekly
- Many become more religious/spiritual with age
- cultural, SES, gender differences
-Psychological, social benefits
Factors in psychological well-being
Control versus dependency
- poor healthy, depression linked
- suicide risk
- negative life changes
- social support, interaction
Taking control
Rats and human research has shown absence of control over stressors is a predictor of health problems
Marriage in late adulthood
- Satisfaction peaks in late adulthood
- fewer stressful responsibilities
- fairness in household tasks
- joint leisure
- emotional understanding, regulation
- if dissatisfied, harder for women
Long-term gay and lesbian partnerships
- most happy, highly fulfilling
- healthier, happier than singles
- coping with oppression may strengthen skill at coping with physical aging
- face legal, health-care issues
Close
Final Wednesday
Day 1
Chapter 19
US Societal changes
Early 1900s...
"comfort"
die of infection
at home
family caregiver
death short and sudden
Today...
"cure/delay"
die of chronic illness
at institutions
institution staff as caregiver, not always well-trained to do this (trained to cure)
death prolonged
What is death? (with medical advancements)
Brain death
All activity in brain/stem stopped
irreversible
Persistent vegetative state
Activity in cerebral cortex stopped
brain stem still active
Concept of death
Permanence
Inevitability
Cessation
Applicability
Causation
Early childhood
Don't completely understand permanence of death, universality, lack of functioning
Facts that affect understanding:
* Experience with death
* Religious teachings
Adolescence
More experienced with death and grief
More mature understanding of death
* Problems applying idea to their lives
- High-risk activities
- View as abstract state
Early adult
* Avoidance
* Death anxiety
* Death considered distant
Middle adulthood
* Begin to think of death
* Aware of limited time left to live
* Focus on tasks to be completed
Late adulthood
* Think and talk more of death
* Practical concern about how and when
What results in less anxiety?
* Goals fulfilled
* Feel as if one has lived a long life
* Have come to terms with finality
* Prior experience with death
Kubler-Ross Theory DABDA
* Stages are not a fixed sequence
* May cause insensitivity by caregivers
* Best seen as coping strategies
Seven Stages
* Shock/disbelief
* Denial
* Anger
* Bargaining
* Guilt
* Depression
* Acceptance / hope
Communicating with Dying People
Be truthful (diagnosis, course of disease)
Listen perceptively
Acknowledge feelings
Maintain realistic hope
Assist final transition
Day 2
Factors that influence thoughts about dying
Cause of death (nature of disease)
Personality
Coping style
Family members' behavior
Health professionals' behavior
Spirituality and religion
Culture
Traditional places of death
Home
* most preferred
* Only 25% die at home
* Need adequate caregiver support
Hospital
* Intensive care unit can be depersonalizing
Nursing Home
* Focus usually not on terminal care
Hospice Approach
Comprehensive support for dying and their families
* family and patient as a unit
* team care
* palliative (comfort) care
* home or homelike
* bereavement help
Advance Medical Directives
* Written statement of desired medical treatment in case of incurable illness
* Living Will: specifies desired treatments
* Durable power of attorney
- authorizes another person to make healthcare decision on one's behalf
- more flexible than living will
- can ensure partner's role in decision making even in relationships not sanctioned by law
Difficult grief situations
* Parents losing child
* Children or adolescents losing a parent
* Adults losing an intimate partner
* Bereavement overload
Bowlby 4 stages of grief
*Numbness
*Yearning
*Disorganization and despair
*Reorganization
Resolving Grief
* Give yourself permission to feel the loss
* Accept social support
* Be realistic about course of grieving
* Remember the deceased
* When ready, engage in new activities and relationships. Master tasks of daily living.
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Week 8
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Week 7
Module by
Jeff Pitner
, updated more than 1 year ago
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Developmental Psych
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