Middle Adulthood

Question 0

physiologic changes

Answer 0

dec bone density (max at 25-35)
dec lean muscle mass
energy requirements dec - weight gain

Question 1

age range

Answer 1

40-65

Question 2

sensory changes

Answer 2

dec near vision - presbiopia, ciliary dec
dec hearing high pitched sounds - presbucupia
dec taste (80% taste buds die)
smell dec more in men
dec sensitivity to temperature, pain, vibration

Question 3

cognitive changes

Answer 3

brain weight dec 15% - (peak at 30), some adjustment by dendrites
fluid memory dec (ability to process novel info) - peak at 20
crystallized intelligence improves
explicit memory dec - “declaritive memory” facts, etc

Question 4

self-care and coping

Answer 4

health management and life satisfaction dependent on this
“stress” - external circumstances or demands are appraised by a person to exceed available resources and endangers well-being
2 forms of coping:
- problem focused
- emotion focused

Question 5

Type A

Answer 5

inc risk of CAD and its complications
intense
sustained drive for acheivement
controlling
few interests outside of work

Question 6

Type B

Answer 6

enthusiastic
active
responsive to needs of others
controls emotions well
usually optimistic

Question 7

Type C

Answer 7

greater risk of developing cancer
repress feelings
unassertive
helpless
needy

Question 8

Type D

Answer 8

with CAD - 4 x higher risk of death
negative
smoldering

Question 9

CAD

Answer 9

1 in 2 men, 1 in 3 women

Question 10

cancer

Answer 10

4 out of 10 americans

3/4 diagnosed in people 55 and older

Question 11

sandwich gen

Answer 11

sacrifices of time, finances and inc stress

inc rates of declining physical and mental health

Question 12

empty nest syndrome

Answer 12

depression
loss of purpose
worry, stress, anxiety about welfare of child
feelings of rejection
mothers more affected

Question 13

boomerang generation

Answer 13

1/3 of kids return to home (double rate of 10 yrs ago)
1/2 report severe conflict
main factor: unemployment rate

Question 14

midlife crisis

Answer 14

inc responsibility + inc loss
men - what they have and have not accomplished
women - risk for dec self esteem (physical and sexual changes of menopause)

Question 15

mid life accomplishments

Answer 15

vocational peak
higher overall life satisfaction
inc marital satisfaction

Question 16

self reflection

Answer 16

where have I been?
what am I doing now?
where will I go from here?
AM I SATISFIED?

Question 17

Erickson’s stage

Answer 17

Generativity vs stagnation: CARE
guiding next generation, charity
struggles - cannot help community, themselves
- regret
- psuedointimacy - treat self like only child

Question 18

Piaget’s stage

Answer 18

formal operational

egocentric -> sociocentric

Question 19

Kohlbergs stages

Answer 19

1 - obedience and punishment
2 - self-interest
3 - interpersonal accord and conformity
4 - authority and social-order maintaining
5 - social contract
6 - universal ethical

Question 20

James Fowler

Answer 20

FAITH
0 Primal of undifferentiated (0-2) - safety in environment
1 Intuitive/Projective (3-7) - imagination, no logic, model of parents
2 Mythic-literal (7-11) - begin to think logically, fairness
3 Synthetic/conventional (12-20) - all encompassing belief system
4 Individuative/reflective (20-40) - transiently unreligious, examine
5 CONJUNCTIVE (40-60) - second naiviety, return to beliefs
6 Universalizing (60+) - oneness, enlightenment

Question 21

Donald Super

Answer 21

Career Development
1 Growth (4-13) - start to think about concept of future, competencies
2 Exploration (teens to mid 20s) - try diff roles, volunteer/activities
3 Establishment (20s-40s) - suitable field, foundation of career
4 MAINTENANCE (40s-60s) - constancy, stability
5 Disengagement (60s+) - prep for retirement