vuxentid och åldrande Flashcards

1
Q

Describe three of the four issues addressed by the lifespan perspective.

A

The lifespan perspective addresses four issues related to development during the lifespan. Below will be described three of those four issues, namely multidirectionality, plasticity and historical context.

  • Multidirectionality can be described as development involving both gains and losses. As a human develops she will experience gains in some areas and experience losses in other areas, an example to clarify this can be the potential gain of a greater vocabulary and the loss of reaction time.
  • Plasticity can be described as that human capacity and skills can change over the lifespan, it is possible to learn new things, even in old age, though the plasticity is shown to be greater in childhood. An example to state plasticity can be the fact that it’s possible to learn a new language in old age, even though it’s much easier in childhood.
  • Historical context can be described as that each of us develop within our historical context, determined by for example the culture and any historical events such as pandemics. An example to clarify how the historical context is related to development can be people being alive during the covid pandemic might be affected by the world being in isolation. Above is described the three of four issues addressed by the lifetime perspective.
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2
Q

Define primary, secondary, and tertiary aging. Give an example of each.

A

When talking about aging, it’s important to state that aging is not a single process, instead it consists of at least three processes; primary aging, secondary aging and tertiary aging.

  • The term primary aging refers to the aging that happens to everybody (reaching old age) and is therefore universal. Changes that are associated with primary aging are not related to diseases or environmental influence. An example of primary aging is women getting menopause.
  • The term secondary aging refers to changes that do not necessarily happen to all (reaching old age). Secondary aging can be related to diseases, changes caused by environmental influences or lifestyle. An example of secondary aging is the severe memory loss and personality change due to Alzheimer’s disease.
  • The term tertiary aging refers to a state that involves rapid losses and happens before death. Tertiary aging does not seem to happen to everybody, and how long before death tertiary aging is happening can vary from shortly before death to one year before death. An example of tertiary aging is what is called terminal drop. Terminal drop is a marked decline in intellectual abilities.
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3
Q

Compare and contrast three ways of conceptualizing “age.”

A

To determine how old an individual is, one can use different conceptualizations of age. Three of these conceptualizations are chronological age, biological age and sociocultural age. Below will be stated for the similarities and the differences between these.

To compare chronological age with biological age, these two ways both don’t take into account the social surroundings or the context the individual is located in. Further both chronological age and biological age say little itself about the behavior of the individual. To compare biological age with sociocultural age, they both …
These use chronological age as a basis of explanation. There is also some overlap considering the biological aspect - for example the development of the prefrontal lobe lays a ground for what we consider a grown up.

To contrast biological and chronological age, one can have a high chronological age (meaning have lived many years) but still have good vital organs which is an indicator of lower biological age. To contrast biological age with sociocultural age, one can have a high sociocultural age (for example have become retired) but have a young biological age, with little impact on the vital organs.

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4
Q

Compare and contrast age-graded influences with history-graded influences.

A

Age-graded influences and history age-graded influences are two terms that describe the interaction experiences and events have with the developmental change an individual undergoes during the life-span.
Age graded = experiences caused by biographical, psychological and sociocultural forces, biololigal could be puberty, sociocultural could be age where we normally get married
History graded = most people in a specific culture experience - at the same time, biological could be epidemics, psychosocial could be particular stereotypes
sociocultural could be changing attitudes toward sexuality
gives a generation its unique identity - gen z

  • To compare the two terms, both of them involve an experience of some sort, and this experience is related to a developmental change or developmental indicator. Further, this event or experience can be either biological, psychological or sociocultural for both history-graded and age-graded influences.
  • To contrast them, history-graded influences are related to experiences that are specific to a culture at a specific time. While age-graded influences are not time specific in the same sense. To illustrate this contrast most of the population in Sweden that lived during the covid pandemic might have different views on safety regarding infection, which is a history-graded influence.
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5
Q

Compare and contrast cross-sectional designs, longitudinal designs, and sequential designs.

A

Different study-designs allow for different types of conclusion. Below will be held for some comparisons and some contrasts between the three study designs: cross-sectional designs, longitudinal designs and sequential designs.

Comparisons:
* Cross sectional allow for test age differences - Sequential also allows for testing age differences (since it, consists of cross sectional as well as longitudinal)
* In longitudinal as well as cross sectional cohort effects can be confounding
* Since both longitudinal and sequential designs are rather expensive the sample tends to be small (are great examples of otherwise though) - which can lead to poor generalisability.
* Since both longitudinal and sequential designs are measured over time there is a risk for drop out which can leave a positivity effect as a result.

Contrasts:
* Cross sectional and longitudinal - the results in longitudinal samples are based on the the same participant while the results in cross sectional are based on different participants
* In contrast to both cross sectional and longitudinal studies – a strength that sequential designs have is that the design allow for better testing for cohort effects, since more than one cohort is being measured over time

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6
Q

Name and define the four ways researchers describe length of life

A

There are four ways in which researchers describe length of life, these are; average longevity, maximum longevity, active life expectancy and dependent life expectancy.

  • The term average longevity can be described as the average life expectancy of an individual, which is determined by at what age half of the individuals born in a certain year will have died. The average longevity can be affected by genetic factors, environmental factors, gender and ethnicity, which all interact with each other. The average longevity is increasing, due to medical technology and improvements,
  • The term maximum longevity can be described as the oldest age that is possible for an individual of a certain species. A common view on maximum longevity for humans is 120 years of age, since it´s believed that it’s the longest our vital organs can function.
  • The term active life expectancy refers to the age where one can live healthy and without support from others to be capable of function in daily tasks (such as brushing teeth or eating, cleaning, etc).
  • And the term dependent life expectancy refers to the age the individual reaches, where the years when he or she can not function independently are taken into account. The individual is required to seek help from others to manage daily tasks.
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7
Q

Provide four reasons why people are living longer today than 100 years ago

A

People are living longer today than 100 years ago, below will be accounted for four possible reasons.

  • The first reason is better living conditions. Living in poverty has shown to shorten the longevity, this could be due to for example reduced access to services and medical care. Since the poverty in the world has been reduced in the past 100 years, this might be one reason.
  • The second reason might be better health care. Due to technological medical progress, we have better health care now in comparison with 100 years ago, this leading to us being able to save more lives.
  • The third reason might be better education. It is shown that education is correlated with higher socioeconomic status which in turn is associated with longer living. Further education about what makes us live longer helps us live longer. As the education level among the population is rising, this could be a potential reason for why we live longer today than for 100 years ago.
  • The fourth reason for why we live longer today is sanitation. The implementation of sanitation practices and public health measures, such as clean water supplies, proper sewage disposal, and hygiene education, has significantly reduced the spread of infectious diseases. Access to clean water and improved sanitation has played a crucial role in decreasing mortality rates from diseases like cholera, typhoid fever, and dysentery
  • War
    War affect the life expectancy, väpnade konflikter ökar dödligheten, since there is less väpnade konflikter i världen
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8
Q

What is the Hayflick limit? Have humans reached it or not? Defend your response.

A

What the Hayflick limit is and if it is reached among humans or not is a big question. Cells cultivated in laboratory dishes have a finite lifespan, undergoing a set number of divisions before reaching the end of their life cycle. This limit, known as the Hayflick limit, after Leonard Hayflick, who discovered it. The number of divisions a cell can undergo decreases with the age of the organism from which it originates. For instance, cells derived from human fetal tissue can typically divide 40 to 60 times, while those from adult humans can divide only around 20 times. Interestingly, the Hayflick limit imposes a maximum threshold on cell divisions, independent of other factors like telomere damage.

It’s not entirely sure yet if there is a Hayflick limit among humans, or if we reached it yet. One argument for why humans have reached the hayflick limit is simply that we die, even though we die at different ages and due to different reasons, death still seems inevitable to us.

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9
Q

Describe one of the biological theories of aging. Review the evidence supporting the theory.

A

We still don’t have a complete answer to why the normative changes happen, though, some biological theories aim to explain this, the metabolic theories are just one of many. The metabolic theories build upon the idea that the rate of the individual’s metabolism is associated with how long that individual will live.

  • There is some support for the way hormones are produced and used that indicate that decrease in calorie intake could lead to longer lives, which some research has been able to support when calories are significantly reduced.
  • Although the criticism of this theory relates to the research that indicates that there are other aspects of the way we eat that impact longevity, for example at what time at the day we eat.
  • Further, other aspects such as the loss of life quality that might occur when reducing calorie intake to such levels are not taken into account in this theory. The decrease in energy one would get out of such a restricted diet could result in missing out on social events.
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10
Q

What characterizes the transition to adulthood? What are some cultural differences in the transition?

A

What characterizes the transition from childhood to adulthood is somewhat debated and unclear, and differs from culture to culture. However, the most characteristic criterias for attending adulthood is accepting responsibility for oneself, making independent decisions and becoming financially independent. Further parenthood, being able to self-regulate and to be able to see the consequences of one’s decisions is often associated with adulthood.

Different cultures have different criterias or rites for passing onto adulthood, an example of this is the bar mitzvah or confirmation, in different cultures we also associate different roles with adulthood such as building an intimate pair, being a parent and having a full time occupation. Further, in different cultures we associate different responsibilities with adulthood, such as in some cultures being an adult is associated with going into military services, or being able to financially support your family.

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11
Q

What is “emerging” adulthood? Why does Arnett argue for this idea? What evidence suggests that he is correct? What evidence suggests that he is wrong?

A

Arnettes idea of emerging adulthood is a period in development that occurs after adolescence and before adulthood. Arnett argues that this developmental period is constituted by longer periods of education and training, greater tolerance toward sex and cohabitation, later emerging to marriage and parenthood. And a subjective idea of one self as no longer an adolescent but also not fully an adult yet. Arnett argues that this developmental period occurs mostly in industrialized countries or societies. According to Arnett, this period is based on 5 distinct features, namely age identity explorations, age of instability, self-focused age and age of feeling in-between and age of possibilities.

Arnett argues that it is a missing concept that emerging adulthood fills. The behavior of a person in their late adolescence differs too little from the behavior of an adolescent, the term young adulthood has been too broadly used, and is therefore unspecific, and the same goes for the term youths. Therefore Arnett argues that the term emerging adulthood is needed to describe this developmental period.

According to Cote, Arnett’s theory has some lacking evidence. For example, Arnett’s theory is based on a sample of around 300 nonrandom interviews. Arnett’s theory is not falsifiable, which makes it hard to test, and hard to even call a theory (since a theory has to be falsifiable). Arnett bases his theory upon 5 features, but these 5 features are not conceptualized in a concrete way. Further arnett doesn’t clarify what it is that is developing at this time period. Arnett’s theory is based on a too small sample, with too few measuring points and not controlling for cohorts effect, to be able to state that this is a new development period.

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12
Q

Describe changes or age-related differences across adulthood in three of the five sensory systems. What changes/ARD are considered primary and what changes are secondary aging? What creates these changes?

A

Our sensory systems such as vision, audition and olfaction can undergo changes and differences across adulthood, below will be stated for a number of these changes, if they are primary or secondary and what creates them.

Some primary aging changes that vision undergoes is for example
* a decreased amount of light passing through the eye, which makes us see worse in the dark. Regeneration of the receptor rhodopsin is decreasing with age, which makes it harder to see in weak light circumstances. Rhodopsin can be found in the light-sensitive cells in the retina and rods of the eye.
* Another primary age change that happens to the vision is presbyopia, which is caused by the muscles around the lens getting stiffer, which leads to lens decreases in ability to adjust and focus. This increases the time it takes for our eyes to shift focus from visual objects near us, to visual objects far from us.
* Some other primary changes that the vision undergoes is the eyes getting fryer, vitreous detachments (or floaters) appear. We become more sensitive to glare (since the light gets less focused when it hits the retina. We also get a more yellow lens, which leads to poorer color discrimination. Also reduced functioning of the cones → “washed out” colors (esp. blue). Our adaptation gets worse (takes longer time to adjust from a dark room to a bright) → the need for ambient light increases. Loss of contrast sensitivity and peripheral vision also occurs.

Some secondary age changes that can occur are in vision:
* Cataracts = opaque spots develop on the lens. can be treated with laser → remove the original lens, get a corrective lens. The yellowing of the lens is more profound than in normative aging.
* Glaucoma = fluid in the eye doesn’t drain properly → high pressure. Can cause internal damage, progressive loss of vision. Usually treated with eye drops.
* AMD = progressive and irreversible destruction of receptors → cant see details (reading, watching television). Wet form of AMD treated with injection of drugs that stops abnormal growth of blood vessels, dry form of AMD has no treatment
* Diabetic retinopathy = Age related retinal disease as a by-product of diabetes. Takes time to develop, so it is more common when diabetes has developed early in life. Blood vessels are damaged due to diabetes. Degradation of the retina which occasionally leads to blindness.

When it comes to audition, a primary change is
* Presbycusis = reduced sensitivity to (especially) high-pitched tones. Can also result in difficulty hearing the origin of sounds and discriminating speech. Can result from 4 changes in the inner ear.
Sensory - degeneration of receptor cells (called cilia) of auditory nerve (permanent). Knowing cause is important, bcs of differentiation in treatment and other aspects of hearing. Has little effect on other hearing abilities
Neural - affects the ability to understand speech, due to atrophy of the auditory nerve cells
Metabolic - severe loss of sensitivity to all pitches, due to atrophy of stria vascularis
Mechanical - loss of sensitivity to all pitches, but most for high pitches, due to thickening of cochlea basular membrane.

and some secondary changes in audition are
* Amplification of presbycusis
There is more men that gets this in a earlier age, than women, can be due to men working in jobs that are more exposed to loud sounds (as in factories)
* Ossification of the middle-ear bones
More common in late adulthood
the bones gets stiff and is not moving →no sound waves are conducted → no sound can be detected by the auditory nerve
* Tinnitus
More common in late adulthood
Means hearing without an external source
Due to more severe damage to cilia → cilia gets bend and touch the wall
Some cases of tinnitus can be treated

Some primary changes that olfaction undergo with age are
* Ability to detect odors remains fairly intact until 60s, when it begins to decline, but there are wide variations across people and types of odors
* Normal aging include decrease in detect odor

And some Secondary changes in olfaction are
* Cumulative damage to olfactory epithelium (degrades regeneration)
* Reduction in production of mucus
* Toxins and medications
* Abnormal aging can include faster decrease of detecting odor (such as people with Alzheimers been shown to only identify 60%)

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13
Q

What are individual and social consequences of aging sensory systems?

A

vision
* some universal changes can be corrected easily through glasses, can also ease the changes with floodlights, adjusting lighting to reduce glare, reduce tripping hazards
* change the relation between certain personality traits and emotions
e.g. relationship between extraversion and positive emotions is stronger in people with few or no impairments than in people with impairments
* Mobility gets reduced, particularly at night (dark) - concerns about falls, driving in the dark, etc - which can limit social activities
* Can get problem with reading
* Can become dependent on others

Audition
* Hearing play a major role in communication - can therefor have effect of people’s quality of life
* Dalton and colleagues (2003) found that people with moderate to severe hearing loss were significantly more likely to have functional impairments with tasks in daily life (e.g., shopping).
* more likely to have decreased cognitive functioning. Clearly, significant hearing impairment can result in decreased quality of life
- Loss of hearing in later life can also cause numerous adverse emotional reactions, such as loss of independence, social isolation, irritation, paranoia, and depression
- Hearing loss may not directly affect older adults’ self-concept or emotions, but it may negatively affect how they feel about interpersonal communication, especially between couples. Moreover, over 11% of adults with hearing loss report having experienced moderate to severe depression, double the rate of adults without hearing loss
- Hearing loss have also been associated with cognition loss

touch
* Losing bodily sensations can have major implications; loss of sexual sensitivity and changes in the ability to regulate one’s body temperature affect the quality of life. How a person views these changes is critical for maintaining self-esteem
* Because fear of falling has a real basis, it is important that concerns not be taken lightly (Granacher, Muehlbauer, & Gruber, 2012).
* Balance - fear and actual falling, other types of damage due to reduced temperature sensitivity - such as burns
* Reduced sense pain - could lead to undetected of injuries

smell
* The major psychological consequences of changes in smell concern eating, safety, and pleasurable experiences. Odors play an important role in enjoying food and protecting us from harm.
* Socially, decreases in our ability to detect unpleasant odors may lead to embarrassing situations in which we are unaware that we have body odors or need to brush our teeth.
Social interactions could suffer as a result of these problems.
Smells also play a key role in remembering life experiences from the past.

taste
* The influence of disease and medication, combined with the psycho-social aspects of eating, may underlie older adults’ complaints about boring food, that in turn may underlie increased risk of malnutrition
* We are much more likely to eat a balanced diet and to enjoy our food when we feel well enough to cook, when we do not eat alone, and when we get a whiff of the enticing aromas from the kitchen. Speaking of enticing aromas…

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14
Q

Describe two changes or age-related differences in the physical structure of the brain, across adulthood. Are these changes/ARD considered primary or secondary aging?

A

White matter decrease
* White matter = neurons that are covered with myelin - serve to transmit information from one part cerebral cortex to another part of cerebral cortex, or from cerebral cortex to other parts of the brain
* This white matter both thinning and shrinking in volume and density with age
* This white matter decrease is a primary change

Many other parts of the brain decrease in size and shrink
* For example prefrontal cortex, hippocampus, cerebellum
* Changes in prefrontal cortex and amygdala may be related to a decrease in processing of negative emotional information (and increase in positive emotions)
* Structures thats involved in automatic processing such as amygdala show less decrease than prefrontal cortex which is involved in more reflective processing
* This is a primary change

White matter hyperintensities
* observation of high signal intensity or a bright spotty appearance on images, which indicate brain pathologies such as neural atrophy. Caused by cerebrovascular events or diseases
* This is a secondary change

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15
Q

Describe two changes or age-related differences in the biochemical processes of the brain across adulthood. Are these changes/ARD considered primary or secondary aging?

A

Two age-related differences in biochemical processes that occur in the brain across adulthood is the decline of dopamine and decline in serotonin.

  • Dopamine is a neurotransmitter that is associated with both higher levels of cognitive functioning and emotion, pleasure and pain. Decline in dopamine levels as we age are related to decline in memory, and the amount of information that one can hold at the same time.

*Serotonin is involved in several types of brain processes such as memory, mood, appetite and sleep. Decline in these two neurotransmitters are considered primary aging, but can also have a more rapid decline that is secondary aging.

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16
Q

Describe two changes or age-related differences in the function of the brain across adulthood. Are these changes/ARD considered primary or secondary aging?

A

Processing speed declines
due to slower firing neurons
Decline plasticity
our ability to adapt and make new neural connections
primary change - but much heterogeneity
Less efficient processing
due to less blood flow
positivity effect
Change in prefrontal cortex and amygdala may be related to a decrease in processing of negative emotional information and an increase in processing positive information
adults tend to be able to regulate their emotions better than younger adults

Brain structures that’s involved in processing automatic information (eg amygdala) show less age-related deterioration
While brain structures that’s involved in more reflective processing (eg prefrontal cortex) show more severe deterioration
older adults tend to rely more on automatic processes.

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17
Q

Describe two reasons why changes in the brain are described as “heterogenous” across people.

A

Rates of decline differs when it comes to when, how much and how quickly
some aspects that påverkar are:
levnadsförhållanden - such as eat better, responsible weight, and how much we sleep
education has also shown to play a role when it comes to decline in brain function - this die to both cognitive challenge, and that you learn about these things - also correlation between higher education and higher living standards (due to higher income and möjlighet att träna

stress has also shown to play role when it comes to rates of decline
stress has shown to damage our cardiovascular system, our hippocampal neurons
even though small amount of stress seem to improve our memory for a short period of time → since or cortisol levels rise

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18
Q

Describe one of the four information-processing models currently used to link changes/ARD in older adults’ brains with changes/ARD in their cognitive functioning. What evidence is there to support the model?

A

Information processing changes during the course of the life-span. It has been shown that additional age-related neural activation, which especially occurs in prefrontal areas, may be adaptive as we grow older. One model that links this neural change to cognition is the HARNOLD model by Cabeza (2002).

description:
* Stands for “Hemispheric Asymmetry Reduction in Older Adults ”
* explains reduced lateralization in prefrontal lobe activity in older adults
* reduced ability to separate cognitive processing in different parts of prefrontal cortex
* model suggests that purpose of reduced lateralization lies within nature, older adults are recruiting additional neural units, and using then to increase attentional resources, processing speed or inhibitory control

support:
Several studies show that the brain creates and uses reserve abilities to lessen the impact of age-related changes in the brain.

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19
Q

Using the information-processing perspective, describe two changes/ARD/ in attention, two changes/ARD in processing, and two changes/ARD in memory that are tied to aging. Are these changes/ARD considered primary or secondary aging?

A

Two changes in attention:

  • First of all: most attentional processes decline
  • Inhibitory loss
    Losing the capacity to inhibit the irrelevant information
  • Reduced ability to divide attention
    We can’t divide attention, really it’s switching, For older - each task takes longer time - looks like it’s the multitasking (the more complexity). The more stressed they are - the longer it takes.
  • Divided attention = concerns how well people perform multiple tasks
    doesn’t change that much with age - but the focus on the specific task decrease - also have more focus on other tasks (walking, balancing - instead of talking → in opposite to younger people)
  • Primary change

Two changes in processing:
* Processing speed
Declines with age, declining begins in the 30’s
bcs neural impulses begin to slow

  • Effortful processing
  • this type of processing requires effort and is a more deliberate processing
  • Studies have shown that older adults show worse in tasks that require this type of processing
  • but further longitudinal research is required to determine whether there is a decline or not

Two changes in memory:
* Explicit memory
Explicit memory is also known as declarative memory and is an intentional, conscious remembering of information that is learned at a specific time point, this includes episodic, semantic and autobiographical memories. Explicit memory decline with age and this is primary aging. Although, impaired memory for very recent events which are important, are a sign of secondary aging.

  • Working memory
    Working memory declines with age leading to less capacity, less ability to allocate capacity to more than one task and slower rates of processing. Age-related decline in spatial working memory tends to be greater than that in verbal working memory, although there is decline in both types of working memory. This change is also primary aging.
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20
Q

Describe the EIEIO model. Give examples (preferably your own) of each type of aid.

A

Memory aids or strategies can be organized into meaningful groups. Among the most useful of these classifications is Camp and colleagues’ (1993) E-I-E-I-O framework. The E-I-E-I-O framework combines two types of memory, explicit memory and implicit memory, with two types of memory aids; external aids and internal aids

E stands for explicit memory, and involves the conscious and intentional recollection of information; remembering this definition on an exam is one example.

I stands for implicit memory, and involves effortless and unconscious recollection of information such as knowing stop signs are red octagons is usually not something people need to exert effort to remember when they see one on the road.

External aids are memory aids that rely on environmental resources, such as notebooks or calendars. Internal aids are memory aids that rely on mental processes, such as imagery.

O stands for the Aha! or Oh! experience in the framework is the one that comes with suddenly remembering something.

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21
Q

What is the SOC model? Give an example of a memory process where every element of SOC is used—describe what is S, O, and C in this example.

A

The Selective Optimization with Compensation (SOC) theory is a psychological theory proposed by Paul Baltes and colleagues, which describes the adaptive strategies individuals employ to cope with the challenges of aging and maintain well-being as they grow older.

Key components of the SOC theory include:
1. Selective: This aspect refers to the idea that individuals selectively choose certain goals, activities, and domains in which to invest their resources and efforts. As people age, they become increasingly aware of their limited time and energy, so they prioritize activities that are most meaningful or important to them.

  1. Optimization: Optimization involves the deliberate effort to maximize gains and minimize losses in pursuit of selected goals. This may include allocating resources (such as time, energy, and attention) efficiently and effectively to achieve desired outcomes. Optimization strategies may involve seeking out opportunities for growth, learning, and personal development in areas of importance.
  2. Compensation: Compensation involves adapting to age-related changes and losses by finding alternative ways to achieve goals or maintain functioning. When faced with physical, cognitive, or social limitations, individuals may employ compensatory strategies to overcome these challenges. This could involve using assistive technologies, seeking social support, or modifying goals and expectations.

The SOC theory emphasizes that successful aging is not solely determined by chronological age, but rather by the dynamic interplay between individual characteristics, environmental factors, and adaptive strategies. By selectively focusing on valued goals, optimizing resources, and compensating for limitations, individuals can enhance their well-being and maintain a sense of control and satisfaction in later life.

Overall, the Selective Optimization with Compensation theory provides a framework for understanding how individuals adapt to the aging process by actively managing their goals, resources, and strategies to maintain a fulfilling and meaningful life.

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22
Q

What are the components of intelligence (“G”)? How do these components change across adulthood?

A

One of the components is called crystallized intelligence. This term refers to knowledge through experience and education in a particular culture

  • According to research this intelligence includes breadth of knowledge and experience, understanding communications and social conventions, judgment, and reason.
  • An example of crystalized intelligence is the intelligence used in TP or på spåret for example
  • Crystallized knowledge tend to increase or improve with age
    In contrast, the increase in crystallized intelligence (at least until late life) indicates people continue adding knowledge every day.

Another component of intelligence is called fluid intelligence which is the abilities that make you a flexible and adaptive thinker, allow you to make inferences and enable you to understand the relations among concepts.

  • It includes the abilities you need to understand and respond to any situation, but especially new ones: inductive reasoning, integration, abstract thinking, and the like (Horn, 1982)
  • What letter comes next in the series d f i m r x e?
  • This type of intelligence tends to decline with age - research has not been able to provide the reason but it’s likely due to underlying changes in the brain occurring with age.
    this type of intelligence is also more effortful which might also be a reason for the decline
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23
Q

What is the P-Fit model? What evidence supports it?

A
  • Parieto-Frontal Integration
  • Proposes that intelligence comes from a distributed and integrated network of neurons in the parietal and frontal areas of the brain.
  • In general, P-FIT accounts for individual differences in intelligence as having their origins in individual differences in brain structure and function.
  • For example, research indicates that the P-FIT predicts a type of intelligence termed fluid intelligence that includes such skills as spatial reasoning
  • Results indicate support for the theory when measures of fluid and crystallized intelligence are related to brain structures (Basten, Hilger, & Fiebach, 2015; Brancucci, 2012; Pineda-Pardo et al., 2016).
  • It is also clear; performance on measures of specific abilities is likely related to specific combinations of brain structures (Di Domenico et al., 2015; Haier et al., 2010; Kievit et al., 2016; Pineda-Pardo et al., 2016)
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24
Q

What is the neural efficiency hypothesis? What evidence supports it? Does this alter how we think about/study change in cognition?

A
  • States that intelligent people process information more efficiently, showing weaker neural activations in a smaller number of areas than less intelligent people.
  • Research evidence is mounting that this idea holds merit: with greater intelligence does come demonstrably increased efficiency in neural processing (e.g., Kievit et al., 2016; Langer et al., 2012; Lipp et al., 2012; Pineda-Pardo et al., 2016).
  • However, how this neural efficiency develops is not yet known, nor are its developmental pathways understood.
  • Instead of just looking at how different parts of the brain processes information - after this hypothesis, research has started to circuit around how different parts of the brain work together and their efficiency.
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25
Q

What are three forms of cognition that are thought to be post-formal operations? Evaluate the idea that they are post-formal

A
  • type of thinking represents a qualitative change beyond formal operations (King & Kitchener, 2015; Lemieux, 2012; Sinnott, 2014)
  • Postformal thought = is characterized by recognition that truth (the correct answer) may vary from situation to situation, solutions must be realistic to be reasonable, ambiguity and contradiction are the rule rather than the exception, and emotion and subjective factors usually play a role in thinking

3 types of cognitions?

  1. Prereflective Reasoning (Stages 1–3):
  • Belief that “knowledge is gained through the word of an authority figure or through firsthand observation, rather than, for example, through the evaluation of evidence. [People who hold these assumptions] believe that what they know is absolutely correct, and that they know with complete certainty. People who hold these assumptions treat all problems as though they were well-structured” (King & Kitchener, 2004, p. 39).
  • Example statements typical of Stages 1–3: “I know it because I see it.” “If it’s on Fox News it must be true.”
  1. Quasi-Reflective Reasoning (Stages 4 and 5):
  • Recognition “that knowledge—or more accurately, knowledge claims—contain elements of uncertainty, which [people who hold these assumptions] attribute to missing information or to methods of obtaining the evidence. Although they use evidence, they do not understand how evidence entails a conclusion (especially in light of the acknowledged uncertainty), and thus tend to view judgments as highly idiosyncratic” (King & Kitchener, 2004, p. 40).
  • Example statements typical of stages 4 and 5: “I would believe in climate change if I could see the proof; how can you be sure the scientists aren’t just making up the data?”
  1. Reflective Reasoning (Stages 6 and 7):
  • People who hold these assumptions accept “that knowledge claims cannot be made with certainty, but [they] are not immobilized by it; rather, [they] make judgments that are ‘most reasonable’ and about which they are ‘relatively certain,’ based on their evaluation of available data. They believe they must actively construct their decisions, and that knowledge claims must be evaluated in relation to the context in which they were generated to deter mine their validity. They also readily admit their willingness to reevaluate the adequacy of their judgments as new data or new methodologies become available” (King & Kitchener, 2004, p. 40).
  • Example statements typical of stages 6 and 7: “It is difficult to be certain about things in life, but you can draw your own conclusions about them based on how well an argument is put together based on the data used to support it.”

dialectics - syntanisera, känslor och logik ( dvs om något krockar med något annat så yntaniserar vi) för att dra slutsatser

reflective judgment - accepterar tvetydigheter i att inte kunna dra en absolut slutsats och tillåta viss sannolikhet att ha fel - för att kunna revidera våra slutsatser i framtiden

problem finding - hitta problem som strider mot formella operaitioner som försöker lösa problem - handlar om att hitta nya problem till lösningar smo inte har funnits tidigare.

pragmatisksa resonemang - pragmatiska och effektiva metider för problemlösning baserade på praktiska koncekvenser - erkänner komplecitet och tvetydighet i sitvationer och försöker navigera dem effektivt med hjälp av en blaning mellan pragmatiskt och logiskt överväganven

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26
Q

What is “wisdom”? What are the different kinds of wisdom and how are they tied to age? What variation is there by culture?

A

Ardelt, 2010; Baltes & Staudinger, 2000; Scheibe, Kunzmann, & Baltes, 2007) describe four characteristics of wisdom:
* Wisdom deals with important or difficult matters of life and the human condition.
* Wisdom is truly “superior” knowledge, judgment, and advice.
* Wisdom is knowledge with extraordinary scope, depth, and balance that is applicable to specific situations.
* Wisdom, when used, is well intended and combines mind and virtue (character).

people who are wise are experts in the basic issues in life

Wise people know a great deal about
* how to conduct life,
* how to interpret life events, and
* what life means.
* Kunz (2007) refers to this as the strengths, knowledge, and understanding learned only by living through the earlier stages of life.

no association between age and wisdom - but it does provide the time, if used well, to create a supportive context for developing wisdom.

wise depends on → has extensive life experience with the type of problem given and has the requisite cognitive abilities and personality.
* Thus, wisdom could be related to crystallized intelligence, knowledge that builds over time and through experience (Ardelt, 2010).

culture:
younger and middle-aged Japanese adults use more wisdom-related reasoning strategies (e.g., recognition of multiple perspectives, the limits of personal knowledge, and the importance of compromise) in resolving social conflicts than younger or middle-aged Americans (Grossman et al., 2012). However, older adults in both cultures used similar wisdom-related strategies.

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27
Q

What is the dual process model of cognition? Describe the “dual” part – what types of cognitions are seen as falling in one or the other type?

A

From the first article (Peters et. al., 2007)

Human decision making is a complex phenomenon involving dual affective and deliberative processes.

Information in decision making appears to be processed using two different modes of thinking: affective/experiential and deliberative:

  • The experiential mode produces thoughts and feelings in a relatively effortless and spontaneous manner. The operations of this mode are implicit, intuitive, automatic, associative, and fast. This system is based on affective (emotional) feelings. As shown in a number of studies, affect provides information about the goodness or badness of an option that might warrant further consideration and can directly motivate a behavioral tendency in choice processes. Marketers, who well understand the power of affect, typically aim their ads to evoke an experiential mode of information processing
  • The deliberative mode, in contrast, is conscious, analytical, reason-based, verbal, and relatively slow. It is the deliberative mode of thinking that is more flexible and provides effortful control over more spontaneous experiential processes. Kahneman (2003) suggests that one of the functions of the deliberative system is to monitor the quality of the affective/experiential system’s information processing and its impact on behavior.

Both modes of thinking are important, and some researchers claim that good choices are most likely to emerge when affective and deliberative modes work in concert and when decision makers think as well as feel their way through judgments and decisions

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28
Q

What age differences are seen in how adults use dual processes? What are the implications for older adults’ cognitive functioning? How are the ways older adults process information adaptive / maladaptive for them?

A

Several lines of research suggest age-related declines in the controlled processes of the deliberative system.

  • First, because older adults process information less quickly than younger adults do, their deliberative abilities may suffer due to less efficient processing of perceived information. Salthouse (1996) has hypothesized that the products of older adults’ early processing may be lost by the time later processing occurs and/or that later processing might not occur because early processing required so much time.
  • Second, the evidence indicates age-related deficits in explicit memory
  • Third, Hasher and Zacks (1988) argue that aging is associated with a decrease in the ability to inhibit false and irrelevant information.
  • Fourth, there is evidence suggesting that, compared with younger adults, older adults may be less consciously aware of factors that influence their judgments and decisions (Lopatto et al., 1998), that they are less accurate in estimating absolute numeric frequencies (Mutter & Goedert, 1997), that they are more overconfident in their judgments (Crawford & Stankov, 1996; but Kovalchik, Camerer, Grether, Plott, & Allman, 2005, found less overconfidence among older adults), and that they are less able than younger adults to control the impact of automatic processing on their judgments (Hess, McGee, Woodburn, & Bolstad, 1998; Hess et al., 2000). Finally, working memory and executive functions (e.g., the control and regulation of cognition) associated with the prefrontal cortex deteriorate with normal aging (e.g., Amieva, Phillips, & Della Sala, 2003).
  • If good decisions depend on liberation, such findings suggest that judgments and decisions will suffer as we age.

The results suggesting decline in deliberative processes are balanced by findings in implicit learning and memory. In implicit (as opposed to explicit) tasks, subjective awareness is not necessary. ‘‘Subjects are not directly queried; rather, they are simply asked toper forma task,and learning is inferred from task performance’’ (Willingham, 1998, p. 577). Automatic information-processing abilities such as implicit memory and learning appear to be largely spared by age (see Zacks, Hasher, & Li, 2000). For example, Salthouse et al. (1999) reviewed evidence of the lackofagedifferencesintheimplicit sequence learning of a 10-element pattern (large age differences did exist for explicit learning). In general, older adults appear to perform less well than do younger adults on tasks demanding greater deliberation (explicit tasks), but there appear to be few,if any,age differences in tasks thought to tap into more implicit processes.4 Recent meta-analyses of the aging-and-memory literature support this conclusion by showing substantially smaller age effects associated with implicit memory than with explicit memory

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29
Q

What is stereotype threat? How does stereotype threat affect older people’s cognitions?

A

Stereotype threat is an evoked fear of being judged in accordance with a negative stereotype about a group to which you belong.

For example, if you are a member of a socially stigmatized group such as Latinos or Muslims, you are vulnerable to cues in your environment that activate stereotype threat about academic ability. In turn, you may perform more poorly on a task associated with that stereotype regardless of high competence in academic settings.

Experiments by Levy showed that older people demonstrated worse (on memory tests) if they had been primed with negative attitudes about aging, than older people primed with positive attitudes about aging. (people over 60)

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30
Q

Describe two theoretical ideas about how middle-aged and older adults handle stereotypes of aging

A

How a individuals’ beliefs about their own aging is, depends on their view on their self, below will be accounted for two theoretical ideas about how middle-aged and older adults handle stereotypes of aging.

labeling theory:
This theory argues that when we confront an age related stereotype, older adults are more likely to integrate it into their self-perception (in contrast to middle aged adults).
Research on impression formation and priming of stereotypes supports this view.

resilience theory;
This theory argues that confronting a negative stereotype results in a rejection of that view in favor of a more positive self-perception.
This view comes from people’s tendency to want to distance themselves from the negative stereotype. Research shows older adults dissociate themselves from their age group when negative stereotypes become relevant to them (in contrast to middle aged adults)

  • As participant age increased, participants increasingly indicated they felt, wanted to be, and believed they looked proportionally younger than their actual age.
  • Younger adults wanted to be about 4% older than they actually were, and older adults wanted to be about 33% younger than they were.
  • Following the priming task, older adults were the only age group to feel older regardless of whether the priming was positive or negative.
  • For desired age, participants in all age groups who were in bad health reported they wanted to be a younger age after experiencing the negative priming task (but no change otherwise).
  • For perceived age, all participants in poor health reported themselves as looking older after receiving the negative priming task.
  • All adults reported being relatively satisfied with their aging process.
  • Kotter-Grühn and Hess concluded that people’s perceptions of their own aging are not made more positive by presenting them with positive images of aging. Actually, the opposite effect occurred for younger and middle-aged adults in good health—when given positive stereotypes, those groups reported feeling older than before the priming task. Their conclusion was negative images of aging have more powerful effects than positive ones in determining self- perceptions of aging.

There is also evidence middle-aged adults are susceptible to negative age stereotypes (O’Brien & Hum mert, 2006; Weiss, in press). Middle-aged adults who identified with older adulthood showed poorer memory performance if they were told their performance would be compared with other older adults. Middle-aged adults with more youthful identities did not show differences in memory performance regardless of whether they were told they would be compared to younger or older individuals. Additionally, people who believe that aging is fixed and inevitable show poorer memory performance

Cultural differences:
For the beneficial effects of positive stereotypes on older adults’ cognitive performance. Compared to Italians who live in Milan, those who live on Sardinia hold more positive attitudes about memory aging and perform better on memory tasks (Cavallini et al., 2013). Positive aging stereotypes are also good for your health and social life. Several studies have found better health indicators in those with positive views. Positive views are also related to having more new friends later in life.

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31
Q

Describe two aspects of emotional intelligence. In what way are these components similar to the components of intelligence (as in IQ)? How does emotional intelligence change across adulthood?

A

EI is: refers to people’s ability to recognize their own and others’ emotions, to correctly identify and appropriately tell the difference between emotions and to use this information to guide their thinking and behavior.

Two aspects:
1. First, EI can be viewed as a trait that reflects a person’s self-perceived dispositions and abilities
2. Second, EI can be viewed as an ability that reflects the person’s success at processing emotional information and using it appropriately in social contexts.

Components of EI similar to components of IQ:
* cultivated and improved by intentional effort and experience
* mapped to curtain brain structures

How EI change during adulthood:
* increases with age - some research
* though there is some evidence that the specific ability to perceive others’ emotions in the work context declines late in life

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32
Q

Describe two age-related differences in impression formation. What do researchers suggest are behind these differences?

A

Impression formation is: the way we form and revise first impressions about others.

Two age related differences:
* Research has shown that older adults make impressions influenced by all the information they receive. In contrast, younger adults did not show this pattern.
* Instead, they were more concerned with making sure the new information was consistent with their initial impressions.

  • Older adults are more prone to change from negative to positive information, when additional negative information arise
  • They are also more prone to stick to negative information even though positive information arises.
  • Meaning older adults are sticking with a more negative interpretation - to a higher degree than younger adults. → Explanation: Some researchers also suggest older adults may be more subject to a negativity bias in impression formation.

Behind these differences:
* For younger adults to form new impressions about recent information, they modified their impressions to correspond with the new information regardless of whether it was positive or negative. * Younger adults, then, make their impression based on the most recent information they have.
Younger adults may be more concerned with situational consistency of the new information presented.
* One reason may be due to the higher cognitive load it takes to use the current context.
* One reason for why older people may not switch their interpretation as fast as younger adults - is because of the high cognitive load it takes to switch.

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33
Q

What is the correspondence bias? What age-related differences are there in this bias? What are some conditions that affect this difference?

A

Correspondence bias: For many years, we have known emerging adults have a tendency to draw inferences about older people’s dispositions from behavior that can be fully explained through situational factors, called correspondence bias

age related difference:
* Primarily documented with younger adults.
* However, it may be the case that the life experience accumulated by middle-aged and older adults causes them to reach different conclusions because they have learned to consider equally both types of information in explaining why things happen the way they do = learned from life experience to consider dispositional and situational information

conditions affect the difference
* if the situation ambiguous -
* correspondence bias in older adults only occurred in negative relationship situations
* if the situation is ambiguous - then both tend to use both types of information
* older adults paradoxically also blamed the main character more (dispositional attributions) than younger groups, especially in negative relationship situations
* culture differences - chinese people are less prone to correspondence bias than americans

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34
Q

What is the positivity effect? How does it relate to SOC models?

A

What is it:
* A growing number of studies suggest older adults avoid negative information and focus more on positive information when making decisions and judgments and when remembering events, a phenomenon called the positivity effect
* For example, older adults remember positive images more than negative ones, whereas younger adults remember both positive and negative images equally well

How is it related to soc model:
* to selectively remember a positive aspect of an event (in order to sustain resources that’s declining) can be explained as optimization with compensation. Since one is optimizing the remaining resources, and compensating for the declining resources.

35
Q

What is personal control? What are two broad ways that people view personal control?

A

What is it:
* Personal control is the degree one believes one’s performance in a situation depends on something that one personally does

Two broad ways that people view it
1. The general consensus about personal control is that it is multidimensional - one’s sense of control depends on which domain, such as intelligence or health, is being assessed
2. man tro att personal control kan fås genom Entity (att det är medfött)
3. eller skills (att man kan lära sig).

36
Q

Describe one of the two theoretical ideas about maintaining personal control when aging.

A

Heckhausen and colleagues (2010)
view control as a motivational system that regulates individuals’ abilities to control important outcomes over the life span. These researchers define control-related strategies in terms of primary control and secondary control.

  • Primary control strategies involve bringing the environment in line with one’s desires and goals. Much like in Brandtstädter’s assimilative activities, action is directed toward changing the external world. So, for example, if you lost your job, and thus your income, primary control strategies would entail an active search for another job (changing the environment so you once again have a steady income).
  • Secondary control strategies involve bringing oneself in line with the environment. Much like Brandtstädter’s accommodative activities, it typically involves cognitive activities directed at the self. Secondary control strate gies could involve appraising the situation in terms of how you really did not enjoy that particular job.
  • Primary control lets people shape their environment to fit their goals and developmental potential. Thus, primary control has more adaptive value to the individual.
  • The major function of secondary control is to minimize losses or expand levels of primary control.
  • That primary control striving is always high across the lifespan, but the capacity to achieve primary control peaks in midlife. As people continue to age, secondary control striving continues to increase, eventually approaching primary control striving
37
Q

What is collaborative cognition? Why is it an considered an example of SOC?

A

What it is:
* Occurs when two or more people work together to solve a cognitive task.
* Individuals who know each other really well (over a longer period of time)
* Can also occur across bigger groups of people (social units)

Why is it considered an example of SOC?
* This is an example of how we selectively optimize with compensation, since our memory resources decline, we compensate for this, by optimizing the way we collectivly remeber

38
Q

Describe the three crises of adulthood according to Erikson. Evaluate the evidence examining these crises.

A

The idea is that “crisis” refers to people will confront and challenge - in a social context
When reached late adulthood - reached identity

  1. Intimacy vs Isolation
    * According to Erikson - this is the crisis of early adulthood
    * the goal of this developmental period is to develop the ability to establish a fully intimate relationship with others
    * intimacy - able to share all the aspects of self without losing your identity
    * Once you have a firm understanding of who you are - you can connect to other persons in a intimate way (without losing your identity)
    * This establish basis for long term relationship (erikson thought of mate/intimate relationship)
    * Isolation → loneliness (due to inability to establish relationships
  2. Generativity vs Stagnation
    * According to Erikson - crisis in middle adulthood
    * the goal of this developmental period is the concern for succeeding generation, need to sustain society
    * obtain through actions that provide for next generation
    such as parenthood, teaching, coaching
    * stagnation → lack of concern for the developing society (due to focus on one self)
  3. Ego integrity vs Ego despair
    * According to erikson - this crisis occur in late adulthood, when our awareness of our mortality
    * We come to term with getting old, coming to term with our mistakes, what we didn’t do/what we’ve done, all of the wins and the losses
    * Ruminases- think about this and becomes aware and come to terms → evaluate them in a way → their life is a life with lived and continue after their death
    * If this doesn’t happen → ego despair → profound feeling of loss, dissatisfaction that things can not be corrected → there’s not enough time left

Evidence:
* Regarding intimacy
Intimacy comes before adulthood
Suvillian thought → Chumpships in late childhood (intimacy developed earlier)
Furman thought that → roots of intimacy are actually in infancy
Also seen gender differences - but that might depend on how we define intimacy

  • Regarding generativity
    Research shows that this is not just about being a parent, teacher and so on
    It might be more important for women
    Can disappear if men involves more in child care
    Generativity is associated with life (and work) satisfaction
    Seems to a part of what adults needs
    Also associated with emotional well-being
  • Regarding ego integrity
    Reminiscence
    Doesn’t seem importance for ego integrity
    The roads not taken, the choices, the losses, can be more negative than positive
    Not tied to age - younger people do it more than older
    Older people tend to reminiscence more about positive things - And less fearful
    Reminiscence - connect generations (talk about events that brought them together)
39
Q

What is the “midlife crisis”? Provide three findings from research that suggest this idea is false.

A

What it is:
* Perhaps the most central idea in theories that consider the importance of life transitions is that middle-aged adults experience a personal crisis that results in major changes in how they view themselves.
* During a midlife crisis, people are supposed to take a good hard look at themselves and, they hope, attain a much better understanding of who they are.
* Difficult issues such as one’s own mortality and inevitable aging are supposed to be faced. Behavioral changes are supposed to occur; we even have stereotypic images of the middle-aged male, like Andy, running off with a much younger female as a result of his midlife crisis.
* In support of this notion, Levinson and his colleagues (1978; Levinson & Levin son, 1996) write that middle-aged men in his study reported intense internal struggles much like depression

Why it’s false:
* Those who actually experience a crisis may be suffering from general problems of psychopathology (Goldstein, 2005; Labouvie-Vief & Diehl, 1999).

  • No universality is found - for example, studies extending Levinson’s theory to women have also failed to find strong evidence of a traumatic midlife crisis
  • Researchers point out the idea of a midlife crisis became widely accepted as fact because of the mass media.
  • The data suggest midlife is no more or no less traumatic for most people than any other period in life. Perhaps the most convincing support for this conclusion comes from research conducted by Farrell and Rosenberg - After extensive testing and interviewing, they emerged as nonbelievers.
  • Self-reflection instead: good evidence for a reorganization of self and values across the adult life span. They suggest the major dynamic that drives such changes may not be age dependent, but rather general cognitive changes
40
Q

What are possible selves? Are there age-related differences in possible selves?

A

What is it:
Possible selves represent what we could become, what we would like to become, and what we are afraid of becoming

Age related differences:
* In terms of hoped-for selves, young adults listed family concerns—for instance, marrying the right person—as most important. In contrast, adults in their 30s listed family concerns last; their main issues involved personal concerns, such as being a more loving and caring person. By ages 40 to 59, family issues again became most common—such as being a parent who can “let go” of the children. Reaching and maintaining satisfactory performance in one’s occupational career as well as accepting and adjusting to the physiological changes of middle age were important to this age group

  • For adults over 60, researchers find personal issues are most prominent—like being active and healthy for at least another decade. The greatest amount of change occurred in the health domain, which predominated the hoped-for and feared-for selves. The health domain is the most sensitive and central to the self in the context of aging and people’s possible self with regard to health is quite resilient in the face of health challenges in later life.
  • Overall, young adults have multiple possible selves and believe they can actually become the hoped-for self and successfully avoid the feared self. Their outlook tends to be quite positive (Remedios, Chasteen, & Packer, 2010). Life experience may dampen this outlook.
  • By old age, both the number of possible selves and the strength of belief have decreased. Older adults are more likely to believe neither the hoped-for nor the feared-for self is under their personal control. These findings may reflect differences with age in personal motivation, beliefs in personal control, and the need to explore new options.
41
Q

Describe the “plaster hypothesis” according to Costa and McCrae. Using the Big 5 as the definition of personality, evaluate the evidence of Costa and McCrae’s claims.

A

There are 5 personality types (factors) these are openness (open vs closed to new experiences), conscientiousness (directed and planful vs impulsive and undirected), extraversion (active, assertive, positive,positive mood), agreeableness (positive and altruistic vs antagonistic) , neuroticism (negative and unstable emotions vs stability in emotions). The idea has a biological underpinning, in terms of temperament.

Plaster hypothesis:
* States that there is more change in the big 5 personality traits before the age of 30 than after the age of 30.
* Soft plaster hypothesis - accepts change both after and before 30
* Hard plaster hypothesis is dismissed - but states that there isn’t change after 30

Evaluate evidence:
* Evidence shows that there is stability, both across lifespan, and also across cultures.
* Though some evidence might be needed to ensure that the turning point is around 30

42
Q

What other types of change in the Big 5 personality traits (other than described by C & M) are seen across adulthood?

A

Other types of changes seen in big 5 personality traits:
* When talking about plaster hypothesis - C&M wanted rank order stability (and less stability before 30 than after 30)

Mean level change
* Decreases in neuroticism in early adulthood
* increase in extroversion: social dominance → increase through middle adulthood, social vitality → drops after peaking in adolescence
* increase in agreeableness & conscientiousness in middle adulthood
* curvilinear change in openness levels off then decreases

individual based change:
* openness: changes more in older adulthood than in middle adulthood, and show more variance in middle adulthood than older adulthood
* individual level variance (intra individual differences): more pronounced in agreeableness, neuroticism and conscientiousness among middle age
* In middle adulthood (and similar in older adulthood):
decreases in neuroticism associated with increase in extraversion, openness, agreeableness and conscientiousness
increase in extraversion related to increase in openness, agreeableness and conscientiousness

43
Q

Describe three changes in friendships across adulthood. Consider number, network, and functions.

A

Number:
* Older adults tend to have fewer relationships with people in general and develop fewer new relationships than people do in midlife and particularly in young adulthood
* Younger adults tend to have the most friends - but the density of their network tend to be loose
* Middle adults tend to have fewer friends than younger adults, but more than older adults, but their network tends to be more dense than in young adulthood.

Network:
* Older adults tend not to replace, to any great extent, the relationships they lose: Older adults are more selective and have fewer opportunities to make new friends, especially in view of the emotional bonds involved in friendships.
* Younger adults - tend to have larger networks
Because building social network is important for them -
* Middle adulthood - smaller network but greater density than in young adulthood
(meaning number of ties to each individual in the network increased in comparison to young adulthood)

Functions:
* People become increasingly selective in whom they choose to have contact with. Additionally, evidence suggests that there is an increase with age in emotional competency.
* Functions of friendships in middle adulthood tent to circle around people in the same situation - for example friends that have children in the same age
* According to Convoy model - networks provide support:
- in early adulthood - support includes provision of information about transitioning into adulthood
- in middle adulthood - support for similar roles, life position
- in old age - support via mutual care

44
Q

What types of themes are seen for friendships?

A

We tend to have friends similar to us

Friendship in general tend to circuit around one or more of these themes:
* Friends for affective or emotional purposes (feel included, appreciated, support, these relationships are based on trust, loyalty and commitment)
might be someone we contact when we need good advice, when we need support
* Shared, communal → support activities of mutual interest (we have similar interests)
someone we contact when we want to go fishing, for example
* Sociability and compatibility → sources of fun, amusement and recreation
someone we contact if we want a good laugh, always have fun together

Four characteristics of same-sex friends do not appear to differ between men and women and are similar across cultures and age groups:
geographic proximity, similarity of interests and values, inclusion, and symmetrical reciprocity.

45
Q

Compare and contrast activity and disengagement theories.

A

Activity theory suggests that older adults could remain active and engaged in social, physical, and cognitive activities to maintain a sense of well-being and satisfaction in later life (to avoid secondary aging)
Disengagement theory proposes that as individuals age, they naturally withdraw from society and reduce their social interactions, roles, and responsibilities.

Comparison:
* Both theories offer explanations for how individuals adapt to aging and changing social roles over time.
* Neither of the theories offer an explanation of the relationships through the lifespan

Contrast:
* Activity theory emphasizes the importance of maintaining social connections and involvement in activities throughout the aging process, while disengagement theory suggests that withdrawal from society is a natural and potentially beneficial aspect of aging.
* While activity theory promotes active aging as a means to enhance well-being, disengagement theory views disengagement as a normal and adaptive response to the challenges of aging.
* They differ in their recommendations for how older adults should interact with society, with activity theory advocating for continued engagement and disengagement theory suggesting a gradual withdrawal.
* Activity theory is based on cross-sectional data (even though they made later longitudinal data)

46
Q

What is SST? How is it fit the SOC model? In what ways does it incorporate activity and disengagement theories?

A

The SST (socioemotional selectivity theory) proposes that social contact is motivated by a variety of goals, including information seeking, self-concept, and emotional regulation.

  • The goals are differentially salient at different points of the adult life span → different social behaviors.
  • When information seeking is the goal (as when a person is exploring the world trying to figure out how he or she fits, what others are like, and so forth) meeting many new people is an essential part of the process.
  • When emotional regulation is the goal → highly selective in their choice of social partners and nearly always prefer people who are familiar to them.
  • Carstensen and colleagues believe:
  • information seeking is the predominant goal for young adults,
  • emotional regulation is the major goal for older people,
    and both goals are in balance in midlife.
    Their research supports this view; people become increasingly selective in whom they choose to have contact with.
  • Additionally, evidence suggests that there is an increase with age in emotional competency.
  • Older adults appear to orient more toward emotional aspects of life and personal relationships as they grow older, and emotional expression and experience become more complex and nuanced.
  • Carstensen’s theory provides a complete explanation of why older adults tend not to replace, to any great extent, the relationships they lose:
  • Older adults are more selective and have fewer opportunities to make new friends, especially in view of the emotional bonds involved in friendships.

How related to SOC model:
* Selektivt välja relationer utifrån mål
* selektivt optimatiserar relationer genom kompensation (väljer bort andra sociala kontakter utifrån sina mål)
* kompensera för olika förluster (selektivt) genom olika optematiseringar i relationer - tex om man förlorar sin partner (och blir en änka) - därför kompenserar man genom optematisera andra relationer

How it relates to activity and disengagement theories:

  • disengagement theory:
    SST - har inte tillräckligt med energi - och därför förändras ens mål
  • activity theory:
    If individuals did not stay active, they would decline and die - activity theory could provide an explanation and a possible solution to why older adults decline in energy - according to activity theory it could be the absence of goals (sst) that makes older people decline.
47
Q

Describe three differences between men and women where their friendships are concerned

A

differences:

Females relationship tend to:
* communion and self-disclosure (shared intimacy)
* greater effort and expectations from friends in general
* a greater risk of co-rumination (extensively discussing and re-visiting problems, and focusing on negative feelings)
* Larger network

Mens relationship tend to:
* shared activities and emotion
* men tend to get more out of being friend with a woman (similar is for cross-ethical friendship where the person who belong to the majority benefit more)

48
Q

What is the difference between marital success, marital quality, marital adjustment, and marital satisfaction? What predicts marital success? What predicts marital satisfaction?

A

Definitions:
1. marital success = an umbrella term referring to any marital outcome (such as divorce rate)

  1. marital quality = a subjective evaluation of the couple’s relationship on a number of different dimensions
  2. marital adjustment = the degree spouses accommodate each other over a certain period of time
  3. marital satisfaction = a global assessment of one’s marriage.

What predicts marital success:
* One key factor is age. In general, the younger the partners are, the lower the odds the marriage will last—especially when the people are in their teens or early 20s
* A second important predictor of successful marriage is homogamy, or the similarity of values and interests a couple shares. As we saw in relation to choosing a mate, the extent the partners share similar age, values, goals, attitudes (especially the desire for children), socioeconomic status, certain behaviors (such as drinking alcohol), and ethnic background increases the likelihood their relationship will succeed
* A third factor in predicting marital success is a feeling the relationship is equal. According to exchange theory, marriage is based on each partner contributing something to the relationship the other would be hard pressed to provide. Satisfying and happy marriages result when both partners perceive there is a fair exchange, or equity, in all the dimensions of the relationship. Problems achieving equity arise because of the competing demands of work and family

What predicts marital satisfaction:
* Most couples, overall marital satisfaction is highest at the beginning of the marriage, falls until the children begin leaving home, and stabilizes or continues to decline in later life
* Individual differences
* According to the vulnerability-stress-adaptation model, marital quality is a dynamic process resulting from the couple’s ability to handle stressful events in the context of their particular vulnerabilities and resources. As a couple’s ability to adapt to stressful situations gets better over time, the quality of the marriage will probably improve.
* Criticism
Not constructive
Ad hominem attacks - attack their person (qualities the person cannot change)
* Contempt
Contempt - disgust with dismissal
The greatest predictor
* Defensiveness
Making excuses
* Stonewalling
Stonewalling - a barrier that the other person cant get through
Intimacy can’t flow under these conditions

49
Q

What is the battered woman syndrome? (should it be called battered “woman”?) What micro- and macro-system issues play a role in it?

A

What it is:
* does not believe the abused person could leave the abuser
* research has shown that dogs who get electrical shocks, give up try to leave their cage after a while, even when their cage becomes open
* this can be seen
* For example, battered woman syndrome occurs when a woman believes she cannot leave the abusive situation and may even go so far as to kill her abuser.

What micro/macro system issues play a role?

  • svårare - saknar support system - plats att bo, vänner osv - micro
  • svårare - kulturer; patriarkala strukturer, hederskulturer - macro (abuse tend to be higher prevalence)
50
Q

Describe the progression of aggression in abusive relationships. What are thought to be the causes of each level and how are these causes tied to each other?

A

Describe progression:

  • Continuum of aggressive behaviors toward a partner, and progresses as follows: verbally aggressive behaviors, physically aggressive behaviors, severe physically aggressive behaviors, and murder
  • Causes of verbally aggressive:
  • need to control
  • misuse of power
  • jealousy
  • marital discord
  • causes of physically
    aggressive:
  • accept violence as a means of control
  • modeling physical aggression
  • abused as a child
  • aggressive personality styles
  • alcohol abuse
  • causes of severe aggression
  • personality disorder
  • emotional lability
  • poor self-esteem

Causes tied to each other:
these causes are tied together in the sense that they are cumulative (the causes of verbally aggressive behavior are still there, but additionally comes the causes of physically aggressive behavior).

51
Q

Describe four ways in which older adults are mistreated by others?

A
  1. Physical abuse: the use of physical force that may result in bodily injury, physical pain, or impairment
  2. Sexual abuse: nonconsensual sexual contact of any kind
  3. Emotional or psychological abuse: infliction of anguish, pain, or distress
  4. Financial or material exploitation: the illegal or improper use of an older adult’s funds, property, or assets
  5. Abandonment: the desertion of an older adult by an individual who had physical custody or otherwise assumed responsibility for providing care for the older adult
  6. Neglect: refusal or failure to fulfill any part of a person’s obligation or duties to an older adult
52
Q

In what way has singlehood changed historically? How have these changes affected single people? Under what conditions is staying single a problem for someone?

A

Singlehood changed historically:
* The Urban Institute projects that the percentage of millennials who will remain single until at least age 40 may be as high as 30%, higher than any previous generation
* remain single can also reflect an economic-based decision, especially for millennials, who are less likely to think they are better off than their parents as their own parents and grandparents thought at the same age

Changes affect single people:
* Increase singlehood in some cases/cultures where the economical conditions have become more equal, especially women does not find a mate based on an economical decision

Staying single is a problem:
* For example, married people are perceived as kinder and more giving, and public policy also tends to favor married individuals. Additionally, research indicates that rental agents and certain housing programs prefer married couples over singles
* kulturella skillnader: status att hitta en spouse
* ogifta kvinnor är marginaliserade i vissa kulturer

53
Q

What types of cohabitation are seen across the world? What is most common in Sweden? Under what conditions is cohabitation related to relationship health?

A

What types of cohabitation:
* increasingly popular lifestyle choice in the United States as well as in Canada, Europe, Australia, and elsewhere, especially among millennials and older adults
* evidence clearly indicates that cohabitation is common and has increased over the past several decades
* 70% for women with less than a high school diploma to about half of women with a baccalaureate degree or higher, and are longest for Latina women (33 months on average) and shortest for European American women (19 months on average). Cohabitations rates for adults 50 years of age and older have more than doubled since 2000
* One can cohabit because one want to try co-live before marriage, without having any plans of getting married (but living as married), to have more sexual accessibility, or for other reasons

What is most common in sweden:
* Cohabitation is extremely common in Sweden, where this lifestyle is part of the culture; 99% of married couples in Sweden lived together before they married and nearly one in four couples are not legally married. Decisions to marry in these countries are typically made to legalize the relationship after children are born—in contrast to Americans, who marry to confirm their love and commitment to each other.

Under what conditions is cohabitation related to relational health;
* having cohabitated does not seem to make marriages any better; in fact, under certain circumstances it may do more harm than good, resulting in lower quality marriages (p. 317)
couples who have children while cohabiting, especially for European American women
and couples who are using cohabitation to test their relationship and keep separate finances

  • Essentially, the happiest cohabiting couples are those that look very much like happily married couples: they share financial responsibilities and child care.
  • Longitudinal studies find few differences in couples’ behavior after living together for many years regardless of whether they married without cohabiting, cohabited then married, or simply cohabited
54
Q

Where marriage (pair bonding) is concerned, what contributes to a successful relationship? What are the signs that a marriage is in trouble? When is marital satisfaction highest? Lowest? Why?

A

Successful relationship:

  • Homogamy = similarity of values and interests a couple shares
    age, values, goals, attitudes (especially the desire for children), socioeconomic status, certain behaviors (such as drinking alcohol), and ethnic background increases the likelihood their relationship will succeed
  • Feeling the relationship is equal
    exchange theory = marriage is based on each partner contributing something to the relationship the other would be hard pressed to provide.
    Satisfying and happy marriages result when both partners perceive there is a fair exchange, or equity, in all the dimensions of the relationship. Problems achieving equity arise because of the competing demands of work and family
  • respect for emotion,
    attitude towards marriage, expression of love, regard for views and importance to the likings of the spouse, ignoring weaknesses of the spouse, sexual adjustment, temperament, value, taste and interest

Signs of trouble in marriage:
* Four horsemen
- Criticism (that is not constructive)
And hominem attacks - attack their person (qualities the person cannot change)
- Contempt
Contempt - disgust with dismissal
The greatest predictor
- Defensiveness
Making excuses
- Stonewalling
Stonewalling - a barrier that the other person cant get through
Intimacy can not flow under these conditions

Marital satisfaction highest/lowest, why:
* most couples, overall marital satisfaction is highest at the beginning of the marriage,
* falls until the children begin leaving home,
and stabilizes or continues to decline in later life; this pattern holds for both married and never-married cohabiting couples with children (Kulik, 2016).
* Individual differences

  • The pattern of a particular marriage over the years is determined by the nature of the dependence of each spouse on the other.
  • When dependence is mutual and about equal and both people hold similar values that form the basis for their commitment to each other, the marriage is strong and close (Givertz, Segrin, & Hanzal, 2009).
  • When the dependence of one partner is much higher than that of the other, however, the marriage is likely to be characterized by stress and conflict.
  • Learning how to deal with these changes is the secret to long and happy marriages
  • Having children (temperament of the child depends)
  • Decline in feeling love, increase in ambivalence
  • Men in combat getting PTSD
  • Non Deployed spouse believing the deployment will have negative effects (and the opposite)
  • Marriage satisfaction increase after children leave (use the launching of children to rediscover each other)
  • Can also to continue to be low (= married singles)
  • General - married satisfaction remain high until health problem begin to interfere with the relationship
55
Q

What are the psychological effects of divorce? Of losing a spouse through death? When are these effects more likely?

A

Psychological effects of divorce:
* Unhappy, at least for a while
due to financially problems
* negative health problems
* divorce hangover - the transition difficult
* If women initiate the divorce, they report self-focused growth and optimism; if they did not initiate the divorce, they tend to ruminate and feel vulnerable.
* Many middle-aged women who divorce also face significant financial challenges if their primary source of income was the ex-husband’s earnings

Psychological effects of losing to death:
* the death of a partner is one of the most traumatic events they experience, causing an increased risk of death among older European Americans (but not African Americans), an effect that lasts several years
* Despite the stress of losing one’s partner, most widowed older adults manage to cope reasonably well
* Loneliness is a major problem. Widowed people may be left alone by family and friends who do not know how to deal with a bereaved person. As a result, widows and widowers may lose not only a partner, but also
those friends and family who feel uncomfortable with including a single person rather than a couple in social functions

  • those who were most dependent on their partners during the marriage report the highest increase in self-esteem in widowhood because they have learned to do the tasks formerly done by their partners
  • Widowers may recover more slowly unless they have strong social support systems
  • Widows often suffer more financially because survivor’s benefits are usually only half of their husband’s pensions

When are these effects more likely:
* When the spouse is young
* When the death was unexpected
* (especially when both)

56
Q

Describe recent changes in parenthood. What are some changes seen across adulthood in parenthood?

A

Changes in parenthood:
* Parents in the United States typically have fewer children and have their first child later than in the past.
* The average age at the time of the birth of a woman’s first child is nearly 26.3
* Being older at the birth of one’s first child is advantageous. Older mothers are more at ease being parents, spend more time with their babies, and are more affectionate, sensitive, and supportive to them
* Compared to men who become fathers in their 20s, men who become fathers in their 30s are generally more invested in their paternal role and spend up to three times as much time caring for their preschool children as young fathers do.
* Father involvement has increased significantly, due in part to social attitudes that support it
* About 40% of births in the United States are to mothers who are not married, a rate that has declined 14% since peaking in 2008 …

Changes seen access adulthood in parenthood:

Middle aged
* Serve as the links between their aging parents and their own maturing children
* Kindkeeper = Middle aged mothers (more than fathers) tend to take on this role of kinkeeper, the person who gathers family members together for celebrations and keeps them in touch with each other.
* Sometimes referred to as the sandwich generation because they are caught between the competing demands of two generations: their parents and their children
* Suddenly their children see them in a new light, and the children leave home
* The extent parents support and approve of their children’s attempts at being independent matters. Most parents manage the transition successfully
* Mothers feeling sad, but positive feelings about potential growth of their relationship - parents provide emotional support and financial support (feeling that the job is well done as a parent)

Old parents
* Determining whether older parents are satisfied with the help their children provide is a complex issue
* The important thing to conclude from the model is even under the best circumstances, there is no guarantee the help adult children provide their parents will be well received. Misunderstandings can occur, and the frustration caregivers feel may be translated directly into negative interactions.

57
Q

Describe four conclusions researchers have come to about grandparenthood.

A
  1. Being a grandparent is a meaningful role.
    * For many it is a satisfying role
    * companionate relationships - the relationship consists of warm and pleasurable relationships - the grandparents are glad that they are no longer involved in the day-to-day relationships.
  2. Grandparents are increasingly being put in the position of raising their grandchildren.
    * See for example the involved relationships - where grandparents have an everyday participation in the rearing if their grandchildren (more common in multi-generational housing)
    * in opposite to remote relationships exists - where grandparents see their grandchildren infrequently, little direct influence on their development - most common reason is was the physical distance
  3. Grandparents pass on skills and education
  4. Grandchildren keep grandparents in touch with youth
  • it is also true that grandparenthood is a relatively new role (more and more people are becoming grandparents)
  • and that remote relationships exists - where grandparents see their grandchildren infrequently, little direct influence on their development - most common reason is was the physical distance
58
Q

What is career construction theory? What are two ideas that fit this theory?

A

What is it:
Career construction theory = build careers through their own actions that result from the interface of their own personal characteristics and the social context.

Two ideas that fit this theory:

  1. Holland’s personality type theory
  • People choose occupations to optimize the fit between their individual traits such as personality, intelligence, skills and abilities and their occupational interests
  • Holland categorizes occupations by the interpersonal settings that people must function and their associated lifestyles.
  • He identifies six personality types that combine these factors:
  • investigative,
  • social,
  • realistic,
  • artistic,
  • conventional, and
  • enterprising,

that he believes are optimally related to occupations.

  • How does Holland’s theory help us understand the continued development of occupational interests in adulthood? Monique, the college senior in the vignette, found a good match between her outgoing nature and her major, communications. Indeed, college students of all ages prefer courses and majors that fit well with their own personalities. You are likely to be one of them. Later on, that translates into the tendency of people to choose occupations and careers they like.
  1. Social cognitive career theory
  • Career choice is a result of the application of Banduras social cognitive theory, especially the concept of self-efficacy
  • people’s career choices are heavily influenced by their interests
  • Two versions.
  • The simplest includes four main factors: Self-Efficacy (your belief in your ability), Outcome Expectations (what you think will happen in a specific situation), Interests (what you like), and Choice Goals (what you want to achieve).
  • The more complex version also includes Supports (environmental things that help you) and Barriers (environmental things that block or frustrate you). Several studies show support for the six variable version of the model
  • The loss of self-efficacy happening when involuntary job-loss and long term unemployment provides support that self-efficacy is a key concept in career
59
Q

What is a developmental coach? A mentor? How do they help a person with their career?

A

What is it:

  • mentor = part teacher, sponsor, model, and counselor who facilitates on-the-job learning to help the new hire do the work required in his or her present role and to prepare for future career roles
  • Developmental coach = is an individual who helps a person focus on their goals, motivations, and aspirations to help them achieve focus and apply them appropriately.
  • Differentiate = Although mentors and coaches work with people at all career stages, mentoring is found most often with people new to a position, whereas coaching tends to focus on those with more experience.

How do they help:

  • The mentor helps a young worker avoid trouble and also provides invaluable information about the unwritten rules governing day-to-day activities in the workplace, and being sensitive to the employment situation (Smith, Howard, & Harrington, 2005). Good mentors make sure their protégés are noticed and receive credit from supervisors for good work. Thus, occupational success often depends on the quality of the mentor protégé relationship and the protégé’s perceptions of its importance
  • Developmental coaching is a process that helps people make fundamental changes in their lives by focusing on general skill development and performance improvement (Volpe et al., 2016). It tends not to focus on specific aspects of a job; rather, the intent is more general improvement of one’s overall career success. Thus, coaching complements mentoring and helps people develop all of the key aspects of themselves
  • Culturally conscious mentoring and coaching involve understanding how an organization’s and employee’s cultures mutually affect employees, and explicitly building those assumptions, interrelationships, and behaviors into the mentoring or coaching situation.
  • Having a poor mentor or coach is worse than having no mentor at all. Consequently, people must be carefully matched
60
Q

What are the most common reasons people change their occupations? Who is more likely to do so? When is career change associated with psychological adjustment? When is it not?

A

Why do people change occupation:

  • Over the past few decades, changing economic realities changing demographics, continued advancements in technology, and a global recession forced many people out of their jobs
  • Voluntary quit
  • involuntary quit

Who:
* Career plateauing = lack of challenge in one’s job or promotional opportunity in the organization or when a person decides not to seek advancement.

But attitudes can remain positive if it is only the lack of challenge and not a lack of promotion opportunity responsible for the plateauing

Associated with psychological adjustment:

  • When unemployment lasts and reemployment does not occur soon, unemployed people commonly experience a wide variety of negative effects.
  • decline in immune system functioning
  • decreases in well-being
  • When not re-employed:
    Unemployed workers had significantly lower mental health, life satisfaction, marital or family satisfaction, and subjective physical health (how they perceive their health to be) than their employed counterparts.
  • How long you are unemployed also affects how people react. People who are unemployed for at least a year perceive their mental health significantly more negatively than either employed people or those who have removed themselves from the labor force
    For example, suicide risk increases the longer unemployment lasts
  • Those who lost their jobs involuntarily feel a loss of control over their “work”
    heightened anxiety, stress
    financial pressure
    loss of self-esteem
    changes in family relationships
  • voluntary loss - more satisfaction
    better sense of control
    higher tolerance for risk-taking
    not stressed by job-seeking
    not ceiling to pursue further advancement
61
Q

What are common stereotypes about older workers? What is some evidence that these stereotypes are wrong?

A

Common stereotypes about old workers:
* Employers may believe older workers are less capable, and there is evidence this translates into lower likelihood of getting a job interview compared to younger or middle aged workers, all other things being equal

  • Despite the fact age discrimination laws in the United States protect people over age 40, such barriers are still widespread.

Evidence stereotypes are wrong:
* Depends a great deal on the kind of job one is considering, such as one that involves a great deal of physical exertion or one involving a great deal of expertise and experience.

  • In general, older workers show more reliability (e.g., showing up on time for work), organizational loyalty, and safety-related behavior.
62
Q

Describe four reasons for retirement. How are these reasons tied to well-being?

A

Reason for retirement:

  1. More workers retire by choice than for any other reason (if they have good health)
    * feel financially secure after considering projected income from Social Security, pensions and other structured retirement programs, and personal savings
  2. they are old enough
    * this is depending on the laws and structures of the society they live in
  3. Some people are forced to retire because of health problems or because they lose their jobs.
    * As corporations downsize during economic downturns or after corporate mergers, some older workers accept buyout packages involving supplemental payments if they retire. Others are permanently furloughed, laid off, or dismissed.
  4. The decision to retire is influenced by one’s occupational history and goal expectations
    * Whether people perceive they will achieve their personal goals through work or retirement influences the decision to retire and its connection with health and disability
  5. Forced to delay their retirement until they had the financial resources to do so, or to continue working part time when they had not planned to do so to supplement their income.

Tied to well-being:

  • Loss of this aspect of ourselves can be difficult to face → some look for a label other than “retired” to describe themselves
  • People’s adjustment to retirement evolves over time as a result of complex interrelations involving physical health, financial status, the degree to which their retirement was voluntary, and feelings of personal control
  • How do most people fare? As long as people have financial security, health, a supportive network of relatives and friends, and an internally driven sense of motivation, they report feeling good about being retired
  • What motivates most people, though, is finding a sense of fulfillment in ways previously unavailable to them
  • In contrast, there is ample evidence being forced to retire is correlated with significantly poorer physical and mental health
63
Q

Imagine that the government plans on a law forcing all people to retire at age 65, Write to the lawmakers—arguing for or against this law. Support your arguments with research.

A
  • forced to retire is correlated with poorer physical and mental health → more costs for the society
    elderly people and mental health → isolation →
  • people are living longer, at the same time the population over 65 increase in a more rapid pace → a greater deal of the population who
    works at old age is good
  • worse for their physical and economical health if they not have the financials to retire
  • biological health can be different, therefore a fixed age is not suitable for all
  • stereotypes → older adults tend to be on time, are experts in their subject
64
Q

What is the difference between crisp and blurred retirement? Which is better for a person’s adjustment?

A
  • Crisp = all or nothing retirement
  • Blurred = still working but decrease in time (for example volunteering after quit job, working part time at same or other job)

Which one is better:
* if healthy for example volunteering has shown to be good
* maintain social interactions
* improve communities
* keep active

65
Q

What is burnout? What seems to cause it? Why is it a psychological and physical health risk?

A

What it is: When the pace and pressure of the occupation becomes more than a person can bear, resulting in burn out, which is a depletion of a person’s energy and motivation, the loss of occupational idealism, and the feeling that one is being exploited

What seems to cause it:
* Burnout is most common among people in the helping professions— such as police (McCarty & Skogan, 2013), teaching, social work, health care
- deal with people’s complex problems
- time constraints
- bureaucratic paperwork
- frustration
- disillusionment
- exhaustion

  • and for those in the military
  • The tendency of organizations to keep employee numbers smaller during
  • Times of economic uncertainty adds to the workload for people on the job, increasing the risk of burnout
  • risk also increase with age and the years worked at a job

Why is a psychological and physical health risk:
* Burnout is a state of physical, emotional, and mental exhaustion that negatively affects self-esteem as a result of job stress

  • Bad effects on the brain
  • highly stressed workers are much less able to regulate negative emotions, resulting from weakened connections between the amygdala, anterior cingulate cortex, and prefrontal cortex
  • underlie poorer judgment and emotional outbursts seen in highly stressed people.
66
Q

What are two types of passion for work? How are they related to well-being? What are the psychological benefits of leisure activities?

A

Two types of passion:

  • A passion is = a strong inclination toward an activity individuals like (or even love), they value (and thus find important), and where they invest time and energy
  • obsessive passion

internal urge to engage in the passionate activity makes it difficult for the person to fully disengage from thoughts about the activity, leading to conflict with other activities in the person’s life

  • harmonious passion

harmonious passion results when individuals do not feel compelled to engage in the enjoyable activity; rather, they freely choose to do so, and it is in harmony with other aspects of the person’s life

Related to well being:
* The Passion Model accurately predicts employees’ feelings of burnout (Vallerand, 2008; Vallerand et al., 2010).
- Obsessive passion predicts higher levels of conflict that, in turn, predicts higher levels of burn out.
- In contrast, harmonious passion predicts higher levels of satisfaction at work and predicts lower levels of burnout.

Psychological benefits of leisure activities:
* Leisure activities (fritidsaktiviteter)
can be cognitive, emotional or physical involvement

  • leisure activities promote well-being
  • enhance all aspects of life
  • enjoyment and satisfaction predict - not the level of involvement
67
Q

What characterizes depression? How do rates of depression (generally speaking) change across adulthood? What are the risk factors for depression (according to the book)? Do the risk factors differ across adulthood?

A

What is it:
* The most prominent feature of clinical depression is dysphoria, that is, feeling down or blue

  • The second major component of clinical depression is the accompanying physical symptoms
    These include insomnia, changes in appetite, diffuse pain, troubled breathing, headaches, fatigue, and sensory loss.
    (some sleep disturbances may reflect normative changes unrelated to depression; however, certain types of sleep disturbance, such as regular early morning awakening, are related to depression, even in older adult)
  • The third primary diagnostic characteristic is the duration: symptoms must last at least 2 weeks. This criterion is used to rule out the transient symptoms common to all adults, especially after a negative experience such as receiving a rejection letter from a potential employer or getting a speeding ticket.
  • Fourth, other causes for the observed symptoms must be ruled out
  • Finally, the clinician must determine how patients’ symptoms affect daily life.

Rates of depression change:
* Research show that the rates of depression declines in aging population (in opposite to many fördommar about older people being more depressed) - only about 5%
not in all cultures
just for healthy people

  • higher for women than for men (13% vs 25%)
  • women aged 40-49 have highest rates of depression

Risk factors:
* Being female, unmarried, widowed, or recently bereaved;
* experiencing stressful life events;
* and lacking an adequate social support network are more common among older adults with depression than younger adults

  • Subgroups of older adults who are at greater risk include those with chronic illnesses, nursing home residents, and family care providers.
  • Latinos who speak primarily Spanish or are foreign-born are especially likely to show depression

Risk factors differs across adulthood:
* Being female, unmarried, widowed, or recently bereaved;
* experiencing stressful life events;
* and lacking an adequate social support network are more common among older adults with depression than younger adults
* Subgroups of older adults who are at greater risk include those with chronic illnesses, nursing home residents, and family care providers.

68
Q

What is delirium? What causes of delirium?

A

What is it:
* Delirium = characterized by confused thinking and reduced awareness of one’s environment that develop rapidly

  • The changes in cognition can include difficulties with attention, memory, orientation, and rambling speech. Delirium can also affect perception, the sleep–wake cycle, personality, and mood. The onset of delirium usually is rapid, and its course can vary a great deal over a day. Symptoms in older adults are generally more severe than in younger or middle-aged adults, and may go undetected.

What causes it:
* Delirium can be caused by any of a number of
- medical conditions (such as stroke, cardiovascular disease, and metabolic condition),
- dehydration,
- medication side effects,
- substance intoxication or withdrawal,
- exposure to toxins,
- sleep deprivation,
- fever, or
- any combination of factors

69
Q

Compare and contrast three forms of dementia—what do they have in common and what makes them different?

A

All dementia:
* A family of diseases characterized by cognitive and behavioral deficits involving some form of permanent damage to the brain.
* Dementia involves severe cognitive and behavioral decline, is not caused by a rapid onset of a toxic substance or by acute infection, and gets worse over time.

Three forms:
* Alzheimer’s disease = the most common form of progressive, degenerative, and fatal dementia, accounting for between 60% and 80% of all cases of dementia
* Parkinson = known mostly for the characteristics of motor symptoms that are easily seen: slow walking, difficulty getting into/out of chairs and slow hand tremor.
* Vascular dementia = is a dementia caused by atherosclerosis, and their following restriction of oxygen to the brain.

Compare the three forms of dementia:
* Could see cognitive decline in all the three (although if cognitive decline appear in parkinsons within one year, its classified as dementia with lewy bodies)
* All the above are most likely due to permanent changes in the brain
* none of the diseases can be really treated, they are all progressive, and involve some sort of behavior and/or cognitive change - resulting in death (if death doesn’t appear earlier due to other cause)
* the interventions
- medication may slow down the progression for both parkinsons and alzheimer’s
* the risk factors
- genitiv link to both alzhemers and parkinsons

Contrast the three forms of dementia:
* Although all of the diseases are due to changes in the brain, the specific changes is different
- in parkinsons - the deterioration of neurons that can produce the neurotransmitter dopamine
- in vascular dementia is caused på atherosclerosis, and their following restriction of oxygen to the brain
- In Alzheimer’s disease - it’s somewhat unknown - it’s seen that rapid cell death occurs, neurofibrillary tangles and neuritic plaques. Inflammation in brain structures are also seen. The most rapid cell death occurs in the hippocampus. The amount of beta amyloid has shown to be higher in brains to persons with alzheimer’s disease, but whether this is an effect of an inflammation or a cause of Alzheimer’s is still unknown.

  • the symptoms to the different diseases also differs
  • in parkinsons - are typically associated with motor symptoms, slow walking, difficulty getting into/out of chars and slow hand tremor (as mentioned earlier parkinsons could also involve cognitive decline - it’s then called parkinson’s disease dementia
  • in vascular dementia - the symptoms differ depending on where in the brain the CVAs occur (many small)
  • in Alzheimer’s - gradual change, ranging from 1 to 20 years (but average is around 9 years). memory loss, difficulty dealing with everyday problems, confusion with time and place, new words - problem, misplacing things, withdrawal from work or social activities, changes in mood and personality, vague in the beginning, wandering,
  • the rate of the change also differs somewhat, especially between alzheimer’s and vascular dementia
  • alzheimer’s have a gradual change, typically divided into three stages, early, middle and late stage - where early kännetecknas av memory loss and distortion to time and place - middle känneteckans av memory problems, difficulty with speech, loss of impulse control and late stage kännetecknas av incontinence, loss of motor skills and decreased appetite
  • vascular dementia can have a more rapid onset and a much faster course than alzheimer’s disease
  • the interventions also differs between the three forms of dementia
  • medication may slow down the progression for both parkinsons and alzheimer’s - somewhat more effective when it comes to parkinsons
  • behavioral interventions - for alzheimer’s - such as planning, prevent wandering and removing sources to harm
  • the risk factors
  • genitiv link to both alzheimers and parkinsons (although it’s different genes involved)
  • for parkinsons it’s more prevalent among men
  • for vascular dementia - its more prevalent among smokers, pulmonary disease and vascular diseases
  • for parkinson’s - environment seems to have an impact - such as exposure to toxins
70
Q

Describe two cultural variations in the definition of death

A
  • Melanesians have a term, mate, that includes the extremely sick, the very old, and the dead; the term toa refers to all other living people
  • view death as a transition to a different type of existence that still allows interaction with the living,
  • there is a circular pattern of multiple deaths and rebirths
  • In Ghana people are said to have a “peaceful” or “good” death if the dying person finished all business and made peace with others before death, and implies being at peace with his or her own death
71
Q

Compare and contrast the three medical definitions of death.

A

Three medical definitions

  1. Whole brain death
    - First, the person is in a coma, and the cause of the coma is known.
    - Second, all brainstem reflexes have permanently stopped working.
    - Third, breathing has permanently stopped, so that a ventilator, or breathing machine, must be used to keep the body functioning
    - must be determined by a physician who know the guidelines
  2. clinical death
    - Lack of heartbeat and respiration.
  3. persistent vegetative state
    - Cortical functioning to cease while brainstem activity continues - never recovers

Compare three medical definitions:
* when it comes to both whole brain death and persistent vegetative state, the person never recovers
* bioethical questions - who decides who is dead and not
* regarding clinical death and persistent vegetative state - some sort of brain function is still there - resulting in some utslag on a EEG

Contrast three medical definitions:
* in contrast to whole brain death and persistent vegetative state clinical death is reversible with for example hjärt-och-lung-räddning

72
Q

Describe age-related differences in how adults feel about dying.

A
  • Midlife is the time when most people in developed countries confront the death of their parents. Until that point, people tend not to think much about their own death; the fact their parents are still alive buffers them from reality. After all, in the normal course of events, our parents are supposed to die before we do

Once their parents die, people realize they are now the oldest generation of their family—the next in line to die. Reading the obituary pages, they are reminded of this, as the ages of many of the people who died get closer and closer to their own

  • Probably as a result of this growing realization of their own mortality, middle-aged adults’ sense of time undergoes a subtle yet profound change. It changes from an emphasis on how long they have already lived to how long they have left to live, a shift that increases into late life
  • This may lead to occupational change or other redirection such as improving relationships that deteriorated over the years. It is also the case that certain strategies are used to deflect attention from or buffer the reality of death anxiety. For example, Yaakobi (2015) found that the desire to work serves as a death anxiety buffer for adults.
  • In general, older adults are less anxious about death and more accepting of it than any other age group. Still, because the discrepancy between desired and expected number of years left to live is greater for young-old than for mid-old adults, anxiety is higher for young old adults
  • For other older adults, the joy of living is diminishing. More than any other group, they experienced loss of family and friends and have come to terms with their own mortality. Older adults have more chronic diseases that are not likely to go away. They may feel their most important life tasks have been completed
73
Q

Describe Kübler-Ross’ theory regarding dying. Why is it not considered a “stage” theory?

A

Describe theory:

  • More than 200 interviews with terminally ill people convinced her most people experienced several emotional reactions. Using her experiences, she described five reactions that represented the ways people dealt with
    death:
  • denial,
  • anger,
  • bargaining,
  • depression, and
  • acceptance

Why it’s not considered a stage theory
* Although they were first presented as a sequence, it was subsequently realized the emotions can overlap and be experienced in different order

  • She believed these five stages represent the typical range of emotional development in the dying, Kübler-Ross’s (1974) cautioned not everyone experiences all of them or progresses through them at the same rate or in the same order. Research supports the view her “stages” should not be viewed as a sequence
  • Emotional responses may vary in intensity throughout the dying process. Thus, the goal in applying Kübler Ross’s ideas to real-world settings would be to help people achieve an appropriate death: one that meets the needs of the dying person, allowing him or her to work out each problem as it comes.
74
Q

Describe the contextual theory of dying

A

Corr identified four dimensions of the issues or tasks a dying person faces from their perspective:
* bodily needs (what happens when you die - with your body - how do you want it)
*psychological security,
* interpersonal attachments (socialisera och finna acceptans från både den som ska dö och omgivningen)
* spiritual energy and hope (hitta hopp, genom t.ex. spiritualitet, gud eller något annat).

This holistic approach acknowledges individual differences and rejects broad generalizations.

Corr’s task work approach also recognizes the importance of the coping efforts of family members, friends, and caregivers as well as those of the dying person

Corr didn’t argue that this process is something that everybody goes through, but it could be a beneficial way

75
Q

What is death anxiety and how is it manifested? What have experts recommended for reducing or coping with death anxiety?

A

What is it:
* Death anxiety = people’s anxiety or even fear of death, dying and what comes next.
* unknown nature of death, rather than something about it in particular, that makes us feel so uncomfortable.
* indirect behavioral evidence to document death anxiety. Research findings suggest death anxiety is a complex, multidimensional construct.
* researchers conclude death anxiety consists of several components. Each of these components is most easily described with terms that reflect areas of great concern (anxiety) but that cannot be tied to any one specific focus.
* These components of death anxiety include:
pain,
body malfunction,
humiliation,
rejection,
nonbeing,
punishment,
interruption of goals,
being destroyed, and
negative impact on survivors (Power & Smith, 2008).
* To complicate matters further, each of these components can be assessed at any of three levels: public, private, and nonconscious.
* Terror management theory = addresses the issue of why people engage in certain behaviors to achieve particular psychological states based on their deeply rooted concerns about mortality. The theory proposes that ensuring the continuation of one’s life is the primary motive underlying behavior and that all other motives can be traced to this basic one (neuroimaging supports this theory).

Experts recommended for reducing or coping with death anxiety
* Perhaps the one most often used is to live life to the fullest. Kalish (1984, 1987) argues people who do this enjoy what they have; although they may still fear death and feel cheated, they have few regrets.
* Koestenbaum (1976) proposes several exercises and questions to increase one’s death awareness. Some of these are to write your own obituary and to plan your own death and funeral services. You can also ask yourself: “What circumstances would help make my death acceptable?” “Is death the sort of thing that could happen to me right now?”
* These questions serve as a basis for an increasingly popular way to reduce anxiety: death education. Most death education programs combine factual information about death with issues aimed at reducing anxiety

These programs vary widely in orientation; they include such topics as philosophy, ethics, psychology, drama, religion, medicine, art, and many others. Additionally, they focus on death, the process of dying, grief and bereavement, or any combination of those. In general, death education programs help primarily by increasing our awareness of the complex emotions felt and expressed by dying people and their families. It is important to make education programs reflect the diverse backgrounds of the participants

  • Research shows participating in experiential workshops about death significantly lowers death anxiety in younger, middle-aged, and older adults and raises awareness about the importance of advance directives (Moeller et al., 2010).
76
Q

What do experts agree are important tasks for those who are terminally ill or know they will die soon?

A
  • Final scenario = making choices known about how they do and do not want their lives to end constitutes a final scenario.

Final scenario can consist of:
- process of separation from family and friends (Corr & Corr, 2013; Wanzer & Glenmullen, 2007).
- The final days, weeks, and months of life provide opportunities to affirm love, resolve conflicts, and provide peace to dying people.
- The failure to complete this process often leaves survivors feeling they did not achieve closure in the relationship, and can result in bitterness toward the deceased.
- most important and difficult part

(encouraging) people to decide for themselves how the end of their lives should be handled helps people take control of their dying

One’s final scenario helps family and friends interpret one’s death, especially when the scenario is constructed jointly, such as between spouses, and when communication is open and honest.

  • It has also been shown that
  • disposition of body
  • memorialization
  • distribution of assets
  • listen well
  • respectful
  • honest
  • engagement
  • calm
  • indirect question
77
Q

What are bereavement, grief, and mourning?

A

What is bereavement: the state or condition caused by loss through death.

What is grief: the sorrow, hurt, anger, guilt, confusion, and other feelings that arise after suffering a loss

  • Grief corresponds to the emotional reactions following loss, whereas mourning is the culturally approved behavioral manifestations of those feelings.
  • Unlike bereavement, over which we have no control, grief is a process that involves choices in coping, from confronting the reality and emotions to using religion to ease one’s pain
  • From this perspective, grief is an active process when a person must do several things

What is mourning: concerns the ways we express our grief.
* Mourning is highly influenced by culture

78
Q

What are the “steps” that describe the process of grieving?

A

When someone close to us dies, we must reorganize our lives, establish new patterns of behavior, and redefine relationships with family and friends

  1. Acknowledge the reality of the loss.
    We must overcome the temptation to deny the reality of our loss; we must fully and openly acknowledge it and realize it affects every aspect of our life.
  2. Work through the emotional turmoil.
    We must find effective ways to confront and express the complete range of emotions we feel after the loss and must not avoid or repress them.
  3. Adjust to the environment where the deceased is absent.
    We must define new patterns of living that adjust appropriately and meaningfully to the fact the deceased is not present.
  4. Loosen ties to the deceased.
    We must free ourselves from the bonds of the deceased in order to re-engage with our social network. This means finding effective ways to say good-bye.
79
Q

Describe the four-component model of grief. What components are considered normative and non-normative? Why are they different?

A

Describe

  • The four-component model proposes understanding grief is based on four things:
    1. the context of the loss,
    referring to the risk factors such as whether the death was expected;
    2. continuation of subjective meaning associated with loss, ranging from evaluations of everyday concerns to major questions about the meaning of life;
    3. changing representations of the lost relationship over time
    (peakar inom 6 månader); and
    4. the role of coping and emotion regulation processes
    that cover all coping strategies used to deal with grief
  • According to the four-component model, dealing with grief is a complicated process only understood as a complex outcome that unfolds over time
  • One of the most important in helping a grieving person involves helping her or him make meaning from the loss
    Second, this model implies encouraging people to express their grief may actually not be helpful.
  • Emotion strategies such as rumination, suppression and avoidance

Normative/ non-normtive:

  • Normative: one and three → the context and representation change over time
  • Non-normative: emotion strategies such as rumination, suppression and avoidance

Why are they different:
* One: context can’t be changed, it is what it is.
* Three: in (at least) a healthy grieving process the perspective of the lost one will change over time.
*Two: this can range from a healthy way of thinking about the event to loss of meaning.
* Four: emotion regulation strategies can be both healthy and unhealthy - example is rumination, suppression and avoidance.

80
Q

What is the “dual” in the dual process model of grief? How are they related to well- being?

A

What it is:
* The dual process model (DPM) of coping with bereavement integrates existing ideas regarding stressors

  • Defines two broad types of stressors.
    1. Loss-oriented stressors concern the loss itself, such as the grief work that needs to be done.
    2. Restoration-oriented stressors are those that involve adapting to the survivor’s new life situation, such as building new relationships and finding new activities.
  • The DPM proposes dealing with these stressors is a dynamic process, as indicated by the lines connecting them in the figure. This is a distinguishing feature of DPM.

It shows how bereaved people cycle back and forth between dealing mostly with grief and trying to move on with life. At times the emphasis will be on grief; at other times on moving forward.

  • The DPM captures well the process bereaved people themselves report—at times they are nearly overcome with grief, while at other times they handle life well. The DPM also helps us understand how, over time, people come to a balance between the long-term effects of bereavement and the need to live life. Understanding how people handle grief requires understanding of the various contexts in which people live and interact with others

How they are related to well being: ?

81
Q

What are the two components of adaptive grieving dynamics? How are they dynamic?

A

two components to grief:

  1. Valance
    * Lamenting: experiencing and/or expressing grieving responses that are distressful, disheartening, and/or painful;
    * Heartening: experiencing and/or expressing grieving responses that are gratifying, uplifting, and/or pleasurable
  2. Dynamics
    * Integrating: assimilating internal and external changes catalyzed by a grief-inducing loss, and reconciling differences in past, present, and future realities in light of these changes; and
    * Tempering: avoiding chronic attempts to integrate changed realities impacted by a grief-inducing loss that overwhelm a griever’s and/or community’s resources and capacities to integrate such changes.

How are they dynamic:
* Bagbey Darian (2014) argues that although the pairs appear to be contradictory, in processing grief they actually work together.
* For instance, grieving people often experience both joy and sorrow simultaneously when remembering a loved one.
* This simultaneity of experience is a key difference between MAGD and the dual process model, as the dual process model argues that grieving people oscillate between loss-oriented tasks and restoration-oriented tasks

  • According to the MAGD, the outcome of grief is not “working things through,” or necessarily finding meaning in the loss. Rather, it aims at understanding how people continually negotiate and renegotiate their personal and interpersonal equilibrium over time.
  • Grieving never really ends; how the person continues finding balance given that reality is the issue
82
Q

Describe two ways that the grieving process differs across people.

A

First, grieving is a highly individual experience. A process that works well for one person may not be the best for someone else.

  • The time it takes to grief differs a lot

To a casual observer, it may appear a survivor is “back to normal” after a few weeks (Harris, 2016). Actually, what may look like a return to normal activities may reflect bereaved people feeling social pressure to “get on with things.” It takes most people much longer to resolve the complex emotional issues faced during bereavement. Researchers and therapists alike agree a person needs at least a year following the loss to begin recovery, and two years is not uncommon

  • Emotional reactions differ

Affect refers to people’s emotional reactions to the death of their loved one, such as certain topics that serve as emotional triggers for memories of their loved one.

  • Gender differences

men - often seems like they grief less, but they have higher mortality rates after they lost a close one

women - higher rates of depression

  • Change involves the ways survivors’ lives change as a result of the loss; personal growth (e.g., “I didn’t think I could deal with something that painful, but I did”) is a common experience.
  • Narrative relates to the stories survivors tell about their deceased loved one, that sometimes includes details about the process of the death.
  • Finally, relationships reflect who the deceased person was and the nature of the ties between that person and the survivor.
83
Q

Compare and contrast ambiguous grief with disenfranchised grief.

A

What is ambiguous grief:

  • situations of loss in which there is no resolution or closure
    1. missing person who is physically absent but still very present psychologically to family and friends
    missing after disaster, victim of kidnapping
    2. loved one who is psychologically absent but who is still physically present
    here but gone
    dementia
  • closure is hard - not certainty is reached
  • pressure to stop holding hope, and to not stop hoping, accused of being cold

What is disenfranchised grief:

  • Loss seem insignificant to others is highly consequential to the person who suffers the loss; such situations give rise to disenfranchised grief
  • loss of pet
  • stems from social expectations to move on
  • can also be drug addicts, very old people or “distant” relationships

Compare:
* both bring difficulties (among other reasons) due to social expectations on how grief should be or for whom we should grieve
* both description of grief describe a construct that can be hard dealing with

Contrast:
* ambiguous grief describes a phenomenon of grief that is influenced by hope/not hope, whereas description grief don’t have this component of pendeling between hope/not hope

84
Q

What characterizes “complicated” or “prolonged” grief. What are some conditions under which prolonged grief is more likely. Describe why

A

Complicated grief:
* is characterized by persistent and intrusive feelings of grief lasting beyond the expected period of adaptation to loss, and is associated with separation distress and traumatic distress (Arizmendi, Kaszniak, & O’Connor, 2016).

feelings of hurt, loneliness, and guilt are so overwhelming they become the focus of the survivor’s life to such an extent there is never any closure and the grief continues to interfere indefinitely with one’s ability to function.

  • Symptoms of separation distress include
  • preoccupation with the deceased to the point it interferes with everyday functioning,
  • upsetting memories of the deceased,
  • longing and searching for the deceased, and
  • isolation following the loss.
  • Symptoms of traumatic distress include
  • feeling disbelief about the death,
  • mistrust,
  • anger, and
  • detachment from others as a result of the death,
  • feeling shocked by the death, and
  • the experience of physical presence of the deceased.

More likely:
* More common in young adulthood - especially if it’s spousal death
have dreams of the future
unexpected
no way to prepare - therefore no gradual acceptance

  • more common if it’s the death of ones child
    one of the most traumatic types of loss
    especially if sudden
    cross-culturally universal
    some never recovers
    also include miscarage

more common if its ones parent
often (not always) the most important person in their lives
reminds people of their own mortality
letting go
can also be a relief - of the parents suffering - but doesn’t mean it’s not painful

  • The presence of complicated grief transcends culture
  • Complicated grief and mental health problems are relatively common