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Chapter Twenty-Five Late Adulthood: Psychosocial Development PowerPoints prepared by Dr. Robert Neff, Brookhaven College

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Theories of Late Adulthood Three Types of Theories self theories stratification theories dynamic theories

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Based on premise that adults make choices, confront problems, and interpret reality to be themselves as fully as possible people begin to self-actualize, as Maslow described it each person ultimately depends on himself or herself Self Theories

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Integrity Versus Despair Eriksons eighth and final stage Integrity vs. Despair older adults seek to integrate their unique experience with their vision of community Ideally, reality of death brings life- affirming involvement in present The more positively a person feels about him- or herself, the less depression or despair is felt

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Identity Theory Identity Challenged in Late Adulthood as health, appearance, employment, crumble Two Extremes of Coping identity assimilationnew experiences incorporated into stable sense of identity distortion of reality and denial anything major changed identity accommodationaltering self- concept to adapt to new experiences viewed as an over-adjustment

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Selective Optimization Older person chooses to cope with physical and cognitive losses Older person makes selective changes to cope with losses This readiness to make changes is a measure of strength of the self

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Stratification Theories Social forces limit individual choice and direct life at every stage, especially late adulthood

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Stratification By Age Disengagement Theory vs. Activity Theory Disengagement theoryaging increasingly narrows ones social sphere, resulting in role relinquishment, withdrawal, passivity Activity theoryelderly people need to remain active in a variety of social sphereswith relatives, friends, and community groups. If elderly withdraw, they do so unwillingly due to ageism dominant view now supports activity theory

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Dynamic Theories Dynamic theoriesemphasize change and readjustment rather than either the ongoing self or legacy of stratification Continuity theoryeach person experiences changes of late adulthood and behaves towards others in much the same way as he or she did earlier in life adaptive change dynamic response

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Chosen Activities Employment has many advantages, but it is not typically something person has a choice about doing One positive aspect of retirement: allows freedom to be ones own person to choose ones main activities e.g., in areas of education, helping others, religion, politics

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Continuing Education Elderhostelprogram in which people aged 55 and older live on college campuses and take special classes usually during college vacation periods Around the world, thousands of learning programs filled with retirees Many elderly hesitate to take classes with mostly younger students if they overcome this fear, typically find they earn excellent grades

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Volunteer Work Higher percent of elderly adults have strong commitment to their community and believe they should be of service older adults especially likely to volunteer to assist the young, very old, or sick 40 percent of the elderly are involved in structured volunteering many of the other 60 percent volunteer informally elderly benefit, but not if forced to volunteer

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Religious faith increases with age increase in prayer and religious practice Research shows religious institutions are particularly important to older Americans who may feel alienated from overall society Religious Involvement

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Political Activism Elderly more so than any other age group Know more about national and local issues Political participation translates into power ARRPmajor organization representing elderly, is largest U.S. special interest group Most elderly are interested in wider social concernse.g., war, peace, the environment

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Home, Sweet Home Many busy maintaining home and yard Some move, but most want to age in place, even if adult children have moved far away naturally occurring retirement community (NORC) created when they stay in neighborhood they moved into with young children One result of aging in place is that many elderly live alone

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Long-Term Marriages Spouse buffers many problems of old age Married elders generally are healthier wealthier happier

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Divorce is rare in late adulthood Widowhood is common Death of a spouse eventually occurs for half of all older married people Adjustment to loss varies depending on sex of surviving partner Many older widows come to enjoy their independence Losing a Spouse

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4 x as many widows as widowers Because women take better care of their health, they live longer than men Husbands death is never easy Death can mean loss of close friend, social circle, income, and status Widows do not usually seek another husband Widows

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Living without a spouse is more difficult for men Widowers often lack social support Historical gender differences make adjustment more difficult have restrictive notions of masculine behavior Widowers

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The Frail Elderly Defined asover 65, physically infirm, very ill, or cognitively impaired Activities of daily life (ADLs) bathing, walking, toileting, dressing, and eating inability to perform these tasks sign of frailty

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The Frail Elderly, cont. Instrumental activities of daily life (IADLs) vary from culture to culture require some intellectual competence in developed countries: phone calls, paying bills, taking medication, shopping for groceries in rural areas of other nations: feeding chickens, cultivating the garden, getting water from the well

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Increasing Prevalence of Frail Elderly At any moment, no more than 2 percent of world population are frail elders Increasing number for 4 reasons more people reach old age medical establishment geared toward death prevention rather than life enhancement medical care now prolongs life measures that could prevent or reduce impairment often unavailable to people with low incomes

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Caring for the Frail Elderly Most are cared for by relatives In North America, 60 percent, by family and friends Other 40 percent, combination of family, friends, and professional care Current U.S. trend: husbands and wives care for each other until this becomes impossible

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The Demands of Family Care Toll of home caregiving is heavy caregivers physical health suffers and depression increases caregiver often has to give up other activities when caregiver is appreciated by others for efforts, he or she may feel fulfilled by the experience

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Nursing Homes Most elderly want to avoid them at all costs believe they are horrible places In U.S., the worst tend to be those run for-profit, where patients are mostly on Medicare and Medicaid But, overall, abuse has been reduced In the United States and Europe, good nursing-home care available for those who can afford it