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Kathleen Stassen Berger


                    Part VIII              Chapter Twenty-Five

     Late Adulthood: Psychosocial Development

Theories of Late Adulthood

Coping with Retirement

Friends and Relatives

The Frail Elderly

                    Prepared by Madeleine Lacefield Tattoon, M.A.   1
Late Adulthood: Psychosocial Development

• the range of possibilities for life after
  age 65 is vast, greater than at any
  earlier age
• people in late adulthood take comfort
  in:
  – family
  – pleasure in their daily routines
  – current events


                                              2
Theories of Late Adulthood
• Self Theories
  – theories of late adulthood that
    emphasize the core self, or the search
    to maintain one’s integrity and identity




                                               3
Theories of Late Adulthood
• Integrity Versus Despair
  – the final stage of Erik Erikson’s
    developmental sequence, in which older
    adults seek to integrate their unique
    experience with their vision of
    community




                                         4
Theories of Late Adulthood
• Identity theory
  – Erikson’s fifth stage, identity versus role
    confusion—each new experience, each
    gain or loss, requires a reassessment of
    identity
  – identity is challenged in old age
  – the usual pillars of self-concept crumble
    • appearance, health and employment



                                                  5
Theories of Late Adulthood
• Selective Optimization
  – this concept is central to self theories—
    individuals can set goals, assess their
    own abilities, and figure out how to
    accomplish what they want to achieve
    despite the limitation and declines of
    later life



                                                6
Theories of Late Adulthood
• Stratification Theories
  – theories that emphasize that social
    forces, particularly those related to a
    person’s social stratum or social
    category, limit individual choices and
    affect the ability to function in late
    adulthood as past stratification
    continues to limit life in various ways



                                              7
Theories of Late Adulthood
• Stratification by Age
  – as they grow older, people may be
    consigned to their own places and
    activities
  – industrialized nations segregate older
    people




                                             8
Theories of Late Adulthood
• Stratification by Age
  – disengagement theory
     • the view that aging makes a person’s social
       sphere increasingly narrow, resulting in role
       relinquishment, withdrawal, and passivity
  – activity theory
     • the view that elderly people want and need to
       remain active in a variety of social spheres—
       with relatives, friends, and community groups—
       and become withdrawn only unwillingly, as a
       result of ageism



                                                        9
Theories of Late Adulthood
• Stratification by Gender
  – feminist theory draws attention to
    gender separation
  – a disproportionate number of the elderly
    are female
  – everywhere older women are
    segregated and as a result poorer than
    old men



                                           10
Theories of Late Adulthood
• Ethnic Discrimination
  – critical race theory sees ethnicity and race as
    “social construct whose practical utility is
    determined by a particular society or social
    system”
  – long-standing ethnic discrimination and racism
    results in stratification, shaping experience
    and attitude throughout the life span:




                                                  11
Theories of Late Adulthood
• Better to Be Female, Non-European,
  and Old?
  – African and Hispanic Americans are
    often nurtured and respected within their
    families and churches
  – Asian and Hispanic elders often outlive
    European American contemporaries



                                            12
Theories of Late Adulthood
• Dynamic Theories
  – focus on the transformations of late adulthood and on
    how individuals react to such events
  – dynamic theories
     • theories of psychosocial development that emphasize
       change and readjustment rather than either the ongoing
       self or the impact of stratification—each person’s life is
       seen as an active, ever-changing, largely self-propelled
       process, occurring within specific social contexts that
       they themselves are constantly changing
  – continuity theory
     • the theory that each person experiences the changes of
       late adulthood and behaves toward others in much the
       same way he or she did in earlier periods of life




                                                                    13
Coping with Retirement
• Deciding When to Retire
  – social scientists and political leaders
    have assumed that older adults wanted
    employment
  – recent sociological and psychological
    research has found that most older
    adults want to stop working as soon as
    they are eligible



                                              14
Coping with Retirement
• Retirement and Marriage
  – research says that it is best for both
    spouses to retire together
  – neither is satisfied if the other is still
    working and making family decisions




                                                 15
Coping with Retirement
• Aging in Place
  – refers to a preference of elderly people
    to remain in the same home and
    community, adjusting but not leaving
    when health fades




                                               16
Coping with Retirement
• Continuing Education
  – retirement offers the time and
    opportunity to take classes
  – 1 out of 4 U.S. adults age 66 and older
    were enrolled in continuing education in
    2005




                                           17
Coping with Retirement
• Volunteer Work
  – is suitable for elderly people who have
    adequate pensions or other sources of
    income
  – volunteering allows the elderly to gain
    status and to find “new meaning…”




                                              18
Coping with Retirement
• Religious Involvement
  – studies show that religious involvement
    of all kinds correlates with physical and
    emotional health as well as long life




                                                19
Coping with Retirement
• Political Activism
  – the elderly are more politically active
  – frequently write to their elected
    representatives
  – vote in off-year elections
  – identify with a political party
  – join groups that lobby


                                              20
Coping with Retirement
• AARP
 – a U.S. organization of people aged 50
   and older, which advocates for the
   elderly—it was originally called the
   American Association of Retired Person,
   but now only the acronym AARP is
   used, to reflect the fact that the
   organization’s members do not have to
   be retired


                                        21
Friends and Relatives
– social convoy
  • collectively, the family members, friends,
    acquaintances, and even strangers who
    move through life with an individual




                                             22
Friends and Relatives
• Long-Term Marriages
  – a spouse buffers against the problems
    of old age and extends life
  – personal happiness increases with the
    quality of the marriage or intimate
    relationship
  – mutual respect



                                            23
Friends and Relatives
• Losing a Spouse
  – widowhood among elderly is common
    and problematic—especially the first two
    years after death
  – women tend to marry older men and live
    longer than men




                                           24
Friends and Relatives
• Relationships with Younger Generations
  – older adults live to see two or more
    generations of younger family members
  – more adults are having one child—many
    children will have no aunts, uncles, cousins,
    brothers, or sisters




                                             25
Friends and Relatives
• Adult Children
  – engagement and interaction are common
    between older adults and their grown children
  – intergenerational relationships are affected by
    many factors in general
     • assistance arises both from need and from the
       ability to provide
     • personal contact depends mostly on
       geographical proximity
     • affection is influenced by the pair’s history of
       mutual love and respect
     • sons feel stronger obligation; daughters feel
       stronger affection



                                                          26
Friends and Relatives
• Adult Children
  – as parent grow older, every family
    needs to adjust to changing conditions
    and circumstance renegotiating
    relationships
  – filial responsibility
    • the idea that adult children are obligated
      to care for their aging parents




                                               27
Friends and Relatives
• Grandchildren
  – ongoing grandparent-grandchild
    relationships usually reveal one of three
    approaches to grandparenting
    • remote grandparents
    • companionate grandparents
    • involved grandparents



                                            28
Friends and Relatives
• Friendship
  – quality, not quantity, of friendship is
    crucial
  – having at least one close confidant acts
    as a buffer against many forms of lost
    status, poor health and reduced
    companionship



                                               29
The Frail Elderly
• frail elderly
  – people over age 65 who are physically
    infirm, very ill, or cognitively impaired




                                                30
The Frail Elderly
• activities of daily life (ADL)
  – actions that are important to
    independent living, typically consisting
    of five tasks of self-care; eating, bathing,
    toileting, dressing, and transferring from
    a bed to a chair—the inability to perform
    any of these tasks is a sign of frailty



                                              31
The Frail Elderly
• instrumental activities of daily life
  (IADL)
  – actions that are important to
    independent living and that require
    some intellectual competence and
    forethought—the ability to perform these
    tasks is even more critical to self-
    sufficiency than ADL ability


                                           32
The Frail Elderly
• Instrumental Activities of Daily Life (IADL)




                                           33
Caring for the Frail Elderly
• The Demands of Family Care
  – often caregivers of the elderly are themselves
    elderly
  – caregivers often experience substantial stress
  – sometimes caregivers feel fulfilled by their
    experiences
  – designated caregivers are often chosen less for
    practical reason than because of cultural
    expectation
  – respite care
     • an arrangement in which a professional
       caregiver relieves a frail elderly person’s usual
       family caregiver for a few hours each day or for
       an occasional weekend


                                                       34
Caring for the Frail Elderly
• Elder Abuse
  – analysis of elder abuse is complicated
    because three distinct elements
    contribute to the problem:
    • the victim
    • the abuser
    • the setting




                                             35
Caring for the Frail Elderly
• Long-Term Care
  – assistant living
    • provides some of the privacy and
      independence of living at home, along
      with some medical supervision




                                              36

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Chapter 25

  • 1. Kathleen Stassen Berger Part VIII Chapter Twenty-Five Late Adulthood: Psychosocial Development Theories of Late Adulthood Coping with Retirement Friends and Relatives The Frail Elderly Prepared by Madeleine Lacefield Tattoon, M.A. 1
  • 2. Late Adulthood: Psychosocial Development • the range of possibilities for life after age 65 is vast, greater than at any earlier age • people in late adulthood take comfort in: – family – pleasure in their daily routines – current events 2
  • 3. Theories of Late Adulthood • Self Theories – theories of late adulthood that emphasize the core self, or the search to maintain one’s integrity and identity 3
  • 4. Theories of Late Adulthood • Integrity Versus Despair – the final stage of Erik Erikson’s developmental sequence, in which older adults seek to integrate their unique experience with their vision of community 4
  • 5. Theories of Late Adulthood • Identity theory – Erikson’s fifth stage, identity versus role confusion—each new experience, each gain or loss, requires a reassessment of identity – identity is challenged in old age – the usual pillars of self-concept crumble • appearance, health and employment 5
  • 6. Theories of Late Adulthood • Selective Optimization – this concept is central to self theories— individuals can set goals, assess their own abilities, and figure out how to accomplish what they want to achieve despite the limitation and declines of later life 6
  • 7. Theories of Late Adulthood • Stratification Theories – theories that emphasize that social forces, particularly those related to a person’s social stratum or social category, limit individual choices and affect the ability to function in late adulthood as past stratification continues to limit life in various ways 7
  • 8. Theories of Late Adulthood • Stratification by Age – as they grow older, people may be consigned to their own places and activities – industrialized nations segregate older people 8
  • 9. Theories of Late Adulthood • Stratification by Age – disengagement theory • the view that aging makes a person’s social sphere increasingly narrow, resulting in role relinquishment, withdrawal, and passivity – activity theory • the view that elderly people want and need to remain active in a variety of social spheres— with relatives, friends, and community groups— and become withdrawn only unwillingly, as a result of ageism 9
  • 10. Theories of Late Adulthood • Stratification by Gender – feminist theory draws attention to gender separation – a disproportionate number of the elderly are female – everywhere older women are segregated and as a result poorer than old men 10
  • 11. Theories of Late Adulthood • Ethnic Discrimination – critical race theory sees ethnicity and race as “social construct whose practical utility is determined by a particular society or social system” – long-standing ethnic discrimination and racism results in stratification, shaping experience and attitude throughout the life span: 11
  • 12. Theories of Late Adulthood • Better to Be Female, Non-European, and Old? – African and Hispanic Americans are often nurtured and respected within their families and churches – Asian and Hispanic elders often outlive European American contemporaries 12
  • 13. Theories of Late Adulthood • Dynamic Theories – focus on the transformations of late adulthood and on how individuals react to such events – dynamic theories • theories of psychosocial development that emphasize change and readjustment rather than either the ongoing self or the impact of stratification—each person’s life is seen as an active, ever-changing, largely self-propelled process, occurring within specific social contexts that they themselves are constantly changing – continuity theory • the theory that each person experiences the changes of late adulthood and behaves toward others in much the same way he or she did in earlier periods of life 13
  • 14. Coping with Retirement • Deciding When to Retire – social scientists and political leaders have assumed that older adults wanted employment – recent sociological and psychological research has found that most older adults want to stop working as soon as they are eligible 14
  • 15. Coping with Retirement • Retirement and Marriage – research says that it is best for both spouses to retire together – neither is satisfied if the other is still working and making family decisions 15
  • 16. Coping with Retirement • Aging in Place – refers to a preference of elderly people to remain in the same home and community, adjusting but not leaving when health fades 16
  • 17. Coping with Retirement • Continuing Education – retirement offers the time and opportunity to take classes – 1 out of 4 U.S. adults age 66 and older were enrolled in continuing education in 2005 17
  • 18. Coping with Retirement • Volunteer Work – is suitable for elderly people who have adequate pensions or other sources of income – volunteering allows the elderly to gain status and to find “new meaning…” 18
  • 19. Coping with Retirement • Religious Involvement – studies show that religious involvement of all kinds correlates with physical and emotional health as well as long life 19
  • 20. Coping with Retirement • Political Activism – the elderly are more politically active – frequently write to their elected representatives – vote in off-year elections – identify with a political party – join groups that lobby 20
  • 21. Coping with Retirement • AARP – a U.S. organization of people aged 50 and older, which advocates for the elderly—it was originally called the American Association of Retired Person, but now only the acronym AARP is used, to reflect the fact that the organization’s members do not have to be retired 21
  • 22. Friends and Relatives – social convoy • collectively, the family members, friends, acquaintances, and even strangers who move through life with an individual 22
  • 23. Friends and Relatives • Long-Term Marriages – a spouse buffers against the problems of old age and extends life – personal happiness increases with the quality of the marriage or intimate relationship – mutual respect 23
  • 24. Friends and Relatives • Losing a Spouse – widowhood among elderly is common and problematic—especially the first two years after death – women tend to marry older men and live longer than men 24
  • 25. Friends and Relatives • Relationships with Younger Generations – older adults live to see two or more generations of younger family members – more adults are having one child—many children will have no aunts, uncles, cousins, brothers, or sisters 25
  • 26. Friends and Relatives • Adult Children – engagement and interaction are common between older adults and their grown children – intergenerational relationships are affected by many factors in general • assistance arises both from need and from the ability to provide • personal contact depends mostly on geographical proximity • affection is influenced by the pair’s history of mutual love and respect • sons feel stronger obligation; daughters feel stronger affection 26
  • 27. Friends and Relatives • Adult Children – as parent grow older, every family needs to adjust to changing conditions and circumstance renegotiating relationships – filial responsibility • the idea that adult children are obligated to care for their aging parents 27
  • 28. Friends and Relatives • Grandchildren – ongoing grandparent-grandchild relationships usually reveal one of three approaches to grandparenting • remote grandparents • companionate grandparents • involved grandparents 28
  • 29. Friends and Relatives • Friendship – quality, not quantity, of friendship is crucial – having at least one close confidant acts as a buffer against many forms of lost status, poor health and reduced companionship 29
  • 30. The Frail Elderly • frail elderly – people over age 65 who are physically infirm, very ill, or cognitively impaired 30
  • 31. The Frail Elderly • activities of daily life (ADL) – actions that are important to independent living, typically consisting of five tasks of self-care; eating, bathing, toileting, dressing, and transferring from a bed to a chair—the inability to perform any of these tasks is a sign of frailty 31
  • 32. The Frail Elderly • instrumental activities of daily life (IADL) – actions that are important to independent living and that require some intellectual competence and forethought—the ability to perform these tasks is even more critical to self- sufficiency than ADL ability 32
  • 33. The Frail Elderly • Instrumental Activities of Daily Life (IADL) 33
  • 34. Caring for the Frail Elderly • The Demands of Family Care – often caregivers of the elderly are themselves elderly – caregivers often experience substantial stress – sometimes caregivers feel fulfilled by their experiences – designated caregivers are often chosen less for practical reason than because of cultural expectation – respite care • an arrangement in which a professional caregiver relieves a frail elderly person’s usual family caregiver for a few hours each day or for an occasional weekend 34
  • 35. Caring for the Frail Elderly • Elder Abuse – analysis of elder abuse is complicated because three distinct elements contribute to the problem: • the victim • the abuser • the setting 35
  • 36. Caring for the Frail Elderly • Long-Term Care – assistant living • provides some of the privacy and independence of living at home, along with some medical supervision 36