PSY 170 4

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ElleAura  on December 1, 2011

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PSY 170 4

Theories of Biological Aging
DNA-Cellular Level
• Programmed effects of specific genes
- Telomere shortening
• Random Events
-Mutations and cancer
- Free radicals
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Theories of Biological Aging DNA-Cellular Level
• Programmed effects of specific genes
- Telomere shortening
• Random Events
-Mutations and cancer
- Free radicals
Telomere end of DNA
Free radicals natural biproduct to metabolism,
Biological Aging• The maximum human life span is between 110 to 120 years
• Hayflick limit: Each species is subject to a genetically programmed time limit after which
cells no longer have the capacity to replicate
• Telomere: string of repetitive DNA at the tip of each chromosome that serves as a kind of
timekeeping mechanism
Biological Aging • Free radicals: molecules or atoms that possess an unpaired proton
- Engage in chemical reactions that cause cell damage
- Reduced by antioxidants
• Eat your fruits and veggies!
Cardiovascular & Respiratory Changes • Heart
- Few resting changes, lower performance under stress
- Hypertension, atherosclerosis
Lungs - max vital capactiy declines after 25
Motor Performance in Adulthood • Athletic skills peak between 20 and 35
- Decline gradually until 60s or 70s, then faster
- continued training slows loss
--- keep more vital capacity, muscle, response speed
Leading Causes of Death
in Early Adulthood
USA - accidental injury is higher, then cancer
Canada - cancer is highest
influences: health care sys, behaviors, poverty, gun laws
Exercise • Only one third get enough
- At least 30 minutes moderate five or more days a week
-More often, more vigorous is better
• Around one third of North Americans are inactive
-Women
- Low SES
Stress • Related to
- Illness
- Unhealthy behavior
• Caused or worsened by
- Low SES
- Challenges of early adulthood
- + stress form is called eustress
- nagative form is called distress
- effected by sleep, finances, attitudes, children, career
Expertise and Creativity - expertise: takes many years, affects info processing
- effects on creativity: prob findings, 10 yr rule, creativity usually rises in early adulthood
10 yr rule takes 10 yrs to reach the master of your creativity
Social Clock • Following a social clock lends confidence, contributes to social stability
• Distress if not following or falling behind
- norms of having kids, getting married etc
life course - trajectories: path of life experience
- transitions: beginning or ending of a life role
- tied to work and family
Fulfillment Theories • Competence motivation
- Behaviours motivated by a desire for new levels of mastery
• Self-Acceptance - carl rogers?
- Experience and accept your authentic self
• Self-Actualization - maslow & heirarchy of needs
Friendships in
Early Adulthood
• Friends usually similar age, sex, SES
• Common interests, experiences, needs
- Add to pleasure of friendship
• Trust, intimacy, loyalty continue important
• Siblings often friends
• Sex differences in friendship styles continue
Selecting a Mate - physicla proximity
- similarity
- gender differences:
---- women: ambition, financials, morals
---- men: attractiveness
homogamy ppl with similar backgrounds find eachother due to having simialr intersts
Sternberg's
Triangular Theory of Love
• Three components:
- Passion: Spark that triggers the relationship, fades
- Commitment
- Intimacy: communication & knowing eachother
REASONS WHY COUPLES STAY TOGETHER• The reasons most often given for staying together by a sample of more than 300 couples
married for at least 15 years are listed below in order of frequency.
1. My spouse is my best friend.
2. I like my spouse as a person.
3. Marriage is a long-term commitment.
4. Marriage is sacred.
5. We agree on aims and goals.
6. My spouse has grown more interesting.
7. I want the relationship to succeed.
* NO PASSION!!!*
Sternberg's Seven Styles of Love Non- love: No itimacy, passion/commitment
like: intimacy
infatuation: passion
empty: commitment
romantic: intimacy, passion
companionate: intimacy & commitment
fatuous: passion & commitment eg twilight
consumate: has ALL itimacy, passion/commitment eg notebook
Childhood Attachment and Adult Romantic Relationshipssecure: working model: comfortable with intimacy; unafraid of abandonment. Adult relationships: trust, happiness, friendship
avoidant: working model: stress independence, mistust, anxiety about closeness. Adult relationships: jealousy, emotional distance, little physical pleasure
resistant: working model: seek quick love, complete merging. Adult relationships: jealousy, desperation, emotional highs & lows
secure only attachment history with trust
avoidant & resistant 2 attachment histories with jealousy
Traditional Marriages men being providers, women being homemakers
- difference between the roles and respnsibilities
Egalitarian Marriages - more of a balance between roles and responsibilities eg couples doing house chores together
Gender and Housework USA- in between
Canada- in between
sweden- more eqalitarian
Japan- more traditional
Factors Related to
Marital Satisfaction
• Family backgrounds
• Age at marriage - over 23
• Length of courtship - longer then 6 months
• Timing of first pregnancy - after 1 yr of marriage
• Relationship to extended family
• Financial and employment status
• Family responsibilities - preceived of being equal
• Personality characteristics - + coping strategies, communication, emotionally centered,
communication & marriage satisfaction • High levels of disclosure and disclosure reciprocity maintains intimacy
• Low conflict
- Negative communication
- Coercive escalation
- Lack of congruence
- Demand-withdraw pattern: uneven balance of power, vocal vs withdrawn partner
Partner Abuse • Men more likely to become violent
• Violence-remorse cycles common
Factors include:
- Hostile childhood home environment
- Stressful life events
• Much treatment not very effective
Transition to Parenthood • Roles often become more traditional
- Roles become less traditional with second birth
• Marriage can be strained
- Problems before children predict problems after
- Shared caregiving predicts happiness
• Later parenthood eases transition
Vision & Hearing Changes in mid adulthood Presbyopia: decreased ability to focus on near objects
Presbycusis: loss of ability to hear high-frequency tones
The Skeletal System & mid adulthood• Osteoporosis
- Bones become brittle and porous, increasing risk of fractures
- Affects women more than men
- Bone loss begins at about age 30 for men and women, but in women is accelerated by
menopause
- Can be prevented by:
• getting enough calcium during early adulthood
• weight-bearing exercise throughout adult life
Menopause • Age range extends from late 30's to late 50's
• Premenopause - irregular periods begin, early 40's
• Perimenopause - hormone fluctuations more extreme, hot flashes, mid to late 40's
• Postmenopause - periods cease completely, about 50
LEADING CAUSES OF DEATH IN MIDDLE ADULTHOOD: CARDIOVASCULAR DISEASE, CANCER (1/2)
Leading Causes of Death in mid adultCardiovascular disease
- Risk factors:
 Inactivity
Smoking
Weight
High fat diet
High LDL
High blood pressure
Type A personality
#1 is Genetics
Cancer
- ½ of all deaths in this age group
- Caused by mutation leading to uncontrolled cell growth
- Risk factors:Inactivity
Smoking
Weight
High fat diet
Heavy alcohol consumption
Genetics
Managing Stress • Reevaluate the situation
• Focus on events you can control
• Consider alternatives
• Exercise regularly
• Relaxation techniques
• Constructively reduce anger
• Seek social support
Intelligence and Memory IQ scores remain stable through early adulthood
Crystallized intelligence:
- Accumulated skills and knowledge.
- Increases with experience/age
Fluid intelligence:
- "Basic" problem-solving and processing abilities
- Decreases with age
Other Options in Parenthood - singlehood
• Step Parenting
• Single parents
- Divorced
- Never married
• Gay and Lesbian Parents
Attention in Middle Adulthood - more difficulties in: multitasking, focusing on relevant info, switching attention, connecting visual info, inhibition
- may be linked to slower processing
- experience, practice, training help adults compensate
Women's Work Patterns• A majority of women move in and out of the work force at least once
• Women who work continuously have higher salaries and achieve higher levels in their jobs
• Women feel more role conflict between family and work roles than men do
-When you add up hours spent working both in the home and outside, women work many
more hours than men.
Erikson's Theory:
Intimacy versus Isolation
Intimacy
• Making a permanent commitment to intimate partner
Isolation
• Loneliness
• Depression
• Fragile Identity
• Self-absorption
• Enmeshment
Divorce Rates • Stable since 1980s
• 30% Canadian marriages
- About 7% higher for remarriages soon after first marriage
Consequences of Divorce ..
Memory in Middle Adulthood • Information held in short-term memory decreases from 20s to 60s
- Less use of memory strategies
• Compensate with
- Self-pacing
- Strategy reminders
- Relevant information
• Few changes in:
- Factual knowledge
- Procedural knowledge
-Metacognitive knowledge
Practical Problem Solving and Expertise - evaluate real-world situations
-achieve goals that have high uncertainty
- helped by expertise
--- can be looked at as post formal reasoning if another level was added to Piaget's work
Vocational Life and Cognitive Development
Cognitive and personality characteristics affect job choice
Job, in turn, affects cognition
- Complex work increases cognitive flexibility
 Link to SES
Also seek intellectually stimulating leisure (eg rock climbing etc - cognitively adventurous people)
Work in Midlife • Authority relations
- Reformation phase
- Leadership
• Interpersonal skill development
- Cooperative social climate
- Upward and downward social comparisons
• Meeting new skill demands
- Substantive complexity
Substantive complexity Degree to which a person's work requires thought and independent judgment.
- low = less independence
- high = more freedom & independence
Work Satisfaction• Job satisfaction is at its peak
• Men
- Promotions have plateaued
- Less likely to define themselves by their work
- Satisfaction linked to objective standards of achievement
• Women
- If steady work began in 30s and 40s, still advancing
- Satisfaction linked to whether career choice was determined by family commitments
Reasons for Career Changes in Midlife • Career ends in mid-adulthood
• Conflict between job and personal goals
• Success in career has plateaued
• Change in balance between family and work
• Laid off in current career
Relationships at Midlife • Many people have more close relationships than any other period of life
- Children
• "launching"
- Parents
- Friends
• May take on role of family kinkeeper
Marriage in Middle Adulthood • Review and adjust marriage
-Many strengthen relationship
- Some divorce
• Strong marriage linked to
psychological well-being
middle adulthood 34-60 yrs
kinkeeper usually female, The person who takes primary responsibility for celebrating family achievements, gathering the family together, and keeping in touch with family members who do not live nearby
Developmental Stages of the Family • Early and middle childhood
• Adolescence
• Adult children
• Grandparenthood
Caring for Aging Parents the "sandwich generation" - generation of usually women who have to take care of their children and their parents as well
- filial obligation
- takes 20 additional hours a week taking care of additional ppl = burn out & stress
climacteric the time in a woman's life in which the menstrual cycle ends
filial obligation The feeling that, as an adult, one must care for one's parents.
- common in chinese populations
Relieving Caregiving Stress • Use effective coping strategies
• Seek social support
• Use community resources (respite care, counselors, programs, temp/short term day cares, meals on wheels etc)
Burnout - role overload
- role conflict
- role spillover
Secrets of Successful Intimate Relationships • Individual characteristics
- Low neuroticism, high conscientiousness and cheerfulness
• Interpersonal interactions
- Effective communication, ratio of positive to negative interactions (5:1)
• Commitment
Commitment the act of binding yourself (intellectually or emotionally) to a person
neuroticism a mental or personality disturbance not attributable to any known neurological or organic dysfunction
- more negative emotions
conscientiousness the degree to which someone is organized, hardworking, responsible, persevering, thorough, and achievement oriented
Siblings in Middle Adulthood • Contact and support decline during middle adulthood
• Still, often feel closer
- girls usually remain closer to other siblings then males
Friendships in Middle Adulthood ..
Erikson's Theory:
Generativity versus Stagnation
Generativity
Reaching out to others in ways that give to and guide the next generation - mentoring, passing on + message and experience
Commitment extends beyond self
Stagnation
Place own comfort and security above all
Self-centered, self-indulgent, self-absorbed
Self-Perceptions in Midlife • More complex, integrated self-descriptions
• Increases in feelings of
- Self-acceptance
- Autonomy
• More androgynous
Coping Improvements
in Middle Adulthood
• Identifying positives
• Postponing action during evaluation
• Anticipation and planning
• Humor
• Integrating strengths
and weaknesses
• Confidence, experience
Big Five Personality Traits • Neuroticism
• Extroversion
• Openness to Experience
• Agreeableness
• Conscientiousness
later adulthood 60-75
very old age 75+
life expectancy - increasing in north america
-- lower infant mortality
-- lower adult deaths
- group differences
-- women live longer
-- SES
-- ethnicity
lower life expectancy is ______ in native american & African american due to poverty, education, being prone to certain diseases etc
Primary aging  Genetically influenced declines
 Affects all members of species
 Even happens if health is good
eg hearing, vision, wrinkles... unavoidable
Secondary aging  Declines due to heredity and environment
 Effects individualized
 Major contributor to frailty
 Illnesses and disabilities
 Arthritis
 Diabetes
 Mental disabilities
eg choice to drink/smoke/exercise little/vigorous/eat high fat foods and its effects
Quality of Life  Activities of Daily Living (ADLs)
 Basic self-care tasks
 Bathing, dressing, eating
- instrumental activities of daily living (IADLs)
-- conducting business of everyday life
-- require cognitive competence
-- shopping, food prep, housekeeping
Factors in a Long Life  Heredity
 Environment/Lifestyle
 Healthy diet, normal weight
 Exercise
 Low substance use
 Optimism
 Low stress
 Social support
 Community involvement
Longevity Physical exercise has been clearly linked to:
 greater longevity
 lower rates of heart disease, cancer, osteoporosis, diabetes, gastrointestinal problems, and arthritis
 maintain higher levels of cognitive function
 Only 27% of older adults in Canada are active enough to achieve the desired health
benefits associated with exercise
aging & the brain- 4 main changes:
1. reduction in mass
2. a loss of grey matter (party u think with)
3. loss of density of dendrites***
4. slower synaptic speed due to demylinization

slower reaction times from:
- loss of density plus speed
- loss of redundancy (synaptic plasticity)

when dendrites shrink in #, "computational power" declines & symptoms of old age appear
loss of density of dendrites can be prevented by doing thinking activities (cross word puzzles) and physical activity
Visual Impairment • Presbyopia (farsightedness)
• Enlarged "blind spot" and reduced peripheral vision
• Slower adaptability of pupil
-- Poor night vision
-- Difficulty adjusting to sudden changes in brightness
• Cataracts and glaucoma
Presbyopia (farsightedness) blood flow has been decreased to the retina
Hearing Loss Hearing changes:
• Presbycusis becomes more severe, especially loss of high-pitched sounds
-- More common in men
• Difficulties in word discrimination
• Problems hearing under noisy conditions
• Tinnitus (ringing in ears)
Other Senses  Taste does not decline, but sense of smell does
Other changes in the taste system:
 less saliva
 flavours seem blander, but this is due to loss of the sense of smell
 A loss of sensitivity to touch
 Less responsive to cold and heat
Sleep and Aging - do not need less sleep, but have more trouble getting it
- earlier bedtime & wake up
- insomnia
- nighttime waking
- naps
Alzheimer's Disease- higher with age (nearly 50% over 80)
- symptoms: forgetting, disorientation, personality change, depression, motor problems, delusions, speech problems, infections
- brain changes: neurofibrillary tangles, amyloid plaques in cerebral cortex
- risk factors: genetic predispositions, high fat diet (mediterranean diet may help), education, active lifestyle may help
Associative Memory Declines
in Late Adulthood
 Difficulty in creating or retrieving links between pieces of information
 Using memory cues, enhancing meaningfulness of information, can help
memory 1. somantic - understanding words & vocab
2. eposidic - events & situations - changes the most
3. prospective - future events - changes the most
formal grandparent style intimate but distant, dont want to parent, very involved
funseeker grandparent style informal, sociable
Factors Related to
Cognitive Change
Mentally active life
 Education, stimulating leisure,
social participation, flexibility
 Health
 Retirement
 Distance to death
 Terminal decline
Stereotypes of Aging...
Le Troisieme Age 0 to 30 = construction and learning
 30 to 60 = enactment
 60 + = reinvention
Grandparenthood ..
Marriage in Late Adulthood Satisfaction peaks in late adulthood
 Fewer stressful responsibilities
 Fairness in household tasks
 Joint leisure
 Emotional understanding,
regulation
 If dissatisfied, harder for women
Widowhood Most stressful event of life for many
 Few remarry; most live alone
 Must cope with loneliness
Harder for men
Family and FriendsMost visit with adult children at least once a week
Those that don't still telephone, send letters, and e-mail
Siblings offer emotional support through reminiscences and companionship
Friendships become more important, though they ecrease in number
Sex differences in social networks are the same throughout life
Elder Maltreatment Physical abuse
 Physical neglect
 Psychological abuse
 Sexual abuse
 Financial abuse
Decision to RetireRetire
 Adequate retirement benefits
 Compelling leisure interests
 Low work commitment
 Declining health
 Spouse retiring
 Routine, boring job
Keep Working
 Limited or no retirement benefits
 Few leisure interests
 High work commitment
 Good health
 Spouse working
 Flexible work schedule
 Pleasant, stimulating work
adjusting to retirement - most ppl adapt well
-- 30% report some adjustment difficulties
- factors in adjustment: financial worries, workplace factors, spouse influence, sense of personal control, social support
Leisure Activities Interests usually continue from earlier in life
 Choose personally gratifying pursuits
 Involvement in rewarding leisure linked to better health, reduced mortality
 Self-expression
 New achievements
 Helping others
 Social interactions
Successful Aging Minimize losses and maximize gains
 Focus less on outcomes, more on processes and reaching personal goals
 Some factors controllable, others not
 Social policies can help
SOC: Selective Optimization
with Compensation
Select
 Choose personally valued activities, avoid others
 Optimize
 Devote diminishing resources to valued activities
 Compensate
 Find creative ways to overcome limitations
Factors in
Psychological Well-Being
Control versus dependency
 Health
 Poor health linked to depression
 Negative life changes
 Social support
 Social interaction
Reminiscence and Life ReviewReminiscence
 Telling stories about people, events, thoughts and feelings from past
 Obsessive: can deepen despair
 Instrumental: solidifies relationships and helps solve problems
Life Review
 Considering the meaning of past experiences
 A form of reminiscence
 For greater self-understanding
 Can help adjustment
Erikson's Theory:
Ego Integrity versus Despair
Ego Integrity
 Feel whole, complete, satisfied with achievements
 Serenity and contentment
 Associated with psychosocial maturity
Despair
 Feel many decisions were wrong, but now time is too short
 Bitter and unaccepting of coming death
 Expressed as anger and contempt for others
Peck: Three Tasks of
Ego Integrity
- ego differentiation vs work-role preoccupation
- body transcendence vs body preoccupation
- ego transcendence vs ego preoccupation - coming to terms with the reality of death
Psychosocial Stage of
Very Old Age
Immortality v. Extinction
 Develop symbolic sense of immortality:
 Live on through children
 Live on in afterlife
 Live on through lasting achievements
 Live on through participation in chain of nature
 Live on through experiential transcendence
Crystallized intelligence The ability to bring knowledge accumulated through past learning and apply that knowledge
to new situations is
The acceptance of one's life as it has been lived. `The achievement of integrity in later adulthood requires
secondary aging Heart disease from smoking cigarettes.
interpersonal skills Which aspects of career management refers to such behaviors as working effectively
in a group, influencing co-workers, communicating with clients or customers, and
comparing oneself to others?
job flexibility contributes to greater job satisfaction
menopause & culture In cultures that admire older women, the symptoms of menopause are less
severe.
Filial obligation The sense of responsibility to care for one's aging parents is called
Generative motivation The desire to have a positive impact on the world is referred to as
reciprocal roles (early adult) requiring complementary role identities
life course the integration & sequencing of phases of work & family life over time
trajectory is the path of 1s life experiences in a specific domain
transition is the beginning/ending of an event or role relationship
Non- love: No itimacy, passion/commitment
like: intimacy
infatuation: passion
empty: commitment
romantic: intimacy, passion
companionate: intimacy & commitment
fatuous: passion & commitment
consumate: has ALL itimacy, passion/commitment
self actualization (meta-needs) poweful, growth oreintated motive
basic needs - maslows heirachy of needs 1. physiological needs 2. safety & security 3. belonging & love 4. self-esteem. META NEEDS - SELF ACTUALIZATION
THE MATE SELECTION PROCESS phase 1 - original attraction
phase 2 - deeper attraction
phase 3 - barriers to breakup (role campatibility & empathy)
phase 4 - commitment
MARRIAGE
dogamy marriage within 1s well defined group
social evolutionary theory suggests that men & women differ in features they empathsize in evaluating someone as a desirable partner
cohabitation1. marginal - cohabitation infrequent & short
2. prelude 2 marriage - test relationship
3. stage in the marriage process - see disadvantages of marriage
4. alternative to being single - postpone marriage & kids
5. alternative to being married - long relationship, easy transition to marriage & kids
6. indistinguishable from marriage - short, involve kids, transition into marriage
consensual union without a civil or religious marriage
coercive escalation style of interaction in which the probability that a negatice remark will b followed by another
congruence between partners who find a resolution to conflict
lack of is related to marital dissatisfaction & distress
contactful open to the other persons point of view
controlling interactions 1 person expresses point of view & does not take the others into consideration
demand withdraw pattern 1 nags, criticizes & demands the other to change while the other avoids confrontation
lifestyle is a social psychological construct that integrates personality characteristics, goals convinctions, and inner conflicts w social oppurtunities & resources
width of life is the busyness
depth of life is the sense of purpose/meaning
transient lonliness lasts a short time and passes
situational lonliness sudden loss or move
exclusivity (intimate) shut out others
glick effect ppl who dropped out of shcool have higher divorce rates
substantive complexity the degree to which the work requires thought, independant judgment & frequent decision making
role spillover demand or preoccuptions about one role interfere w the ability to carry out another role
dual centric ppl who put the same emphasis & prority on their work & personal lives
climacteric involution & atrphy of the reproductive organs happens to women in their 40-50s
filial obligation 1. helping understand resources 2. giving emotional support 3. talking over matter of importance
generativity encompasses procreativity, productivity, & creativity = new beings & new ideas
generativity vs stagnation phases 1. generative desire/motivation 2. a belief in 1s capacity for gen action 3. subjective sense of gen accomplishment
mid adulthood generativity vs stagnation
stangation lack of psychological movement or growth
narcissistic ppl adults who devote energy & skills only to self & their satisfaction
societal stagnation is shown by workplace discrimination
intellectual vigor redirecting energy to new roles & activities
important in life satisfaction 1. high demand ppl had many goals ass w
2. age prescribed ppl care about safety, security & dependance
3. self focused ppl cared about easy life
4. socially engaged ppl cares about independance & maintaining social rel & roles
5. low demand ppl have few goals except for lower activity & disengaging
extroversion sociability, vigor, sensation seeking & + emotions
neuroticism anxiety, hostility, impulsiveness
SOC model - selection: identifyiong the oppurtunities or domains of activity that are most important
- optimization: allocating & refining resources to achieve higher functioning
- compensation: under cond of reduced resources forming strategies
postformal thought - greater resilence on reflection of self, emotions, values & situations
-willing to have diff approaches
- ability to draw personal knowledge to find pragmatic solutions
- aware of life contradictions
- flexible cognition & emotions
- enthuasiasm in seeking answers
crystallized intell ability to brnig knowledge accumulated though past
liquid intell ability to impose organization on info & generate new hypothesis
intergenerational solidarity closeness & commitment within the parent-child & grandparent-grandchild rel
affectional solidarity feelings of affection & emo closeness
associational solidarity agreement in opinons & expectatiosn
functional solidarity giving & receiving emo & instrumental support
structural solidarity geography proximity that would allow for interaction
patterns of adaptation during widowhood - common grief
- chronic grief
- chronic depression
- depression followed by imporvments
- resilience
later adult leisure activities - gardening
- volunteering
- exercising
integrity ability to accept the facts of 1s life & face death without great fear
later adulthood integrity vs despair
wisdom fundamental pragmatics of life
1. factual knowledge
2. procedural knowledge - strategies
3. life span contectualism - events
4. relativism of values & life goals - appreciate differences in individuals
5. recognition & managment of uncertainity - realize that future cannot be predicted
disdain rejection of ideas & persons & an arrogance that implies that 1s own opinions & views are superior
old-old have suffered major physical or mental decrements
very old age changes - brain weight
- cardiac ouput
- nerve conduction
-kidney filtration
- basal metabolic rate
- max breathing cap
behavioral slowing (very old age) reaction time, prob solving, mem skills, info processing
visual adaptation (very old age) pupil size decreases
organic brain syndromes (very old age) most diff health issue = confusion, disorientation, loss of control over basic ADLs, obsticals for adaptation
psycholhistorical perspective integration or past, present & future
successful agers - avoid disease
- engagment with life
- maintain high cognitive physical function
affiliative values values p;laced on helping or pleasing others
instrumental values values placed on doing things that are challenging
very old age immortality vs extinction
experiential transcendence (immortality) perceptual
cosmic transcendence (immortality) duality of life and death dissapear
norm of reciprocity one good deed deserves another
diffidence inability to act b cuz of overwhelming self doubt
frailty dependency
instrumental activities of daily living (IADLs) shopping, meal prep, housework, transportation, telephone
collective efficay combines strong sense of social cohension w a high level of informal social control

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