chapter 16, 18-19 Flashcards

(36 cards)

1
Q

General Adaptation syndrome (Selye)

A

Alarm reaction- call to arms, rats :cortex became enlarged and hyperactive, a number of glands shrank, ulcers - childhood
Stage of resistance-reversal of alarm reaction with continued stress- early adulthood
Stage of exhaustion- gradual depletion of the adaptable energy- resistance is lost- middle and old age

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2
Q

risk and resilience

A

Resilience: ability to recover from highly stressful situations with few adverse effects
Risk Factors: stressors (poverty, chronic illness, parental mental illness and drug abuse, exposure to violence, divorce, teenage motherhood)
Protective factors: family environment, support networks, personality characteristics that protect from stress

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3
Q

marriage at middle age

A

Midlife transition-levinson, reappraisal of marriage
Emotional Divorce- recognition of drifting apart
Empty nest syndrome- temporary negative emotions following disruption of family when kids leave home (for many this time becomes a second honeymoon)
Happy Marriage: Friendship, love, similar interests and backgrounds, high marital satisfaction/higher rate of parenting satisfaction, handle conflicts well,
conflict handling can be relearned in marriage counseling
Sex in Middle adulthood
small increase in sexual activity compared with early adulthood

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4
Q

relationships with Aging parents

A

Improved relationship with parents
people who had close relationships with their parents, whose parents provided consistent care, will have better relationships with parents in middle age
Relationship begins to reverse (parents may become dependent upon children)
Caregiving is difficult: emotional strain, time constraints, physical health of caregiver, mental health of caregiver

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5
Q

relationships with siblings and friends

A

most enduring relationship a person has
must make mutual decisions about taking care of parents
Interaction frequency with acquaintances and close friends begins to decline in adulthood while time increases with spouses and siblings
These select few relationships become closer and more satisfying in middle adulthood

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6
Q

Divorce in Middle age

A

proportion of divorced people in middle age is high (many who divorce early never remarry)
divorce over 40, more turmoil and unhappiness
length of time married, complex economic and property linkages, and web of social relationships

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7
Q

personality continuity vs Change

A

Traits Theorist- McCrae and Costa-Normal adult personality is really maintenance of personality
Stage theorist- Levinson, Vaillant, Erickson-normal adult personality is a continual process of growth and change

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8
Q

seasons of a man’s life: Levinson 2nd & 3rd

A

Settling Down- ages 33-40: establish niche in society, advance up career ladder
Midlife transition- ages 40-45: Young/old-recognition of mortality, desire to leave legacy, Destruction/creation- desire to create new and useful activities
Masculinity/femininity- reduction in dichotomy
Attachment/Separation- changing balance

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9
Q

Seasons of a woman’s life: Levinson

A

Females go through a sequence of stages similar to man

Major differences exist between genders within these similar stages

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10
Q

Five Factor Model (FFM) of personality McCrae and Costa

A
  1. Neuroticism= experience some sort of breakdown under stress (depression, guilt)
  2. Extraversion = tendency to be outgoing and social
  3. Openness to experience = open to new ideas, fantasies, actions, feelings, values
  4. Agreeableness = willingness to cooperate and defer to others
  5. Conscientiousness = strong sense of purpose, high expectations
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11
Q

Gender Roles in old age

A

Role discontinuity: abrupt change as roles in life change
Crossover effect
Greater candor with others and comfort with oneself
Differences
men trust their best friend more
Men have less personal conversations with man than women with women
Women:relationships at top of list
Men: topics at top of list

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12
Q

sexuality late adulthood 65-death

A

sexual satisfaction does not decline with age: 75% of people 65-75 are satisfied w/ sex lives; can be as frequent
concerns: health (impotency, hormonal changes), negative physical self -image, attitudes/discomfort

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13
Q

family stages

A

Child-rearing; childlessness before retirement; retirement; widow/widowerhood

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14
Q

widowhood

A

1/2 of women 65 and older; normal life transition but still stressful and life-altering; more difficult if death was sudden; remarriage unlikely: 2/3 woman still attracted to men but: 55% strongly opposed to remarriage, 15% favor remarriage

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15
Q

Widowhood: reasons not to remarry

A

Seen as improper by society
Children opposite it (loss of inheritance)
not financially advantageous
3 women for every 1 man

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16
Q

care of elderly parents

A

Was performed by unmarried daughters in the past, but includes others now
caregivers suffer from stress and depression
For elders with no kin, a close friend usually substitutes as caregiver

17
Q

grandparents

A

The changing role of grandparent
positively linked to the mental health and morale of elderly persons “Greatest joy of the eldery”
More important today; assume many tasks (daycare)
supports erickson’s stage of generativity

18
Q

Fives styles of Grandparenting

A
  1. Formal
  2. Fun-seeker
  3. Reservoir of family wisdom
  4. Distant Figure
  5. Surrogate Parent
    Favorites are Fun-seeker and Distant figure
19
Q

The older Worker

A

11% of older adults are in the labor force
# of older workers increasing, more research
Age and job performance: mild decline in physical abilities offset by: experience, lower absenteeism, turnover, sick days, accidents, more positive work ethic

20
Q

retirement

A

Affects males more than females
health factors, money factors
11% still work after 65 years old
importance of finding meaning

21
Q

Personal Development changes

A
  1. Time and death
  2. change in control over the environment: see the world as more dangerous and complex
  3. Emotional energy declines
  4. Gender role reversal “the cross-over effect”
  5. Age status- society’s expectations about what is normal at various ages-becomes more rigid
22
Q

relationships with other people

A

Activity theory-humans flourish through interaction with other people and physical activity
Disengagement theory- mature adults become less interested in their interactions with others in preparation for death

23
Q

Ericksons final psychosocial crisis

A

Integrity: feel their lives have been well spent
despair: feel as though they have made wrong decisions, or, more commonly, have not made any decisions at all

24
Q

what is death

A

clinical death- respiration and heartbeat stop( least useful/unreliable
Brain death- cortex, then midbrain, the brainstem stop operating (irreversible coma)
biological or cellular death- no electrical charge in the tissues of the heart and lungs
social death- hospital setting, patient is “biologically” alive but treated like a corpse

25
Legal definition of death
unreceptivity and unresponsivity no movements or breathing no reflexes Flat EEG reading that remains flat for 24 hrs
26
grief work
Pathological grieving-"morbid grief reactions occur that prevent the successful conclusion of the life crises" Delayed reaction: intense first reaction is postponed (rare) distorted reactions: normal symptoms carried to extreme pathological mourning: prolonged and intensified to an abnormal degree The role of grief: essential aspect of a healthy encounter with the crisis of death
27
Kubler-ross five-stage theory
shock & denial; anger; bargaining; depression; acceptance in that order
28
Saunders five stage theory
shock; awareness of loss; withdrawal; healing; renewal, not necessarily sequential
29
Suicide
20% of the nations' suicides are elderly Poor health is linked to depression loneliness Suicide rate for males is four times higher than females Males are four times more likely to die of suicide attempts than are females
30
Euthanasia
Passive- life support machine; will or trust Active-actively ending a life Physician-assisted suicide (PAS)
31
Hospice "a better way of dying
more natural death for those who are terminally ill medications such as "Brompton's mixture" are given to ease pain Counseling for patients and families
32
spirituality
whether and why life is worth living; our efforts to gain insight into the underlying, overriding forces of life; American have always been highly religious Religious values become stronger with age, highly related to sense of well-being in elderly
33
Frankl's theory of spirituality
Somatic (physical) dimension: motivated by instincts Psychological dimension: personality in environment Noetic dimension: search for meaning, only in humans
34
Jungs theory Of spirituality
first half of life 0-35 years: personality develops toward individuation Second half of life 35+: movement toward wholeness or unity of personality; anima female and animus male
35
wilsons theory of spirituality within societies
sociobiological point of view: religion and spirituality are inseparable Objectification: perception of reality is described Commitment : commitment to these ideas, willing to help those who have done the same Mythification: stories that tell why the members of the religion have a special place in the world
36
Fowler's theory of spirituality
``` cognitive and emotional needs are inseparable in development of spirituality Intuitive-projective faith Mythical-literal faith Poetic-conventional faith Individuating-reflective faith Paradoxical-consolidation faith Universalizing faith ```