Chapter 10 Physical and Cognitive Development in Early Adulthood Emerging adulthood -- transition from adolescence to adulthood 18–25 years of age Five key features characterize emerging adulthood: Identity exploration, especially in love and work Instability Self-focused Feeling in-between The age of possibilities when individuals have an opportunity to transform their lives Markers of Becoming an Adult Most widely recognized marker: holding a permanent, full-time job Economic independence is often a long process Taking responsibility for oneself Developing emotional control Physical Performance and Development Most of us reach our peak physical performance before the age of 30, often between the ages of 19 and 26 During this age period we also begin to decline in physical performance Signs of decline around age 30 Sagging chins and protruding abdomens Lessening of physical abilities Sensory systems show little change in early adulthood Health Emerging adults have more than twice the mortality rate of adolescents Few chronic health problems Fewer colds and respiratory problems than when they were children Few stop to think about how their personal lifestyles will affect their health later Obesity Obesity -- having a body mass index of 30 or more Obesity is linked to increased risk of hypertension, diabetes, and cardiovascular disease Overweight and obesity are also associated with mental health problems Dieting and Exercise Dieting has become an obsession with many Americans Few are successful in keeping weight off long-term The most effective programs include exercise Aerobic exercise -- sustained exercise that stimulates heart and lung activity Substance Abuse By mid-twenties, many young adults have reduced their use of alcohol and drugs Binge drinking more common among college men than women problems include missing classes, physical injuries, troubles with police, having unprotected sex Pregaming Substance Abuse By mid-twenties, many young adults have reduced their use of alcohol and drugs Binge drinking more common among college men than women problems include missing classes, physical injuries, troubles with police, having unprotected sex Pregaming Sexual Activity in Emerging Adulthood Emerging adulthood is a time when most individuals are “both sexually active and unmarried” Males have more casual sexual partners Casual sex is more common in emerging adulthood than in young adulthood Heterosexual Attitudes and Behavior Americans tend to fall into three categories: One-third have sex twice a week or more One-third a few times a month One-third a few times a year or not at all Married and cohabiting couples have sex more often Most Americans do not engage in kinky sexual acts Adultery is the exception not the rule Men think about sex more than women do Sources of Sexual Orientation Sexual orientation is likely a continuum from exclusive male-female relations to exclusive samesex relations An individual’s sexual orientation—same-sex, heterosexual, or bisexual—is determined by a combination of genetic, hormonal, cognitive, and environmental factors Attitudes and Behavior of Lesbians and Gay Males Many gender differences that appear in heterosexual relationships occur in same-sex relationships Brown believes that lesbians and gay males Develop a bicultural identity to create new ways of defining themselves Adapt best when they don’t define themselves in polarities Sexually Transmitted Infections Sexually transmitted infections (STIs) -- diseases that are primarily contracted through intercourse and/or oral-genital and anal-genital sex Most prevalent STIs bacterial infections -- gonorrhea, syphilis, and chlamydia viruses -- genital herpes, genital warts, and HIV, which can lead to AIDS (National Center for Health Statistics, 2010) Protecting Yourself from STIs Strategies for protecting against HIV and other sexually transmitted infections include: Know your risk status as well as your partner’s Obtain medical examinations Have protected, not unprotected, sex Avoid having sex with multiple partners Forcible Sexual Behavior and Sexual Harassment Sex often involves the exercise of power Rape -- forcible sexual intercourse with a person who does not give consent Male rapists share the following characteristics: aggression enhances their sense of power or masculinity they are angry at women in general they want to hurt and humiliate their victims Rape Victims Rape is a traumatic experience Victims initially feel shock and numbness and often are acutely disorganized As victims strive to get their lives back to normal, they may experience depression, fear, anxiety, and increased substance use and/or sexual dysfunctions for months or years Date Rape Date or acquaintance rape -- coercive sexual activity directed at someone with whom the victim is at least casually acquainted Two-thirds of college freshman women report having been date-raped or experienced attempted date rape at least once Two-thirds of college men admit that they fondle women against their will Half admit to forcing sexual activity Sexual Harassment Sexual harassment -- manifestation of power of one person over another ranges from inappropriate sexual remarks and physical contact to blatant propositions and sexual assaults may result in psychological consequences for the victim Prevention -- to provide equal opportunities to develop a career and obtain education in a climate free of sexual harassment Cognitive Stages Piaget concluded adolescents and adults think qualitatively in the same way formal operational thought is the final stage in cognitive development; characterizes adults as well as adolescents Piaget believed that adults increased their knowledge in a specific area Many adults do not think in formal operational ways at all Realistic and Pragmatic Thinking As young adults face the constraints of reality, which work promotes, their idealism decreases Schaie proposed that in early adulthood individuals often switch from acquiring knowledge to applying knowledge as they pursue success in their work Reflective and Relativistic Thinking In Perry’s view, the absolutist, dualistic thinking of adolescence gives way to the reflective, relativistic thinking of adulthood Others believe that reflective thinking is an important indicator of cognitive change in young adults Postformal Thought Postformal thought -- understanding that the correct answer to a problem requires reflective thinking and can vary situationally includes the belief that solutions to problems need to be realistic and that emotion and subjective factors can influence thinking Creativity Early adulthood is a time of great creativity for some people Although a decline in creativity is often found in the fifties and later, the decline is not as great as commonly thought There is extensive individual variation in the lifetime output of creative individuals Stimulating Adults’ Creativity Steps toward a more creative life include cultivating your curiosity and interest Try to be surprised by something every day Try to surprise at least one person every day Each day write what surprised you and how you surprised others; keep a journal When something sparks your interest, follow it Wake up in the morning with a specific goal Spend time in settings that stimulate your creativity Careers and Work Important themes of early adulthood: earning a living, choosing an occupation, establishing a career, and developing in a career by mid-twenties, many individuals have completed their education or training and started to enter a full-time occupation through the remainder of early adulthood, individuals often seek to establish their emerging career in a particular field and improve their financial standing The Impact of Work Work defines people in fundamental ways Influences financial standing, housing, the way they spend their time, where they live, their friendships, and their health Work creates a structure and rhythm to life that is often missed when individuals do not work for an extended period Most individuals spend one-third of their lives at work Unemployment Unemployment produces stress regardless of whether the job loss is temporary, cyclical, or permanent Stress comes not only from a loss of income and the resulting financial hardships but also from decreased self-esteem Dual-Career Couples Dual-career couples may have particular problems finding a balance between work and the rest of life division of responsibility for work and family has changed husbands are taking increased responsibility and showing greater interest in families and parenting women are taking increased responsibility for breadwinning Diversity in the Workplace Ethnic and gender diversity is increasing in the workplace in nearly every developed country and in many professions Latinos are projected to constitute a larger percentage of the labor force than African Americans by 2018 Glass ceiling -- invisible barrier to career advancement preventing women and ethnic minorities from holding managerial or executive jobs Physical and Cognitive Development in Middle Adulthood Changing Middle Age Middle adulthood is the developmental period that begins at about age 40 and extends to about 60. boundaries of middle age are being pushed upward. Middle age is starting later and lasting longer. Physical Changes Noticeable Visible Changes Usually the first outwardly visible signs of aging are apparent by the 40s or 50s. . Height and Weight Individuals now lose height and many gain weight. Strength, Joints, and Bones Muscle strength decreases noticeably by the mid 40s, particularly in the back and legs. After the late 30s there is progressive bone loss. Women experience about twice the rate of bone loss as men. Vision The ability of the eyes to focus and maintain an image on the retina experiences its sharpest decline between 40 and 59 years of age. middle-aged individuals begin to have difficulty viewing close objects, causing many to wear bifocal glasses. Hearing Hearing may start to decline by age 40. Sensitivity to high pitches declines first, while the ability to distinguish low-pitched sounds doesn’t seem to decline much in middle adulthood. Men usually lose their sensitivity to high-pitched sounds sooner than women do. Coronary arteries narrow. Cholesterol level increases with age, and begins to accumulate on the artery walls by age 60. Artery walls thicken, blood pressure increases, and chance of stroke or heart attack increases. Sleep The total number of hours slept usually remains the same as in early adulthood. Beginning in the 40s, however, wakeful periods are more frequent and there is less of the deepest type of sleep. Health and Disease The frequency of accidents now declines and people are less susceptible to colds and allergies. Chronic disorders increase in middle adulthood. Men have a higher incidence of fatal chronic conditions, while women have a higher incidence of nonfatal ones. Culture, Personality, Relationships, and Health Type A/Type B Behavioral Patterns Type A - a cluster of characteristics—excessive competitiveness, hard drivenness, impatience, and hostility—thought to be related to the incidence of heart disease. Type B - reflected in individuals who are relaxed and easy going. Early research showed a profound link between type A behavior and coronary disease, which is now thought of as not quite as strong. Hostility is the characteristic most consistently associated with coronary problems. Hardiness Hardiness is a personality style characterized by a sense of commitment, control, and a perception of problems as challenges. Studies have shown individuals with a hardy personality are less likely to succumb to illness when exposed to stressful situations. Levels of illness dropped most dramatically when hardiness was combined with exercise and social support in the face of stress. Health and Social Relationships Health in middle age is also related to the current quality of social relationships. Mortality Rates Heart disease is the leading cause of death. Cancer and cerebrovascular disease are second and third respectively. Men experience higher mortality rates than women for all of the leading causes of death. Sexuality Menopause The time in middle age, usually late 40s or early 50s, when a woman’s menstrual periods cease. Hormonal Changes in Middle-Aged Men Men experience hormonal changes in their 50s and 60s, but nothing like the dramatic drop in estrogen that women experience. Sexual Attitudes and Behavior The ability of men and women to function sexually shows little biological decline in middle adulthood. Intelligence Fluid intelligence - one’s ability to reason abstractly, begins to decline in middle adulthood. Crystallized intelligence - an individual’s accumulated information and verbal skills, continues to increase in middle adulthood. Seattle Longitudinal Study Schaie investigated the individual change and stability in intelligence across the life span. K. Warner Schaie found that perceptual speed begins to decline in early adulthood and continues to decline in middle adulthood. Memory In Schaie’s study, verbal memory peaked in the 50s. In other studies, verbal memory has shown a decline, particularly when assessed cross- sectionally. Expertise Expertise involves having an extensive, highly organized knowledge and understanding of a particular domain. Developing expertise is usually the result of many years of experience, learning, and effort. Because it takes so long to obtain, expertise often shows up more in middle adulthood than in early adulthood. Strategies of the Experts Experts are more likely to rely on their accumulated experience to solve problems. Experts often automatically process information and analyze it more efficiently when solving a problem than a novice does. Experts have better strategies and short-cuts to solving problems in their domain than novices do. Experts are more creative and flexible in solving problems in their domain than novices are. Practical Problem Solving Nancy Denney observed problem solving abilities in adults as they dealt with such circumstances as a bank error, and an irresponsible landlord. She found that the ability to solve such practical problems increased through the 40s and 50s as individuals accumulated practical experience. Job Satisfaction Work satisfaction increases steadily throughout the work life, from age 20 to 60. Career Challenges and Changes Globalization has replaced the traditional White male work force with employees of different ethnic and national backgrounds. The proliferation of computer technology compels middle-aged adults to become increasingly computer literate to maintain their work competence. Many companies are offering incentives to get middle-aged employees to retire early. Some individuals decide that they don’t want to do the same work they’ve been doing, forever. Leisure Leisure refers to the pleasant times after work when individuals are free to pursue activities and interests of their own choosing—hobbies, sports, reading. Some developmentalists believe that middle age is a time of questioning how time should be spent and of reassessing priorities. For many, middle adulthood is the first time in their lives when they have the opportunity to diversify their interests. Religion and Adult Lives In the recent McArthur Study of Midlife Development, more than 70% of the individuals said they are religious and consider spirituality a major part of their lives. About one-half said they attend religious services less than once a month or never. Females have consistently shown a stronger interest in religion than males have. Although many Americans show a strong interest in religion and believe in God, they also show a declining faith in mainstream religious institutions. Religion and Health Several studies have documented that religious commitment had a protective influence on blood pressure rates. Possible reasons for these connections Coping Recently researchers have found that some styles of religious coping are associated with high levels of personal initiative and competence. Happiness A number of researchers have found that religiously active individuals report greater happiness than do those who are religiously inactive. Meaning in Life Victor Frankl’s book Man’s Search for Meaning emphasized each person’s uniqueness and the finiteness of life. Frankl said that the three most distinct human qualities are spirituality, freedom, and responsibility. Frankl proposed that people need to ask themselves such questions as why they exist, what they want from life, and the meaning of their life. Many individuals in middle age begin to ask these questions. Physical and Cognitive Development in Late Adulthood Longevity Life span -- maximum number of years an individual can live 120–125 years; remains unchanged Life expectancy -- number of years that the average person, born in a particular year, will probably live has increased 31 years since 1900 average U.S. life expectancy = 78 years Differences in Life Expectancy International differences due to health conditions, medical care, etc. Sex differences women outlive males an average of 5 years due to health attitudes, habits, lifestyles, occupation biological factors -- females outlive males across species Centenarians Increasing numbers 15,000 in 1980 55,000 in 2008 Genes play a role Also family history, health, exercise, education, personality, and lifestyle Biological Theories of Aging Evolutionary Theory of Aging Natural selection has not eliminated many harmful conditions and nonadaptive characteristics in older adults Natural selection is linked to reproductive fitness Cellular Clock Theory as we age, cells become less capable of dividing telomeres -- DNA sequences that cap chromosomes as cells divide, telomeres become shorter and eventually cells can no longer divide Free Radical Theory -- people age because as cells metabolize energy, the by-products include unstable oxygen molecules known as free radicals free radicals damage DNA resulting damage can lead to range of disorders such as cancer and arthritis Hormonal Stress Theory -- aging in the body’s hormone system can lower resistance to stress and increase likelihood of disease prolonged elevation of stress-related hormones associated with risk of chronic disease The Nun study Sexuality Sexuality can be life-long Aging changes sexual performance, especially in males orgasm less frequent erectile dysfunction education may help deal with these issues Health Problems As we age, probability of illness increases Arthritis and hypertension are most common chronic disorders Low income is strongly related to health problems in late adulthood Approximately three times as many poor as non-poor older adults report that chronic disorders limit their activities Causes of Death in Older Adults Nearly 60 percent of U.S. adults aged 65–74 die of cancer or cardiovascular disease In the 75–84 and 85-and-over age groups, cardiovascular disease is still the leading cause of death Arthritis Arthritis -- inflammation of the joints, accompanied by pain, stiffness, and movement problems Incurable disorder that affects hips, knees, ankles, fingers, and vertebrae Symptoms reduced by drugs, range-of-motion exercises, weight reduction, and joint replacement Osteoporosis Osteoporosis -- extensive loss of bone tissue Women are especially vulnerable; it is the leading cause of broken bones in women More common in non-Latina White, thin, and small-framed women Related to deficiencies in calcium, vitamin D, estrogen, and lack of exercise Accidents Accidents are the sixth-leading cause of death among older adults Falls are the leading cause of injury deaths in those 65 and older Participation in an exercise class once a week for three years reduced the fall risk and the number of falling incidents Exercise Gerontologists recommend strength training in addition to aerobic activity for older adults Weightlifting can preserve muscle mass Exercise helps people maintain independence and prevents institutionalization Increases longevity Nutrition and Weight Leaner adults live longer, healthier lives Calorie restriction works to increase life span of animals but human connection is not specifically known Health Treatment Quality of health treatment for older adults needs improvement Geriatric nurses can be helpful Quality of nursing homes varies and costs are escalating Concerns focus on patient’s medical care, right to privacy, access to medical information, safety and lifestyle freedom Alternatives to Nursing Home Care Home health care Day-care centers Preventive medicine clinics Alternatives are potentially less expensive and less likely to depersonalize the patient Patients perform better cognitively Wisdom Wisdom -- expert knowledge about the practical aspects of life that permits excellent judgment about important matters practical knowledge development of coping skills High levels of wisdom are rare Factors other than age are critical for wisdom to develop Training Cognitive Skills Training can improve the cognitive skills of many older adults There is some loss of plasticity in late adulthood, especially in those older than 85 years Cognitive vitality can be improved with training Cognitive neuroscience -- field of study that links brain and cognitive functioning Changes in brain can influence cognitive functioning, and changes in cognitive functioning can change brain Lack of use of working memory may cause neural connections in prefrontal lobes to atrophy Work Older adults increasingly work part-time in retirement Probability of employment also was positively correlated with educational attainment and being married to a working wife Older workers have a lower rate of absenteeism, fewer accidents, and increased job satisfaction Adjustment to Retirement Best adjustment for those who are healthy have adequate income active educated have an extended social network satisfied with life before retirement Depression Major depression -- mood disorder in which the individual is deeply unhappy, demoralized, selfderogatory, and bored Predictors of depression: earlier symptoms, poor health, death of a spouse, and low social support Insomnia is a risk factor for depression in older adults Depression is a treatable condition Dementia Dementia -- global term for any neurological disorder in which the primary symptoms involve a deterioration of mental functioning Loss of ability to care for themselves and recognize familiar surroundings and people Alzheimer’s Disease Alzheimer’s Disease -- a progressive, irreversible brain disorder characterized by gradual deterioration of memory, reasoning, language, and eventually physical function Early- (younger than 65) and late-onset (older than 65) Formation of amyloid plaques -- deposits of protein accumulating in blood vessels Neurofibrillary tangles -- twisted fibers that build up in neurons Causes of Alzheimer’s Disease No certain scientific proof of causes Age is a risk factor Genetic links seem to exist Lifestyle factors Lack of exercise Mild cognitive impairment represents a transitional state between the cognitive changes of normal aging and very early Alzheimer disease and dementias Care for Individuals with Alzheimer’s Disease Family members and other care providers can become physically and emotionally drained Need for respite care -- services that provide temporary relief to caregivers Parkinson’s Disease Parkinson’s disease -- a chronic, progressive disease characterized by muscle tremors, slowing of movement, and partial facial paralysis Onset is triggered by degeneration of neurons that produce dopamine in the brain Dopamine -- neurotransmitter necessary for normal brain functioning