Emotional and Social Development in Late Adulthood Erikson’s Theory: Ego Integrity vs. Despair is the final stage of life. This involves coming to terms with one’s life. If there is a sense of integrity, people feel whole, complete, and satisfied with their life choices and achievements. They have accepted the setbacks and disappointments and celebrated the successes and found a way to meaning within all these life events. Everything gets put into a perspective which allows a certain contentment with life. Increased age is associated with greater maturity and well-being. There is even a peace about one’s mortality, even as close to the end as these people are. Despair, on the other hand occurs when seniors feel they have made wrong decisions, but life is too short to remedy any life directions. They display bitterness, defeat and anxiety about death, a hopelessness. Their contempt for themselves is displayed as anger toward others. This further alienates them from the very relationships they need to put right in order to find peace. It is a sad cycle. Other Theories of Psychosocial Development in Late Adulthood Peck’s Theory: three Tasks of Ego Integrity are involved in finding integrity: o Ego differentiation vs. work-role preoccupation. This task comes out of retirement, as people who have been invested in careers find other ways to self-worth. They must find another role to invest in and find meaning. o Body transcendence vs. body preoccupation. This task requires finding a way to transcend physical limitations, disabilities, loss of youth and beauty, to find value in cognitive, social strengths & relationships. o Ego transcendence vs. ego preoccupation. This task involves finding a constructive way of facing the reality of death. Elders must find a future beyond their own mortality, through giving back to a younger generation. Labouvie-Vief’s Theory: Emotional Expertise. Early adulthood is all about pragmatic choices- finding ways to solve real-world problems, at work as well as within relationships. Elders are becoming more in touch with their feelings and must use those feelings to reflect on their life experiences. This emotional sensitivity allows elders to detach from experiences in order to choose better how to respond. Younger people are more impulsively emotional in their coping and problem-solving. Elders are better at emotional self-regulation. Reminiscence and Life Review o Reminiscence is telling stories about people and events from one’s past, and reporting thoughts and feelings o Life review is reminiscence in which the person reflects on past experiences, considering their meaning with the goal of achieving greater self-understanding. . It’s part of coming to terms with one’s life choices and experiences. These life review experiences result in elders finding more respect for their lives and general life satisfaction. When people review their lives, 30% say the best time of their lives is the present. Middle age was also assessed as satisfying, with childhood and adolescence ranked as less satisfying. Other purposes of life review: Self-focused reminiscence, if linked to reviving bitter events is pathological- they are ruminating in negative directions, feeling badly as they remember the past. Other-focused reminiscence is directed at social goals, family, reliving relationships with others. These people are more extraverted, so their memories are more focused on others. Knowledge-based reminiscence uses the past to solve problems and teach younger people. Certain cultures rely on elders telling the stories of their people in order to enlighten younger members in how to live honorably. (Chinese, African-American, NativeAmerican groups) Reminiscence also occurs during times of life transitionretirement, loss of spouse, moves- these reminiscences allow for a feeling of continuity and meaning in the face of change. Stability and Change in Self-Concept and Personality Secure and Multifaceted Self-Concept- after a lifetime of self-knowledge, people feel more secure about whom they are, and their self-concepts become more complex and multi-faceted. With that complex knowledge, people can make compensations in areas of weakness, and they develop deeper self-acceptance. People define themselves more broadly, not just in terms of work. Healthy elders report areas they still hope for development, as if they are still a work in progress. Agreeableness, Sociability, and Acceptance of Change- there are 3 shifts in personality at this point: a more flexible and optimist approach to life is present. o Agreeableness – generosity, acquiescence, and good-naturedness are higher for many people at this point. o Sociability drops to some extent, as people become more selective about relationships and significant people die or move away. o Acceptance of change seems to link to well-being. They develop a capacity to accept life’s vagaries, and they are resilient in the face of adversity. Spirituality and Religiosity- their sense of spirituality encompasses their lives more meaningfully. Often there develops a sense of truth and beauty in art, nature, and relationships. Religion gives people rituals that stabilize life and give meaning to the life struggle. 76% of Americans over 65 say religion is very important in their lives, and 16% say it is fairly important. They may not be as active in church because of physical limitations or transportation issues, but they say they would devote more time to it if they could. Spirituality advances to a higher level in late life- to a more reflective approach that is more at ease with the unknowable aspects of life. o Fowler’s Stages of Faith Development show there can be a development of understanding of one’s beliefs in relation to others’. Women are more likely than men to be church members, to be active in religious activities, and to report a desire to connect with the Divine. It may have to do with women’s common cultural roles- caregiving to various generations, widowhood, greater risk of poverty, unmanageable stress. Intuitive-projective- 3-7 is when children’s fantasy life allows them to be influenced by stories and faith of adults. Mythic-literal- 7-11 is when internalize the stories and rituals of their faith literally. Synthetic-conventional- adolescence is when people set up a belief system as a basis for identity. Individuative-reflective-adulthood is when people reflect on their beliefs and begin to recognize that others believe other things, and they more actively form an ideology in terms of meaning for themselves personally. Conjunctive- Late adulthood is when people incorporate the entire human community in their values- to stand up against persecution and work for the good of people they don’t even know. World War II Refugee and Evacuee Children Look back at Old Age- these people were either evacuated from Europe and Britain early in the war to save their lives, never to see their families again, or were evacuated and returned to their families after the war. Their recollections varied according to the quality of care their received, age at separation, and temperament. Care situations were families, institutions. The better care they got, the more their memories were positive, but bonds with the former family were often lost. Those who got indifferent care couldn’t bond and were left in “emotional limbo” without new attachments. This loss of bonding had a lasting impact on withdrawn, anxious individuals than on more extraverted people who found others to bond with. Time of separation made a difference- children were more affected than adolescents. Teens did better in group homes or boarding schools. They often found other peers to bond with at this point. Some that lived in group homes felt isolated, without love however. Those who were reunited with families were young adults and their reunification was bittersweet- since both children and families had changed so much. Without reunification, however, there is idealization of the lost family and unresolved grief. Those who lost their entire families to the Holocaust felt the loss even more intensely as time went on. Even so, most people that went through this experience were reasonably well-adjusted, finding love later, and careers. They usually have a strong resilience of spirit, feeling they have already faced the worst the world could dish out. Individual differences in Psychological Well-Being- what makes the difference in a person’s life adaptation and well-being? Control vs. Dependency- there are 2 common scripts of people helping elders o Dependency-support script is a script in which dependent behaviors are attended to immediately, reinforcing the weaker member in her dependency. o Independence-ignore script is a script where independent behaviors are ignored, also reinforcing dependency in the weaker member. Unfortunately, being dependent is not a happy state, so the helper is often resented, even though the elder may recognize s/he needs the help. These negative feelings can foster depression. Context makes a difference however, since the more lovingly the help is offered, the easier it is to accept without regret. Elders will need help, but we can offer it without expressing disgust or impatience for their needs. o Elder Suicide is not always evident. Sometimes elders quit eating, taking care of emotional or physical problems, refusing to take meds, refusing relationships that could be encouraging. Suicide peaks in late life, around 75, especially for men. Five times more elderly men commit suicide as women, even though women have greater rates of depression. Women have broader networks of social support, however. Men choose more definitive means of suicide- guns, which allow little resuscitation. White people are at highest risk, ethnically. o Factors related to Elder suicide- Two life events can prompt suicide: loss- of job, spouse may put people at sea trying to cope and adjust; and chronic or terminal illness that cause pain or diminish independent functioning. Men are so socialized to be active and independent, that if they lose that to an illness, they often can’t find any compensating aspects of life. Prevention and treatment – there are some warning signsputting affairs in order, veiled statements about going away, dying, sleep or appetite changes. There are often self-destructive acts such as refusing to eat, or go to the doctor, or take meds. As many as 70% of suicide victims saw their doctor within a month of taking their lives, yet family nor doctor picked up on signals of despair. They need antidepressant meds, therapy, possibly hospitalization to deal with the immediate crisis. It’s good if regular home visitors can be engaged, as well as day activities for the person to look forward to. Health is a strong predictor of well-being in late adulthood. When people face illness or chronic disabilities, they feel a loss of personal control. Not only does helplessness increase, but social isolation increases, too. Then as mental health declines, it affects physical health, as people eat more poorly, get out less, distract themselves less from their ailments. If a senior must move to a nursing home, there is a redefinition of identity, as a person who can survive only in an institution. Many people get seriously depressed and deteriorate rapidly in a nursing home. Serious depression is associated with suicide. If they can retain any autonomy in an institution, it contributes to their successful survival. Negative Life Changes occur more often in late adulthood- loss of friends, spouses, poor health issues, financial strain & greater dependency. This issues hit women more often, but they still report that they have people who depend on them emotionally, so they retain some of their former identity, even though many relationships often feel strained, due to the women’s lower ability to care for others. Social Support and Social Interaction – social support reduces stress, so it promotes health & well-being, and increases the odds of living longer. If elders require much assistance from others, though, they often feel distressed that they can no longer reciprocate. Paid helpers relieve some of that sense of obligation by elders. Being more extraverted helps seniors to retain good mood and stay active and connected to others. A Changing Social World Social Theories of Aging o Disengagement Theory- the idea that social interaction declines because of mutual withdrawal between elders and society in anticipation of death. But not everyone disengages. o Activity theory is the theory that there are social barriers to engagement, not just the desires of elders to disengage. Offering older adults opportunities for social contact does not guarantee greater sociability. o Socioemotional Selectivity Theory states that social networks become more selective as we age. People limit their contacts to familiar partners with whom they have the most rewarding relationships. Social Contexts: Communities, Neighborhoods, and Housing o Communities and Neighborhoods- elders living in the suburbs are better off in terms of income and health, but elders in inner cities have greater access to social services. Those in small towns have the least access. Elders in small communities report greater life satisfaction. o Aging, Time Perception, and Social Goals o Victimization and Fear of Crime – those elders who live alone or in inner-city areas suffer with fears of criminal victimization. It restricts their activities and undermines morale. o Housing arrangements Ordinary Homes offer seniors the greatest personal control over their lives. When health and mobility problems appear, living alone presents safety issues, as well as financial difficulties. Residential communities are designed to offer elders as much safety and autonomy as is possible. These centers also offer recreational activities, transportation, & support services. Congregate housing offers common meals in a dining room, as well as transportation and activities. Life care communities offer a variety of care- from independent or congregate housing to full nursing care. When there is a sense of community, life satisfaction is higher. Nursing homes represent the greatest restriction of autonomy, but are necessary when family can no longer care for the physical/ nursing needs of a senior. Social interaction between residents is generally low, as language is often impaired, as well as cognitive function. Relationships in Late Adulthood Social convoy is a cluster of family members and friends who provide safety and support. Some bonds become closer with age, others more distant, a few are gained, and some drift away. Elders do try to maintain social networks of family and friends to preserve security and life continuity. Marriage – marital satisfaction rises from middle to late adulthood if perceptions of fairness in the relationship increase. If couples engage in joint leisure activities and enjoy more positive communication, their relationships become more satisfying. Gay and Lesbian partnerships also report happy, highly fulfilling relationships in later life. Divorce and remarriage is more stressful for older than younger adults. Remarriage rates are low in late adulthood, but those who do remarry seem to create more stable relationships. Women suffer more financially in divorce late in life. There is much less chance of women remarrying at this point in life. Widowhood o Adaptation to Widowhood varies according to age, social support, and personality. Being widowed is somewhat easier later in life than earlier, since it is more natural at the later stage in life. Those widows who maintain social ties, have outgoing personalities, high self-esteem, and a sense of self-efficacy in dealing with their needs have more positive adjustments. Social support Senior centers Support groups Religious activities Volunteer activities Never-Married, Childless Older Adults can develop alternative meaningful relationships. Siblings- Bonds with sisters are generally closer than those with brothers. Siblings enjoy reminiscing as they enter later adulthood. This allows them to feel a family continuity and harmony, as well as begin to put their lives into a perspective as they naturally do a life review. Friendships function to offer intimacy and companionship, acceptance, a link to the larger community, and protection from the toll of loss- physical and emotional. Women are more likely to have both intimate friends and secondary friends- people who are acquaintances they do some activities with occasionally. o Functions of Elder Friendships Intimacy and companionship Elderly women find acceptance Friendships link seniors to the larger community Friendships help protect elders from psychological consequences of loss o Characteristics of Elder Friendships Secondary friends Relationships with Adult Children are important, as they exchange advice or wisdom, even offering some direct assistance. It is important if assistance is offered, though, that the elder maintain some means of reciprocation. Elders do not like to feel indebted to adult children, as they don’t want to feel they cannot take care of themselves. Relationships with Adult Grandchildren and Great-Grandchildren offer elders a wider network of support. These are affectionate relationships, not so much aid or support. Affection may decline as the elder ages, but they feel great affection for adult grandchildren. Elder Maltreatment may occur at the hands of family members, caretakers, or friends. One of the most problematic situation is when there is a dependency between the elder and caregiver. Often the perpetrator is financially dependent on the elder and resents the person for that dependency. There are also problems in overcrowded institutions that are not sufficiently supervised. o Forms Physical abuse Physical neglect Psychological abuse Financial abuse o Risk factors Dependency of the victim Dependency of the Perpetrator Psychological disturbance and stress of the perpetrator History of family violence Institutional conditions o Prevention includes elder-abuse prevention programs that offer caregivers counseling, education and respite services. There are trained volunteers and support groups that help them avoid future harm. Public education also encourages reporting of suspected abuse. Retirement and Leisure Decision to retire depends on affordability, health status, opportunities to pursue meaningful activities, early retirement benefits, gender and ethnicity. Women retire earlier than most men because of family demands. Those with poor retirement benefits or who suffer poverty may need to continue working. This especially affects African-Americans. Adjustment to Retirement is affected by health status, financial stability, sense of personal control over life events, including the retirement decision, characteristics of the work they did, satisfaction derived from work, social support and marital happiness. Leisure Activities engaged in relate to physical and mental health, but they also relate to reduced mortality. It is best to develop hobbies and interests and volunteer activities before retirement that can be invested in more seriously after retirement. Successful aging occurs when elders have developed many ways to minimize losses and maximize gains. Social contexts can foster successful aging. These are such things as well-funded social security plans, good health care, safe housing that adjusts to changes in elders’ needs, social services, opportunities for lifelong learning. Better in-home help, adapted housing and sensitive nursing home care could make a difference in aging, too.