THE UNIVERSITY OF IOWA Division of Interdisciplinary Programs Aging Studies Syllabus 031:50 or 153:150 Psychology of Aging Fall, 2009 Room 140 Schaeffer Hall Thursdays 6:00-8:30 Instructor: Howard K. Butcher, RN; PhD, PMHCNS-BC Associate Professor Office: 442 NB Office Telephone: 335-7039 e-Mail: howard-butcher@uiowa.edu TA: Megan Liu, RN, PhD Student e-Mail: megan-liu@uiowa.edu Secretary: Joyce Andrews Room: 456 NB Phone: 5-7067 Copyright 2009 by THE UNIVERSITY OF IOWA. All rights reserved. No part of this material may be reprinted, or reproduced, or utilized in any form by an electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage and retrieval system, without permission in writing from the Publisher. (Printed in the United States of America) All information requested on the pages of this syllabus will be used by The University of Iowa for the purpose of assisting you in the completion of requirements for 031:50 /153:150. No persons outside The University are routinely provided this information, except for items of directory information such as name and local address. If you fail to provide the required information, The University may not be able to evaluate your performance in this course. The nature of the learning experiences in nursing may require the viewing and discussion of sexually explicit materials. Collegiate Policies Students with Disabilities I would like to hear from anyone who has a disability which may require seating modifications or testing accommodations or accommodations of other class requirements, so that appropriate arrangements may be made. Please contact me after class or during my office hours. Reasonable accommodations will be made for anyone with a disability that may require some modification of seating, testing, or other class requirements. Students must contact Student Disability Services (3101 Burge Hall, 335-1462) and obtain a Student Academic Accommodation Request form (SAAR). The form will specify what course accommodations are judged reasonable for that student. Please contact the instructor after class or during office hours so that appropriate arrangements may be made. For more information, please refer to the College of Liberal Arts and Sciences policy on students with disabilities in the Schedule of Courses and Liberal Arts and Sciences Bulletin. Student Complaint Procedures Complaints about the instructor or teaching assistant should ordinarily be resolved with the instructor or TA first. If the complaint is not resolved to the student's satisfaction, the student should discuss the matter further with the instructor (if the matter involves a teaching assistant), or the Psychology Department Coordinator of Undergraduate Studies. If the matter remains unresolved, the student may submit a written complaint to the Associate Dean for Academic Programs, 120 Schaeffer (335-2633). These are the recommended procedures of the College of Liberal Arts and Sciences. However, students always have the right to complain first to someone other than the instructor (for instance, to the coordinator of undergraduate studies, the department chair, or the University Ombudsperson) if they do not feel, for whatever reason, that they can directly approach the instructor. Any member of the University community may consult the Office of the University Ombudsperson (C108 Seashore Hall, 335-3608) for help with problems or disputes, particularly those that do not appear resolvable through existing channels. Plagiarism and Cheating The College of Liberal Arts and Sciences policies regarding Plagiarism and Cheating and examples of what constitutes these offenses can be found in the Student Academic Handbook (http://www.clas.uiowa.edu/students/academic_handbook/ix.shtml). If the instructor suspects a student of plagiarism or cheating, he or she must inform the student (preferably in writing) as soon as possible after the incident has been observed or discovered. If the instructor detects cheating or plagiarism, he or she may decide, in consultation with the Psychology Department Coordinator of Undergraduate Studies, to reduce the student's grade on the assignment or in the course, even to assign an F. An account of the chronology of the plagiarism or cheating incident will be written by the instructor for the departmental chair, who will then send an endorsement of the written report of the case to the Associate Dean for Academic Programs, 120 Schaeffer Hall. A copy of the report must be sent to the student. THE UNIVERSITY OF IOWA Aging Studies Course: Psychology of Aging 031:50 or 153:150 Course Instructor: Howard K. Butcher, RN; PhD, PMHCNS-BC Associate Professor Room: Room 140 Schaeffer Hall Semester: Fall 2009 Semester Hours: 3 Credit Hours Approved GE: None Prerequisites: None Corequisites: None Course Description: This course provides a comprehensive exploration of the psychology of aging. The objective is to familiarize students with normal aspects of aging in memory, emotion, personality, work and interpersonal relationships. The course will teach aspects of successful aging, normal aging and age-related illness such as dementia, Alzheimer's disease, cancer and heart conditions. We will also discuss issues around caregiving, death and dying including end of life decision making, and coping with chronic disabling illnesses. The second half of the course will address mental health and psychological disorders in late-life and treatments for these disorders. Reading Content: Readings are based on selected chapters from Whitbourne’s Adult Development and Aging: Biopsychosocial Perspectives; a set of supplemental readings that can be downloaded as pdf files from the ICON site; Snowdon’s “Aging with Grace” and Thomas’s “What are Old People For?: How Elders will Save the World” as well as some selected contemporary empirical articles. Grades are based on three noncomprehensive examinations and two brief response papers to the Aging with Grace and the “What are Old People For” texts. Course Objectives: This course aims to teach you: 1) Characteristic patterns of change in healthy individuals as they age. Domains to be examined will be changes in the body, brain, memory, intelligence, competence and wisdom, emotion, personality, and interpersonal functioning. 2) Illnesses and psychological dysfunction that can occur in late-life but are not necessarily linked to aging. 3) Policy and services issues as they relate to the care and well-being of the elderly. 4) Issues concerning death and dying. 5) Research methods in geropsychology and the nature and demands of multidisciplinary research. Course Readings: Course readings will include articles and books from a variety of sources. All required texts are available at the Iowa Memorial Union Bookstore. Course required books available for purchase are: Required Texts: Whitbourne, S. K. (2008). Adult Development and Aging (3rd ed.). New York: Wiley. Snowden (2001). Aging with Grace. New York: Bantam. Thomas, W. H. (2004). What Are Old People For?: How Elders Will Save the World. Acton, Mass: VanderWyk & Burnham Supplemental Readings: Supplemental readings are listed in the syllabus and may be accessed from the ICON site and downloaded as pdf files. Grading is as follows: 4.33 98-100 = A+ 4.00 94- 97 = A 3.67 90- 93 = A- 3.33 87-89 = B+ 3.00 84-86 = B 2.67 80-83 = B- 2.33 76-79 = C+ 2.00 71-75 = C 1.67 68-70 = C- Assignments: Exam 1 Exam 2 Aging with Grace Paper What are old people for? Paper Final 20% 20% 20% 20% 20% Oct 1 Nov 19 Oct 22 Dec 3 TBA To pass the class, all 3 examinations must be taken and all writing assignments must be completed. Examinations: Examinations will be composed of objective multiple choice questions that will require you to integrate the knowledge you have learned. There are very few excusable reasons for missing a test. University regulations require that students be allowed to make up examinations that have been missed due to illness, mandatory religious obligations, or other unavoidable circumstances or University activities. If you know you must be away at the time of an examination for mandatory religious obligations or university activities, the instructor or TA must be contacted in advance to schedule a make-up examination. Illness at the time of an examination must be documented by note from a physician; any other circumstances must be documented by the University of Iowa Explanatory Statement for Absence from Class and approved by the instructor. To be eligible for a makeup exam, the instructor or TA must be contacted before the examination. Questions, comments or complaints about specific test items must be submitted in writing to your teaching assistant or to the professor within a week of receiving your test score. In case of conflicts, requests to change timing of final exam must be filed with the Registrar's office by the deadline indicated in the Guide to Fall Courses. NOTE: EXAM times and places may change if scheduled rooms become unavailable. Reaction Papers: The reaction paper and homework assignments are brief responses to questions provided by the instructor in order to guide your reading of the assigned material. These papers will not require any additional research. They only require careful reading of the texts and thoughtful response to the questions asked. Students are expected to check their writing equipment well in advance; last minute failure of printers, discs, etc. is not an acceptable excuse for tardiness. Late papers will be penalized 5 points if not handed in at the scheduled time. Papers turned in more than a week late will receive an additional 5 point penalty; those that are more than 2 weeks late will receive 0 points, but still must be submitted before the final exam to pass the class. Tentative Schedule Psychology of Aging Required Readings Week 1 8/27 Whitbourne Chapter 1 Emerging Suppl. Ayres Suppl. Edwards Suppl. Pipher Suppl. Crary Suppl. Whitbourne Cptr 2 Salthouse Suppl. Davidson Suppl. Introduction to Geropsychology: History, Theory and Trends in Aging. Week 3 9/10 Whitbourne p. 158-175 Kramer Suppl. The Aging Brain & Wisdom Week 4 9/17 Alzheimer's and Memory Week 5 9/24 Whitbourne Chapter 6 pp.128138) Chapter 7 Whitbourne Cptr 7 Week 6 10/1 Exam Only EXAM # 1 Week 7 10/8 Whitbourne Cptr 8 Carstensen and Charles Suppl. Aging and Personality Week 8 10/15 Whitbourne Cptr 8 Whitbourne Cptr 9 Whitbourne Cptr 9 Emotion Week 2 9/3 Week 9 10/22 Week 10 10/29 Week 11 11/5 Week 12 11/12 Week 13 11/19 Week 14 11/26 Week 15 12/3 Week 16 12/10 Whitbourne, Chapt 10 Whitbourne Cptr 11 & 12 Butcher Suppl. Whitbourne Cptr13 Martinez Suppl. Blank Suppl. Exam Only Thanksgiving Whitbourne Cptr 11 & 12 Whitbourne Cptr 14 Rowe and Kahn Suppl. FINALS WEEK FINAL EXAM Week 17 12/14-18 Theories of Aging and Development Memory, Attention, Intelligence and Aging Relationships Continued: Work and Retirement, and Leisure 10/22 “Aging with Grace” Paper Due- Discussion of Aging with Grace Caregiving, Elder Abuse, Work. Retirement Mental Health and Aging, Depression Death and Dying EXAM # 2 No Class Mental Health and Aging: Anxiety Disorders, Substance 12/3 “What are old people for?: How elders will save the world” Paper due. Successful Aging TBA Supplemental Required Readings These are the articles in .pdf format that you can download from the course ICON site. As the semester goes, I may find other excellent relevant articles that I may add to this list and onto the course ICON site. Ayres, R. (2004, September/October). The economic conundrum of an aging population. World Watch Magazine, pp. 45-49. Blank, RH (2001) Technology and death policy: Redefining death. Morality, 6. Butcher, H.K., & McGonigal-Kenney, M. (2005). Depression & dispiritedness in later life: A ‘gray drizzle of horror isn’t inevitable. American Journal of Nursing, 105 (12), 52-62. Butcher, H.K. (2003). Aging as emerging brilliance: Advancing Rogers’ unitary theory of aging. Visions: The Journal of Rogerian Nursing Science, 11, 55-66. Crary, D. (2004). Ageism in America. From the Terre Haute Tribune-Star, Sept. 5, pp. D1. Carstensen, L.L., Charles, S.T. (1998) . Emotion in the Second Half of Life. Current Directions in Psychological Science, 7, 144-149. Davidson, S. (2007). A longer, better life: Sara Davidson talks to two medical scientists about how the body ages and the research on trying to extend our healthy life span. New York Times Magazine, May 6, 2007. Edwards, M. (2004, November/December). As good as it gets. AARP Magazine, 47-53. Kramer, A.F., Fabiani, M., & Colcombe, S.J. (2006). Contributions of cognitive neuroscience to the understanding of behavior and aging. In J. Birren & K. Schaie, K. Handbook of the Psychology of Aging (Sixth Edition) (pp. 57-83). St. Louis: Elsevier. Martinez, E. (2001). Chapter 3. In. J. Freeman & K. McDonnell (Second edition). Tough decisions: Cases in medical ethics (pp. 17-30) Oxford: Oxford University Press Pipher, M. (2002). Society fears the aging process. Excerpted from M. Pipher Another Country: Navigating the emotional terrain of our elders. Rowe, J. W. & Kahn, R.L. (1998). The structure of successful aging. In John W. Rowe & Robert L. Kahn. Successful Aging. Dell, New York. Salthouse, T.A. (2006). Theoretical issues in the psychology of aging. In J. Birren & K. Schaie Handbook of the Psychology of Aging (Sixth Edition) (pp. 3-13). St. Louis: Elsevier. Guidelines to Curious Case of Benjamin Button Paper Psychology of Aging I assigned Curious Case of Benjamin Button because it comprises a number of relevant topics covered in this course. This assignment is an alternative option for the Snowden (2001). Aging with Grace. If you chose not to do the assignment on this film, then follow the guidelines for the Aging with Grace paper in the syllabus. Before starting to watch the film, you should review the questions below. Choose any one of these questions for you paper. 1. How is aging represented in a positive way and what are some examples? How ageist attitudes expressed and what are some examples? What would you do to combat ageism at the individual, family and community level? 2. Describe how (by providing detailed descriptions) Benjamin or Daisy adjusted to his or her physical, psychological, and social changes due to aging and growing younger? 3. Describe how psychological aspects of the dying process were presented in the film? The papers should not be longer than 5 pages long, double-spaced with 12-point font. Use the two questions you choose to answer to help organize your paper. PLEASE contact the course TA if you are struggling with any of the questions. Your grades will be based on: 1) the written quality of your paper; and 2) the depth of your descriptions and how well you connect the aspects of the film to biopsychosocial aspects of the aging process. The paper will not require any additional research. It only requires careful watching of Curious Case of Benjamin Button and thoughtful response to the questions asked. Students are expected to check their writing equipment well in advance; last minute failure of printers, discs, etc. is not an acceptable excuse for tardiness. Papers will be graded on the basis of content and quality of writing (including organization, clarity, spelling, grammar). Late papers will be penalized 5 points if not handed in at the scheduled time. Papers turned in more than a week late will receive an additional penalty of 5 points; those that are more than 2 weeks late will receive 0 points, but still must hand in the paper before the final exam. Upload your paper to the DropBox by October 22, 2009. This paper is worth 20% of your final grade. Guideline to Aging with Grace Paper I assigned Aging with Grace because it provides insight into what it is like to conduct aging research. Although the Nun study is a unique and extraordinary study, many of the issues discussed and the domains investigated are common to many studies of aging researchparticularly those interested in “Successful Aging”. Before starting the book, please review the questions below. I would like you to answer these questions after reading the book, so highlighting relevant areas in the text will be helpful. 1) Dr. Snowden had to maintain a strong working relationship with the Sister’s of Notre Dame for many years. Throughout the book he describes some of the delicate issues that arise. Choose one of the following situations that arose and describe 1) How Dr. Snowden handled it and 2) whether or not you agree with how he handled it and why. If you say that you don’t agree with how he handled it YOU HAVE TO state how you would have done it differently. a) When study participants learn about study findings through the popular or scientific press (e.g. the relation between education and mortality). b) When study participants ask for feedback on the tests they undergo, such as when they ask for their genetic information. c) When Dr. Snowdon required that study participants donate their brain if they wanted to participate in the study. 2) List TWO separate reasons why studying the Sisters of Notre Dame is a good idea from a scientific standpoint. I want to know why choosing a cloistered set of nuns is better than just going out into the community or going to a clinic and studying Alzheimer’s disease. Be sure to address how this decision bears on the difficulty in teasing apart environmental from genetic causes. 3) The Nun Study was designed to determine behaviors one could engage in to prevent dementia or Alzheimer’s disease. List two behaviors examined in the study and whether or not the data collected supported their effectiveness in preventing or delaying Alzheimer’s disease. I would like the papers to be 5 pages long, double spaced with 12 point font. PLEASE contact the course TA if you are struggling with any of the questions. Your grades will be based on 1) how accurate you are in reporting what happened in the book and 2) how well you support your own opinions. The paper will not require any additional research. It only requires careful reading of Aging with Grace and thoughtful response to the questions asked. Students are expected to check their writing equipment well in advance; last minute failure of printers, discs, etc. is not an acceptable excuse for tardiness. Papers will be graded on the basis of content and quality of writing (including organization, clarity, spelling, grammar). Late papers will be penalized 5 points if not handed in at the scheduled time. Papers turned in more than a week late will receive an additional penalty of 5 points; those that are more than 2 weeks late will receive 0 points, but still must hand in the paper before the final exam. Guideline to What Are Old People For?: How Elders Will Save the World Paper This assignment combines an interview with an older person and your own reflections. Dr. Thomas presents innovative thoughts and strong personal opinions about what it means to be human with advancing age. As you are reading please note THREE topics or quotes that peak your curiosity, formulate questions based on these topics and elicit responses from an elder either through letter writing or an interview. Outline for reader response and interview based on “What are old people for?” 1. Briefly describe the interview setting and your informant while observing rules of confidentiality. How old is your informant? Why did you choose this person? (.5 page) 2. 3 quotes and questions (1 page each): Each 1-sentence quote must be from a different one of the 8 main chapters of the book. Summarize the author’s intended meaning. Formulate a one-sentence question to allow your informant to reflect about the topic. Summarize these reflections. Did Dr. Thomas’ theories ring true for this informant? 3. Summary (1.5 page): What developmental tasks is this person grappling with? What does “home” mean for this person? How well does our current approach of mitigated aging work out for this person? I would like the papers to be 5 pages long, double spaced with 12 point font. PLEASE contact the course TA if you are struggling with any of the questions. Your grades will be based on 1) how accurate you are in summarizing the author’s theory, and 2) how well you support your own opinions and those of your informant based on the author’s theory. The paper will not require any additional research. It only requires careful reading of Aging with Grace and thoughtful response to the questions asked. Students are expected to check their writing equipment well in advance; last minute failure of printers, discs, etc. is not an acceptable excuse for tardiness. Papers will be graded on the basis of content and quality of writing (including organization, clarity, spelling, grammar). Late papers will be penalized 5 points if not handed in at the scheduled time. Papers turned in more than a week late will receive an additional penalty of 5 points; those that are more than 2 weeks late will receive 0 points, but still must hand in the paper before the final exam.