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ADULTDEVELOPMENT& AGING

BIOPSYCHOSOCIALPERSPECTIVES

ADULTDEVELOPMENT& AGING

BIOPSYCHOSOCIALPERSPECTIVES

SeventhEdition

SusanKraussWhitbourne,Ph.D.

UniversityofMassachusettsBoston

StaceyB.Whitbourne,Ph.D.

VABostonHealthcareSystem

VPANDEDITORIALDIRECTORVeronicaVisentin

EXECUTIVEEDITORGlennWilson

EDITORIALASSISTANTJannilPerez

EDITORIALMANAGERJudyHowarth

CONTENTMANAGEMENTDIRECTORLisaWojcik

CONTENTMANAGERNicholeUrban

SENIORCONTENTSPECIALISTNicoleRepasky

PRODUCTIONEDITORVinoliaBenedictFernando

COVERPHOTOCREDITCourtesyofSusanK.Whitbourne&StaceyB.Whitbourne

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Foundedin1807,JohnWiley&Sons,Inc.hasbeenavaluedsourceofknowledgeandunderstandingformorethan200years, helpingpeoplearoundtheworldmeettheirneedsandfulfilltheiraspirations.Ourcompanyisbuiltonafoundationofprinciples thatincluderesponsibilitytothecommunitiesweserveandwhereweliveandwork.In2008,welaunchedaCorporate CitizenshipInitiative,aglobalefforttoaddresstheenvironmental,social,economic,andethicalchallengeswefaceinour business.Amongtheissuesweareaddressingarecarbonimpact,paperspecificationsandprocurement,ethicalconductwithin ourbusinessandamongourvendors,andcommunityandcharitablesupport.Formoreinformation,pleasevisitourwebsite: www.wiley.com/go/citizenship.

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ISBN:978-1-119-60787-8(PBK)

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LibraryofCongressCataloging-in-PublicationData

Names:Whitbourne,SusanKrauss,author. | Whitbourne,StaceyB.,author. Title:Adultdevelopmentandaging:biopsychosocialperspectives/Susan KraussWhitbourne,e,Ph.D.,UniversityofMassachusettsBoston,Stacey B.Whitbourne,Ph.D.,VABostonHealthcareSystem.

Othertitles:Adultdevelopment&aging

Description:SeventhEdition. | Hoboken:Wiley,2020. | Revisededitionof theauthors’Adultdevelopment&aging,[2017] | Includes bibliographicalreferencesandindex.

Identifiers:LCCN2020004059(print) | LCCN2020004060(ebook) | ISBN 9781119607878(paperback) | ISBN9781119609438(adobepdf) | ISBN 9781119609377(epub)

Subjects:LCSH:Gerontology. | Olderpeople—Psychology. | Older people—Healthandhygiene. | Olderpeople—Socialconditions. Classification:LCCHQ1061.W482020(print) | LCCHQ1061(ebook) | DDC 305.26—dc23

LCrecordavailableathttps://lccn.loc.gov/2020004059

LCebookrecordavailableathttps://lccn.loc.gov/2020004060

Theinsidebackcoverwillcontainprintingidentificationandcountryoforiginifomittedfromthispage.Inaddition,iftheISBN onthebackcoverdiffersfromtheISBNonthispage,theoneonthebackcoveriscorrect.

Everyoneages.Thisveryfactshouldbe enoughtodrawyouintothesubjectmatter ofthiscourse,whetheryouarethestudent ortheinstructor.Yet,formanypeople,it isdifficulttoimaginethefuturein50,40, oreven10yearsfromnow.Thegoalofour bookistohelpyouimagineyourfutureandthefuture ofyourfamily,yourfriends,andyoursociety.Wehave broughttogetherthelatestscientificfindingsaboutaging withamorepersonalapproachtoencourageyoutotake thisimaginativejourneyintoyourfuture.

Theseventheditionof AdultDevelopmentandAging: BiopsychosocialPerspectives incorporatesmaterialthatwe believeisvitaltoyourunderstandingofthisrapidlydevelopingandfascinatingfieldofstudy.Muchofwhatyou willreadcomesdirectlyfromSusan’sclassroomteachingofthepsychologyofagingcourseattheUniversity ofMassachusettsBoston.Shecontinuestoincorporateher day-to-dayteachingofthecourseintothetext,whichkeeps thematerialcurrent,fresh,andengaging.Atthesametime, heractiveinvolvementinresearchonthepsychologyof adultdevelopmentandaginggiveshertheabilitytosift throughtheavailablefindingsandpulloutthosethatare centraltoanunderstandingofindividualsastheychange fromtheyearsofearlyadulthoodthroughlatelife.

Staceywasinspiredtopursuethefieldofagingaftertakinghermother’scourseattheUniversityofMassachusetts Amherst.Shecontinuedhergraduateworkinsocialand developmentalpsychology,focusingoncognitivefunctioninginlateradulthood.Staceyistheprogramdirectorfor amajornationalinitiativethatisbuildingahealthand genomicdatabaseforfuturestudiesofmilitaryveterans. HavingalsotaughtadultdevelopmentandagingatBrandeis UniversityandtheUniversityofMassachusettsBoston,she isalsoattunedtostudentneedsandinterests.

WeareproudtosaythatStaceyisthethirdgeneration ofherfamilytobeinvolvedinthefieldofgerontology. TheodoreC.Krauss,M.D.,Susan’sfather,wasaninnovatoringeriatricmedicine.Susanbecameinterestedin

thescholarlyfieldofagingasanundergraduatewhenshe decidedtowriteapaperonpersonalityandadaptation inadevelopmentalpsychologycourse.Atthesametime, herfather’sprofessionalactivitieshadaprofoundinfluence andmadethechoiceofgerontology(thescientificstudyof aging)anaturalone.

Itisourhopeandbeliefthatyouwillfindyourself asengrossedinthepsychologyofadultdevelopmentand agingasweare.Notonlyiseveryonearoundyouaging butalsotheissuesthatresearchersinfieldexaminerange allthewayfromthephilosophicaltothepractical.Whydo livingthingsage?Isthereawaytoslowdowntheaging process?HowwillsocietydealwiththeagingoftheBaby Boomers?Howwilljobmarketsbeaffectedbyanaging society?Willtheyoungadultsoftodayagedifferently thandidtheirparentsandgrandparents?Bringingittoa personallevel,asyoutakethecourse,you’llstarttoask questionsaboutyourownlife.Whatchallengesawaityou asyoubeginyourcareer?Whatwillitbeliketostarta family?Howwillyoumanagethetransitionintoyourearly adulthoodasyouleavecollegebehindtopursueyourown life?Allofthese,andmore,arequestionsthatyouwillfind yourselfaskingasyouexplorethemanycomplexitiesofthe processthatcausespeopletochangeandgrowthroughout life.Youwilllearnnotonlyhowpeoplegrowolderbut alsohowtogrowolderinawaythatishealthyand satisfying.

THEMESOFTHEBOOK

Thebiopsychosocialmodelemphasizedinourtextis intendedtoencourageyoutothinkaboutthemultiple interactionsamongthedomainsofbiology,psychology, andsociology.Accordingtothismodel,changesinone areaoflifehaveeffectsonchangesinotherareas.The centerpieceofthismodelisidentity,yourself-definition. Youinterprettheexperiencesyouhavethroughtheframeworkprovidedbyyouridentity.Inturn,yourexperiences stimulateyoutochangeyourself-definition.

Thisisanexcitingtimetobestudyingadultdevelopmentandaging.Thetopicisgainingincreasingmedia attentionandtremendousmomentumasanacademic disciplinewithinlifespandevelopment.Thebiopsychosocialmodelfitswithintheframeworkofcontemporary approachestakingholdinthesciencesingeneralthat emphasizetheimpactofsocialcontextonindividuals throughoutallperiodsoflife.Entirelynewconcepts,sets ofdata,andpracticalapplicationsofthesemodelsare resultinginarealizationofthedreamsofmanyofthe classicdevelopmentalpsychologistswhoseworkshaped thefieldintheearly20thcentury.

Adultdevelopmentandagingareareasthathaveno nationalboundaries.Agingisnowbeingrecognizedas apriorityforresearchersandpolicymakersaroundthe world,notonlyintheUnitedStatesandCanada.Wecan allbenefitfromthisinternationalperspectivebothforour owncountriesandforthoseofcitizensaroundtheworld.

ORGANIZATION

Ifyoureadthechaptersofthisbookinorderfromstartto finish,youwillprogressfromthebasicsinthefirstthree chapterstomorecomplexissues,startinginChapter4,that placerelativelymoreemphasisonthe‘‘bio,’’the‘‘psycho,’’ andthe‘‘social.’’However,notallinstructorschooseto proceedinthisfashion,andwehavedesignedthebook withthisflexibilityasanoption.Weemphasizethebiopsychosocialmodelthroughout,inthatmanyofthetopics, regardlessofwheretheyappearinthebook,spanareasas diverse,forexample,asdrivinganddiabetes.

Wedorecommend,though,thatthelastchapteryou readisnottheoneondeathanddying,asisoftenthecasein otherbooksinthefield.Ourlastchaptercoverssuccessful aging.Manystudentsandinstructorshavesharedwithus theirappreciationofourendingona‘‘highnote.’’Even thoughdeathisobviouslythefinalperiodoflife,weeach havethepotentialtoliveonafterourownendingthrough theworkswecreate,thelegaciesweleavebehind,andthe peoplewhoseliveswehavetouched.Thesearethethemes thatwewouldlikeyoutotakewithyoufromthisbookin theyearsanddecadesahead.

FEATURES

Up-to-DateResearch Thetopicsandfeaturesinthistext areintendedtoinvolveyouinthefieldofagingfroma scholarlyandpersonalperspective.Youwillfindthatthe mostcurrentresearchispresentedthroughoutthetext, withcarefulanddetailedexplanationsofthestudiesthat highlightthemostimportantscholarlyadvances.Wehave

givenparticularattentiontonewtopicsandapproaches, includingneuroscienceandgenetics,aswellascontinuing tobringtostudentsthelatestadvancesincognition,personality,relationships,andvocationaldevelopmentaswell ashighlightingsocioculturalinfluencesondevelopment, includingrace,ethnicity,andsocialclass.

AgeFeed Thechaptersbeginwithourveryown‘‘AgeFeed’’openerstogiveyouanintroductiontothetopic. Theseareintheformoffactversusmythchallenges, self-tests,orlistsrelevanttoeachchapterthattakeone ofseveralformats.ForAgeFeedopenersthatinvolvea challengeorself-test,theanswersareprovidedforyouso thatyoucanscoreyourself.Yourinstructormaydecideto assignthesetotests,sobesuretoreadthemovercarefully. Wehopeyoulikethem!

EngagingFiguresandTables Allofthefiguresandphotographsinthisseventheditionwereredesignedfrom thepreviouseditionswithupdatedinformationandformats.Thesewillhelpyoulearnandrememberthekey informationpresentedinthetext.Ourselectionofthese materialsconnectstothePowerPointslidesthatinstructors candownloadfromtheWileywebsite.

ContemporaryApproach Withcoauthorsliterallyone generationapart,it’sbeenourgoaltofindthebalance betweenthe‘‘professor’’andthe‘‘student’’perspectives. Asaresult,youwillfindmanycurrentexamplesrelevant topeopleinyouragegroup,whetheryou’reareturning studentorastudentoftraditionalcollegeage.Instructors, too,willfindmaterialthattheycanrelatetotheirown experiences,whethertheyarerelativenewcomersormore seasonedacademics.

STUDENTLEARNINGAIDS

GlossaryTerms Wehavemadeaconcertedeffortin thiseditiontoprovidealargenumberofglossaryterms, indicatedinboldineachchapter,andlistedattheend ofthebook.Althoughitmayseemlikeyouwillhavea greatmanytermstomemorize,thefactofthematteris thatyouwillneedtolearnthemanyway,andbyhaving themprovidedinyourglossary,you’llfinditeasierto spotthemwhenitcomestimetoreviewforyourexams. Susanfindsthatherstudentsliketostudyfromflashcards thattheymakeup,andifyoufindthisausefulstudy tool,theglossarytermswillmakethatprocessmuch morestraightforward.Themajorityofthesetermsrelate specificallytoadultdevelopmentandaging,butwherewe feltitwashelpfulforyoutoreviewatermthatyoumay

nothaveencounteredforawhile,wealsoincludedseveral termsofamoregeneralnature.

NumberedSummaries Youwillfindanumberedsummaryforeachchapterthatwillsupplementyourstudying andhelpyounarrowdownyourreviewingtothechapter’s mainpoints.Togetherwiththeglossaryterms,thesewill giveyouacomprehensiveoverview,thoughtheywillhelp youthemostifyouactuallyreadthechaptersthemselves.

CHANGESINTHESEVENTHEDITION

Thefirsteditionof AdultDevelopmentandAging:BiopsychosocialPerspectives wasintendedtoprovideafreshand engagingapproachtothefieldofthepsychologyofadult developmentandagingbyfocusingonthreethemes:a multidisciplinaryapproach,positiveimagesofaging,and thenewestandmostrelevantresearch.Wecontinuethis traditionintheseventheditionbecausewewantyou,our readers,tofeelasconnectedtothematerialaspossible. Ourthinkingisthatstudentswillbemoremotivatedto completetheirreadingiftheylikethetextandfeelthat theycanrelatetoit.Atthesametime,instructorswill findtheirjobthatmucheasierbecausestudentssittingin theirclassroomswillcometoclassreadytodiscusswhat they’veread.

Instructorswhohavedevelopedtheircoursebasedon earliereditionswillnotneedtochangethebasicstructure oftheirlecturesandassignments.However,toreflectthis ever-changingfield,weshiftedmaterialwithinthechapters, insomecasesdeletingtopicsthatbynowarenolonger consideredrelevantinordertomakeroomtocoverthe newerapproachesthathavecomeintoprominencewithin thepast3years.

Althoughmanyoftheclassicsremain,wehaveincluded over500referencesfromthepast3years,upthrough mid-2019.Invirtuallyallcaseswherewereferencepopulationdata,werelyonsourcesfrom2018and2019. Wealsogiveexpandedcoveragetoglobalpopulationand healthdatainkeepingwithourstatedgoalofprovidingan internationalperspective.

Inthesixthedition,werevampedmuchofthetopicalorganizationtobeconsistentwithnewdevelopments intheoryandresearch.Inthepresentedition,wehave trimmedsomeareasthathadbecomeoutdatedevenfurtherinordertobeabletocovertheemergingliterature. Additionally,tomakethenewmaterialconsistentwith theillustrations,wehaveprovidednarrativesthatwill allowreaderstounderstandthemainpointsofeachofthe revampedfigures.Thesechangescameabout,inpart,asa resultoffeedbackfromstudentsinSusan’sundergraduate courseingerontology.

Severaltrendsintheliteraturethatarereflectedin theseventheditionincludegreaterappreciationofthe roleofsocialcontextasaninfluenceondevelopment suchasincomeinequity,variationsaccordingtosuch areasofdiversityasrace,ethnicity,andsexualorientation. Wealsoexpandourtreatmentofinternationalvariations andincludeconsiderablematerialfromtheWorldHealth Organization’sfocuson‘‘ActiveandHealthyAgeing.’’All referencespriorto2015havebeencheckedtodetermine whethernewerinformationisavailable.Wheresectionsof thetextcoveredtopicsthathavediminishedinimportance inthefield,thesehavebeencondensedoreliminated.As aresult,althoughthetext’sstructureremainsconsistent, therearenewareasofemphasisreflectingthegrowthof thefield.

Ourgoalistoprovidethelatestfindingswhilepreservinginformationofrelevancetothe‘‘classic’’studiesinthe field.Studentswillthereforehavethebestofallworlds, withtheopportunitytolearnaboutcherishedtraditionsin adultdevelopmentandagingbutalsotolearnwherethis excitingfieldisheadedinthecomingdecades.

Supplements Wileyispleasedtoofferanonlineresource containingawealthofteachingandlearningmaterialsat http://www.wiley.com/college/whitbourne.

WebsiteLinks Referencesinthiseditionshowthewebsitesthatstudentsandinstructorscanconsulttogather updatedinformationonchangesinthefield.

INSTRUCTORRESOURCES

Instructor’sManual ThecontentintheInstructor’sManualreflectsthe45yearsofexperiencethatSusanhasin teachingthiscourse.Youwillfindchapteroutlines,key terms,learningobjectives,andlecturesuggestions.We haveupdatedoursuggestionsforvideos,takingadvantage ofthenewresourcesavailablethroughYouTube,andalso provideinstructorswithresourcesforfilms,music,and literature.

PowerPointSlides Preparedforuseinlectures,weprovideyouwithacompletesetofPowerPointslidestested inSusan’sclassanddesignedspecificallyforthisbook. Instructorscaneasilyadaptthemfortheirownspecific needs.

TestBank Instructorshaveaccesstoacompletedownloadabletestbankthatincludes50questionsineach chapterthatfollowtheorderinwhichconceptsarepresentedinthetext.Eachmultiple-choicequestionislabeled

accordingtotheconceptittests,alongwithitsdifficulty level(basedonclasstesting).Weincludeshortanswerand essayquestionsthatcorrespondwitheachsectionofthe chapter.BecausetheyareinconvenientMicrosoftWord format,instructorscanadaptthemtotheirownparticular needs.

ACKNOWLEDGMENTS

Ourfirstsetofacknowledgmentsgoestoourfamilies.HusbandsRichardO’BrienandErikGleasonhavegraciously providedimportantsupportthatallowedustospendthe manyhoursweneededovertheperiodofayeartorevise thebook.JenniferO’Brien,daughterandsister,isawonderfulsoundingboardforourideas;asshecontinuesher careerinclinicalpsychology,welookforwardtocontinued ‘‘collaboration’’withher.Wewouldalsoliketothankthe newestmembersofourfamily—namelyTheodoreJames Gleason,age8atthetimeofthiswriting,andScarlettBeth Gleason,whohasjustturned6.Susanisthrilledtobea grandmother,experiencingthejoysofthisspecialstatus onafirst-handbasis.

Throughoutthewritingofthisbook,studentsinthe MentalHealthandAgingclassattheUniversityofMassachusettsBostonhaveprovidedvaluableinsightsand observations.Aswewererevisingthebookandpreparing thelectures,studentscontinuedtoprovideuswithfresh perspectives.Theirgoodhumor,patience,andwillingness toexperimentwithsomenewideashavemadeitpossible toaddtheall-importantstudentviewpointtothefinished product.WealsoappreciatethecontributionsofSusan’s graduateteachingassistants,whoserveassoundingboards inherpreparationandreviewoflecturecontent.

Ourfinalthanksgotothereviewersovertheyears whoprovidedhelpfulcomments.Theirinsightfulobservationsandthoughtfulproposalsforchangeshelpedus tightenandfocusthemanuscriptandenhancethediscussionofseveralkeyareasofinterestinthefield. ThankyoutoAlexBishop(OklahomaStateUniversity), SueBurdett-Robinson(Hardin-SimmonsUniversity),Alvin House(IllinoisStateUniversity),GaryMontgomery(The UniversityofTexas-PanAmerican),andNancyPartika (TritonCollege).Wehavealsobenefitedfrominformal reviewsprovidedbyourcolleagueswhousethebook intheirteaching.Wegreatlyappreciatetheirhelpful suggestions.

Inconclusion,wehopethatwehavegivenyousomethingtolookforwardtoasyouventureintothefascinating fieldofadultdevelopmentandagingandthatthesubsequentpagesofthisbookwillfulfilltheseexpectations.We aimtopresentacomprehensivebutclearpictureofthe areaandhopethatyouwillbeabletoapplythisknowledge

toimproveyourownlifeandthelivesoftheolderadults withwhomyoumaybepreparingtowork.Wehopeyou willcomeawayfromthecoursewithapositivefeeling aboutwhatyoucandoto‘‘agebetter’’andwithapositive feelingaboutthepotentialitiesoflaterlife.Andmaybe, justmaybe,ashashappenedonmanypastoccasionswith peoplewhoreadthisbookandtakeourcourses,youwill decidetopursuethisfieldandwecanwelcomeyouas colleaguesinthecomingyears.

Finally,wewouldliketocommentontheprocessof workingtogetherasamother–daughterteam.Thefirst authorwaspregnantwiththesecondauthorwhenshe embarkedonherfirsttextbookinthefield,theprecursor tothepresentvolume.Littledidsheknowthatthechild shewasabouttohavewouldbecomeapsychologist,much lessaspecialistinaging.Indeed,becauseSusanrecently relocatedtoBoston,whereStaceyandherfamilylive,we havehadmoreopportunitiestotalkaboutthisrevision indepth,includingsomelivelydebatesaboutseveralof thetopics.TheAgeFeedsreflectStacey’sdesiretoengage readerswiththetypeofmaterialthatstudentsencounter intheirowninformalWebsearchesanddailyonlinenews updates.Wegreatlyenjoywritingthisbookandareproud andhappytobeabletoshareourperspectiveswithyou, thereader.

SusanKraussWhitbourne,Ph.D. StaceyB.Whitbourne,Ph.D. January2020

ABOUTTHEAUTHORS

SusanKraussWhitbourne,Ph.D.,isaProfessorEmerita ofPsychologicalandBrainSciencesattheUniversityof MassachusettsAmherstandAdjunctProfessorandFaculty FellowinGerontologyattheUniversityofMassachusetts Boston.ShereceivedherPh.D.indevelopmentalpsychologyfromColumbiaUniversityin1974andcompleted apostdoctoraltrainingprograminclinicalpsychologyat theUniversityofMassachusettsatAmherst,havingjoined thefacultytherein1984.Herpreviouspositionswere asassociateprofessorofeducationandpsychologyatthe UniversityofRochester(1975–1984)andassistantprofessorofpsychologyatSUNYCollegeatGeneseo.Formerly thePsychologyDepartmentalhonorscoordinatoratthe UniversityofMassachusettsAmherst,shewasalsodirector oftheOfficeofNationalScholarshipAdvisementwhere sheadvisedstudentswhoapplyfortheRhodes,Marshall, Fulbright,Truman,andGoldwaterScholarships,among others.Inaddition,shewasfacultyadvisortotheUniversityofMassachusettsChapterofPsiChi,apositionfor

whichshewasrecognizedastheEasternRegionalOutstandingAdvisorfortheyear2001andastheFlorence DenmarkNationalFacultyAdvisorin2002.Sheservedas easternregionvicepresidentofPsiChiin2006–07andas chairoftheprogramcommitteefortheNationalLeadershipConferencein2009.Herteachinghasbeenrecognized withtheCollegeOutstandingTeacherAwardin1995and theUniversityDistinguishedTeachingAwardin2001.Her workasanadvisorwasrecognizedwiththeOutstanding AcademicAdvisorAwardin2006.In2003,shereceived theAmericanPsychologicalAssociation(APA)Division20 (AdultDevelopmentandAging)MasterMentorAwardand theGerontologicalSocietyofAmerica(GSA)Behavioral andSocialSciencesDistinguishedMentorshipAward.

Overthepast20years,Dr.Whitbournehashelda varietyofelectedandappointedpositionsinAPADivision 20includingpresident(1995–96),treasurer(1986–89), secretary(1981–84),programchair(1997–98),education committeechair(1979–80),StudentAwardsCommittee chair(1993–94),ContinuingEducationCommitteechair (1981–82),andElectionsCommitteechair(1992–93).She haschairedtheFellowshipCommitteeandservesasthe Division20representativetotheAPACouncil(2000–06 and2009–14,and2017–present).SheisafellowofDivisions1(GeneralPsychology),2(TeachingofPsychology),9 (SocietyfortheStudyofSocialIssues),12(ClinicalPsychology),20,and35(SocietyforthePsychologyofWomen). SheservedontheAPACommitteeonStructureandFunctionofCouncil,chairedthePolicyandPlanningBoardin 2007,servedontheAPAMembershipBoard,servedon theBoardofEducationalAffairs,chairedWomen’sCaucus andCoalitionofScientistsandAppliedResearchersinPsychology,andisnowontheBoardofEducationalAffairs. In2011,hercontributionswererecognizedwithanAPA PresidentialCitation.

Dr.WhitbourneisalsoafellowoftheAmerican PsychologicalSocietyandwasPresidentoftheEasternPsychologicalAssociation(2017–18).SheistheChairofthe BehavioralandSocialSciencesSectionoftheGerontologicalSocietyofAmerica.SheispastpresidentoftheCouncil ofProfessionalGeropsychologyTrainingPrograms.Having receivedherDiplomateinGeropsychologyin2015,she currentlyservesastheTreasurerfortheABGEROboardof theAmericanBoardofProfessionalPsychology.Afounding memberoftheSocietyfortheStudyofHumanDevelopment,shewasitspresidentfrom2005to2007.Sheisalsoa foundingmemberoftheSocietyfortheStudyofEmerging Adulthood.ShealsoservedontheBoardofDirectorsofthe NationalAssociationofFellowshipAdvisors.Inherhome ofAmherst,Massachusetts,sheservedontheCouncilon Aging(2004–07)andwasthepresidentoftheFriendsof theAmherstSeniorCenter(2007–09).

Herpublicationsinclude19publishedbooks,many inmultipleeditions,andmorethan175journalarticles andchapters,includingarticlesin PsychologyandAging,Psychotherapy,DevelopmentalPsychology,JournalofGerontology, JournalofPersonalityandSocialPsychology,and Teachingof Psychology,andchaptersinthe HandbookofthePsychologyofAging,ClinicalGeropsychology,ComprehensiveClinical Psychology(Geropsychology),the EncyclopediaofPsychology, andthe InternationalEncyclopediaoftheSocialandBehavioral Sciences.Shehasbeenaconsultingeditorfor Psychology andAging,servesontheeditorialboardofthe Journalof Gerontology,andwasaconsultingeditorfor Developmental Psychology.Sheiseditor-in-chiefoftheWiley-Blackwell EncyclopediaofAging.Herpresentationsatprofessional conferencesnumberover250andincludeseveralinvited addresses,amongthemtheAPAG.StanleyHallLecture in1995,theEPAPsiChiDistinguishedLecturein2001, andtheSEPAInvitedLecturein2002.Inadditiontoher professionalwriting,shewritesablogfor PsychologyToday called‘‘FulfillmentatAnyAge’’andhasconsultedforpublicationsoftheNationalGeographicSocietyinpsychology andservesonthePrevention.comhealthreviewboard.

StaceyB.Whitbourne,Ph.D.,receivedherPh.D. insocialanddevelopmentalpsychologyfromBrandeis Universityin2005whereshewasfundedbyaNational InstituteonAgingtrainingfellowship.Shecompletedher postdoctoralfellowshipattheBostonUniversitySchoolof PublicHealth,DepartmentofEpidemiology,fundedbya NationalInstituteonAgingGrantandaDepartmentof VeteransAffairsRehabilitationResearchandDevelopment ServiceGrant.Currently,sheisaresearchhealthscientist attheMassachusettsVeteransEpidemiologyandResearch InformationCenter(MAVERIC),aresearchcenterhoused withintheVABostonHealthcareSystem.Sheservesas theProgramDirectorofRecruitmentandEnrollmentfor

theMillionVeteranProgram,alongitudinalhealthand genomiccohortfundedbytheDepartmentofVeteran’s AffairsOfficeofResearchandDevelopment.Inaddition, sheisaninstructorofmedicineatHarvardMedicalSchool andanassociateepidemiologistattheDivisionofAging atBrighamandWomen’sHospital.Theauthorofseveral publishedarticles,sheisalsoacoauthoronachapterfor theSageSeriesonAginginAmerica.Sheisamember oftheAmericanPsychologicalAssociationDivision20and theGerontologicalSocietyofAmerica.Amemberofthe

MembershipCommitteeofDivision20,shehasalsogiven morethan30presentationsatnationalconferences.Asan undergraduate,shereceivedthePsiChiNationalStudent ResearchAward.Ingraduateschool,shewasawardedthe VernaReganTeachingAwardandanAPAStudentTravel Award.Shehasreceivednumerouscommendationsand awardsforherworkwiththeMillionVeteranProgramfrom theDepartmentofVeteransAffairs.Shehastaughtcourses onadultdevelopmentandagingatBrandeisUniversityand theUniversityofMassachusettsBoston.

Prefacev

CHAPTER1

ThemesandIssuesinAdult DevelopmentandAging1

TheBiopsychosocialPerspective3

FourPrinciplesofAdultDevelopmentand Aging4

Principle1:ChangesAreContinuousOvertheLife Span4

Principle2:OnlytheSurvivorsGrowOld5

Principle3:IndividualityMatters6

Principle4:‘‘Normal’’AgingIsDifferentFrom Disease7

TheMeaningofAge8

UsingAgetoDefine‘‘Adult’’9 DivisionsbyAgeoftheOver-65Population10 FunctionalAge10

PersonalVersusSocialAging12

KeySocialFactorsinAdultDevelopmentand Aging14

SexandGender14

Race14

Ethnicity14

SocioeconomicStatus15

Religion16

TheBabyBoomersGrowUp:Changesinthe Middle-AgedandOlderPopulationsintheUnited StatesandtheWorld16

UnitedStates17

AgingAroundtheWorld18

Summary20

CHAPTER2

ModelsofDevelopment:Natureand NurtureinAdulthood21

ModelsofIndividual–Environment Interactions23

ReciprocityinDevelopment25

SocioculturalModelsofDevelopment26 EcologicalPerspective26

TheLifeCoursePerspective27 AgeismasaSocialFactorintheAgingProcess29 PsychologicalModelsofDevelopmentin Adulthood31

Erikson’sPsychosocialTheory31

Piaget’sCognitive-DevelopmentalTheory34 IdentityProcessTheory35 TheSelectiveCompensationwithOptimization Model38

BiologicalApproachestoAginginAdulthood39 GenesandDNA39

ProgrammedAgingTheories41

RandomErrorTheories43

Summary46

CHAPTER3

TheStudyofAdultDevelopmentand Aging:ResearchMethods48

VariablesinDevelopmentalResearch49

Descriptive(Single-Factor)ResearchDesigns49

Age,Cohort,andTimeofMeasurement50

LongitudinalDesigns50

Cross-SectionalDesigns54

SequentialResearchDesigns56

TheMostEfficientDesign56

CorrelationalDesigns57

SimpleCorrelationalDesigns59

MultivariateCorrelationalDesigns59

TypesofResearchMethods61

LaboratoryStudies61

QualitativeStudies61

ArchivalResearch61

Surveys62

EpidemiologicalStudies62

CaseReports62

FocusGroups63

DailyDiaries63

ObservationalMethods63

Meta-Analysis63

MeasurementIssuesinAdultDevelopmentand Aging64

EthicalIssuesinResearch65

Summary66

CHAPTER4

PhysicalChanges68

Appearance69

Skin69

Hair71

BodyBuild72

Mobility74

Muscles74

Bones75

Joints76

VitalBodilyFunctions77

CardiovascularSystem77

RespiratorySystem79

UrinarySystem79

DigestiveSystem81

BodilyControlSystems81

EndocrineSystem81

ImmuneSystem85

NervousSystem86

CentralNervousSystem86

Sleep88

TemperatureControl89

SensationandPerception89

Vision89

Hearing91

Balance93

SmellandTaste94

SomatosensorySystem94

Summary95

CHAPTER5

HealthandPrevention97

KeyConceptsinHealthandPrevention98

DiseasesoftheCardiovascularSystem98

CardiacandCerebrovascularConditions99

Incidence100

BehavioralRiskFactors100

PreventionofHeartDiseaseandStroke102

Cancer102

RiskFactorsandPrevention103

Treatments105

DisordersoftheMusculoskeletalSystem106

Osteoarthritis106

Osteoporosis107

Diabetes108

CharacteristicsofDiabetes108

IncidenceandRiskFactors108

PreventionandTreatment109

RespiratoryDiseases109

NeurocognitiveDisorders110

Alzheimer’sDisease110

OtherFormsofNeurocognitiveDisorder115

Summary117

CHAPTER6

BasicCognitiveFunctions:Information Processing,Attention,andMemory118

ProcessingSpeedandAttention119

ReactionTime119

Attention120

VideoGamesandAttention122

DrivingandAging124

Memory126

WorkingMemory126

EffectsofAgingonLong-TermMemoryin Adulthood127

PsychosocialInfluencesonMemory130

MemoryandHealth-RelatedBehaviors131

MemoryTrainingStudies133

Summary134

CHAPTER7

Higher-OrderCognitiveFunctions136

ExecutiveFunctioningandItsMeasurement138

IntelligenceTests138

NeuropsychologicalAssessment139

AgingandExecutiveFunctioning141

Language142

CognitiveAspectsofLanguage142

SocialAspectsofLanguage143

BilingualismandAging145

EverydayProblem-Solving145

CharacteristicsofProblem-Solving146 Problem-SolvinginAdulthood146 AdultLearners149

Intelligence151

TheoreticalPerspectivesonAdultIntelligence151 ResearchonAdultIntelligence152 TrainingStudies155

ThePsychologyofWisdom156

Summary157

CHAPTER8 Personality159

PsychodynamicPerspective161

EgoPsychology161

Vaillant’sTheoryofDefenseMechanisms165 AdultAttachmentTheory167

TraitApproaches168 ResearchonAgingandtheFive-FactorModel168 HealthandPersonalityTraits170

SocialCognitiveApproaches171

CognitivePerspective172 PossibleSelvesTheory172 CopingandControl173 IdentityProcessTheory174

MidlifeCrisisTheoriesandFindings175 TheoryoftheMidlifeCrisis175 CritiquesandResearchontheMidlifeCrisis176

Summary178

CHAPTER9 Relationships180

MarriageandIntimateRelationships181 Marriage181 Cohabitation182

Same-SexCouples184

DivorceandRemarriage184

Widowhood186

PsychologicalPerspectivesonLong-Term Relationships186

Families189

Parenthood189

TheEmptyNest191

Parent–AdultChildRelationships193

Siblings196

Grandparents196

Friendships198

TheoreticalPerspectives198

PatternsofFriendships198

Summary199

CHAPTER10

Work,Retirement,andLeisurePatterns201

WorkPatternsinAdulthood203

VocationalDevelopment205

Holland’sVocationalDevelopmentTheory206

Super’sLife-SpanLife-StageTheory207

OccupationasCalling209

VariationsinVocationalDevelopment209

VocationalSatisfaction210

IntrinsicandExtrinsicFactors210

PositiveandNegativeMoods211

Person–EnvironmentCorrespondence213

WorkStress213

RelationshipsBetweenWorkandFamilyRoles214

AgeandVocationalSatisfaction215

AgeandVocationalPerformance216

Retirement217

DefinitionsofRetirement217

FactsAboutRetirement218

TheEffectsofRetirementontheIndividual220

LeisurePursuitsinLaterAdulthood222

Summary223

CHAPTER11

MentalHealthIssuesandTreatment225

PsychologicalDisordersinAdulthood226

MajorDepressiveDisorder227

BipolarDisorder228

AnxietyDisorders228

Obsessive-CompulsiveandRelatedDisorders229

TraumaandStress-RelatedDisorders229

SchizophreniaandOtherPsychoticDisorders230 Substance-RelatedDisorders231

PersonalityDisorders232

ElderAbuse235

Suicide236

TreatmentIssuesinMentalHealthCare237

Assessment237

Treatment238

SeriousMentalIllness241

Summary241

CHAPTER12 Long-TermCare243

InstitutionalFacilitiesforLong-TermCare244

NursingHomes245

ResidentialCareFacilities246

Community-BasedFacilitiesandServices247 HomeHealthServices248 DayTreatmentServices249

CommunityHousingAlternatives249

TheFinancingofLong-TermCare249 Medicare250

Medicaid252

LegislativeLandmarksintheLong-TermCareof OlderAdults254

1987NursingHomeReformAct(NHRA)254

1998NursingHomeInitiative255

2002NationalNursingHomeQualityInitiative255

2008(toPresent)CMSFive-StarQuality Ratings255

TheQualityofLong-TermCare256

PsychologicalIssuesinLong-TermCare258 SuggestionsforImprovingLong-TermCare259

Summary261

CHAPTER13

DeathandDying263

WhatDoWeKnowAboutDeath?264 MedicalAspectsofDeath264 DeathbytheNumbers265

SocioculturalPerspectivesonDeathand Dying270

PsychologicalPerspectivesonDeathand Dying271

IssuesinEnd-of-LifeCare272 AdvanceDirectives272

Physician-AssistedSuicideandEuthanasia274 HospiceCare274 ImprovingHealthCareandMentalHealthServices toDyingPatients275

Bereavement275

Summary278

CHAPTER14

SuccessfulAging279

WhatisSuccessfulAging?281 AnOverviewofSuccessfulAging281 SuccessfulCognitiveAging282 FactorsThatPromoteSuccessfulAging283

CreativityandAging287

WhatIsCreativity?287 CreativeOlderAdults288

CharacteristicsofLastWorks289

BiopsychosocialPerspectivesonCreativityand Aging291

SuccessfulAging:FinalPerspectives293 Summary293

GlossaryG-1 ReferencesR-1

AuthorIndexI-1

SubjectIndexI-16

1

ThemesandIssuesinAdult DevelopmentandAging

Atthebeginningofeachchapter,weinviteyoutocheckout‘‘AgeFeed’’toseetop10lists,take quizzes,orlearnfunfactsaboutthechapterahead.

Togetstarted,asyouwilllearninChapter1,therearemanymythsaboutaging.Seeifyou’reable toseparatefactfromfictioninthesestatementsandcheckyouranswersonthenextpage.

AGEFEED

FACT?

MYTH?

1. Allolderadultsarealike.

2. Mostolderadultsliveinnursinghomes.

3. Lossofinterestinsexandintimacyisanormalpartofaging.

4. Mostolderadultsstaysociallyactive.

5. Alzheimer’sdiseaseisaninevitablepartofaging.

6. Olderadultsareunabletolearnnewskills.

7. Memorylossisanormalaspeoplegrowolder.

8. Peoplebecomemorepessimisticinlaterlife.

9. Creativitypeaksearlyinadulthoodanddeclinesafterthat.

10. Aspeoplegetolder,theyneedmoreassistanceindailylife.

AGEFEED ...the

facts

1. Allolderadultsarealike.

Myth!Therangeofagesamongolderadultsspans5decades;they differmorethananyotheragegroup.

2. Mostolderadultsliveinnursinghomes. Myth!Onlyabout5%ofolderadultsintheUnitedStatesarein nursinghomesalthoughthisrisesto13%forthose85+.

3. Lossofinterestinsexandintimacyisanormalpartofaging. Myth!Althoughthefrequencyofsexualactivitymaydecrease, mostolderadultscontinuetoenjoyafulfillingsexlife.

4. Mostolderadultsstaysociallyactive. Fact!Manyolderadultscontinueworking,volunteer,andarepart ofafamilysocialnetwork.

5. Alzheimer’sdiseaseisaninevitablepartofaging. Myth!Alzheimer’sdiseaseandotherformsofcognitivelossoccur inaminorityofolderadults.

6. Olderadultsareunabletolearnnewskills. Myth!Learningnewskillsmaytakelonger,buttheabilitytolearn continuesthroughoutlaterlife.

7. Memorylossisanormalaspeoplegrowolder. Factandmyth!Short-termmemorymaybelessefficient,but long-termmemoryismaintainedinlaterlife.

8. Peoplebecomemorepessimisticinlaterlife. Myth!Olderadultsaremorelikelytofeelsatisfiedwiththeirlives andtobeoptimisticaboutgettingolder.

9. Creativitypeaksearlyinadulthoodanddeclinesafterthat. Myth!Therearemanyexamplesoffamouscreativeolderadults butevenordinaryindividualscanbecreativethroughouttheirlives.

10. Aspeoplegetolder,theyneedmoreassistanceindailylife. Fact!Theneedforassistanceincreasesinlateradulthood,butonly reachesashighas53%forwomenaged85andolder.

Agingaffectseveryone.Youragingprocessbeganthe momentyouwereborn.Ifyouareoftraditionalcollegeage,you’reundergoingatimeoftransitionthatlasts fromadolescencetoadulthood.Theconceptofbeingan adultmaybenewtoyou,andtheideaofbeinganolder adultmayseemfaroff.Ourpurposeinwritingthisbook istohelpyouthinkaboutyourownagingaswellasthe agingprocessmoregenerally.Youmayhavedecidedto takethiscoursetohelpyouunderstandyouragingfamily membersortrendsinsocietyandbeforelong,wehope thatyoualsothinkaboutwhatwillhappentoyouasyou yourselfgetolder.

Let’sstartbyaskingyouwhatcomestomindwhen youthinkofyourcurrentage.Isitanimportantpartof whoyouareordoyounotthinkaboutyouractualage? Next,askyourselfwhetheryouconsideryourselftobe anadult.Whatdoestheword adult meantoyou?Isita termyouwouldusetodescribeotherswhoareolderthan youarenow?Finally,whatareyourthoughtsaboutthe agingprocess?Whenyouthinkofolderadults,doyou immediatelyregardthemasunabletocareforthemselves? Whatisthe‘‘typical’’olderadultlike,inyoureyes?

Justbythinkingaboutthesequestions,you’vealready startedtofocusonwhatagemeansintermsofyouroverall senseofself.Thesearethetypesofquestionsthatwe’ll explorethroughoutthebook.Evenaswediscussin-depth theeffectsoftheagingprocessthroughoutadulthood,we willoftencomebackandquestionhowmuchwereally knowaboutapersonbasedonagealone.We’llalsoshow youthatsomeagedistinctionsarealmostarbitrary.Someonedecidedthatacertainagemeansyou’reinacertain stageoflife;fromthatpointforward,peopleattributea greatdealofmeaningtothatparticularnumber.Inreality, however,theagingprocessisn’tcompletelylinkedtothe passageoftimealone.

Ourgoalistoencourageyoutotakepersonalexplorationsasyougainfactualinformationabouttheaging process.Notonlywillthematerialhelpyouinyourcareer regardlessofwhatfieldyougointo,butitwillalsohelp youunderstandyourselfandhowyouchangeovertime. You’llalsolearn,perhapssurprisingly,thatyoudon’thave tositbackandlettheagingprocesspassivelyaffectyou. Thereareactivestepsyoucanbetakingnowtomakesure thatyoukeepfunctioningaswellaspossibleforaslong aspossiblethroughoutyourentirelife.Withafewsimple precautions,youcanavoidtheillnessesthatlimitpeople’s abilitytoenjoythemselvesintotheirlaterdecades.

Ifyou’reatraditionalcollege-agestudentheadinginto your20s,wehopetohelpyouappreciatethatitisnever tooearlytostartincorporatingthesechangesintoyour lifestyle.Andforourreadersofnontraditionalcollege age,wehopetohelpyouseethatit’snevertoolateto

initiatebehaviorsthatcanmaintain,ifnotenhance,your everydayfunctioning.Akeygoalwehaveinwritingthis bookistoinvolveyouintheprogressionofyouraging processandshowyouwaystobeanactivepartofyour owndevelopment.

THEBIOPSYCHOSOCIAL PERSPECTIVE

Weorganizethebookaroundthe biopsychosocialperspective,aviewofdevelopmentasacomplexinteractionof biological,psychological,andsocialprocesses.Agingisnot asimple,straightforwardprogressionthroughtime.Your bodyundergoesbiologicalchangeslargelyinfluencedby yourgeneticsorphysiology.Atthesametime,youchange psychologicallyinwaysthatreflectwhat’shappeningto yourbodythat,inturn,affectyourbody’schanges.Allof thistakesplaceinasocialcontext.Holdingbiologyand psychologyconstant,peopleagedifferentlydependingon whereandwhentheylive,whomtheyinteractwith,and whatresourcestheyhaveavailabletothem.

Figure1.1capturesthiscomplexbiopsychosocialinteraction.Biologicalprocessesrefertohowthebody’sfunctionsandstructureschangethroughouttheagingprocess. Wecoverthesechangesinthechaptersonnormalaging andhealth.Psychologicalprocessesincludetheindividual’sthoughts,feelings,andbehaviorsrelatedtogrowing older.Weexaminethesechangesinthechapterson

FIGURE1.1

TheBiopsychosocialModel

Accordingtothebiopsychosocialperspective,adultdevelopmentand agingareunderstoodasinvolvingbiological,psychological,and socioculturalinfluences.

cognition,personality,andemotions.Thesocialprocesses ofagingreflectthecultural,historical,andinterpersonal influencesontheindividual.Wecovertheseinchapters aboutrelationships,family,work,andinstitutionalization. InChapter2,wewillexplorehowlife-spandevelopment theoriesgrapplewithexplaininghowthesecomplexprocessesallinterrelate.You’llfindthatthere’sagreatdeal moretoagingthanyouprobablyimaginedwhenyoufirst startedreadingthischapter.

Asyoucanseefromthebiopsychosocialmodel,we intendtogobeyond‘‘psychology’’inteachingyouaboutthe processesinvolvedinadultdevelopmentandaging.Infact, gerontology,thescientificstudyoftheagingprocess,isan interdisciplinaryfield.Peoplewhodevotetheirprofessional livestothestudyofgerontologycomefrommanydifferent academicandappliedareas—biology,medicine,nursing, sociology,history,andeventheartsandliterature.It’s almostimpossibletobeagerontologistwithoutapplying thisintegrativeviewtoyourwork.Knowledge,theories, andperspectivesfromalldisciplinescontributeimportantly tothestudyoftheindividualovertime.Gerontologyis distinctfrom geriatrics,whichisthemedicalspecialty inaging.

Tohelpputitalltogetherforyouasyoudevelop throughoutadulthood,wewillpayspecialattentiontothe conceptof identity.Identityisdefinedasacompositeof howpeopleviewthemselvesinthebiological,psychological,andsocialdomainsoflife.Theinteractionofthese domainsformsanoverallviewofthe‘‘self.’’

FOURPRINCIPLESOFADULT DEVELOPMENTANDAGING

Webeginourstudyofadultdevelopmentandagingby sharingasetoffourprinciplesthatformthefoundation ofourbiopsychosocialapproach(seeFigure1.2).Asyou readthebook,you’llfindthatwereturnfrequentlytothese principles,whichwehighlightwhentheyappearinthe chapter.Ifyoubegintounderstandthemnow,youwill findthecoursematerialmucheasiertomaster.

Principle1:ChangesAreContinuous OvertheLifeSpan

Firstandforemost,changesoverthelifespanhappenina continuousfashion.Accordingtothe continuityprinciple, thechangesthatpeopleexperienceinlateradulthoodbuild ontheexperiencestheyhadintheirearlieryears.This meanswecanneverisolatethelateryearsoflifewithout consideringtheyearsprecedingthem.Sincetimemoves

FIGURE1.2

TheFourPrinciplesofAdultDevelopmentandAging

Changes are continuous over the life span

Only the survivors grow old

Individuality matters

Normal aging is different from disease inaforwarddirection,thechangesthroughoutlifebuild uponthemselvesinacumulativefashion.Ifyouwerehard onyourbodyasayoungadult,chancesarethechanges you’llundergowhenyou’reolderwillbemorenegative thanifyoutookgoodcareofyourself.

Thecontinuityprinciplealsoappliestothewaythat peoplethinkabouttheirownidentities.Youknowthat you’rethesamepersonyoualwayswere,despitegetting older.Birthdaysdon’ttransformyouintoadifferentperson. Youdon’tlookthesametoothers,butyoufeelessentially the‘‘same’’ontheinside.

Whenotherslookatyou,however,theydon’tnecessarilysharethisperspective.Peopledon’tmeetyouforthe firsttimeandthinkaboutwhatyouwerelikewhenyou wereyounger—theyseeyouasyouarenow.Unlessthey arecloserelativesorfriends,theyhavenowayofknowing whatyouwerelikewhenyouwereinyourchildhoodor teenageyears.Anyonemeetingyounowjudgesyouonthe basisofyourcurrentappearancebecauseheorshehasno otherdatafromwhichtodraw.

Similarly,whenyoulookatamiddle-agedorolder adult,it’sunlikelythatyoujudgethatpersononthebasis ofhowheorshemayhavebeeninthepast.Youseean olderwoman,perhapswalkingwithalittledifficulty,and don’tstoptothinkthatshemighthavebeenamarathon runnerinheryouth.However,thatverysameolderwoman knowsthatsheisthe‘‘same’’personshe’salwaysbeen. True,shecannolongercompeteforamarathon,butthis accomplishmentispartofheridentity.Sheknowsher physicalabilitieshavechanged,buttoherselfshe’sstillthe Jane,Barbara,orMaryshehasbeenherentirelife.

There’sanimportantimplicationofthecontinuity principleforanyoneworkingwitholderadults.Youneed torememberthattheywouldprefertobetreatedasthe peopletheyalwayswere,ratherthanas‘‘oldpeople.’’As we’llseelater,olderadultsareoftenstereotypedasweak andinfirm,wheninreality,theywanttobeviewedas individualswhopossessstrengthstheyhavebuiltupover

Theprincipleofcontinuityisillustratedhere,showingthatanindividualmayfeelthesameinsideeventhoughtheirouterappearance changes.

theirentirelives.Theydon’twanttobestereotypedon thebasisofthewaytheylooktotheworldrightnow. Somenursinghomeadministrators,eagertoremindtheir employeesofthisfact,displaypicturesoftheresidentsfrom theiryoungeryearsonthenameplatesoutsidetheirdoors. Theresidentsandtheirvisitorsthinkoftheminthisway, andit’shelpfulifthosewhoworkwiththemarereminded ofthisfactaswell.

Principle2:OnlytheSurvivorsGrowOld

The survivorprinciple statesthatthepeoplewholiveto oldagearetheoneswhomanagedtooutlivethemany threatsthatcouldhavecausedtheirdeathsatearlierages. Perhapsthisisobviousbecauseclearly,togrowold,you havetonotdie.However,thesurvivorprincipleisabit morecomplexthanthat.ContrarytotheBillyJoelsong ‘‘OnlytheGoodDieYoung,’’it’snotthegoodwhodie young,buttheoneswhofallvictimtotheforcesthatcause peopletolosetheirlives.Someofthesearerandom,tobe sure,suchasbeingkilledbysomeoneelseinanaccident, byanactofwar,orinanaturaldisaster.However,many otherfactorsthatleadsometosurviveintooldageare nonrandom.Survivorsnotonlymanagetoavoidrandom causesoftheirownfatalitiesbutalsoaremorelikelytotake careoftheirhealth,notengageinriskybehaviors(such asdrivingtoofastorgettinginvolvedincrime),orusing drugsandalcoholexcessively.

Thesurvivorprincipleexemplifiesthebiopsychosocial perspective.Theveryfactthatsurvivorsavoiddeathuntil lateinlifesuggeststhattheymayhaveinheritedgood genesoratleastmanagedtomaintaintheirphysicalabilities (biologicalfactors),arecognitivelyandemotionallyhealthy (psychologicalfactors),andhavesurroundedthemselves withagoodsupportsystem(socialfactors).Furthermore, thesefactorsbuildoneachother.Peoplewithstronger

cognitiveskillsaremorelikelytoattendcollegewhich,in turn,providesthemwithgreatereconomicresourcesthat cansustaintheirhealthandwell-being.Acombinationof mentalandphysicalhealthandadequateresources,plusa doseofgoodluck,allowthemtobewithustoday.

Figure1.3illustratesthesurvivorprinciple.Acrossthe yearsofadulthood,thepopulationofpeoplebornaround thesametimethinsoutsothat,bythelateryears,onlythe hardiestarestillalive.Gerontologistsmusttakethesurvivor principleintoaccountwheninterpretingtheresultsof theirresearchbecauseitisquitelikelythatsurvivorsare notlikethepeoplebornatthesametimeastheywere. Theymayhavebeenbornwithgreaterresilience,butthey alsolikelytookcaretomaintaintheirhealthandpreserve theirlongevity.Therearesomanywaystoloseone’slife asyougetolder,fromsuchcausesasterminalillnessor accidents,thattobecomeanolderadult,youhaveto possesssomeincrediblyspecialcharacteristics.

Thesurvivorprinciplealsoimpactsthewayweunderstandresearchonaging.Clearly,allolderadultswho participateinresearcharesurvivorsoftheconditionsthat othersdidnotendure.Astimegoesby,moreandmore oftheolderpopulationwilldie.Whentheyreachage 90or100,theymostlikelyrepresentadifferentpopulationthantheirnow-deceasedagemates.Theolderthey get,themoreselecttheybecomeinsuchkeycharacteristicsasphysicalfunctioning,health,intelligence,andeven personality(Bairdetal.,2010).

Consequently,whenweexaminedifferencesbetween youngerandolderpeople,wemustkeepinmindthatolder peoplealivetodaywereaspecialgroupwhentheywere young.Theyoungeradultshavenotyetbeensubjectedto thesameconditionsthatcouldthreatentheirlives.Some ofthemwilldiebeforetheyreacholdage.Knowingwho willbethesurvivorsisalmostimpossibletopredict,of course,meaningwemaybecomparinghighlyselectolder adultswithawiderrangeofyoungeradults.Therefore, wecannotconcludethatage‘‘caused’’theolderadults tohavethecharacteristicstheyhavenowbecausethey mightalwayshavebeenaspecialsubsetoftheirown agegroup.

Tohelpillustratethisprinciple,considerdataonthe psychologicalcharacteristicofcautiousness.Oneofthe triedandtruefindingsinthepsychologyofadultdevelopmentandagingcontendsthatolderpeoplearelesslikelyto takerisksthanareyoungerpeople.Similarly,olderadults arelesslikelytoengageincriminalbehavior.It’spossible thataspeopleagetheyarebetterabletoavoidbehaving inwaysthatcouldbringthemharmorgetthemarrested. Alternatively,it’spossiblethattheydidnotchangeatall andaretheonlyonesleftstandingfromtheirgeneration. Thepeoplemorelikelytomakeriskydecisionsearlyon

Gerd Altmann/Pixabay

198,476 196,372 189,578 170,967 114,801 16,449 857

inlifediedatyoungeragesorwereimprisoned.Certainly, thosewhomadepoorhealthdecisionswouldbelesslikely tohavesurvivedintooldage.

Asaresultofthesurvivorprinciple,youneedtoremind yourselfcontinuallythroughoutthisbookthattheolder adultswestudymayhavebecomelessrisky,morehonest, orbetterabletotakecareoftheirhealth.Ontheother hand,theymaynothavechangedatall—onlysurvived longenoughforustostudythem.

Principle3:IndividualityMatters

Along-heldmythregardingdevelopmentisthataspeople age,theyallbecomealike.Thisviewisrefutedbythe principleof individuality,whichassertsthataspeople age,theybecomemoredifferentfromeachother.This divergenceoccursinpeople’sphysicalfunctioning,psychologicalperformance,relationships,interestinwork, economicsecurity,andpersonality.

Inoneoften-citedstudy,stillconsideredrelevant, researchersexaminedalargenumberofstudiesofaging tocomparethedivergenceamongolderversusyounger adultsonmeasuresofthesamecharacteristics(Nelson& Dannefer,1992).Researchcontinuestounderscorethe notionthatindividualscontinuetobecomelessalikefrom eachotherwithage.Suchfindingssuggestthatdiversity becomesanincreasinglyprominentthemeduringtheadult

FIGURE1.3

ExpectedSurvivalofBirth CohortBornin2020

Thisfigureshowstheexpectednumber ofpeopletosurvivetoeachagebased oncalculationsforallthosebornin 2020.Asyoucansee,thosewho survivetotheageof85andolder representanincreasinglyselectgroup ofthepopulation.

years,apointwewillcontinuetofocusonthroughout thisbook.

Theideaofincreasingdivergenceamongolderadult populationsdoesnotmeanthateveryonestartsoutat exactlythesamepointwhenthey’reyoung.Thereare alwaysgoingtobedifferenceswithinanysampleofpeople inalmostanycharacteristicyoucanname.Theissueisthat aspeoplegetolder,thesedifferencesbecomemagnified. Thetop-performingpersoninasampleofyoungadults maybe10pointshigherthanthenexthighestperformer. Bythetime,thispersonreacheshisorher70sor80s, thesedifferencesmaygrowbyafactoroftwo,three,or more.Inpart,thisisastatisticalfluke.Asyou’lllearnin Chapter3,it’sdifficulttofindasampleofolderadults whoareascloseinageasaretheyoungadultsresearchers tendtostudy(whoareoftenwithin2or3yearsofeach other).Ifageisrelatedtoperformance,thentheoddsare thattheoldergroupwilldiffersimplybecausetheydiffer moreinage.

However,theincreasingvariationamongolderadults isn’tjustastatisticalartifact.Evenifyouhadasample ofolderadultswhowereexactlythesameage,it’slikely thattheywoulddiffermoreamongthemselvesthanthey wouldhavewhentheywereyoungerbecausethey’velived throughmoreexperiencesaffectingeverythingfromtheir healthtotheirpsychologicalwell-being.Thoseexperiences havecumulativeeffects,causingthemtochangeatdifferent ratesandtodifferingdegrees.

Theseillustrativedatafromatheoreticalstudyoncognitionshowhowpeopleofthesameageshowdifferentlevelsofperformanceondifferent tasks(intraindividualvariability)butalsothatonparticulartasks,suchasvocabulary,olderindividualscanperformbetterthanyounger individuals(interindividualvariability).

Considerwhat’shappenedtoyouandthepeopleyou grewupwithbythispointinyourlife.Youhavemadethe decisiontogotocollege,whileothersinyouragegroup mayhaveenlistedinmilitaryservice.Youmaymeetyour futurespouseincollege,whileyourbestfriendremains onthedatingsceneforyears.Upongraduation,some maychoosetopursuegraduatestudiesasothersenter theworkforce.Youmayormaynotchoosetostarta family,orperhapshavealreadybeguntheprocess.With thepassageoftime,yourdifferingexperiencesbuildupon eachothertohelpmoldthepersonyoubecome.The manypossibilitiesthatcanstemfromthechoicesyou makehelpillustratethatthepermutationsofeventsin people’slivesarevirtuallyendless.Personalhistoriesmove inincreasinglyidiosyncraticdirectionswitheachpassing day,year,anddecadeoflife.

Thereareactuallytwotypesofdifferencesthatcome intoplaywhenwetalkaboutindividuality. Interindividual differences aredifferences between people. Intraindividualdifferences refertothevariationsinperformance withinthesameindividual.Inotherwords,notallsystemsdevelopatthesameratewithintheperson.Some functionsmayincreaseovertime,othersdecrease,and othersstaythesame.Evenwithinaconstructsuchas intelligence,anindividualmayshowgainsinonearea, lossesinanother,andstabilityinyetanotherdomain. Intraindividualdifferencesillustratethefactthatdevelopmentcanproceedinmultipledirectionswithinthe

sameperson(Baltes&Graf,1996),aconceptknownas multidirectionality

Figure1.4illustratesinterindividualandintraindividualdifferencesbyshowingscoresoftwo35-year-old individualsandone55-year-oldindividualonfourpsychologicaltests.Theseillustrativedatafromatheoretical studyoncognitionshowhowpeopleofthesameageshow differentlevelsofperformanceondifferenttasks(intraindividualvariability)butalsothatonparticulartasks,such asvocabulary,olderindividualscanperformbetterthan youngerindividuals(interindividualvariability).

Principle4:“Normal”AgingIsDifferent FromDisease

Theprinciplethat normalagingisdifferentfromdisease meansthatgrowingolderdoesn’tnecessarilymeangrowing sicker.Itisimportantforbothpracticalandscientific reasonstodistinguishbetweennormalaginganddisease. Healthcarespecialistswhoworkwithmiddle-ageand olderadultsneedtorecognizeandtreattheonsetofa diseaseratherthandismissitsimplyas‘‘gettingolder.’’ Forexample,an80-year-oldmanexhibitingsymptomsof depressioncanbesuccessfullytreated,assumingthatthe cliniciandoesnotwritehissymptomsoffasafeatureof normalaging.Personalitydevelopmentinadulthooddoes notinevitablyleadtothedepressivesymptomsoflowered self-esteem,excessiveguilt,changesinappetite,orlackof

interestinactivities.Olderadultsmayexperiencesome moderationinpersonalityqualitiessuchasbecominga bitlessjudgmentalinrelationtoothers.However,the developmentofpsychologicaldisordersforthefirsttimein laterlifeisnottypical.Clinicianswhomistakenlythinkthat thesesymptomsarepartofthenormalagingprocesswon’t takethepropercourseoftreatmentthatcouldalleviatethe depressedperson’ssuffering.

Gerontologiststranslatetheprinciplethatnormalaging isdifferentfromdiseaseintotermsthatdistinguishthese processes. Primaryaging (or normalaging)referstothe normalchangesovertimethatoccurduetouniversal, intrinsic,andprogressivealterationsinthebody’ssystems. Changesovertimeleadingtoimpairmentduetodisease ratherthannormalagingarereferredtoas secondary or impairedaging.Thesechangesarenotduetouniversal, intrinsicprocessesbutareafunctionofanabnormalsetof changesafflictingasegmentratherthantheentiretyofthe olderpopulation(Aldwin&Gilmer,1999).Skinwrinkling anddiscolorationrepresentprimaryagingbutskincancer representssecondaryaging.

Thethirdtypeofagingprocesssetsintowardthe veryendoflife,whenindividualsexperiencearapidloss offunctionsacrossmultipleareasoffunctioning.This precipitousdeclineiscalled tertiaryaging (Gerstorfetal., 2013).Representingtheimpactofdiseaseonperhaps alreadycompromisedareasoffunctioning,tertiaryaging deservesmentioninitsownrightasdistinctfromprimary orevensecondaryaging.

Primary,secondary,andtertiaryagingrefertoprocessesthat,overtime,accumulate,andintheabsenceof accidentorinjury,causetheindividual’sdeath.Gerontologistsbelievethatdespitechangesinthebodythatleadto

loss,agingcanalsoinvolvegains.Theterm optimalaging referstoage-relatedchangesthatimprovetheindividual’s functioning.Changesduetooptimalagingmayreflectthe preventativeorcompensatorymeasuresthatadultstake tocounterthetollthatagingwouldnormallytakeontheir physicalandpsychologicalfunctioning.However,some individualsdonotevenmakespecialeffortstoaltertheir ownaging,butforreasonsnotalwaysentirelyclear,seem toageataslowerratethantheirpeers.Theymaybethe oneswhoneverseemtogetsickrightuntiltheveryend oftheirlives,whenasuddenillnessleadstotheirdeath.

Throughoutlife,age-relatedlossesduetoprimary,secondary,andtertiaryagingoccurcontemporaneously,as weshowinFigure1.5.Thus,evenwhileoptimalaging canslowthedeleteriouschangesofprimaryandsecondary aging,eventuallytertiaryagingtakesoverandtheindividual’slifecomestoanend.Rememberthat,accordingtothe principlesofintraindividualandinterindividualvariability,theratesofeachtypeofagingvarywithinindividuals andfrompersontoperson.

THEMEANINGOFAGE

Thestudyofagingimpliesthatageisthemajorvariable ofinterest.However,thescientificstudyofagingfacesa challengeinthatagecarrieswithitanumberofproblems asthatmajorvariableofinterest.Tobesure,thereis valueincategorizingindividualsinlaterlifebasedon theirage.Atthesametime,attachinganumericalvalue topeopleonthebasisoftheirdateofbirthcarrieswith itacertainarbitrariness.Chronologicalageisanumber basedonmeasuresoftheEarth’smovementaroundthe

AnexampleofoptimalagingisCharlesEugster,shownhereonthefarleft.Beginning hisfitnessprogramwhenhewas85years old,hebrokeworldrecordsformastersathletes,winningmorethan100fitnessawards priortohisdeathatage97.

LossesGains

Primary aging

Normal age-related changes

Secondary aging

Disease-related impairments

Tertiary aging

Rapid decline shortly before death

Optimal aging

Changes that improve the individual’s functioning

sun;however,wedon’tknowhowmuchthechangesin thephysicaluniverserelatetowhatgoesoninsidethebody inanykindofprecisefashion.

Considerwhathappenswhenpeople’sageschangeata majorbirthdaysuchasreachingtheageof40.Thecrossing fromanagethatendsin9toanagethatendsin0may leadpeopletoengageinself-scrutinyjustbecausewe’ve allbeensocializedtobelievethat40meanssomething important.Thisbeliefisreinforcedbybirthdaycardsthat invokethe‘‘overthehill’’metaphor.Intruth,yourbody doesnotchangeindiscretefitsandstartswhenyoupassa particularbirthday.

Thebodydoeskeeptimeinacyclethatapproximates a24-hourperiod,butthereisnoevidenceatthemoment tosuggestthatthistimepacemakerisrelatedtoaging. Tosaythatchronologicalage(ortime)‘‘means’’anything withregardtothestatusofthebody’sfunctioningis, basedoncurrentevidence,questionable.Thepopularity ofsuchphrasesas‘‘30beingthenew20’’and‘‘60the new50’’capturethedifficultyofdefiningpeople’saging processesbasedsolelyonanumber.Chronologicalage doeshavesomevalueindescribingaperson,butlikeother descriptivefeaturesofaperson,suchasgenderoreye color,itisthesocialmeaningattachedtochronological agethatoftenoutweighsanyintrinsicusefulness.Aswe havealreadydiscussed,peopleofthesameagecanvary substantiallyfromoneanother,andpeopleofdifferentages canbemoresimilartoeachotherthantheirdifferingage mightleadyoutoexpect.

UsingAgetoDefine“Adult”

Nowthatwehaveyouthinkingaboutthemeaningofage, wewillmoveontothenextchallenge—themeaningofthe word‘‘adult.’’Earlier,weaskedyoutodecidewhetheryou consideryourselfanadult.Whenyouthinkofthatword,

FIGURE1.5

Age-RelatedLossesandGains

Normalagingisalsoreferredtoasprimaryaging, whichisdifferentfromsecondaryagingrelatedto diseaseandtertiaryaging,whichincludestherapidloss offunctionbeforedeath.Therearealsogainsassociated withagingreferredtoas‘‘optimalaging’’inwhich peoplebecomebetterwithageincertainfunctions.

perhapsthesynonymof‘‘mature’’comestomind.This,in turn,mayconjureupimagesofapersonreachingacertain levelofaccomplishmentorgrowth.Consider,forexample, theterm‘‘mature’’inreferencetoanapple.Amatureapple isonethatisreadytobeeaten,andyoucanjudgethatby examiningtheapple’scolor,size,andtexture.Anapple’s maturitylevelisrelativelyeasytomeasurecomparedto judgingthematurityofhumans.Thecomplexityofthe biopsychosocialprocessesthatoccurwithinusarefar moredifficulttoquantify.

Youmightthinkthatthemostlogicaldefinitionof maturityshouldbebasedonphysicaldevelopment.Yet, youalsoknowthatgirlsandboyswhohavepassedthrough pubertyintheirteenageyearswould,incontemporary Westernsociety,beregardedasanythingbutanadult. Althoughtheirphysicalattributesdefinethemasadults, thepsychologicalandsocialstandardswouldnot.

Perhapsastandardbasedonabilityisabetteroption. Consider16years,theagewhenmostpeoplecanlegally drive.Or,alternatively,considerage18,whenU.S.society ordainsthepersonwiththerighttovote.Usingtheageof 21presentsanotherpossiblepointofentryintoadulthood. BecauseitistheagewhenAmericanadultscanlegallydrink alcohol,formany,theturningof21representsadefining markofthebeginningofadulthood.However,theUnited Statesisinasmallminorityofnationsthatsetthedrinking ageat21.SomeCanadianprovincessetthedrinkingageat 19(thoughitis18inmost);countriessuchasGermany, Barbados,andPortugalsetitat16.Theseconflictingage demarcationsforevensuchaseeminglyconcretebehavior asdrinkingalcoholshowthatdecidingwhenapersonis anadultonthisbasishasverylimitedutility.

Parenthetically,thevariationsinthelegaldrinking ageshownfromcountrytocountry(andevenwithina country)illustratetheinteractionofbiologicalandsocioculturalfactorsinsettingage-basedparametersaround

humanbehavior.PeopleinCanadawhoare18yearsold are,onaverage,notallthatphysiologicallydistinctfrom 18-year-oldswholiveintheU.S.Forthatmatter,theyare probablynotevenpsychologicallydifferent.It’stheculture thatdistinguisheswhetherthey’reabletodrinkalcohol withoutgettingarrested.

Ifyou’relikemanystudents,theageof25mayhold specialimportanceforyou.Thisistheagewhere,inthe UnitedStates,youcanrentacarwithouthavingtopaya tremendoussurcharge.Thisagehasnoinherentmeaning, butitisusedbycarrentalcompaniesbecausethechances ofhavinganautoaccidentareloweraftertheageof25.It’s possiblethataswitchisflickedonaperson’s25thbirthday sothattheunsafedrivernowhasbecomeamodelofgood behaviorontheroad.However,theoddsarestatistically higherthatpeopleunderage25aremorelikelytoengage intheriskycombinationofdrinkinganddriving,whichis whatleadstothehigherinsurancepremiums.

Anothersetofcriteriarelatedtotheageofadulthood pertainstowhenpeoplecanmarrywithouttheconsentof theirparents.Thereagain,wefindhugevariation.Within theUnitedStatesalone,theageofconsentvariesfromstate tostatefrom16to18yearsofage,thoughtheageatwhich individualscanlegallyconsenttosexmaybeyounger.In SouthCarolina,forexample,14-year-oldgirlsareconsideredoldenoughtoconsenttohavingsexwithpartnerswho are18orolder.Moreover,theagewhenpeopleactually marryreflectsfactorssuchasthehealthoftheeconomy;in badeconomictimes,themedianageofmarriagegoeswell abovetheageofconsent.Duringthesetimes,peoplein their20s(orolder)mayfindthey’reforcedtomoveback inwiththeirparentsbecausetheyaren’tearningsufficient incometorentorbuytheirownplace.Doesthatmeanthat peoplebecomeless‘‘adult’’whentheeconomylags?

Giventhesecontradictorydefinitionsof‘‘adult,’’it mightbewisetorecommendthatwesetthethreshold intoadulthoodbasedontheindividual’shavingreached thechronologicalageassociatedwiththeexpectationsand privilegesofagivensocietyorsubculture.Forexample, intheUnitedStates,individualsmaybeconsideredto havereachedadulthoodattheagewhentheyareeligible tovote,drink,drive,andgetmarried.Forthemajority ofU.S.states,theageof21isthereforeconsideredthe thresholdtoadulthood.Inothercountries,thesecriteria maybereachedattheageof18.Regardlessofthevarying definitions,uptoasmanyasthefirst10or11yearsof adulthoodrepresenttheperiodof emergingadulthood, orthetransitionpriortoassumingthefullresponsibilities associatedwithadulthood,normallytheyears18to29 (Arnett,2000).Hereagain,however,thereisadebate aboutwhetheragecanprovideausefuldefinitionevenof thisrelativelynarrowperiodoflife(Cote,2014).

DivisionsbyAgeoftheOver-65 Population

Traditionally,65yearsofagehasbeenviewedastheentry pointfor‘‘oldage.’’Theoriginsofthisageofretirement canbetracedtoGermanywhen,in1889,theGerman ChancellorOttovonBismarckproposedanold-agesocial insuranceprogram.AlthoughtheoriginalageinGermany was70years,itbecamechangedin1916toage65,and nowthisistheagetraditionallyassociatedwith‘‘oldage.’’

Gerontologistsrecognizedlongagothatnotonlywas 65anarbitrarynumberfordefiningoldage,butthatitalso resultedinpeoplebeingplacedintotoobroadofacategory whendefinedasolderadults.Allotherthingsbeingequal, a65-year-oldfacesverydifferentissuesthansomeonewho is85or90.Therearecertainly65-year-oldsinverypoor healthand95-year-oldswhohavenoseriousailments. Butbecause,onaverage,65-year-oldsaresodifferentthan thosewhoare20ormoreyearsolder,weuseaconvention tobreakthe65-and-oldercategoryintosubgroups.

Thesubgroupsmostfrequentlyusedingerontology are young-old (ages65to74); old-old (ages75to84); and oldest-old (ages85andolder).Weshouldn’tplace toomuchcredenceonnumbers,aswe’vealreadysaid,but thesearegoodapproximationsforroughlycategorizingthe 65-and-olderpopulation.BerniceNeugarten,oneofthe earlypioneersinpsychologicalgerontology,proposedthese distinctionsinthemid-1970s,andtheyhaveremainedin usetothisdayeventhough85maybethe‘‘new’’65 withtheoldest-oldbeinginbetterhealththantheywere 50yearsago(Neugarten,1974).

Withmoreandmorepeoplelivingtotheoldest-old categoryasdefinedinthismanner,gerontologistsarereexaminingthedivisionsofthe65+ agegroup.Specifically, peopleovertheageof100,knownas centenarians,are becomingmoreandmorecommonlyrepresentedinthe population,aswewillshowlaterinthechapter.Itwill notbelongbeforetheveryhighestagecategorybecomes moreprominent—the supercentenarians,whoare110 andolder.Typically,theoldestpersonintheworldatany giventimeisbetweentheagesof114and116.Jeanne LouiseCalment,theoldestdocumentedlivinghuman,was 122atthetimeofherdeath.Supercentenarianwillprobablyretainitsdefinitionas110andover,though,atleast fortheforeseeablefuture.

FunctionalAge

Discontentedwiththeentireconceptofchronologicalage, anumberofgerontologistsaredevisinganewclassification systemthatisbasednotonwhatthecalendarsaysbut on functionalage,whichishowpeopleactuallyperform

FIGURE1.6

MeasuresofFunctionalAge

Functionalagemeasuresusescoresongivenindicatorstorepresentageratherthanchronologicalage.

(seeFigure1.6).Withfunctionalinsteadofchronological ageasthebasisforasystemofstudyingaging,wecouldgain abettergraspofaperson’struecharacteristicsandabilities. WhenwetalkaboutresearchmethodsinChapter3, we’llseefurtheradvantagestousingmeasuresotherthan chronologicalagetostudytheagingprocess.

Biologicalage istheageofanindividual’sbodily systems.Usingbiologicalageinsteadofchronologicalage wouldtellusexactlyhowwellpeopleareabletoperform suchvitalfunctionsastheheart’spumpingbloodthrough thearteriesandgettingoxygentothelungs.Withbiological age,youcouldalsohelppeoplelearnhowbesttoimprove theirmuscleandbonestrength.

Inordertobeabletousebiologicalageasanindex, wewouldneedalargerepositoryofdatashowingwhat’s tobeexpectedforeachmajorbiologicalfunctionateach age.Forexample,we’dneedtoknowthepopulation valuesforbloodpressurereadingsinpeoplewithdifferentchronologicalages.Then,wewouldassignpeoplea ‘‘bloodpressureage’’accordingtowhichchronological ageofhealthypeopletheirnumbersmostcloselymatch. A50-year-oldwhosebloodpressurewasintherangeof normal25-to30-year-oldswouldthenhaveabiologicalagethatwas20or25yearsyoungerthanhisorher chronologicalage.

Popularculturehascertainlycaughtontothenotion ofbiologicalratherthanchronologicalage.Therearea multitudeofonlinecalculatorsinwhichyouanswervarious questionstoestimatehowlongyouwilllive.Inaddition, thereareslightlymoresophisticated‘‘biologicalagetests’’ thatletyoucalculateyour‘‘lungage,’’forexample.

Another,farmoresophisticatedapproach,involves measuringcellularaging.Whenexposedtoharmfulenvironmentalconditions,thebody’scellsundergoimportant changesaffectingtheirabilitytofunctionnormally.By indexingthesechanges,researcherscandevelopascale

thatassessesbiologicalfunctioningatthisverybasiclevel (Hannumetal.,2013).

Psychologicalage referstotheperformanceanindividualachievesonmeasuresofsuchqualitiesasreaction time,memory,learningability,andintelligence(allof whichareknowntochangewithage).Likebiologicalage, aperson’sperformanceonthesetaskswouldbecompared withthoseofotheradultsandthenscaledaccordingly.

Socialage iscalculatedbyevaluatingwherepeople arecomparedtothe‘‘typical’’agesexpectedforpeople tobewhentheyoccupycertainpositionsinlife.These positionstendtocenteronfamilyandworkroles.For example,agrandparentwouldhaveanoldersocialage thanwouldaparent,althoughthegrandparentmight easilybechronologicallyyoungerthantheparent.

Socialagecanhavesomeinterestingtwists.For example,peoplecanbegrandparentsintheirlate20s (withasocialageof60orolder).Conversely,women canbecomemothersintheirlate60s.Perhapsyou haveafriendwhosegrandmotheris93andanother whosegrandmotheris57.Weseethesameissuewith regardtoworkroles.A70-year-oldwhoisstillworking hasayoungersocialagethana66-year-oldwhohas retired.Athletesandpoliticianspresentasimilarcontrast. Agymnastmaybeforcedtogiveuphersportat18yearsof ageandthushaveanoldersocialagethanastill-employed legislatorwhocontinuestowinelectionsintoher70s orbeyond.

Aswestatedearlier,anadvantageofusingfunctional indicesofagingisthattheycanbemoreaccuratethan chronologicalage.However,it’smucheasiertousechronologicalagethanthesesophisticatedcalculations.Adding totheproblemisthefactthat,functionalagesmustbe constantlycalibratedandrecalibratedtoensurethatthey continuetobeaccurate.Forexample,abiologicalindex basedinpartonbloodpressuremayrequireadjustments

ashealthpractitionerschangethedefinitionofwhatis considered‘‘normal.’’Changesinbothmedicalknowledge andpopulationnormsforparticularagegroupsmaymean thatthedefinitionofnormalbloodpressureforanaverage 60-year-oldshiftstobemoretypicalofapersoninthe70s. Psychologicalageandsocialageindicesarealsolikelyto changeovertime.

Despiteitsfaults,chronologicalagemaybethemost expedientindexformanyareasoffunctioning.Justkeep inmindthatitdoesnottellthewholestory.

PersonalVersusSocialAging

Theagingprocessoccurswithintheindividual,butas youhavelearnedalready,itisshapedbyeventsoccurring intheindividual’ssocialcontext.Whendevelopmental psychologistsstudytheagingprocess,itisdifficultto disentanglethoseinternalchangesfromthosethatreflect achangingworld,thoughwetrytodosobyapplyingthe appropriatecontrolsinourresearch.

Personalaging referstochangesthatoccurwithinthe individualandreflecttheinfluenceoftime’spassageon thebody’sstructuresandfunctions.Thisishowpeople ordinarilythinkoftheagingprocessand,indeed,itiswhat isimpliedinprimary,secondary,andtertiaryaging.

Socialaging referstotheeffectsofaperson’sexposuretoachangingenvironment.Overtime,thechanges weseewithintheindividualrepresenttheuniqueblend ofpersonalandsocialagingastheseplayoutinthat individual’slife.

Withinthecategoryofsocialaging,thechangesthat takeplaceinanindividual’slifeareseenasreflecting amultitudeofinteractingfactors.Atanyonetime,the individual’slifereflectsoneormoreofthreebasiccategories ofthreesocialinfluences.Theseinfluences,identifiedby psychologistPaulBaltes(1979)andstillseenasrelevant today,includenormativeage-gradedinfluences,normative history-gradedinfluences,andnonnormativeinfluences. We’lllookateachoftheseinturn.

Normativeage-gradedinfluences leadpeopleto chooseexperiencesthattheircultureandhistoricalperiod attachtocertainagesorpointsinthelifespan.The term‘‘normative’’stemsfromtheterm‘‘norm,’’which isasocialexpectationforbehavior.InWesternsociety, agenormstraditionallydictatethatindividualsgraduate fromcollegeintheirearly20s,getmarriedandbegin afamilyintheir20sor30s,retireintheir60s,and becomegrandparentsintheirmiddletolateryears,usually inthedecadesofthe50s,60s,andbeyond.Theseare influencesonbehaviortotheextentthatpeoplebelieve thattheyshouldstructuretheirlivesaccordingtothese agedemarcations.

Eventsthatoccurinresponsetonormativeage-graded influencesoccurinpartbecauseagivensocietyhas developedexpectationsaboutwhatisassumedappropriate forpeopleofcertainages.Thedecisiontoretireattheage of65yearscanbeseenasaresponsetothenormmore trueperhapsinthepastthantoday,that65isthecorrect agetoleavethelabormarket.Graduationfromhighschool generallyoccursattheageof18yearsformostbecause inmostindustrializedsocieties,childrenstartschoolatthe ageof5or6andtheeducationalsystemisbasedon12or 13grades.

Normativeage-gradedinfluencesexerttheirimpact beyondwhatthenormsthemselvesimplybecausepeople aresocializedintobelievingthatthey should structuretheir livessothattheyconformtotheseinfluences.Whenpeople don’tadheretothesenorms,forwhateverreasons,they feelthatthereissomethingwrongwiththem.Forexample, a40-year-oldofficeworkermayconsiderretiringbutfeel reluctanttodosobecauseitisnotwhatisexpectedfora personofthatageinthatfieldofemployment.Similarly, a35-year-oldmayprefernottomarryortohavechildren, butfeelpressuredintodoingsobyotherfamilymembers, friends,orthesocietyatlargebyvirtueofhavingreached theirmid-30s.

Thenormativeage-gradedinfluencesarepartlylinked tothebiologicalagingprocess.Parenthoodtraditionally occursbetweentheagesof20and40,atthepeakof awoman’sreproductivecycle.Thisagerangesetsthe normativeageperiodforbiologicallybecomingaparent. Oncethisageisset,thenalowerlimitissetontheage atwhichtheadultcanbecomeagrandparent.Ifthechild alsofollowsanormativeage-gradedinfluence,theparent willlikelybecomeagrandparentforthefirsttimebetween theagesof55and65years.Similarly,manuallaborersor athletesmaybeatpeakphysicalcapacityuptotheir40s, whentheymayexperiencelossofstrengthandspeed.

Nowlet’sturntothesecondsetofinfluencesondevelopment,thosethatrelatetotheimpactofeventsintheoutsideworldontheindividual. Normativehistory-graded influences areeventsthatoccurtoeveryonewithinacertaincultureorgeopoliticalunit(regardlessofage)and includelarge-scaleoccurrences,suchasworldwars,economictrends,orsocioculturalchangesinattitudesand values.Onesuchexampleisanaturaldisasterthatimpacts thousandsofpeoplelivinginaparticularlocationorarea oftheworld.TheCaliforniawildfires(showninthephoto) of2019affectedlargepartsofthestate,causingmanyto losetheirhomesandplacesofwork.Theimpactofthese eventsonpeople’slivesmaybefeltimmediately.Theycan continuetohavealastingimpactformanyyearsonthe subsequentpatternsofwork,family,andqualityoflifeof thepeopleaffectedbythoseevents.

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