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Adulthood - James M. Bennettjmbpsych.weebly.com/.../powerpoint_15-16_-_development_-_adultho… ·...

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Adulthood Middle Adulthood Late Adulthood Early Adulthood
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Page 1: Adulthood - James M. Bennettjmbpsych.weebly.com/.../powerpoint_15-16_-_development_-_adultho… · brain in middle adulthood. 13. Alzheimer’s Disease and Other Dementias Dementia,

Adulthood

Middle Adulthood Late Adulthood

Early Adulthood

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Physical Changes

►All physical abilities essentially peak by our mid twenties

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Physical Milestones►Menopause: the natural ending of a woman’s

ability to reproduce.

►There are physical symptoms led by a lack of estrogen.

►psychological effects of menopause?►Depends on woman’s outlook. Loss of feminity

and sign of growing old? Liberation from periods and fear of pregnancy? Expectations influence perceptions.

►Men do not experience anything like menopause. Men can pretty much produce sperm forever.

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Aging

►Ageism- prejudice or discrimination against an individual based on physical age

►Primary aging- gradual, inevitable age-related changes in physical and mental processes Programmed theory Damage theory

►Secondary aging- changes resulting from disease, disuse or neglect

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Old Age: Life Expectancy

Life expectancy at birth increased from 49% in 1950 to 67% in 2004 and to 80% in developed countries. Women outlive men and outnumber them at most ages.

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Life Expectancy

►Life Expectancy keeps increasing-now about 75 78.7 years in U.S.

•Women outlive men by about 4 years.

•But more men are conceived 126 to 100. Then 105 to 100 by birth. In other words, men die easier.

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Sensory AbilitiesAfter age 70, hearing, distance perception, and the sense of smell diminish, as do muscle strength, reaction time, and stamina. After 80, neural processes slow down, especially for complex tasks.

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Old Age: Motor Abilities

At age 70, our motor abilities also decline. A 70-year-old is no match for a 20-year-old individual. Fatal accidents also increase around this age.

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Health/Immunity Changes with Age

The bad

news

The good news

The immune system declines with age, and can have difficulty fighting off major illnesses. (Such as cancer)

The immune system has a lifetime’s accumulation of antibodies, and does well fighting off minorillnesses. (Like colds)

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Age and Driving

►The brain processes information at slower speeds.

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Changes in the Brain with Age

Myelin-enhanced neural processing speed peaks in the teen years, and declines thereafter.

Regions of the brain related to memory begin to shrink with age, making it harder to form new memories.

The frontal lobes atrophy, leading eventually to decreased inhibition and self-control.

By age 80, a healthy brain is 5 percent lighter than a brain in middle adulthood.

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Alzheimer’s Disease and Other DementiasDementia, including the Alzheimer’s type, is NOT a “normal” part of aging.

Dementia Symptoms

decreased ability to recall recent events and the names of familiar objects and people

emotional unpredictability; flat, then uninhibited, then angry

confusion, disorientation, and eventual inability to think or communicate

Brain Changes of Alzheimer’s Disease

loss of brain cells and neural network connectionsdeterioration of neurons that produce acetylcholine, the memory neurotransmittershriveled and broken protein filaments forming plaques at the tips of neuronsdramatic shrinking of the brain

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Alzheimer’s Disease►A progressive and irreversible brain

disorder characterized by gradual deterioration of memory, language and physical functioning.

►Runs its course in 5 to 20 years.

►The birth of new cells and neural connections in physically active people helps to compensate for the cell loss.

►Physical exercise enhances muscles, bones, energy, helps to prevent heart disease and obesity.

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AD Statistics….

• AD is the most common cause of dementia among people age 65 and older.

• Scientists estimate that around 5 million people now have AD.

• For every 5-year age group beyond 65, the percentage of people with AD doubles.

• By 2050, 13.2 million older Americans are expected to have AD if the current numbers hold and no preventive treatments become available.

• No one knows what causes AD to begin, but we do know a lot about what happens in the brain once AD takes hold.

Slide 5

Pet Scan of Normal Brain

Pet Scan of Alzheimer’s Disease Brain

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Plaques and Tangles: The Hallmarks of AD

The brains of people with AD have an abundance of two abnormal structures:

An actual AD plaque An actual AD tangle

• Plaques are dense deposits of protein and cellular material that accumulate outside and around nerve cells’ terminal branches.

• neurofibrillary tangles are twisted fibers that build up in the soma.

AD and the Brain

Slide 16

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Preclinical AD• Signs of AD are first noticed in

the entorhinal cortex, then proceed to the hippocampus.

• Affected regions begin to shrink as nerve cells die.

• Changes can begin 10-20 years before symptoms appear.

• Memory loss is the first sign of AD.

AD and the Brain

Slide 20

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Mild to Moderate AD

• AD spreads through the brain. The cerebral cortex begins to shrink as more and more neurons stop working and die.

• Mild AD signs can include memory loss, confusion, trouble handling money, poor judgment, mood changes, and increased anxiety.

• Moderate AD signs can include increased memory loss and confusion, problems recognizing people, difficulty with language and thoughts, restlessness, agitation, wandering, and repetitive statements.

AD and the Brain

Slide 21

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Severe AD

• In severe AD, extreme shrinkage occurs in the brain. Patients are completely dependent on others for care.

• Symptoms can include weight loss, seizures, skin infections, groaning, moaning, or grunting, increased sleeping, loss of bladder and bowel control.

• Death usually occurs from aspiration pneumonia or other infections. Caregivers can turn to a hospice for help and palliative care.

• Video

AD and the Brain

Slide 22

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Aging and Memory

As we age, we remember some things well. These include recent past events and events that happened a decade or two back. However, recalling names becomes increasingly difficult.

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More Learning and Memory Changes

Rote memorization ability declines more than ability to learn meaningful information.

Prospective memory, planning to recall, (“I must remember to do…)

Retrospective memory remembering that you already did something in the past.

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Declines occur in both types of memory

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Do old people get stupid?

►Cross-sectional studies show decline.

►Longitudinal Studies show consistency.

What is the difference?

Cross-sectional studies: study with people of

different ages studied at the same time.

Longitudinal Studies: same people studied and

retested over a period of time.

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But there are different types of intelligence.

Crystallized intelligence: one’s accumulated knowledge and verbal skills; tends to increase with age.

Fluid Intelligence: one’s ability to reason speedily and abstractly; tends to decrease during late adulthood.

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Aging and Other Abilities

A number of cognitive abilities decline with age. However, vocabulary and general knowledge increase with age.

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Social Development of Adults

“Social Clock”

Culturally preferred timing of certain events.

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Adulthood’s Ages and Stages

Psychologists doubt that adults pass through an orderly sequence of age-bound stages. Mid-life crises at 40 are less likely to occur than crises triggered by major events (divorce, new marriage). Neuroticism scores, 10,000 subjects

(McCrae & Costa, 1996).

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Adulthood’s Commitments

Love and work are defining themes in adult life. Evolutionary psychologists believe that commitment has survival value. Parents that stay together are likely to leave a viable future generation.

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Well-Being Across the Life Span

Well-being and people’s feelings of satisfaction are stable across the life span.

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Death and DyingIndividual responses to death may vary.Grief is more intense when death occurs unexpectedly (especially if also too early on the social clock). There is NO standard pattern or length of the grieving process. People who reach a sense of integrity in life (in Erikson’s terms) see life as meaningful and worthwhile.

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Thinking about dying

►Is it not better to live with the time you have and forget how it ends?

►Or, is it correct to suggest that acceptance of the inevitability of death gives meaning to life?


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