Copyright © 2010 Pearson Education, Inc. All rights reserved. Middle Adulthood Physical and Cognitive Development Chapter 14 14

Copyright © 2010 Pearson Education, Inc. All rights reserved. Middle Adulthood Physical and Cognitive Development Development in Middle Adulthood Physical Continuity and Change Disease and Health Cognitive Continuity and Change

Copyright © 2010 Pearson Education, Inc. All rights reserved. Development in Middle Adulthood Middle adulthood is usually defined as the ages of 40 to 60 or 65. People enter at different ages, depending on different cues: –social and family status –physical and biological status –psychological state –job or career path –economic and historical events

Copyright © 2010 Pearson Education, Inc. All rights reserved. Development in Middle Adulthood Prime Time or the Beginning of the End? –Many realize that they are no longer young, but feel in the “prime of life” –They are the command generation, making policy decisions that affect us all –For some, middle age is a time of ambivalence

Copyright © 2010 Pearson Education, Inc. All rights reserved. Development in Middle Age Midlife Crisis: Is It Real? The crisis model of Daniel Levinson argues that men experience midlife crisis between the ages of 40 and 45. The transition model maintains that crises are event-related, not age-related Middle age is a time when people begin to take stock of their lives Midlife crisis is the exception rather than the rule

Copyright © 2010 Pearson Education, Inc. All rights reserved. Physical Continuity and Change The most obvious changes associated with middle years are physical Physical abilities peak in early adulthood Changes in capabilities include: –sensation –motor skills and reaction time –internal changes

Copyright © 2010 Pearson Education, Inc. All rights reserved. Physical Changes of Middle Adulthood

Copyright © 2010 Pearson Education, Inc. All rights reserved. Physical Changes The Climacteric – Broad complex of physical and emotional symptoms that accompany reproductive changes in middle adulthood In women, the most dramatic aspect is menopause. Menopause involves: –physical changes and symptoms –emotional effects

Copyright © 2010 Pearson Education, Inc. All rights reserved. Physical Changes—Climacteric Menopause typically occurs between ages of 45 and 55 Some women take hormone replacement therapy (HRT) to deal with symptoms Male hormones decline gradually in middle age and some men experience decreased sexual desire Men may suffer erectile dysfunction; drugs are available for treatment Frequency of sexual activity declines, time for orgasm increases for men and women Sexual partners place more emphasis on sensuality

Copyright © 2010 Pearson Education, Inc. All rights reserved. Video Clip Video on the usefulness and the risk factors related with bioidentical hormone treatments for menopause:

Copyright © 2010 Pearson Education, Inc. All rights reserved. Disease and Health As people age, they become more vulnerable to disease Most deaths in middle age are from cancer and heart attacks Women are generally more healthy than men Education level is related to health quality Longevity is related to good health habits Poor habits—especially smoking and over eating—take their toll in middle age

Copyright © 2010 Pearson Education, Inc. All rights reserved. Causes of Death in Middle Adulthood, 2005 SOURCE: From the Statistical abstract of the United States: 2009, by the U.S. Census Bureau, Washington, DC: U.S. Government Printing Offices.

Copyright © 2010 Pearson Education, Inc. All rights reserved. Limitation of Activity Caused by Chronic Health Conditions, SOURCE: From National Health Interview Survey: Centers for Disease Control and Prevention and the National Center for Health Statistics.

Copyright © 2010 Pearson Education, Inc. All rights reserved. Age-adjusted Death Rates by Sex, 2005 SOURCE: From Health, United States, 2007, by the National Center for Health Statistics, Hyattsville, MD: Author.

Copyright © 2010 Pearson Education, Inc. All rights reserved. Death Rates From All Causes According to Educational Level, 2005 SOURCE: From Health, United States: 2007, by the National Center for Health Statistics, Hyattsville, MD: Author.

Copyright © 2010 Pearson Education, Inc. All rights reserved. Disease and Health Smoking, Alcohol, and Obesity –Nearly 25% of adults smoke –Smoking is responsible for more than 25% of all deaths among people ages 35 to 64 –Alcohol consumption is the third-leading cause of preventable death in the U.S. –Today, 65% of U.S. adults are overweight or obese

Copyright © 2010 Pearson Education, Inc. All rights reserved. Disease and Health Stress and Health –Stress is a normal part of life, but excessive stress plays a role in many diseases of middle adulthood –Extreme or prolonged stress weakens the immune system –Adults who live in poverty or who are members of disadvantaged minority groups have higher stress levels, poorer health and earlier death

Copyright © 2010 Pearson Education, Inc. All rights reserved. Stress Scale for Selected Life Events, 1967 and 2007

Copyright © 2010 Pearson Education, Inc. All rights reserved. Disease and Health Members of disadvantaged minority groups and those who live in poverty are more likely to have: –poor health habits –less access to health care –lower levels of educational attainment All of these factors are linked to higher rates of chronic disease and early death

Copyright © 2010 Pearson Education, Inc. All rights reserved. Cognitive Continuity and Change Cognitive function declines with age, though in middle adulthood it is not serious nor universal Fluid vs. Crystallized Intelligence –Fluid – abilities involved in acquiring new knowledge and skills –Crystallized – cognitive pragmatics, accumulated knowledge –Over time, fluid intelligence generally decreases and crystallized intelligence generally increases

Copyright © 2010 Pearson Education, Inc. All rights reserved. Crystallized vs. Fluid Intelligence

Copyright © 2010 Pearson Education, Inc. All rights reserved. Cross-Sectional Comparison of Changes in Intellectual Abilities with Age

Copyright © 2010 Pearson Education, Inc. All rights reserved. Cognitive Continuity and Change Experience and Expertise –If a person is intellectually active, both declarative and procedural knowledge increase and contribute to one’s expertise –There may be age-related declines in functioning, but expertise allows for compensation –As people gain experience, individuals continually restructure their knowledge system

Copyright © 2010 Pearson Education, Inc. All rights reserved. Video Clip Interview with AARP Workforce Issues Director discussing the changing nature of the nation’s older workforce:

Copyright © 2010 Pearson Education, Inc. All rights reserved. Video Clip Describes a program that aims to attract and retain older workers at Scottsdale Healthcare:

Copyright © 2010 Pearson Education, Inc. All rights reserved. Cognitive Continuity and Change Today, adults have many more years to work than they did in 1900, when average life expectancy was 47.3 years Average life expectancy in 2000 was 77 years Intellectual flexibility is important to employment success Engaging in complex tasks seems to be a key in maintaining intellectual processes at their highest possible levels

Copyright © 2010 Pearson Education, Inc. All rights reserved. Summary Middle adulthood constitutes a substantial portion of a person’s normal life span People in middle age make up the command generation Some adults experience a midlife crisis, but not all do The most obvious changes during this period are physical ones. Physical abilities begin to decline around the age of 50 Women experience menopause; men may face impotence, and the frequency of sexual activity declines

Copyright © 2010 Pearson Education, Inc. All rights reserved. Summary Most death during this stage is from cancer and heart-attacks Women are generally healthier than men Poor health habits begin to take their toll here, with smoking, obesity, and excessive alcohol consumption being the three leading preventable causes of death Some adults at this stage experience excessive stress due to life events Cognitive functioning may decline, but age may bring with it expert knowledge

Copyright © 2010 Pearson Education, Inc. All rights reserved. Summary The average life expectancy today is 77 years, increasing the time adults are on the job Intellectual flexibility is becoming more important in this age of technology Engaging in complex tasks will help adults maintain a high level of intellectual functioning