Physical and Cognitive Development in Middle Adulthood
Physical and Cognitive Development in Middle Adulthood
PhysicalandCognitiveDevelopmentinMiddleAdulthood
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MIDDLEAGE:ACULTURALCONSTRUCT
Guidepost1:Whatarethedistinguishingfeaturesofmiddleage?
Theconceptofmiddleageissociallyconstructed.Itcameintouseasanincreasinglifespanledtonewrolesatmidlife.
Middleadulthoodisatimeofbothgainsandlosses.
Thespanofmiddleadulthoodcanbedefinedchronologically,contextually,orbiologically.
Mostmiddleagedpeopleareingoodphysical,cognitive,andemotionalcondition.Theyhaveheavyresponsibilitiesandmultiplerolesand
feelcompetenttohandlethem.
Middleageisatimefortakingstockandmakingdecisionsabouttheremainingyears.
PHYSICALDEVELOPMENT
PHYSICALCHANGES
Guidepost2:Whatphysicalchangesgenerallyoccurduringthemiddleyears,andwhatistheirpsychologicalimpact?
Althoughsomephysiologicalchangesresultfromagingandgeneticmakeup,behaviorandlifestylecanaffecttheirtimingandextent.
Mostmiddleagedadultscompensatewellforgradual,minordeclinesinsensoryandpsychomotorabilities,includingsuchagerelated
conditionsaspresbyopiaandpresbycusis,increasesinmyopia,andlossofenduranceduetoslowingofbasalmetabolism.Lossesinbone
densityandvitalcapacityarecommon.
Menopauseoccurs,onaverage,ataboutage51,followingthephysiologicalchangesofperimenopause.Attitudestowardmenopause,and
symptomsexperienced,maydependonpersonalcharacteristics,pastexperiences,andculturalattitudes.
Althoughmencancontinuetofatherchildrenuntillateinlife,manymiddleagedmenexperienceadeclineinfertilityandinfrequencyof
orgasm.
Sexualactivitygenerallydiminishesonlyslightlyandgradually,andthequalityofsexualrelationsmayimprove.
Amongwomen,sexualdysfunctiondecreaseswithageinmen,itisjusttheopposite.Alargeproportionofmiddleagedmenexperience
erectiledysfunction.Sexualdysfunctioncanhavephysicalcausesbutalsomayberelatedtohealth,lifestyle,andemotionalwellbeing.
The"doublestandardofaging"causeswomentoseemlessdesirableastheylosetheiryouthfulappearance.Forbothmenandwomen,
anxietyaboutgettingolderisheightenedinasocietythatplacesapremiumonyouth.
HEALTH
Guidepost3:Whatfactorsaffecthealthatmidlife?
Mostmiddleagedpeoplearehealthyandhavenofunctionallimitations.
Diet,exercise,alcoholuse,andsmokingaffectpresentandfuturehealth.Preventivecareisimportant.
Hypertensionisamajorhealthproblembeginninginmidlife.AIDStendstobemoresevereinolderpeoplebecauseofweakenedimmune
functioning.
Leadingcausesofdeathinmiddleagearecancer,heartdisease,liverdisease,andstroke.Diabetesalsoisamajorcauseofdeath.
Lowincomeisassociatedwithpoorerhealth,inpartbecauseoflackofinsurance.
AfricanAmericans'elevatedhealthrisksmaybeduetoacombinationofhereditaryfactors,lifestylefactors,poverty,andstresscausedby
discrimination.
Postmenopausalwomenbecomemoresusceptibletoheartdiseaseandbonelossleadingtoosteoporosis.Chancesofdevelopingbreast
canceralsoincreasewithage,androutinemammographyisrecommendedforbeginningatage40.
AboutoneinthreeU.S.womenhasahysterectomybyage60,usuallybecauseofuterinefibroids,abnormaluterinebleeding,or
endometriosis.Manyexpertsbelievethisprocedureisoverused.
Hormonereplacementtherapy(HRT)isoftenprescribedforsymptomsrelatedtomenopause,butthereismountingevidencethatitsrisks
mayoutweighitsbenefitsinlongtermuse.Alternativetreatmentsarebeingtested.
Personalityandnegativeemotionalitycanaffecthealth.
Stressisrelatedtoavarietyofphysicalandpsychologicalproblems.Anaccumulationofminor,everydaystressorscanbemoreharmful
thanmajorlifechanges.Everydayhasslestendtodecreasewithage,perhapsbecausepeoplelearnstrategiesformanagingstress.
Causesofoccupationalstressincludeworkoverload,interpersonalconflict,sexualharassment,acombinationofhighpressureandlow
control,andinabilityto"unwind."Continualstressmayleadtoburnout.
Unemploymentcreatespsychologicalaswellasfinancialstress.Physicalandpsychologicaleffectsmaydependoncopingresources.
COGNITIVEDEVELOPMENT
MEASURINGCOGNITIVEABILITIESINMIDDLEAGE
Guidepost4:Whatcognitivegainsandlossesoccurduringmiddleage?
TheSeattleLongitudinalStudyfoundthatmostbasicmentalabilitiespeakduringmiddleage.Fluidintelligencedeclinesearlierthan
crystallizedintelligence.
THEDISTINCTIVENESSOFADULTCOGNITION
Guidepost5:Domatureadultsthinkdifferentlythanyoungerpeopledo?
Sometheoristsproposethatcognitiontakesdistinctiveformsatmidlife.Advancesinexpertise,orspecializedknowledgehavebeen
attributedtoencapsulationoffluidabilitieswithinaperson'schosenfield.Expertisealsodependsonthesocialcontext.
Postformalthoughtseemsespeciallyusefulinsituationscallingforintegrativethinking.
Theabilitytosolvepracticalproblemsisstrong,andmaypeak,atmidlife.
CREATIVITY
Guidepost6:Whataccountsforcreativeachievement,andhowdoesitchangewithage?
Creativeperformancedependsonpersonalattributesandenvironmentalforces,aswellascognitiveabilities.
Creativityisnotstronglyrelatedtointelligence.However,accordingtoSternberg,theinsightful,analytic,andpracticalaspectsof
intelligenceplayapartincreativeperformance.
Anagerelateddeclineappearsinbothpsychometrictestsofdivergentthinkingandactualcreativeoutput,butpeakagesforoutputvaryby
occupation.Lossesinproductivitywithagemaybeoffsetbygainsinquality.
WORKANDEDUCATION:AREAGEBASEDROLESOBSOLETE?
Guidepost7:Howhaveworkpatternschanged,andhowdoesworkcontributetocognitivedevelopment?
Ashiftfromagedifferentiatedtoageintegratedrolesappearstobeoccurringinresponsetolongerlifeandsocialchange.
Ginzberg'stheory,basedonmorerecentchangesinworklife,describestwobasiccareerpaths:stabilityandchange.
Complexworkmayimprovecognitiveflexibility.Changesintheworkplacemaymakeworkmoremeaningfulandcognitivelychallengingfor
manypeople.
Guidepost8:Whatisthevalueofeducationformaturelearners?
Manyadultsgotocollegeatanontraditionalageorparticipateincontinuingeducation.Adultsgotoschoolchieflytoimproveworkrelated
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PhysicalandCognitiveDevelopmentinMiddleAdulthood
skillsandknowledgeortoprepareforachangeofcareer.
Matureadultshavespecialeducationalneedsandstrengths.
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