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(Ebook pdf) (eBook PDF) Adult Development and Aging: Biopsychosocial Perspectives, Canadian Edition all chapter
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vi Preface
Chapter Openers You will find a numbered summary for each chapter
that will supplement your studying and help you nar-
Many of the chapters open with a condensed version of row down your reviewing to the chapter’s main points.
Susan Whitbourne’s highly popular Psychology Today Together with the glossary terms, these will give you a
blog, Fulfilment at Any Age. These informal chapter open- comprehensive overview, though they will help you the
ings will stimulate students to think about the academic most if you actually read the chapters themselves.
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Acknowledgements vii
NEW TO THE CANADIAN EDITION Unique to the Canadian edition are profile boxes
where students are introduced to 13 Canadian research-
The first Canadian edition of Adult Development and ers at various stages of their careers who are passionate
Aging: Biopsychological Perspectives was written to about working with older adults. We invited individuals
address the need for a text that reflects aging within who are engaged in cutting-edge research and practice in
the context of contemporary Canadian society and pro- the field of aging and asked them to describe how they
vides information that is relevant to Canadian students. got interested in this population and to provide students
The most recent Canadian data are used throughout the with an overview of their programs of research. It won’t
text. Diversity is an ongoing theme across chapters and surprise you that many of them noted the tremendous
includes, but is not limited to, ethnocultural diversity. For influence of older family members and their profound
example, Chapter 9 discusses historical trends, legislation, gratitude for the significant contributions of grandparents
and data on marriage in Canada, including same-sex cou- and great-grandparents in shaping their personal and pro-
ples and mixed couples. Relatively new Canadian trends, fessional lives. The contributors provide insight into the
such as older couples who are “living apart together” rewards and challenges they face in doing their research
are also highlighted in this chapter. Other chapters are and how their research informs practice in the area of
enriched by providing students with information about aging, benefiting the everyday lives of older adults. Per-
how Canadian policies and legislation have addressed haps most importantly, they share their perspectives on
issues that are highly relevant to older adults. Chapter important future areas of research and practice and pro-
10 describes the policies and practices around mandatory vide useful tips for students who are considering a career
retirement in Canada and how the Canadian pension sys- in the field of aging. These profile boxes provide students
tem evolved to address poverty among older Canadians with an appreciation of the broad range of aging research
in the early 1900s. In Chapter 13, the discussion of phy- that is being conducted in Canada and, for those who
sician-assisted suicide and euthanasia includes landmark are interested in further training, an opportunity to learn
Canadian legal cases and recent legislative changes in more about some of the Canadians who are leaders in
Quebec (Bill 52). These issues are timely, and the focus of the field.
considerable debate throughout Canada and the contents
of Chapter 13 will provide the basis for further engaging
students in lively classroom discussions. ACKNOWLEDGEMENTS
The chapter that was most extensively revised was
Chapter 12 on long-term care. It is designed to help stu- A number of colleagues provided thoughtful comments
dents understand how long-term care is accessed and and expert feedback that helped in the development of
structured in Canada, noting the significant differences the Canadian edition. They are:
across provinces and territories. The chapter is also
designed to help students understand the challenges Alba Agostino, Ryerson University
associated with providing high-quality care to our most Boaz M. Ben-David, University of Toronto
vulnerable older adults. Throughout the text, attention is Barbara M. Gfellner, Brandon University
given to providing for future cohorts of elderly Canadians, Sandra P. Hirst, University of Calgary
highlighting the recommendations of our best and bright- Paula Hunter, University of Saskatchewan
est policy-makers. For example, Chapter 12 addresses the Gabriela Ilie, University of Toronto
question, is long-term care insurance the best method for Heather Jenkin, York University
funding long-term care in the future? Jacqueline Kampman, Thompson Rivers University
A major goal in writing the text was to provide Jennifer Mather, University of Lethbridge
students with practical resources that they can use and Michael Mueller, University of Ontario Institute of
share with others. These resources pertain to a variety Technology
of topics, including how to manage caregiver stress and Duane Page, University of Calgary
what to look for in a nursing home. The text also contains
information on Canadian gerontology organizations, ger- Thank you to the entire team at Wiley Canada, espe-
ontology and research centres, and unique Canadian cially my developmental editor, Andrea Grzybowski,
developments such as the Canadian Longitudinal Study for her guidance and exceptionally patient support and
on Aging and age-friendly communities within Canada. my copyeditor, Merrie-Ellen Wilcox, for her amazing
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viii Preface
ability to make my writing so much better. I am grateful Susan Krauss Whitbourne, Ph.D., professor of
to those who agreed to be profiled. Thank you for shar- psychology at the University of Massachusetts Amherst,
ing your personal and professional experiences and your received her Ph.D. in developmental psychology from
passion for research in the field of aging. They are Drs. Columbia University in 1974 and completed a post-
Philippe Cappeliez, Judith Chipperfield, Roger Dixon, doctoral training program in clinical psychology at the
Thomas Hadjistavropoulos, Mary Hampton, Janice Keefe, University of Massachusetts at Amherst, having joined
Corey Mackenzie, Brad Meisner, Philippe Landreville, the faculty there in 1984. She is currently the director
Megan O’Connell, Norm O’Rourke, Angela Troyer, and of the Office of National Scholarship Advisement where
Holly Tuokko. I deeply appreciate the contribution of my she advises students who apply for the Rhodes, Marshall,
daughter Heidi whose attention to detail was extraordi- Fulbright, Truman, and Goldwater Scholarships, among
nary. Thank you to Mark for your support and encourage- others. In addition, she is faculty advisor to the Univer-
ment and to Sam for your wonderful sense of humour and sity of Massachusetts Chapter of Psi Chi. Over the past 20
great perspective on life. Last, but not least, I am grateful years, Dr. Whitbourne has held a variety of elected and
to Johanna McLeod, Bill Konnert, and Ileen Konnert for appointed positions in American Psychological Associa-
helping me to better understand the journey of aging. tion Division 20 Her publications include 15 published
books, many in multiple editions, and more than 140
Candace Konnert
journal articles and chapters. She has been a consulting
November 2014
editor for Psychology and Aging, serves on the editorial
board of the Journal of Gerontology, and is editor-in-chief
ABOUT THE AUTHORS of the Wiley-Blackwell Encyclopedia of Aging. In addition
to her professional writing, she writes a blog for Psychol-
Candace Konnert, Ph.D., is an associate professor of ogy Today called ‘‘Fulfillment at Any Age,’’ and posts to
psychology at the University of Calgary. She received her the Huffington Post ‘‘Post 50’’ website.
Ph.D. in clinical psychology (with a specialty in clinical Stacey B. Whitbourne, Ph.D., received her Ph.D.
aging) from the University of Southern California. She in social and developmental psychology from Brandeis
teaches undergraduate courses in aging and clinical psy- University in 2005 where she was funded by a National
chology, and graduate courses in psychopathology and Institute on Aging training fellowship. She completed her
clinical geropsychology. She has served as the director post-doctoral fellowship at the Boston University School
of training and the practicum coordinator for the clinical of Public Health, Department of Epidemiology, funded by
psychology program at the University of Calgary and, in a National Institute on Aging Grant and a Department of
2014, was awarded the Canadian Council of Professional Veterans Affairs Rehabilitation Research and Development
Psychology Programs Excellence in Training Award. She Service Grant. Currently she is a research health scientist
is actively involved in the supervision of graduate stu- at the Massachusetts Veterans Epidemiology and Research
dents and is very proud to say that many of them are Information Center (MAVERIC), an independent research
practising clinical geropsychologists, working to better centre housed within the VA Boston Healthcare System.
the lives of older adults and their family members. Her She also serves as program director for the Million Veteran
research interests focus on mental health and aging, par- Program, a longitudinal health and genomic cohort funded
ticularly among long-term care residents, veterans, and by the Department of Veterans Affairs Office of Research
older immigrants. She is also interested in mental health and Development. In addition, she is an instructor of med-
education and training for home support workers, and in icine at Harvard Medical School and an associate epidemi-
increasing the visibility of geropsychology in clinical psy- ologist at the Division of Aging at Brigham and Women’s
chology training programs. Most recently, her research Hospital. The author of several published articles, she is
has appeared in the Canadian Journal on Aging, Aging also a coauthor on a chapter for the Sage Series on Aging
and Mental Health, International Psychogeriatrics, and in America. She is a member of the American Psychologi-
Professional Psychology: Research and Practice. She is the cal Association Division 20 and the Gerontological Society
Psychology Division Chair for the Canadian Association of America. A member of the Membership Committee of
on Gerontology and an ad hoc reviewer for numerous Division 20, she has also given more than 30 presenta-
scholarly journals in the field of aging. She is an avid fly tions at national conferences. She has taught courses on
fisher and loves to roam the rivers and streams in the adult development and aging at Brandeis University and
Canadian Rockies, looking for that next big strike. the University of Massachusetts Boston.
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Contents
x Contents
Summary 126
CHAPTER 10
CHAPTER 6 Work, Retirement, and Leisure Patterns 228
Basic Cognitive Functions: Information Work Patterns in Adulthood 229
Processing, Attention, and Memory 127
Vocational Development 232
Processing Speed and Attention 128
Vocational Satisfaction 236
Driving and Aging 133
Age and Vocational Performance 241
Memory 140
Retirement 243
Summary 151
Volunteer and Leisure Pursuits
in Later Adulthood 248
CHAPTER 7
Summary 251
Higher-Order Cognitive Functions 153
Executive Functioning and Its
Measurement 154 CHAPTER 11
Language 157 Mental Health Issues and Treatment 252
Everyday Problem-Solving 160 Psychological Disorders in Adulthood 253
Intelligence 166 Treatment Issues in Mental Health Care 263
The Psychology of Wisdom 173 Serious Mental Illness 273
Summary 174 Summary 274
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Contents xi
Yet age is not a very good indication of very much about a person. Think of the older-than-her-
years hypermature 15-year-old who could easily pass for 22. How about the older adult who lives
down the street from you whose sprightly step would rival that of someone 40 years her junior?
As Margaret Atwood once said about the subjective nature of age, “Another belief of mine: that
everyone else my age is an adult, whereas I am merely in disguise.”
Perhaps the best way to test your functional age is to ask yourself this very simple question: how
old do you feel? Forget what the calendar says, and even forget what your functional ages are. The
age you feel may very well be the most important factor determining your health, happiness, and
longevity. Research consistently demonstrates that the people who are happiest and best adjusted
in their middle and later years are the ones who don’t focus on their limitations, worry about their
memory, or become preoccupied with whether others view them as old. Being able to subtract a
few years from this subjective age, or age that you feel, may actually buy you a few more objective
years of a healthy and productive life.
Adapted from Fulfillment at Any Age post by Susan Whitbourne and Stacey Whitbourne.
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Aging affects everyone. From the moment you are born, is never too early to start incorporating these changes
your aging process begins. If you are of traditional uni- into your lifestyle. And for our readers of non-traditional
versity age, you are undergoing a time of transition from university age, we hope to help you see that it is never
adolescence to adulthood. The concept of being an adult too late to initiate behaviours that can maintain, if not
may be new to you and the idea of being an older adult enhance, your everyday functioning. A key goal of this
may seem far off. Our purpose in writing this book is to book is to involve you in the progression of your aging
help you think about your own aging as well as the aging process and show you ways to be an active part of your
process more generally. You may have decided to take own development.
this course to help understand your aging family mem-
bers or trends in society, but we hope that before long
you think about what will happen to you as you yourself THE BIOPSYCHOSOCIAL
get older. PERSPECTIVE
Let’s start by asking you what comes to mind when
you think of your current age. Is it an important part of We have organized the book around the biopsychoso-
who you are, or do you not think about your actual age? cial perspective, a view of development as a complex
Next, ask yourself whether you consider yourself to be interaction of biological, psychological, and social pro-
an “adult.” What does the word adult mean to you? Is it cesses. Aging is not a simple, straightforward progression
a term you would use to describe others who are older through time. Your body undergoes biological changes
than you are now? Finally, what are your thoughts about largely influenced by your genetics or physiology. At
the aging process? When you think of older adults, do the same time, you change psychologically in ways that
you immediately regard them as unable to care for them- reflect what’s happening to your body that, in turn, affect
selves? What is the “typical” older adult like, in your eyes? your body’s changes. All of this takes place in a social
Just by thinking about these questions, you’ve context. Holding biology and psychology constant, peo-
already started to focus on what age means in terms of ple age differently depending on where and when they
your overall sense of self. These are the types of ques- live, who they interact with, and what resources they
tions that we’ll explore throughout the book. Even as we have available to them.
go in depth into the effects of the aging process through- Figure 1.1 captures this complex biopsychosocial
out adulthood, we will often come back and question interaction. Biological processes refer to how the body’s
how much we really know about a person based on age functions and structures change throughout the aging
alone. We’ll also show you that some age distinctions process. We cover these changes in the chapters on nor-
are almost arbitrary. Someone decided that a certain age mal aging and health. Psychological processes include the
means you’re in a certain stage of life and from that point individual’s thoughts, feelings, and behaviours related to
forward, people attribute a great deal of meaning to that growing older. We examine these changes in the chap-
particular number. In reality, however, the aging process ters on cognition, personality, and emotions. The social
isn’t completely linked to the passage of time alone.
Our goal is to encourage you to undertake personal
explorations as you gain factual information about the FIGURE 1.1
aging process. Not only will the material help you in your The biopsychosocial model
career (regardless of what field you go into), but it will
also help you understand yourself and how you change
over time. You’ll also learn, perhaps surprisingly, that you ys actors
Biological
don’t have to sit back and let the aging process passively
affect you. There are active steps you can take to make sure
that you keep functioning as well as possible for as long sy
as possible throughout your entire life. With a few simple r y
precautions, you can avoid the illnesses that limit people’s t
ability to enjoy themselves into their later decades. ory
If you’re a traditional university-age student embark-
ing on your 20s, we hope to help you appreciate that it Digital Vision/Getty Images, Inc.
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Over the progression of time, as shown in these photos of the same man from ages
3 through 82, people may feel the same inside even though their outer appearance
changes.
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The continuity principle also applies to the way that in an accident, or by an act of war or a natural disaster.
people think about their own identities. You know that However, many other factors that lead the old to survive
you’re the same person you always were, despite get- death are non-random.
ting older. Birthdays don’t transform you into a different People who live to an old age have managed to avoid
person. You don’t look the same to others, but you feel the many threats that may have ended their lives and that,
essentially the same on the inside. in fact, cause others to fall by the wayside. Survivors not
When others look at you, however, they don’t nec- only manage to avoid random causes of their own fatali-
essarily share this perspective. People don’t meet you ties, but also are more likely to take care of their health,
for the first time and think about what you were like not engage in risky behaviours (such as driving too fast
when you were younger—they see you as you are now. or getting involved in crime), or using drugs and alco-
Unless they are close relatives or friends, they have no hol excessively. The very fact that survivors avoid death
way of knowing what you were like when you were in until late in life suggests that they may have inherited
your childhood or teenage years. Anyone meeting you good genes (biological factors), are emotionally healthy
now judges you on the basis of your current appearance, (psychological factors), or have surrounded themselves
because they have no other data from which to draw. with a good support system (social factors). These, or a
Similarly, when you look at a middle-aged or older combination of the three, plus a dose of good luck, allow
adult, it’s unlikely that you judge that person on the basis them to be with us today.
of how he or she may have been in the past. You see an Figure 1.2 shows the five most common behaviours
older woman, perhaps walking with a little difficulty, and that prevent people from living a longer life (Public Health
don’t stop to think that this person used to be more vigor- Agency of Canada, 2013). We somewhat ironically call
ous and healthy. However, that very same older woman these “Five Ways to Shorten Your Life.” Most people would
knows that she is the “same” person she’s always been. prefer not to shorten their lives, and certainly not to develop
She may seem surprised, in fact, to realize that she’s seen poor health in their later years, but many do not think
as an “old woman” instead of as the Jane, Barbara, or about the ramifications of engaging in risky behaviours.
Mary she knows herself to be. Survivors most likely do not engage in these behaviours.
Therefore, when working with older adults, it is Therefore, not only are they different because they may
important to remind yourself that rather than being treated have been born healthier, but they also likely took care to
as “old people,” they would prefer to be treated as the maintain their health and preserve their longevity. When
people they always were. As we’ll see later, older adults you consider what it takes to become an older adult, it is
are often stereotyped as weak and infirm, when in reality hard not to appreciate that the people who survive to later
they want to be viewed as individuals who’ve lived a long adulthood have some incredibly special characteristics.
time. They don’t want to be stereotyped on the basis of The survivor principle has important theoretical
the way they look to you right now. Some nursing home implications. Clearly, all older adults who participate in
administrators, eager to remind their employees of this research are survivors of the conditions that others did
fact, display pictures of the residents from their younger not endure. As time goes by, more and more of the older
years. The residents know they’re the same people they population will die. When they reach their 90s or 100s,
have always been, and it’s helpful if those who work with
them are reminded of this fact as well. FIGURE 1.2
What makes Canadians healthy or unhealthy?
2. Only the Survivors Grow Old
Health and Lifestyle Factors That Shorten Your Life
The survivor principle states that the people who live to 1. Being overweight
old age are the ones who managed to outlive the many 2. Risky behaviours like drinking and driving
threats that could have caused their deaths at earlier
3. Dietary choices, such as a high consumption of fat
ages. Perhaps this is obvious, because clearly, to grow
old, you have to not die. However, the survivor principle 4. Being physically inactive
is a bit more complex than that. Contrary to the Billy 5. Smoking
Joel song “Only the Good Die Young,” it’s not the good Source: Public Health Agency of Canada (2013). What
who die young, but the ones who fall victim to the forces Makes Canadians Healthy or Unhealthy? Retrieved from
that cause people to lose their lives. Some of these are www.phac-aspc.gc.ca/ph-sp/determinants
random, to be sure, such as being killed by someone else /determinants-eng.php#unhealthy
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they most likely represent a different population from to compare how differently older versus younger adults
that of their now-deceased age-mates. The older they get, responded to the same measures (Nelson & Dannefer,
the more select they become in such key characteristics 1992). Rather than their scores converging, they grew fur-
as physical functioning, health, intelligence, and even ther apart. Research continues to underscore the notion
personality (Baird, Lucas, & Donnellan, 2010). that individuals continue to become less alike with age.
Consequently, when we examine differences between Such findings suggest that diversity becomes an increas-
younger and older people, we must keep in mind that ingly prominent theme during the adult years, a point we
older people alive today were a special group when they will continue to focus on throughout this book.
were young. The younger adults have not yet been sub- The idea of increasing divergence among older adult
jected to the same conditions that could threaten their populations does not mean that everyone starts out at
lives. Some of them will die before they reach old age. exactly the same point when they’re young. There are
Knowing who will be the survivors is almost impossible always going to be differences within any sample of peo-
to predict, meaning we may be comparing highly select ple in almost any characteristic you can name. The issue
older adults with a wider range of younger adults. There- is that as people get older, these differences become mag-
fore, we cannot conclude that age “caused” the older nified. The top-performing person in a sample of young
adults to have the characteristics they have now, because adults may be 10 points higher than the next highest per-
maybe they always were a special subset of their own former. By the time they reach their 70s or 80s, these dif-
age group. ferences may grow by a factor of two, three, or more. In
To help illustrate this principle, consider data on part, this is a statistical fluke. As you’ll learn in Chapter 3,
the psychological characteristic of cautiousness. One of it’s difficult to find a sample of older adults who are as
the tried-and-true findings in the psychology of adult close in age as are the young adults researchers tend to
development and aging contends that older people are study (who are often within two or three years of each
less likely to take risks than are younger people. Simi- other). If age is related to performance, then the odds are
larly, older adults are less likely to engage in criminal that the older group will differ simply because they differ
behaviour. It’s possible that as people age they are better more in age.
able to avoid behaving in ways that could bring them However, the increasing variation among older
harm or get them arrested. Alternatively, it’s possible adults isn’t just a statistical artifact. Even if you had a
that they did not change at all and are the only ones left sample of older adults who were exactly the same age,
standing from their generation. The people more likely to it’s likely that they would differ more among themselves
make risky decisions early on in life died at younger ages than they would have when they were younger, because
or were imprisoned. Certainly, those who made poor they’ve lived through more experiences affecting every-
health decisions would be less likely to have survived thing from their health to their psychological well-being.
into old age. Those experiences have cumulative effects, causing them
Because of the survivor principle, you need to to change at different rates and to differing degrees.
remind yourself continually throughout this book that Consider what’s happened to you and the people
the older adults we study may have become less risky, you grew up with by this point in your life. You have
more honest, or better able to take care of their health. made the decision to go to university, while others in
On the other hand, they may not have changed at all— your age group may have decided to work full time and/
only survived long enough for us to study them. or travel. You may meet your future spouse in univer-
sity, while your best friend remains on the dating scene
3. Individuality Matters for years. Upon graduation, some may choose to pursue
graduate studies as others enter the workforce. You may
A long-held myth regarding development is that as peo- or may not choose to start a family, or have already
ple age, they all become alike. This view is refuted by the begun the process. With the passage of time, your dif-
principle of individuality, which asserts that as people fering experiences build upon each other to help mould
age, they become more different from each other. This the person you become. The many possibilities that can
divergence occurs in people’s physical functioning, psy- stem from the choices you make help to illustrate that
chological performance, relationships, interest in work, the permutations of events in people’s lives are virtually
economic security, and personality. endless. Personal histories move in increasingly idio-
In one often-cited study, still considered a classic, syncratic directions with each passing day, year, and
researchers examined a large number of studies of aging decade of life.
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9 FIGURE 1.3
Interindividual differences in development
There are actually two types of differences that faster reaction times than older adults, exceptions to the
come into play when we talk about individuality. Inter- norm are common. While you may think of average-
individual differences are differences between people. age university students as being able to run faster, lift
We’ve shown an example of interindividual differences heavier weights, or solve crossword puzzles in a shorter
in Figure 1.3. In this figure, each dot represents the size time than people three times their age, consider the dif-
of the hippocampus, a part of the brain involved in mem- ferences between a sedentary 21-year-old and a 72-year-
ory thought to grow smaller as people get older. As you old triathlete. Chances are, the triathlete will outperform
can see, people of the same age can vary so dramatically the sedentary adult in all categories. We will continue to
from one another that they may more closely resemble explore the notion that functioning does not necessarily
people from different age groups. Follow the straight line need to “go downhill” as people get older.
showing two dots—one representing data from a 20-year- Intra-individual differences refer to the variations
old and one representing a 70-year-old. The hippocam- in performance within the same individual. In other
pus of this 70-year-old actually equals that of at least one words, not all systems develop at the same rate within
20-year-old. Many of the 70-year-olds have hippocampal the person. Some functions may increase over time, oth-
sizes that equal those of people in their 40s. These inter- ers decrease, and others stay the same. Even within a
individual differences clearly show that not all 70-year- construct such as intelligence, an individual may show
olds are alike. gains in one area, losses in another, and stability in yet
As this example shows, some older adults can outper- another domain. Intra-individual differences illustrate the
form younger adults on tasks typically shown to decline fact that development can proceed in multiple directions
with age. This sort of occurrence happens in many areas within the same person (Baltes & Graf, 1996), a concept
of study. Although traditionally, younger adults have known as multidirectionality.
The body does keep time in a cycle that approxi- Parenthetically, the variation around the legal drink-
mates a 24-hour period, but there is no evidence at the ing age shown from country to country (and even within
moment to suggest that this time pacemaker is related a country) shows the interaction of biological and socio-
to aging. To say that chronological age (or time) means cultural factors in setting age-based parameters around
anything with regard to the status of the body’s func- human behaviour. People 18 years old in Canada are, on
tioning is, based on current evidence, questionable. The average, not all that physiologically distinct from people
popularity of such phrases as “30 is the new 20” and “60 18 years old who live in France. For that matter, they
is the new 50” capture the difficulty of defining age based are probably not even psychologically different. It’s the
solely on a number. culture that distinguishes whether they’re able to drink
alcohol without getting arrested.
Using Age to Define “Adult” If you’re like many students, the age of 21 may hold
special importance for you. This is the age where, in
Now that we have you thinking about the meaning of Canada, you can rent a car. Drivers between the ages of
age, we will move on to the next challenge—the mean- 21 and 24 may face specific restrictions when renting a
ing of the word “adult.” Earlier, we asked you to decide car, and/or may face additional fees. These ages have no
whether you consider yourself an adult. When you think inherent meaning, but are used for car rental purposes
of that word, perhaps the synonym “mature” comes to because the chances of having an auto accident are lower
mind. This, in turn, may conjure up images of a person after the age of 25. It’s highly unlikely that a switch is
reaching a certain level of accomplishment or growth. flipped on at a person’s 25th birthday so that the unsafe
Consider, for example, the term “mature” in reference to driver now has become a model of good behaviour on
an apple. A mature apple is one that is ready to be eaten, the road. However, there are statistically higher odds that
and you can judge that by examining the apple’s colour, people under age 25 are more likely to engage in the risky
size, and texture. An apple’s maturity level is relatively combination of drinking and driving.
easy to measure compared with judging the maturity of Another set of criteria related to the age of adulthood
humans, because the complexity of the biopsychosocial pertains to when people can marry without the consent of
processes are far more difficult to quantify. their parents. There again, we find huge variation. Within
You might think that the most logical definition of Canada alone, the age of consent varies from province
maturity should be based on physical development. Yet to province (in Quebec it is 16 without parental con-
you also know that a 13-year-old male who has essentially sent, while other provinces deem 18 or 19 the appropri-
reached his full physical development would, in contem- ate age). Moreover, the age when people actually marry
porary Western society, be regarded as anything but an reflects factors such as the health of the economy: in bad
adult. Although his physical attributes define him as an economic times, the median age of marriage goes well
adult, the psychological and social standards would not. above the age of consent. During these times, people in
Perhaps a standard based on ability is a better their 20s (or older) may find they’re forced to move back
option. Consider 16 years, the age when most people in with their parents because they aren’t earning suffi-
can legally drive. Or, alternatively, consider the age 18, cient income to afford their own place. Does that mean
when Canadian society gives a person the right to vote. that people become less “adult” when the economy lags?
Using the age of 18 or 19, depending on the province, Given these contradictory definitions of “adult,” it
presents another possible point of entry into adulthood. might be wise to recommend that we set the entry into
Because it is the age when Canadians can legally drink adulthood on the basis of the individual’s having reached
alcohol, turning 18 or 19 for many represents a defin- the chronological age associated with the expectations
ing mark of the beginning of adulthood. However, some and privileges of a given society or subculture. For exam-
countries set higher or lower age limits. For example, ple, in Canada, individuals may be considered to have
the United States is in a small minority of nations that reached adulthood at the age when they are eligible to
has set the drinking age at 21. Some countries, such as vote, drink, drive, and get married. For the majority of
Germany, Barbados, and Portugal, use the age of 16. Canadian provinces, the age of 18 or 19 is therefore con-
These conflicting age demarcations for even such a sidered the entry point for adulthood. In other countries,
seemingly concrete behaviour as drinking alcohol show such as the United States, these criteria may be met at the
that deciding when a person is an adult on this basis has age of 21. Regardless of the varying definitions, the first
very limited utility. three or four years of adulthood represent the period of
Trim Size: 8 X 10 in c01.indd 07:40:4:AM 11/20/2014 Page 9
“emerging adulthood,” or the transition prior to assum- retain its definition as 110 and over, though, at least for
ing the full responsibilities associated with adulthood the foreseeable future.
(Arnett, 2000). These responsibilities may occur during
the years that follow university graduation or, for those Functional Age
individuals who do not attend university, when they
face the need to find full employment or make family Discontented with the entire concept of chronological
commitments. age, a number of gerontologists are devising a new clas-
sification system that is based not on what the calendar
Divisions by Age of the Over-65 says but on functional age, which is how people actu-
Population ally perform (see Figure 1.5). With functional instead of
chronological age as the basis for a system of studying
Traditionally, 65 years of age has been viewed as the aging, we could gain a better grasp of a person’s true
entry point for “old age.” There was no inherent reason characteristics and abilities. In Chapter 3, when we talk
for the choice of this age other than that in 1889, the about research methods, we’ll see further advantages to
German Chancellor Otto von Bismarck decided to set this using measures other than chronological age to study the
as the age when people could receive social insurance aging process.
payments. Now, we accept age 65 without giving it much Biological age is the age of an individual’s bodily
thought. systems. Using biological age instead of chronological
Gerontologists recognized long ago that not only age would tell us exactly how well people are able to
was 65 an arbitrary number for defining old age, but that perform such vital functions as pumping blood through
it also resulted in people being placed into too broad a the body and getting oxygen to the lungs. With biologi-
category when defined as older adults. All things being cal age, you could also help people learn how best to
equal, a 65-year-old faces very different issues from those improve their muscle and bone strength, for example. To
faced by someone who is 85 or 90. There are certainly accomplish this, we would need a large repository of data
65-year-olds in very poor health and 95-year-olds who showing what is to be expected for each major biological
have no serious ailments. But because, 65-year-olds are, function at each age. For example, we’d need to know the
on average, so different from those who are 20 or more population values for blood pressure readings in people
years older, we use a convention to break the 65-and- with different chronological ages. Then, we would assign
older category into subgroups. people a “blood pressure age” according to which chron-
The subgroups most frequently used in gerontology ological age of healthy people their numbers most closely
are young-old (ages 65 to 74), old-old (ages 75 to 84),
and oldest-old (ages 85 and older). We shouldn’t place
too much credence on numbers, as we’ve already said,
FIGURE 1.5
but these are good approximations for roughly categoriz- Alternative indices of aging
ing the 65-and-older population. Bernice Neugarten, one
of the early pioneers in psychological gerontology, pro-
Biological
posed these distinctions in the mid-1960s, and they have
remained in use to this day.
With more and more people living to the oldest-old
category, though, gerontologists are re-examining the ©Sean Justice/Corbis
divisions of the 65+ age group. Specifically, people over Psychological
the age of 100, known as centenarians, are becoming
more and more commonly represented in the population,
as we will show later in the chapter. It will not be long
before the very highest age category—the supercentenar- ©Annabella Bluesky/
Science Source
ians, who are 110 and older—becomes more prominent. Social
Typically, the oldest person in the world at any given
time is between the ages of 114 and 116. Jeanne Louise
Calment, the oldest documented living human, was 122
at the time of her death. Supercentenarian will probably XiXinXing/Getty Images, Inc.
Trim Size: 8 X 10 in c01.indd 07:40:4:AM 11/20/2014 Page 10
match. A 50-year-old whose blood pressure was in the blood pressure shifts so that it would now be more typi-
range of normal for 25- to 30-year-olds would then have cal of a person in the 70s. Psychological age and social
a biological age that was 20 or 25 years younger than his age indices are also likely to change over time. Despite
or her chronological age. its faults, chronological age may be the most expedient
Popular culture has certainly caught on to the notion index for many areas of functioning, as long as we keep
of biological rather than chronological age. There are a in mind that it does not tell the whole story.
multitude of online calculators in which you answer vari-
ous questions to estimate how long you will live. In addi- Personal versus Social Aging
tion, there are slightly more sophisticated “biological age
tests” that let you calculate your “lung age,” for example. The aging process occurs within the individual, but as
Although we don’t have reliable biological age measures you have learned already, it is shaped by events occurring
yet, these measures are becoming more sophisticated and in the individual’s social context. When developmental
may eventually serve a purpose. psychologists study the aging process, it is difficult to dis-
Psychological age refers to the performance an indi- entangle those internal changes from those that reflect a
vidual achieves on measures of such qualities as reac- changing world, though we try to do so by applying the
tion time, memory, learning ability, and intelligence (all appropriate controls in our research.
which are known to change with age). Like biological Personal aging refers to changes that occur within
age, a person’s performance on these tasks would be the individual and reflect the influence of time’s passage
compared with those of other adults, and then scaled on the body’s structures and functions. Social aging
accordingly. refers to the effects of a person’s exposure to a changing
Social age is calculated by evaluating where people environment. Over time, then, the changes we see within
are compared to the “typical” ages expected for people the individual represent the unique blend of personal and
when they occupy certain positions in life. These posi- social aging as these play out in that individual’s life.
tions tend to centre on family and work roles. For exam- Within the category of social aging, the changes that
ple, a grandparent would have an older social age than take place in an individual’s life can reflect a multitude
would a parent, although the grandparent might easily be of interacting factors. At any one time, the individual’s
chronologically younger than the parent. life reflects one or more of three basic categories of social
Social age can have some interesting twists. For influences (see Figure 1.6). These influences, identified
example, people can be grandparents in their late 20s by psychologist Paul Baltes (1979), include normative
(with a social age of 60 or older). Conversely, women age-graded influences, normative history-graded influ-
can become mothers in their late 60s. In 2010, a TV series ences, and non-normative influences. We’ll look at each
aired an episode called “Pregnant at 70.” Similarly, a of these in turn.
retiree would have an older social age than would a per- Normative age-graded influences lead people
son still working, although again their chronological age to choose experiences that their culture and historical
might be in reverse order. Athletes typically retire in their period attach to certain ages or points in the life–span.
30s or earlier, depending on their sport, and politicians The term normative stems from the term norm, which
or religious figures may not retire until their late 80s, if is a social expectation for behaviour. In Western society,
at all. age norms traditionally dictate that individuals graduate
As stated earlier, an advantage of using functional from university when they are in the early 20s, get mar-
indices of aging is that they can be more accurate than ried and begin a family in the 20s or 30s, retire in the 60s,
chronological age. Of course, it’s much easier to use and become grandparents in the middle to later years,
chronological age than to use these more sophisticated usually in the decades of the 50s, 60s, and beyond. These
calculations. Furthermore, functional ages must be con- are influences on behaviour to the extent that people
stantly calibrated and recalibrated to ensure that they believe that they should structure their lives according to
continue to be accurate. For example, a biological index these age demarcations.
based in part on blood pressure may require adjustments Events that occur in response to normative age-
as health practitioners change the definition of what is graded influences occur in part because a given society
considered “old.” Changes in both medical knowledge has developed expectations about what is assumed for
and population norms for particular age groups may people of certain ages. The decision to retire at the age of
mean that the definition of an average 60-year-old’s 65 years can be seen as a response to the norm regarding
Trim Size: 8 X 10 in c01.indd 07:40:4:AM 11/20/2014 Page 11
FIGURE 1.6
Types of developmental influences
when it is appropriate (and for many desirable) to leave immediately. They can continue to have a lasting impact
the labour market. Graduation from high school gener- for many years on the subsequent patterns of work,
ally occurs at the age of 18 years for most because in family, and quality of life of the people affected by those
most industrialized societies, children start school at the events. For example, World War II veterans who entered
age of 5 or 6 and the educational system is based on 12 the military after their families were already established
or 13 grades. were more likely upon their return to get divorced or
Normative age-graded influences exert their impact separated, to suffer career setbacks, and to experience
because people are socialized into believing that they poorer physical health after they turned 50 (Elder, Shan-
should structure their lives so that they conform to these ahan, & Clipp, 1994).
influences. When they don’t, they feel that there is some- An individual does not have to experience a histori-
thing wrong with them. For example, a 40-year-old office cal event directly to be affected by a normative history-
worker may consider retiring but feel reluctant to do so graded influence. For example, you may have been too
because it is not what is expected for a person of that age young to have your job affected by the 2008 recession,
in that field of employment. Similarly, a 35-year-old may but because the recession affected large sectors of the
prefer not to marry or to have children, but feel pressured economy, you may have suffered anyway. Anytime there
into doing so by other family members, friends, or the is a significant enough event or set of events affecting a
society at large by virtue of having reached the mid-30s. large number of people, the event’s aftermath may con-
The normative age-graded influences are partly tinue to have an impact on aspects of each person’s life
linked to the biological aging process, particularly in the for years to come.
area of family. Parenthood traditionally occurs between If the life course was influenced only by normative
the ages of 20 and 40, at the peak of a woman’s reproduc- age- and history-graded influences, predicting the course
tive cycle. This age range sets the normative age period of development of people of the same age living in the
for biologically becoming a parent. Once this age is set, same culture would not be easy, but would be a man-
then a lower limit is set on the age at which the adult can ageable problem. Plug in a person’s age and the year of
become a grandparent. If the child also follows a norma- the person’s birth, and you’ll be able to figure out which
tive age-graded influence, the parent will likely become combination of age-graded and history-graded influences
a grandparent for the first time between the ages of 55 set the course of that person’s life. However, people’s
and 65 years. lives are also affected by non-normative influences,
Normative history-graded influences are events which are the random idiosyncratic events that occur
that occur for everyone within a certain culture or geo- throughout life. They are “non-normative” because they
political unit (regardless of age), and include large-scale occur with no regular predictability.
occurrences such as world wars, economic trends, or There are an almost infinite number of examples of
sociocultural changes in attitudes and values. The non-normative influences. Some are due to good luck,
impact of these events on people’s lives may be felt such as winning the lottery. Non-normative influences
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“Yes, the camera does. I’ve wondered why nobody ever caught them
this way before. Once you see them on film, they’re unmistakable—
that third eye.”
“Infra-red film’s comparatively new, isn’t it? And then I’ll bet you have
to catch them against that one particular background—you know—or
they won’t show on the film. Like trees against clouds. It’s tricky. You
must have had just the right lighting that day, and exactly the right
focus, and the lens stopped down just right. A kind of minor miracle.
It might never happen again exactly that way. But ... don’t look now.”
They were silent. Furtively, they watched the mirror. Their eyes slid
along toward the open door of the tavern.
And then there was a long, breathless silence.
“He looked back at us,” Lyman said very quietly. “He looked at us ...
that third eye!”
The brown man was motionless again. When he moved, it was to
swallow the rest of his drink.
“I don’t think that they’re suspicious yet,” he said. “The trick will be to
keep under cover until we can blow this thing wide open. There’s got
to be some way to do it—some way that will convince people.”
“There’s proof. The photographs. A competent cameraman ought to
be able to figure out just how you caught that Martian on film and
duplicate the conditions. It’s evidence.”
“Evidence can cut both ways,” the brown man said. “What I’m hoping
is that the Martians don’t really like to kill—unless they have to. I’m
hoping they won’t kill without proof. But—” He tapped his wrist-
watch.
“There’s two of us now, though,” Lyman said. “We’ve got to stick
together. Both of us have broken the big rule—don’t look now—”
The bartender was at the back, disconnecting the juke-box. The
brown man said, “We’d better not be seen together unnecessarily.
But if we both come to this bar tomorrow night at nine for a drink—
that wouldn’t look suspicious, even to them.”
“Suppose—” Lyman hesitated. “May I have one of those
photographs?”
“Why?”
“If one of us had—an accident—the other one would still have the
proof. Enough, maybe, to convince the right people.”
The brown man hesitated, nodded shortly, and opened his watch-
case again. He gave Lyman one of the pictures.
“Hide it,” he said. “It’s—evidence. I’ll see you here tomorrow.
Meanwhile, be careful. Remember to play safe.”
They shook hands firmly, facing each other in an endless second of
final, decisive silence. Then the brown man turned abruptly and
walked out of the bar.
Lyman sat there. Between two wrinkles in his forehead there was a
stir and a flicker of lashes unfurling. The third eye opened slowly and
looked after the brown man.
The third eye opened slowly and looked after the man
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