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Contents vii
Recommended Readings 65
Internet Resources 65
Programmed Theories 68
Biological Clock 68
Evolution 70
Hormones 71
A Middle Category 73
Immune System 73
Unprogrammed Theories 73
Wear and Tear 73
Free Radicals 74
PROJECT 4 75
Garbage Accumulation 76
S O C I A L P O L I C Y A P P L I C AT I O N S 76
DNA Damage and Repair 77
All (Many) of the Above 77
Chapter Highlights 79
Study Questions 79
Recommended Readings 80
Internet Resources 80
Tobacco 94
PROJECT 5 Searching for the Fountain of Youth 95
Alcohol 96
Stress 96
Other Factors 97
Gender 97
Race/Culture/SES 100
Social Support 102
Quality of Life 103
S O C I A L P O L I C Y A P P L I C AT I O N S 104
■ BOX 5-4 Estimating Your Own Life Expectancy 105
Chapter Highlights 107
Study Questions 107
Recommended Readings 108
Internet Resources 108
Wisdom 162
x Contents
Creativity 164
PROJECT 8 169
9 Personality 175
An Overview of Personality 175
SENIOR VIEW 176
Measures of Personality 177
Levels of Personality 179
Traits 179
Five-Factor Theory of Personality 179
Age Difference in Traits 180
Personal Concerns 182
■ BOX 9-1 Traits and Fears of Aging 182
PROJECT 9 Age/Cohort Differences in Personal Concerns 183
Erikson’s Stages of Lifespan Development 184
■ B O X 9 - 2 Age and Androgyny 188
Age Differences in Coping 188
Two Views 189
Responding to Problems 189
Control 192
Identity 195
■ BOX 9-3 A Life Story 198
Personality, Health, and Well-Being 199
S O C I A L P O L I C Y A P P L I C AT I O N S 201
10 Relationships 205
Social Support 205
SENIOR VIEW 206
PROJECT 10 Social Networks 209
Retirement 254
Demographics of Retirement 254
Phases of Retirement 258
■ B O X 1 1 - 1 Some Top Retirement Locations 259
■ B O X 1 1 - 2 People in Different Phases of Retirement 261
Adjustment to Retirement 262
xii Contents
12 Psychopathology 277
Overview 277
Alcohol Abuse 278
SENIOR VIEW 279
■ BOX 12-1 Alcoholism and Ethnicity 280
Depression 281
Suicide 287
Acute Cognitive Disorders 289
Dementia 293
■ B O X 1 2 - 2 Animal Dementias 294
Less Frequent Forms of Dementia 294
Vascular Dementia 297
Parkinson’s Disease 297
Alzheimer’s Dementia 299
■ B O X 1 2 - 3 Dementia Treatments Used by Families 310
Caregiving 311
S O C I A L P O L I C Y A P P L I C AT I O N S 312
PROJECT 12 Be A Volunteer 314
Chapter Highlights 314
Study Questions 315
Recommended Readings 316
Internet Resources 316
References 397
We began this book after searching for a textbook for our own undergraduate classes in
adult development and aging that better fit our model of gerontology education. We
searched for a book that balanced science and application; was complex enough to chal-
lenge students to think critically about issues; was interesting, friendly, and readable with-
out being demeaning, shallow, or all too often, unfortunately, boring; and one that reflected
the diversity and multidisciplinary nature of gerontology. Unable to find a textbook that
fulfilled all our needs, we set out to produce one that would. We hope we have succeeded
in all our aims.
Organization
Human Aging is organized like many other adult development and aging books in that it
begins with an overview of gerontology and research methods. Chapter 1 introduces
gerontology and will give you an idea of why the study of aging is more important now
than ever before. Chapter 2 presents the basics of the research methods used in aging and
introduces the guiding principles and major issues addressed by the research and theory
described in the remaining chapters. The next thirteen chapters are divided into five major
sections.
■ Aging and Our Bodies(Chapters 3, 4, and 5) looks closely at physical changes, pro-
posed explanations for why those changes occur with advanced age, and what can
be done to prolong health and longevity. We believe it is important to cover these
physical changes first since much of what comes later depends on these changes.
■ Aging and Our Minds (Chapters 6, 7, and 8) progresses from changes in our
senses, how these affect perceptions, and the slowing that occurs with advanced age.
These changes underlie many of the changes in memory and higher cognitive
processes, which are covered in the latter two chapters. Later sections depend on stu-
dents knowing the mental and physical changes that can occur in adulthood.
■ Aging and Our Selves (Chapters 9, 10, and 11). The focus in this section is on our
social selves. We examine personality, social support, and social relationships, and
end with work and retirement. You will find our chapters on personality and social
relationships quite different from those in other texts.
■ Aging and Our Survival (Chapters 12, 13, and 14) looks at those conditions that
threaten or facilitate our survival. From the psychopathologies of Chapter 12,
through the environmental design and caregiving of Chapter 13, to death and be-
reavement in Chapter 14, we try to clarify complex issues and tie them back to the
material presented earlier.
xv
xvi Preface
■ Aging and You (Chapter 15) reviews some of the most important information you
have learned in relation to the principles raised in Chapter 2, discusses the overall
well-being of older adults today, and projects the likely state of affairs for your
bodes, minds, selves, and survival over the next 30 to 50 years.
Features
Our approach has several main features. First, we try to make it clear that to understand
aging and older adults it is necessary to integrate research and theory from a number
of different disciplines; gerontology is inter- and multidisciplinary. We, thus, include
work from biology, medicine, psychology, sociology, and even economics in our pre-
sentation. Second we try to focus the reader on the science of aging. The questions in
aging are difficult to answer and we want to make it clear (1) why they are difficult,
(2) how social scientists attempt to handle such difficulties, and (3) the successes (and
failures) they have had so far. Real age differences and age/cohort differences are ex-
plained first and then highlighted throughout the discussion of research findings in var-
ious content areas. We present both sides of all issues as fairly as we can and the
evidence as it exists currently.
Third, we tried to write the text to be friendly, active, and fun. It contains projects
that you can try out (at home), a fair amount of humor, and is, hopefully, relatively easy to
read. We attempt to relate the research findings to real life experiences and to use familiar
examples. We have tried to clarify rather than simplify. We believe that learning should be
an enjoyable and active experience; therefore, we attempt to engage the reader with
thought-provoking questions.
Fourth, the text has applied foci throughout. We try to show how current research
findings are now being applied in the real world and/or how they might be applied in the
near (or not so near) future. Some applications are general and some are specific. Some
applications are ones that you can use to help yourself and/or aging relatives and/or
friends. We strongly advocate this application.
Fifth, the text is realistic and positive. Using the results of research, we present
things as they are. Too often texts in aging become either negative or overly jolly. Our ap-
proach is positive because we believe there are many more genuine pluses to aging than
there are minuses. We are conscious, however, of the “glossing” of aging that often occurs
in some publications and we try to avoid excesses in this direction.
Sixth, we have tried to weave the evolution of the field throughout our presentation.
The study of older adults is continually changing and, as cohorts also change, some find-
ings may be only temporary. What we know now may be very different than what we know
by the time our readers are old—just as what we thought we knew in decades past may no
longer be true today.
Seventh, we have tried to include crosscultural comparisons and ethnic group com-
parisons whenever possible. Diversity is an important part of the study of aging and where
available we have discussed group and cultural differences both for the aging population
in the United States and across the world.
Preface xvii
Learning Aids
Each chapter also contains a number of specific learning aids to assist the reader. Each
chapter opens with a quote from some well-known person that sets the tone and expresses
the main theme of the chapter. We want to focus the reader on the important point(s) right
at the start.
Each chapter also presents a Senior View. Senior Views are interviews that were
conducted with a number of different adults and include a photograph of each senior that
helps introduce the main topics in each chapter. We believe that information should be pre-
sented in a number of different ways if it is to be assimilated successfully—these inter-
views are one way of presenting important information. When the theory, research, and a
real older adult all agree on some finding, that finding is likely to be remembered. When
they disagree, that disagreement is also likely to be remembered. We were very impressed
with the knowledge displayed by these older adults. Senior Views make the presentation
more varied and show the operation of chapter content in real life with real people. Many
students miss the opportunity to discuss class material with an older adult; this is an at-
tempt to give you that source of information. This is a unique aspect of our text.
Each chapter includes a Project that you can do. The emphasis is on attempting to
address some question raised in the text and providing a project that can either be done rel-
atively simply or turned into a more elaborate project for possible independent study at a
later date. Active learning is important; this is an attempt to provide such opportunities.
Our projects have been tested successfully in the classroom and have been found to be
helpful and enjoyable.
Each chapter contains a number of Boxes that add information to the text presenta-
tion. Generally the information added is outside the main focus but clearly of related in-
terest. Some of these are in-depth looks at particular pieces of research, others are
vignettes that describe real people experiencing the situations covered in the text, some are
applications of the research that has been discussed, and some just provide interesting in-
formation. New to this edition are a number of Social Policy Application boxes that high-
light important issues that are currently or soon will be topics of pubic debate. We try to
be neither conservative nor liberal in our presentation and hope our readers will draw their
own conclusions. More importantly, we hope that readers will see areas in which they can
actively participate in advocating for older adults.
Each chapter contains numerous tables and figures to present relevant procedures,
methods, and results. We have received permission to reproduce some of these from other
authors whereas we have created others ourselves. This graphic presentation helps students
assimilate written text.
Each chapter ends with a section containing Chapter Highlights and Study Ques-
tions which summarize the main points and allow readers to test themselves on knowledge
gained and on where to study more.
We have provided Recommended Readings and Internet Resources for the topics
presented in each chapter. We know that most students (most people) use the Internet today
and we hope that our listed sites will encourage an active search for additional and related
information.
xviii Preface
Supplementary Materials
Please visit the companion website at www.routledge.com/9780205544011
Acknowledgments
We want to thank a great number of people who helped us in preparing this new edition.
From Allyn and Bacon we tip our hats to Stephen Frail and Mary K. Tucker for their con-
tinual involvement with the book. We owe much to Marty Tenney of Modern Graphics for
her advice and assistance.
We wish to thank our colleagues, friends, and family who said encouraging words,
smiled, and always gave us thumbs up. We thank the University of North Carolina and
Queens University of Charlotte for their continued support.
We wish to thank the reviewers, hired by Allyn and Bacon, who gave us much en-
couragement along with constructive criticism and helpful suggestions.
We thank all the older adults who gave of their time and knowledge for each chap-
ter’s Senior View: Joyce Shealy (1), Arthur and Ruth Kingberg (2), Clifford and Lucia
Pauling and Lori Fincher (3), Martha Russell (4), Walter Donham (5), Mabel Davis (6),
Edward and Isabelle Peltz (7), Mae Taylor and Jack Palis (8), Jane Hege and Tolly Kleck-
ley (9), Pauline and Lister Hopkins, Tom and Eleanor McNair, Edwin Schmidt, and Carol
Milheim (10), Frank Ochoa and Pat Shelley (11), Edna Carpenter and Wanda Washburn
(12), May Lee (13), and Tat Kleckley (14).
We thank our students who assisted in gathering data for many parts of the book in-
cluding the Senior Views in each chapter. We especially thank Arlo Clark-Foos who is cur-
rently a graduate student in psychology at the University of Georgia and has taught us how
to appreciate our field through new eyes. He has been quick (perhaps too quick) to offer
suggestions on how to appeal to college students in writing, pictures, graphs, and other
aspects of the text. As parents we know that we learn much from our children. We have
high hopes that the next generation of our family, starting with Aleigha, will carry on the
tradition of honoring our elders. A final thanks goes to our parents, Clarence, Joan, Norma,
John, and Madge and Grandma and Grandpa Clark, Collignon, Halm, and Foos who in-
stilled in us the spark that became our love for aging.
Paul W. Foos
M. Cherie Clark
Human Aging
Page Intentionally Left Blank
CHAPTER
1 An Introduction to
Human Aging
Y ou have to start young. Regardless of how young, or old, you now are, you are continually
becoming older. To make your aging successful, you need to start young and our text and this
course will help you do just that. You will learn about things that typically change as we grow
older and things that typically do not. You will learn that some change is beneficial while
other change is not. We will examine the mind and body, our inner and outer selves, the soci-
ety we live in, and the interactions among these different components of human aging. To
give you an up close and personal view, each chapter will begin with the views of an older
adult about the topics covered in that chapter. In our first Senior View, Dr. Joyce Shealy tells
about her early introduction to the importance of learning, her relentless pursuit of educa-
tion—sometimes in the face of obstacles—and her continuing quest to know more. She
shows how the search for knowledge can be a habit, one that serves well into old age and one
that brings lifelong fun. Let us begin the joy of learning about aging, about ourselves.
1
2 CHAPTER 1
Senior View
We talked with Dr. Joyce Shealy, professor emeri- ence. Even then I had an interest in psychology as
tus of psychology at Queens University of Char- my thesis examined the personality characteris-
lotte, North Carolina, about the importance of tics of South Carolina legislators. I compared
education and learning. Joyce was 80 years old them to a control group of similar men who were
members of a club my father belonged to. This
when we spoke with her and recently retired from
was a fun study but my advisor published my the-
a career of over 40 years of teaching. sis and put me in a footnote.
I had a hard time finding a job I really
liked. I taught modern dance for a year and then
taught history, political science, psychology, and
sociology at Lees McRae College for another
year. I served as faculty sponsor for a number of
student organizations but still had the itch to see
and do more. I moved back to Columbia and
worked as a research assistant for the Bureau of
Public Administration.
I was interested in personnel issues and
my father thought a psychology degree was the
best a person could get so I went to Ohio State
to get another graduate degree, this time in
industrial/organizational psychology. When I
completed my MA, my professor told me that as
a woman, I could not continue there for my doc-
torate in I/O psychology and should consider a
counseling degree. That’s not what I wanted so I
took the next semester off and moved to UNC
Chapel Hill to work on my PhD.
My specialization there was in psycho-
Joyce was born in Bucyrus, Ohio, and metrics and I was fortunate to have worked
moved with her family to Chicago, then New Jer- with Dr. Thurstone. When I finished, I got a
sey, and finally to the South Carolina pecan farm research assistant position working in special
where her family originated. We asked her to share education at the University of Delaware. How-
the educational influences and experiences she had ever, I was not happy there as my heart was in
across her life. She said her father influenced her the south, so I returned to North Carolina where
love of learning that has pervaded her life. She re- I became a professor of psychology at Queens
peated his words of advice: Don’t get married right College (now Queens University) of Charlotte.
away; learn who you are first; never stop learning. I loved teaching and miss it now that I’ve re-
tired. I still get together, once a year, with some
Here is what she told us.
former students who are now psychologists and
I spent 2 years at Winthrop University, where my judges. I also love learning and have not re-
mother went to school. Despite my mother’s urg- tired from that. I take classes at Wake Forest
ing to stay there, I needed to branch out. I wanted University and take advantage of other oppor-
to go someplace else; my dream was New York. tunities as they arise. I am now a docent at the
My parents let me transfer to the University of Reynolda Museum and a volunteer at the hu-
South Carolina in Columbia because that’s where mane society. I won’t stop learning and you
my brother was and they believed he would watch shouldn’t either.
over me. I earned my BA and MA in political sci- My advice is to continue your education.
An Introduction to Human Aging 3
Finally, we study human aging because that area of study is becoming more important
with each passing year. A major reason for the importance of this area of study, and the in-
creasing interest in aging, is because changes are occurring in the world population, particu-
larly in countries such as the United States. The number and proportion of older adults in the
U.S. population is likely to increase for quite some time. The growing number of older adults
will impact everything in our lives. Here are just a few examples. Transportation will change
as older drivers demand better public transportation. Older people vote in greater numbers
than other age groups so policies and legislation will reflect their interests. More leisure and
recreation opportunities will be developed in response to this large age cohort. Family dy-
namics may change as more grandparents and great-grandparents are available to give ad-
vice and help to younger people. Finally, this growing segment of the population will create
job and career opportunities in fields that serve older consumers. The population is changing
and the more we learn about it, the better equipped we will be to succeed.
Changes in Population
The number and proportion of older adults among the world population will continue to
increase for the foreseeable future. In 1900, about 4 percent of the U.S. population was 65
and older (about 3 million people). In 1996, about 13 percent were 65 and older (about 35
million) (U.S. Bureau of the Census, 2000). It is not just that there are a greater number of
older people; the population has grown and there are more people of every age. The im-
portant point is that the proportion of older people continues to increase. In 1900, 1 out of
every 25 people was 65 and older. In 1990, it was 1 out of every 10. By 2030, it is expected
that 1 out of every 4 or 5 will be 65 or older. That’s 85 million older Americans. This
change is taking place in technologically advanced and industrialized countries all over the
globe. Can you imagine how different things might be with such a large proportion of older
adults? How old will you and your loved ones be in 2030?
There are a number of factors that are responsible for the drastic change in popula-
tion including the unprecedented number of people in the baby boom generation, lower
birth rate, and changes in life expectancy.
Baby Boom Generation. The baby boom generation refers to those individuals born be-
tween 1946 and 1964. Following the end of World War II, there was a huge increase in the
number of births as soldiers returned home to their families or married and began a fam-
ily. There were feelings of victory, security, and prosperity and couples felt good about
bringing children into these happy times. They were very successful at having babies and
averaged close to three births per fertile woman (U.S. Bureau of the Census, 1989). This
was the highest birth rate since right after the Civil War (1865–1900). The impact of the
baby boom generation on society can be seen throughout history by looking at the growth
of products and programs to serve the needs of the “boomers” and their families. The first
wave of the baby boom generation will reach age 65 in the year 2011. The proportion of
older adults in the population will continue to increase from 2011 until at least 2030.
Birth Rate. Following the great increase after World War II, birth rate has declined. The
average number of births per fertile woman is now less than two and some experts expect
the number to go as low as 1.7. The total proportion, as well as number, of older adults will
be greater over the next several decades than it has ever been. This is where developing
countries differ from developed nations. In developing countries, populations of older per-
sons are not yet on the rise. While their birth rates are still quite high, their life expectancy
remains low.
Lifespan and Life Expectancy. Lifespan refers to the maximum number of years that
an organism in a species can live. Clearly, the lifespan for different species is very differ-
ent and not many species live longer than humans do. Table 1-1 provides some examples
Source: Most of these estimated lifespans were taken from Comfort (1964) and Kimmel
(1990).
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COMMENTS
CONSTRUCTIVE TREATMENT
COMMENTS
CONSTRUCTIVE TREATMENT
Usher guests quietly into the room, and place chairs, or allow
pupils to place chairs for them in some part of the room where their
presence will not interfere with school activities. Talk to them, if at
all, so quietly that pupils will not be disturbed in their work. Go on
with school work as though guests were not present; they want to see
the school routine. Your own quiet acceptance of the presence of
guests will help the pupils to regard the visit as less of an event. If the
children stare at guests, attract their attention by some exercise or
talk to them about their work, or let them do some favorite task that
appeals to them strongly. Then, when the company has gone, talk to
them frankly about the matter of staring, and show them how much
more courteous it is not to look at people intently. Never talk about
your pupils to visitors, unless you can say something pleasant of
them; and even compliments should be paid with caution, as the
sweet grace of unconsciousness is easily spoiled in little people. By
your own easy, matter-of-fact politeness to guests, set the pupils a
good example to imitate.
COMMENTS
Miss Olney made several mistakes. First of all, she made her pupils
very conscious of the visitors by putting them upon the platform and
spending her time during lesson-hours talking to them. Company
should never be put upon a platform unless they are to be looked at;
for any child feels that an unusual object, placed directly before him,
must be meant to be seen. Miss Olney had no business asking her
pupils to do what she did not herself do; she spent her time with the
visitors, neglecting her regular program, but asked her pupils to
attend to their lessons. She should have known that voluntary
attention is weak in early childhood, and needs every help to growth.
She made Harvey, Sara, Mary and the little Johnsons very self-
conscious by correcting them before guests, then reproved them for
not going on with their work in complete unconsciousness of
anything unusual. In short, she ignored the value of example in every
way.
Dramatic exercises are a most effective means of reaching small
children, since they offer the elements of vividness and repetition.
COMMENTS
The use of the dramatic method in dealing with faults based on the
exercise of imitative faculties has these recommendations:
1. It presents the new ideal for imitation vividly; it brings it before
the children in action, with words and gestures.
2. It overcomes the physical inertia of unusedness through
practice. Any one can remember cases in his own childhood
in which he resolved to do a certain thing, but failed when the
chance came through sheer lack of practice; the unschooled
muscles refused to do a new, strange thing. Teachers should
be careful to practice the game several times before
suggesting that the action be made a part of daily life.
3. It gives a pleasant association to the new idea; the association of
play is far more pleasant than that of didactic instruction.
Games and plays can be made very interesting and little
children love them.
The best remedies for noises of this sort are intense drive on
interesting work, and indifference to the noise, if there is an apparent
concerted movement to annoy the teacher.
In case you find it needful to speak privately to any pupil, assume
that his motives are good all the way through and that he would like
to lay his pencil down properly. Perhaps the following words will be
appropriate:
“I see you have some difficulty in keeping your pencil. My own
desk has a slant and sometimes gives me trouble on that account. If
we will lay our pencils down carefully in the groove, they will surely
stay where they belong.”
COMMENTS
CONSTRUCTIVE TREATMENT
CONSTRUCTIVE TREATMENT