Leaving Home: An Examination of Late‐Life Relocation Among Older Adults

This article describes older adults' experiences of a late‐life residential relocation from a home to a long‐term health care setting. Findings from 14 participants who engaged in a focus group and/or an individual interview supported 8 major themes. Thematic experiences were related to precipitating factors prior to the move, risks and protective factors in relocation, and aspects of positive aging. Implications for clinical practice with older adults who undergo late‐life transitions are described.     

A comparison of dyadic interactions and coping with still‐face in healthy pre‐term and full‐term infants

Pre‐term birth has a significant impact on infants' social and emotional competence, however, little is known about regulatory processes in pre‐term mother‐infant dyads during normal or stressful interactions. The primary goals of this study were to investigate the differences in infant and caregiver interactive behaviour and dyadic coordination of clinically healthy pre‐term compared to full‐term infant‐mother dyads and to examine pre‐term infants' capacity for coping with stress using the face‐to‐face still‐face paradigm (FFSF). Fifty mother‐infant dyads, including 25 pre‐term infants and 25 full‐term infants were videotaped during the FFSF. All infants were 6–9 months of age (corrected for gestational age in the pre‐term group). Infant and maternal socio‐emotional expressivity and self‐regulatory behaviours were coded and measures of dyadic coordination (Matching, Reparation Rate, and Synchrony) were calculated. There were no significant differences in infant and caregiver socio‐emotional behaviours between the two groups and both groups demonstrated the still‐face (SF) effect and the reunion effect. There was a difference in self‐regulatory behaviour. Pre‐term infants were more likely than full‐term infants to use distancing (e.g., by turning away, twisting, or arching) from their mothers during the FFSF. Additionally, during the Reunion episode of the FFSF pre‐term infants showed more social monitoring compared to full‐term infants. Regardless of the birth status, the dyads showed less coordination and a slower rate of reparation during the Reunion episode than during the Play episode. The higher proportion of distancing in the pre‐term group and the increase in social monitoring suggest that even in normal interactions pre‐term infants may experience a higher level of stress and have less capacity for self‐regulation compared to the full‐terms and that pre‐term infants appear to use a compensatory strategy of increased social monitoring to cope with the stress of renegotiating the interaction during Reunion. The findings suggest that pre‐term infants have different regulatory and interactive capacities than full‐term infants.     

Examination of a Multi‐Element Intervention on College Students' Electricity Consumption in On‐Campus Housing

Use of electricity is a significant contributor to climate change. Results from several studies have demonstrated short‐term success but long‐term success is rarely assessed, and weather is rarely measured despite its effects on energy use. We evaluated the long‐term effects of a multi‐element intervention package including visual prompts, feedback, and incentives on energy usage in two sorority houses over two years (four semesters) using a multiple baseline with reversal design while also accounting for weather fluctuations over that time period. Although daily graphs suggested intervention houses reduced their relative energy use compared to baseline, functional control over behavior was not established because reductions in energy consumption were observed approximately halfway through baseline, due possibly to reactivity; control houses showed no such pattern. Moreover, bubble graphs accounting for weather suggested an increase in energy use for the intervention house during Semester 1. We discuss the limitations of this study, suggestions for future research, and use of innovative methods of graphing energy use to better understand usage patterns and account for weather fluctuations. Copyright © 2016 John Wiley & Sons, Ltd.     

Anne‐Thérèse de Lambert on Aging and Self‐Esteem

This article studies Madame de Lambert's early eighteenth‐century views on aging, and especially the aging of women, by contextualizing them in a twofold way: (1) It understands them as a response to La Rochefoucauld's skepticism concerning aging, women, and the aging of women; (2) It understands them as being closely connected to a long series of scattered remarks concerning esteem, self‐esteem, and honnêteté in Lambert's moral essays. Whereas La Rochefoucauld describes aging as a decline of intellectual, emotional, and physical powers and is suspicious of the mechanisms of esteem and self‐esteem, Lambert develops a view of aging as offering the chance to become more independent of the judgment of others, especially the chance for women to become more independent of the judgment of men. As she argues, aging offers women the possibility of cultivating genuinely estimable intellectual and emotional qualities that attract the justified esteem essential for a stable friendship, as well as the opportunity to develop a form of self‐esteem that is based on respect for one's own capacities of judgment.     

认知老化对于老年人决策过程的影响:动机的调节作用

有关老化和决策制定的研究并没有发现一致的年龄差异。从决策过程的角度,论述了老化对于决策制定的多层面影响。从认知层面来讲,流体认知能力的衰减会使老年人在决策制定前搜索更少的信息,使用非补偿性策略,基于属性进行信息搜索和比较;晶体认知能力的相对保持则在一定情况下弥补了这种消极影响;从动机层面来讲,关注情绪管理目标的老年人会倾向于寻求更多积极的信息,为了避免权衡诱发的消极情绪而更多地使用非补偿性策略。动机对于认知老化的消极影响有调节作用。具体来说,社会情绪选择理论和选择性投入假设认为,当决策任务符合老年人的社会目标,即情绪管理目标时,能够激活老年人投入认知资源的动机,从而缓解认知资源的衰减对于老年人决策表现的消极影响。未来的研究需要通过实验设计进一步探索动机与认知的交互作用,将多种过程追踪技术结合起来,明晰动机和认知能力在老年人决策制定中的作用。另外考虑到在社会目标方面的年龄差异,对于老年人决策质量的衡量应该更加注重主观决策质量。     

Why is schizophrenia “bizarre”: An historical essay in the vocabulary of psychiatry

The vocabulary of modern psychiatry is examined as a key to its perception of the patient and his or her illness; specifically the term “bizarre” is traced through twentieth-century psychiatric usage. An etymology of the term reveals that its development mirrors the often contradictory use of the “bizarre” in modern psychiatry. This leads to a further understanding of the role of language in documenting the perception of the patient as the “Other”.     

Being as Iconic: Aquinas on ‘He Who Is’ as the Name for God

Aquinas claims that ‘He Who Is’ is the most proper of the names we have for God. But this attempt to ‘describe’ God with a philosophical concept like ‘being’ can seem dangerously close to creating a false conception based on our limited understanding – an idol. A dominant criticism of Aquinas’ use of this term is that any attempt to use ‘being’ to describe God will inevitably make him merely some object in our ontology alongside other beings, unacceptably mitigating God's radical transcendence and otherness. I will argue that Aquinas has a very creative response to this charge: ‘being’ stands in a unique relationship as the only concept that can ensure we do not draw God under some particular creaturely limit and thus use divine names to create an ‘idol’. In other words, ‘being’ is a special paradigm concept/term which ensures that we preserve humility in our attempts to name God.     

A cognitive-based model of tool use in normal aging

While several cognitive domains have been widely investigated in the field of aging, the age-related effects on tool use are still an open issue and hardly any studies on tool use and aging is available. A significant body of literature has indicated that tool use skills might be supported by at least two different types of knowledge, namely, mechanical knowledge and semantic knowledge. However, neither the contribution of these kinds of knowledge to familiar tool use, nor the effects of aging on mechanical and semantic knowledge have been explored in normal aging. The aim of the present study was to fill this gap. To do so, 98 healthy elderly adults were presented with three tasks: a classical, familiar tool use task, a novel tool use task assessing mechanical knowledge, and a picture matching task assessing semantic knowledge. The results showed that aging has a negative impact on tool use tasks and on knowledge supporting tool use skills. We also found that aging did not impact mechanical and semantic knowledge in the same way, confirming the distinct nature of those forms of knowledge. Finally, our results stressed that mechanical and semantic knowledge are both involved in the ability to use familiar tools.     

Aging stereotypes and active lifestyle: Personal correlates of stereotype internalization and relationships with level of physical activity among older adults

ObjectivesThe goal of this study was to identify the personal correlates (openness to experience and implicit theories of ability) of internalization of aging stereotypes and its relationships with physical activity.DesignCross-sectional survey.MethodOne hundred and ninety-two older adults (78 men and 114 women) from 60 to 93 years (M_age = 73.44, SD = 7.34) completed a series of questionnaires measuring openness to experience, implicit theories of ability, stereotypes about older people and physical activity, attitude toward own aging, physical self-worth, physical activity level, self-rated health and education level.ResultsThe main results showed that (a) openness to experience positively predicted physical activity level through incremental theories, endorsement of aging stereotypes relative to benefits, attitude toward own aging, and physical self-worth; and (b) entity theories negatively predicted physical activity level through endorsement of aging stereotypes relative to risks, attitude toward own aging, and physical self-worth.ConclusionThe present study indicates that openness to experience and implicit theories of ability are correlates of endorsement of aging stereotypes and suggests that endorsement may be an important factor of engagement in physical activity in older adults.     

La métamémoire : analyse de sa mesure par questionnaire. Étude exploratoire

This research aims at allowing an elaboration of a metamemory questionnaire. A study of metamemory and metacognition modelisations first allowed identifying four dimensions (the stereotypes about memory aging, the subject’s beliefs about one’s abilities, his knowledge about strategies and strategy use). A content analysis of available questionnaires evidenced an incomplete operationalisation of these dimensions, and allowed us to identify some modalities for each of them. In order to check that modalities are clearly defined, we proceeded to a comparison between different subjects with one of these questionnaires. The agreement rates are satisfying, except for two modalities, but the results constrain us to complete this study with a similar one using another questionnaire.     

The Ebbs and Flows: Stresses of Sandwich Generation Caregivers

The term sandwich generation describes individuals who are caught between the competing demands of caring for at least one dependent child and one or more aging parents. Of the approximate 8.1 million caregivers in Canada, 28 % were considered “sandwiched”. Similar trends were found in the United States, with 15 % of middle-aged adults being sandwiched financially. Currently, little is known about the unique experiences of those providing care at both ends of the generational ladder. The purpose of this qualitative investigation was to explore the lived experiences of two married sandwich generation caregivers through the use of a case study. A married male and female who were caring for two dependent children and three aging parents each completed two one-on-one interviews with the researcher. The aging parents had varying ailments and needs, and thus the level of care required for each senior fluctuated. Several salient themes emerged from the data, but the following will be the focus of this paper: (1) Ebbs and Flows and (2) Stresses of Being Sandwiched. Notably, the participants’ discussed how their lived experience differed depending on their current situation, as was also evident when the two interviews were compared. During difficult times, the participants’ faced a number of challenges which will be discussed within the paper. As such, future research being conducted with this population should be conducted at multiple time points in order to fully capture the dynamic lived experiences of sandwich generation caregivers.     

Ethical Challenges for Jewish Long Term Care Providers

ABSTRACT

This article discusses the particular ethical challenges and opportunities facing Jewish long term care providers. The discussion begins with background on Jewish healthcare ethics generally and then notes several problems in applying traditional principles in concrete situations today. Specific ethical dilemmas characterizing long term care are described, and their implications for practice within Jewish facilities are explicated. Finally, suggestions are offered regarding special contributions that can be made to both the Jewish community and the larger society by bringing the perspective of Jewish healthcare ethics to the arena of long term care provision and policy-making for aging citizens.     

Use It—and Keep It, Longer, Probably: A Reply to Salthouse (2006)

ABSTRACT— In this article, I call into serious question Salthouse's (2006) conclusions evaluating and disparaging the validity of the "use it or lose it" hypothesis regarding mental exercise and mental aging. I do so, in some part, by using data not discussed by Salthouse. The core of my argument relies heavily on a critical assessment of the conclusions that Salthouse derived from both his theoretical reasoning and his review of the literature. The more judicious conclusion I reach is that, although the whole story regarding cognitive function and aging is not known, at some level and to some degree, "using" it often delays the eventuality of "losing" it.     

Shyness and Psychological Imperialism; on the dangers of ignoring the ordinary language roots of the terms we deal with

Shyness is one of a class of psychological terms that have their roots in ordinary, everyday language. Accordingly, researchers are obliged either to base their definitions of shyness on a thoroughgoing analysis of the conditions prescribed socially for the use of the term and its derivatives, or to otherwise maintain a rigorous distinction between their use and the lay person's use of the term. Unfortunately, however, they have failed to do this. The consequences of this are outlined, including the doubtful practice of ‘Psychological Imperialism’, in which psychologists effectively superimpose their professional definitions of psychological constructs upon those developed by the lay person. The implications of this argument for the conduct of future research into shyness are discussed, and it is suggested that researchers dealing with like terms in other areas of psychology should also be alert to these dangers.     

互联网的使用对中老年人生活幸福感的影响

采用2018年中国健康与养老追踪调查数据(CHARLS),运用主成分回归和结构方程模型,探究互联网的使用对中国中老年人生活幸福感的影响。主成分回归的结果显示中老年人互联网使用程度、家庭情况以及其身体状况都会对其生活幸福感产生积极的影响,结构方程模型的结果显示中老年人家庭情况会直接或通过影响其互联网使用程度间接的对其身体状况产生积极的影响,进而提升其生活幸福感。     

Les modifications du fonctionnement exécutif dans le vieillissement normal

We provide here an overview of the current state of research in the domain of executive functioning in normal aging. Normal aging has generally been associated with executive control deficits. Although impaired performance is effectively observed for the executive functions of updating, shifting, inhibition and dual-task coordination, preserved performance is also sometimes observed. We interpreted the presence of preserved performance as reflecting the integrity of some executive sub-processes or the existence of distinct functions within an executive function previously considered as unitary. Moreover, these difficulties appear also influenced by the efficiency of attentional processes (i.e., processing speed), working memory capacity and some individual genetic characteristics. Changes in the neural networks associated to executive processes were also reported. These changes consist in increased or decreased activity in task-related networks, or the recruitment of supplementary brain areas. They are considered to reflect compensatory processes or inefficient use of brain networks, when they are respectively associated to preserved or impaired task-performance.     

Aging and sexuality

Many see old age as asexual but studies show that significant numbers of people 65 years old and older continue to desire and engage in acts of sexual intimacy as seem in long‐term care facilities and in cohabitation. Sexual ethics in the context of aging requires respect for the sexuality of older adults and sensitivity to their needs and challenges.     

年老化对风险决策和模糊决策的影响：来自生理性和病理性老化的证据

随着“全球老龄化”时代的到来, 老年人认知功能的下降引起了研究人员的广泛关注, 其中年老化对决策的影响成为了近年来的一个新关注点。风险决策和模糊决策受生理性老化和病理性老化影响的研究显示, 正常老化个体模糊决策能力受损, 但其风险决策能力受老化影响较小; 而病理性老化个体, 以阿尔兹海默症患者为例, 在两类决策行为上均表现出损伤; 此外, 脑神经机制的研究发现在完成决策任务时正常年老化个体纹状体激活模式与年轻人存在显著差异, 病理性老化个体杏仁核与腹内侧前额叶的功能连接亦存在异常。未来的研究应同时考察并比较两类决策类型, 结合外周和中枢神经证据, 深入探讨老化对决策行为及神经环路造成影响的机制。     

Effects of hormone replacement therapy and aging on cognition: evidence for executive dysfunction

The present study was designed to explore whether the frontal lobe hypothesis of cognitive aging may be extended to describe the cognitive effects associated with estrogen use in postmenopausal women. Postmenopausal estrogen-only users, estrogen + progesterone users, and non-users (60-80 years old), as well as young, regularly cycling women (18-30 years old) completed an item and source memory task. Since source memory is thought to rely more on executive processes than item memory, we hypothesized that aging and estrogen effects would be greater for source memory than for item memory. Neuropsychological tests explored whether the effects of aging and estrogen use were revealed on other tests of frontal lobe function. Results from the experimental task revealed greater aging and estrogen effects for source memory than for item memory, and neuropsychological results revealed aging and estrogen effects on a subset of tests of executive function. Women on estrogen + progesterone therapy did not outperform non-users, suggesting that the addition of progesterone to hormone therapy may mitigate the benefits induced by estrogen use alone. Overall, findings support the hypothesis that estrogen use may temper age-related cognitive decline by helping to maintain functions subserved by the frontal lobes.     

Effects of Hormone Replacement Therapy and Aging on Cognition: Evidence for Executive Dysfunction

ABSTRACT

The present study was designed to explore whether the frontal lobe hypothesis of cognitive aging may be extended to describe the cognitive effects associated with estrogen use in postmenopausal women. Postmenopausal estrogen-only users, estrogen + progesterone users, and non-users (60–80 years old), as well as young, regularly cycling women (18–30 years old) completed an item and source memory task. Since source memory is thought to rely more on executive processes than item memory, we hypothesized that aging and estrogen effects would be greater for source memory than for item memory. Neuropsychological tests explored whether the effects of aging and estrogen use were revealed on other tests of frontal lobe function. Results from the experimental task revealed greater aging and estrogen effects for source memory than for item memory, and neuropsychological results revealed aging and estrogen effects on a subset of tests of executive function. Women on estrogen + progesterone therapy did not outperform non-users, suggesting that the addition of progesterone to hormone therapy may mitigate the benefits induced by estrogen use alone. Overall, findings support the hypothesis that estrogen use may temper age-related cognitive decline by helping to maintain functions subserved by the frontal lobes.