Using Wellness and Resilience to Predict Age Perception in Older Adulthood

The authors surveyed 210 adults ages 56 to 97 to better understand which variables affect perceptions of aging. A correlational design was used to determine whether wellness and resilience predicted positive age perception and internalized ageism among this group. Both variables were found to significantly predict age perception, and the data supported an interaction effect between age and resilience when predicting internalized ageism. Results may inform counselors, counselor educators, and other professionals who work with older adults.     

Wellness During Midlife and Older Adulthood: A Different Perception

The authors explored how midlifers and older adults perceive wellness by factor analyzing the Perceived Wellness Survey (PWS; Adams, Bezner, & Steinhardt, 1997 ). Results indicated a 4‐factor solution different from the 6 originally proposed wellness dimensions of the PWS, suggesting that wellness perceptions change as people age. Suggestions for further research are proposed.     

Counseling for Wellness With Older Adults

Resulting from the assumption that older adulthood is a time of decline, there is a dearth of research on the application of wellness counseling with older adults. This article reviews the literature on wellness and older adults, synthesizes wellness with adult development theory, and describes wellness counseling with older adults.     

The Current State of Gerontological Counseling Research: A 26‐Year Content Analysis

Because of demographic changes and the prioritization of Medicare reimbursement, there is greater attention to the mental health needs of older adults. To better understand the current state of gerontological counseling research, the authors completed a content analysis of counseling scholarship spanning 26 years. Only 1.68% of the articles reviewed focused on topics related to gerontological counseling. The authors analyzed publishing patterns, topics explored, and the roles of theory and empirical research in gerontological counseling research.     

Changing Attitudes Toward Older Adults Through a Simulated Aging Exercise: Implications for Family Therapy

Past research suggests that many young people hold negative attitudes toward the elderly. Simulated aging is one method to reduce aging that had been successfully applied with those individuals working in the helping professions. However, it has not yet been applied to ordinary young adults. The current study examined whether a simulated aging activity would cause more positive attitudes toward the aged, an increased desire to help, and higher satisfaction with life. Seventy-eight college students participated; half were randomly assigned to complete three tasks with sensory deficits designed to simulate aging (i.e., wearing non-magnified glasses covered with petroleum jelly, wearing foam earplugs, and wearing cloth gloves), and half served as the control. Three questionnaires were completed that measured attitudes toward older adults, prosocial desires, and satisfaction with life. Results showed that young adults who experienced simulated aging had more favorable attitudes toward older adults than did individuals in the control condition. These results suggest that simulated aging activities may be an effective method to reduce ageism. This has potential implications for multigenerational family therapy, such as to assist younger people to understand what their grandparents may be experiencing.     

The Impact of Spirituality on Wellness for Appalachian Older Adults

The authors examined the role spirituality can play as a protective factor in the wellness of older adults residing in the Appalachian region of the United States. Analysis of participants' interviews identified 4 themes. These themes and implications for counselors working with Appalachian older adults are discussed.     

Counseling Older Adults with Dementia: A Survey of Therapists in Massachusetts

Although much has been written about therapeutic interventions with caregivers, little is known about the counseling services that are available for victims of dementia. The present study was designed to explore community mental health center (CMHC) services and therapists' experiences in providing psychotherapy to this population in Massachusetts. Only 27 of the 36 CMHCs in the state reported providing mental health services to older adults with a dementing illness. A survey of therapists who specialized in working with older adults found that the percentage of older adult clients estimated to have dementia averaged about half of their caseload. Older persons in the early phase of a dementing illness were most frequently referred for depression and anxiety, whereas those with moderate decline were most frequently referred for management of disruptive behavior. The most common services provided to clients with dementia consisted of assessment and individual counseling. The latter finding indicates a discrepancy between what is practiced and the professional literature. Most of the psychotherapy described in the literature concerns group interventions, which were rarely provided by the mental health centers in Massachusetts. The centers tended to offer individual counseling; however, little information on how to provide this form of treatment can be found.     

Patterns of Change in Prayer Activity,Expectancies, and Contents During Older Adulthood

Prayer is the most common form of religious practice and a central part of religious experience, yet little is known about whether individuals’ prayer activities and beliefs tend to remain stable or develop over the life course. This study examines change during the course of older adulthood in a range of dimensions of prayer, including total frequency of private prayer, specific beliefs and expectancies regarding prayer, and the contents of prayers. Data come from four waves of an ongoing longitudinal survey of Christian older adults, covering a period of seven years. Growth curve analysis was used to model patterns of within‐person change in these factors. Linear increase was observed in total prayer frequency and in beliefs about prayer emphasizing placing trust in God over expecting immediate rewards. Frequency of prayer increased for all types of prayer contents, including prayers for others, for God's will, in thanksgiving, for guidance, for health, and for material goods. Only the belief that one's prayers are answered remained stable during the course of the study. Results highlight the dynamic nature of prayer beliefs and behaviors in late life, and partially support a pattern of growing faith maturity.     

Gerontological Counseling Trends in Adultspan Journal: 1999–2019

Using quantitative content analysis, we categorized 76 out of 154 articles (49.35%) published in Adultspan Journal from 1999 to 2019 as focused on gerontological counseling. This study explored publication trends for these articles and compared results with a larger study (Fullen et al., 2019) on publication trends for gerontological counseling across all counseling‐related journals.     

Analyzing the Impact of the Medicare Coverage Gap on Counseling Professionals: Results of a National Study

The authors surveyed 6,550 members of the American Counseling Association regarding the current impact of Medicare policy on counseling professionals. More than half of respondents (54.8%) had been directly affected by Medicare reimbursement barriers, including 70.0% of practicing counselors. Statistical analyses indicated significant associations between years in the profession, direct experience with the Medicare coverage gap, and participation in professional advocacy related to Medicare. Implications for counselors, counselor educators, and counseling scholarship are discussed.     

Taking Access to the Community: An Ecological Systems Framework for In‐Home Counseling With Older Adults

Bronfenbrenner's (1977) ecological systems theory is a holistic framework placing an individual in a system's context to address their concerns. This article offers a case study demonstrating use of the theory with older adults and the in‐home setting. Implications for the counseling field and future research needs are discussed.     

Pastoral Counseling of Older Adults: Toward a Short-term Integrative Approach

A rapidly aging population with its mental health care needs presents an enormous challenge in the current mental health field. In light of this, pastoral counselors will have an increasingly important role to play in the care of older adults because of their strategic position in the community and their competence in dealing with religious/spiritual issues particularly salient in old age. This article proposes a short-term integrative approach to enable pastoral counselors to effectively and efficiently meet the mental health care needs of the elderly.

Psychosocial Predictors of Wellness in College Students

The authors examined how the first 6 stages of psychosocial development predict wellness in undergraduate college students using the Measures of Psychosocial Development (Hawley, 1988 ) and the Perceived Wellness Survey (Adams, Bezner, & Steinhardt, 1997 ). Results indicated that 4 of the 6 stages predict wellness in college students. Clinical implications for counselors of this population are provided.     

Older adult research in the Journal of Counseling Psychology,The Counseling Psychologist,and Counselling Psychology Quarterly: A 15-year review and implications for research

In preparing for an aging global population, older adults’ well-being has become an urgent priority across the world. Counseling psychologists have also called upon the field for more empirical attention on older adults. Yet, a review of the literature revealed that older adults were represented in less than 2% of all the articles in the Journal of Counseling Psychology (JCP) and The Counseling Psychologist (TCP) from 1991 to 2000. The current study presents a follow-up review of older adult research in counseling psychology literature between 2001 and 2015 in the following mainstream journals: Counselling Psychology Quarterly (CPQ), JCP, and TCQ. Results suggest a decline in the past 15 years, with less than 1% of the total articles in JCP, TCP, and CPQ devoted to older adults. Most of the studies employed cross-sectional survey research design to examine predictors of mental health. A number of studies focused on culture-specific experiences of diverse older adults. Implications and suggestions for future research on older adult issues are discussed in relation to the principles and interests rooted in the field of counseling psychology.     

Review of Social Cognition Research on Stereotyping: Application to Psychologists Working with Older Adults

This paper summarizes a number of cognitive processes that contribute to the formation and maintenance of stereotypes. Specific discussion centers on how these may play a role in shaping perceptions of older adults. Suggestions are offered as to how psychologists might combat their tendency to stereotype because older adults have special needs that must be identified to provide accurate case conceptualization and effective psychotherapy from a professional ethics perspective.     

老年人重要社会支持的特点及其与老化态度的关系

采用重要他人和老化态度问卷测查了441名老年人的社会支持和老化态度情况,并且从支持的数量和质量角度以及实际支持和期望支持的角度细致考察了社会支持与老化态度的关系。结果表明：（1）老年人的支持来源符合社会支持层级模式;（2）性别、年龄及受教育水平对老年人社会支持有显著影响;（3）老年人从重要他人那里获得的实际社会支持的质量越高,老化态度越积极。     

Age and Emotion in Adulthood

Evidence suggests that positive affect rises from youth through young and then older adulthood, but may decline after one’s mid-70s. Negative affect appears to decrease steadily from early adulthood to older adulthood, but this decline may taper off in the oldest years. The relationship between age and affect in adulthood is further complicated by the effects of moderators, such as extraversion and marital status. Despite these complexities, recent empirical studies and current theory have furthered the understanding of age and affect in adulthood, although important questions remain.     

Effectiveness of Cognitive-Behavioral Insomnia Treatment in a Community Sample of Older Individuals: More Questions than Conclusions

Effectiveness of two modified stimulus control insomnia interventions plus daily sleep self-monitoring for managing insomnia was investigated in a community sample of older adults. Significant post intervention improvement was observed in both interventions as well as in a self-monitoring only control condition. This unexpected finding led us to question the role of self-monitoring as a potential mediator of therapeutic change. Therefore, we compared long-term follow-up data from treated participants to data from similarly poor sleepers who only completed the questionnaire battery at Pre-test and long term follow-up, with no intervening treatment or self-monitoring. Both groups of poor sleepers reduced their reported amount of nocturnal wakefulness. However, only treated participants improved on their perceived frequency of insomnia episodes and insomnia-related distress. Our findings have implications both for the definition and the treatment of insomnia.