When Psychologists Work with Older Adults: A Survey of Ethical Beliefs and Practices

Despite the number of publications concerning legal and ethical issues faced by psychologists, and despite the increased interest in addressing specific concerns related to aging, little is known about the actual beliefs and practices of psychologists when they work with older adults. Given the changing demographics in the United States, many mental health professionals will have contact with older adult clients, and the focus of the present study was to examine the extent to which psychologists are prepared to work competently with older adult clients. Survey data were collected from 156 APA Division 12 (Clinical Psychology) and 17 (Counseling Psychology) members regarding the degree to which they engaged in each of 50 behaviors and the degree to which they considered each behavior ethical. Findings are presented in terms of percentages of responses to items on the questionnaire, and ANOVAs were performed on important demographic items to identify statistically significant differences among variables. Coursework in geropsychology or aging, specialization with older adults, and working with a high percentage of older adults were related to higher scores on the Overall Ethical Behavior scale. Females scored higher than males on the Overall Ethical Belief scale.     

“More Life,Not Less”: Using Narrative Therapy With Older Adults With Bipolar Disorder

Counselors who work with older adults with bipolar disorder are in a unique position to help them navigate their challenges. Older adults with bipolar disorder have lived decades with mental illness and also face the regular aging process. Narrative therapy provides counselors with a framework to deal with these issues.     

Young and older adults' beliefs about effective ways to mitigate age-related memory decline

This study investigated whether young and older adults vary in their beliefs about the impact of various mitigating factors on age-related memory decline. Eighty young (ages 18-23) and 80 older (ages 60-82) participants reported their beliefs about their own memory abilities and the strategies that they use in their everyday lives to attempt to control their memory. Participants also reported their beliefs about memory change with age for hypothetical target individuals who were described as using (or not using) various means to mitigate memory decline. There were no age differences in personal beliefs about control over current or future memory ability. However, the two age groups differed in the types of strategies they used in their everyday life to control their memory. Young adults were more likely to use internal memory strategies, whereas older adults were more likely to focus on cognitive exercise and maintaining physical health as ways to optimize their memory ability. There were no age differences in rated memory change across the life span in hypothetical individuals. Both young and older adults perceived strategies related to improving physical and cognitive health as effective means of mitigating memory loss with age, whereas internal memory strategies were perceived as less effective means for controlling age-related memory decline.     

Interactions between stereotype threat,subjective aging,and memory in older adults

This study examined whether the effects of stereotype threat on memory and subjective age were moderated by positive age stereotypes and self-perceptions of aging among older adults. Perceived threat as a mechanism underlying these effects was also explored. Results showed that stereotype threat (high vs. low threat) did not affect the dependent variables. Moreover, self-perceptions of aging did not moderate the effect of stereotype threat on the dependent variables. However, for people with more positive age stereotypes, older people under highthreat perceived more threat than people under low threat. This could be explained by an effect of age stereotypes in the high-threat group: the more positive age stereotypes held by participants, the more they perceived threat, which in turn decreased their memory performance and made them feel mentally older. We hypothesized that age group identity is stronger in people with more positive age stereotypes, which increase perceived threat.     

Aging, body image, and body shape

Participants were 25 older men (M age = 72 years, SD = 10 years) and 27 older women (M age = 71 years, SD = 8 years) who examined multiple line-drawing figures of babies, children, young adults, middle-aged adults, and older adults. Participants picked a number on a Likert-type scale ranging from 1 (very thin) to 9 (very obese) in response to questions including "Which is the most attractive?" and "Which figure would you most like to look like?" They also completed questionnaires about their body image and body shape. In response to the age-specific line drawings (e.g., those depicting older men and older women), older women endorsed thinner figures (e.g., picked smaller numbers) than did men. Likewise, older women reported thinking more about their body shape and appearance than did men and perceived their body image as "a little too big" in comparison with the older men who perceived their body image as "just the right size." However, a breakdown of normal and overweight women in this sample revealed that for some overweight elderly women, obesity could become a satisfactory way of life. Much as with college-aged women, the endorsement of a thinner body image by many of the older adult female participants appeared to persist into late adulthood and suggests that research into body image issues with older adults is relevant and necessary.     

家人情感卷入对老年自我刻板印象的影响：基于潜变量增长模型的分析

本研究使用问卷法对257名老年人进行了历时1年的3次追踪测试, 采用潜变量增长模型与交叉滞后回归分析考察了家人情感卷入与老年自我刻板印象的变化趋势, 家人情感卷入发展与老年自我刻板印象发展的关系, 以及家人情感卷入对老年自我刻板印象的时序效应。结果发现：(1)老年人感知到的家人情感卷入在1年内呈线性递减, 而老年自我刻板印象呈线性增长; (2)家人情感卷入的初始水平负向预测老年自我刻板印象的初始水平与增长速率; (3)家人情感卷入的下降速率也显著预测了老年自我刻板印象的增长速率; (4)交叉滞后回归分析进一步支持了老年人家人情感卷入对老年自我刻板印象的总体负向预测作用。本研究为老年刻板印象内化的家庭过程提供了理论支持, 并对减少老年刻板印象内化、改善消极老年自我刻板印象的干预具有一定的实践价值。     

Biased recollections in older adults: the role of implicit theories of aging.

This research explored how older adults recall the traits they possessed at an earlier age. It was hypothesized that older adults' recollections would be related to their theories about aging. In Study 1, a group of older Ss provided their theories concerning how various traits change with age. Another group of older Ss rated their current status on these traits and recalled the status they possessed at a younger age. In addition, a group of younger adults rated their current status on the same traits. On traits theorized to increase with age, older Ss recalled themselves as possessing lower levels at an earlier age than the younger group reported possessing. On traits theorized to decrease with age, older Ss recalled themselves as possessing higher levels at an earlier age than the younger group reported possessing. Study 2 indicated that this effect is obtained regardless of trait positivity.     

Aging and stereotype suppression

Recent work in social cognitive aging has suggested that older adults are more likely than younger adults to activate and use stereotypic information, even when they intend not to. Furthermore, evidence suggests that older adults have difficulty altering their interpretation of a situation, even when it has become clear that their initial interpretation is incorrect. In the current study, younger and older adults read a series of narratives in which a character had a sex-stereotyped occupation (e.g., a plumber is stereotypically male), and the character's gender was either consistent or inconsistent with that stereotype. Explicit labeling of gender was also varied. Results revealed that with explicit labeling, older adults were able to discount their stereotypes and avoid processing difficulties when subsequent stereotype-inconsistent information was encountered. These data suggest that when counter-stereotypic information is explicitly provided at encoding, older adults are no more likely than younger adults to rely on stereotypes, and are similarly capable of altering their interpretation of a situation when information suggests that interpretation is incorrect. These findings indicate that although older adults are more prone to the influence of unwanted stereotypes, this effect can be averted and judgments can be made more egalitarian by providing older adults with explicit stereotype contradiction at encoding.     

Sociality and intergenerational transfer of older adults’ nostalgia

Interest in nostalgia has blossomed, yet its nature in older adulthood and potential for intergenerational transfer to younger adults has remained neglected. In Experiment 1, we focused on the content of older adults’ nostalgic (vs. ordinary) recollections and asked whether older adults’ nostalgia could be transferred to younger adults. We showed that nostalgia expressed in older adults’ narratives was positively associated with nostalgia reported by young-adult readers. In Experiment 2, undergraduates read a nostalgic or ordinary narrative written by an older adult. Then they rated their own nostalgia as well as their perceived social connectedness, self-continuity, and meaning in life. Exposure to older adults’ nostalgic (vs. ordinary) narratives promoted concurrent nostalgia among young adults, along with associated psychological benefits (social connectedness, self-continuity, meaning). The findings illustrate the potential for intergenerational transfer of nostalgia through written narratives, and attest to the universality of nostalgic themes across younger and older adults.     

Aging and Stereotype Suppression

ABSTRACT

Recent work in social cognitive aging has suggested that older adults are more likely than younger adults to activate and use stereotypic information, even when they intend not to. Furthermore, evidence suggests that older adults have difficulty altering their interpretation of a situation, even when it has become clear that their initial interpretation is incorrect. In the current study, younger and older adults read a series of narratives in which a character had a sex-stereotyped occupation (e.g., a plumber is stereotypically male), and the character's gender was either consistent or inconsistent with that stereotype. Explicit labeling of gender was also varied. Results revealed that with explicit labeling, older adults were able to discount their stereotypes and avoid processing difficulties when subsequent stereotype-inconsistent information was encountered. These data suggest that when counter-stereotypic information is explicitly provided at encoding, older adults are no more likely than younger adults to rely on stereotypes, and are similarly capable of altering their interpretation of a situation when information suggests that interpretation is incorrect. These findings indicate that although older adults are more prone to the influence of unwanted stereotypes, this effect can be averted and judgments can be made more egalitarian by providing older adults with explicit stereotype contradiction at encoding.     

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 experience of anger and sadness in everyday problems impacts age differences in emotion regulation

The authors examined regulation of the discrete emotions anger and sadness in adolescents through older adults in the context of describing everyday problem situations. The results support previous work; in comparison to younger age groups, older adults reported that they experienced less anger and reported that they used more passive and fewer proactive emotion-regulation strategies in interpersonal situations. The experience of anger partially mediated age differences in the use of proactive emotion regulation. This suggests that at least part of the reason why older adults use fewer proactive emotion-regulation strategies is their decreased experience of anger. Results are discussed in the context of lifespan theories of emotional development.     

老年夫妻的老化刻板印象对死亡焦虑的行动者效应和对象效应

目的：考察老年人的老化刻板印象对自身及配偶的死亡焦虑的影响。方法：145对老年夫妻完成老化印象量表和死亡焦虑量表,并运用行动者-对象互依模型进行数据分析。结果：（1）老化刻板印象和死亡焦虑在夫妻内部分别具有一致性;（2）老化刻板印象对自身死亡焦虑的行动者效应显著;（3）丈夫的积极老化刻板印象对妻子死亡焦虑的对象效应显著,妻子的消极老化刻板印象对丈夫死亡焦虑的对象效应显著。结论：老年人的老化刻板印象不仅影响自身而且影响配偶的死亡焦虑,但夫妻之间的影响存在性别差异。     

Age-specific differences of dual n-back training

Age-related decline in executive functions can be decisive in performing everyday tasks autonomously. Working memory (WM) is closely related to executive functions, and training of WM has yielded evidence toward cognitive plasticity in older adults. The training effects often transfer to untrained tasks and functions. These effects have mostly been shown in processes such as WM and attention, whereas studies investigating transfer to executive functions have been scarce. We trained older adults aged 57–73 years in a WM training task that was reported to be effective in producing transfer in young adults. The training intervention consisted of a dual n-back task including independently processed auditory and visual n-back tasks. We investigated transfer to tasks engaging executive functions, and compared the effects in older adults to those reported in young adults. We found that both training groups improved in the training task. Although the training effect in older adults was smaller than the training effect in young adults, the older adults still showed a notable improvement so that after training they performed on the same level as young adults without training. The older adults also showed transfer to an untrained WM updating task, a result that was in accordance with the findings in young adults; other transfer effects in older adults were lacking. We conclude that although transfer effects were scarce, the present study provides encouraging evidence toward the possibilities to compensate for age-related decline in executive functions by a WM training intervention.     

False memories and aging

Although memory processes and systems usually operate reliably, they are sometimes prone to distortions and illusions. Here we review evidence indicating that cognitive aging is often associated with increased susceptibility to various kinds of false recollections. Accumulating data indicate that older adults frequently have special difficulties recollecting the source of information, which in turn renders them vulnerable to confusing perceived and imagined experiences, and to related kinds of memory distortions. Evidence from studies of false recall and recognition indicate that older adults are sometimes more likely than younger adults to remember events that never happened, reflecting the influence of indistinct encoding of events and the use of lenient criteria during retrieval. Neuroimaging studies suggest that age-related changes in medial temporal and frontal regions may play a role in the altered functioning of specific encoding and retrieval processes that give rise to memory distortions. Future studies of aging and false memories are likely to provide a promising avenue for illuminating basic mechanisms of memory distortion.     

成功老化内涵及影响因素分析

本文在Rowe和Kahn成功老化模型的基础上,结合中国文化背景,提出了生理健康、心理功能、社会参与、生活满意度的四维度成功老化模型。人口学特征、早期经历、社会互动环境、社会历史文化等被动因素,生活方式和习惯、认知活动与训练、老化态度等主动因素,都会影响老年人的成功老化。成功老化是老年人为之奋斗的目标,积极老化是通往该目标的途径。     

Hope I Die before I Get Old: Mispredicting Happiness Across the Adult Lifespan

The tendency to overestimate the influence of circumstances on well-being has been demonstrated for a range of life events, but the perceived impact of aging on well-being has been largely overlooked. People seem to dread growing old, despite evidence that well-being improves with age. We compared the self-reported happiness of younger adults (mean age = 31) and older adults (mean age = 68) with their estimates of happiness at different ages. Self-reports confirmed increasing happiness with age, yet both younger and older participants believed that happiness declines. Both groups estimated declining happiness for the average person, but only older adults estimated this decline for themselves.     

The mental health system and older adults in the 1990s.

Trends in mental health services for older adults during the past decade were used to predict salient issues for the current decade. These include overreliance on inpatient treatment, increased use of general hospitals as treatment sites, inadequate integration with the nursing-home industry, and insufficient mental health referrals from general medical providers. In the decade ahead, the mental health needs of older adults are unlikely to be an identified focus; rather the issues will overlap with other priorities (e.g., biomedical research on brain functioning, alternative treatment programs for the chronically mentally ill, and containing health care costs). Advocates for the elderly will be successful to the extent that they cast aging services within the context of these other concerns.     

Aging and prejudice: Diminished regulation of automatic race bias among older adults

A popular view holds that older adults are more prejudiced than younger adults because they grew up in a less tolerant era. An alternative view proposes that aging corresponds with stronger prejudice among older adults because they have reduced capacity to inhibit biased associations that come to mind automatically. To independently assess these possibilities, we modeled the processes underlying implicit racial attitudes in samples of teenagers through people in their nineties. Results indicated that older adults showed greater implicit bias because they were less able to regulate the automatic associations they possessed, not because of holding stronger associations in the first place. These findings suggest that age-related increases in racial biases, even those that are implicit, may be due to self-regulatory failure of older adults, rather than to cohort effects.