Psychosocial aspects of successful ageing and resilience: critique,integration and implications / Aspectos psicológicos del envejecimiento exitoso y la resiliencia: crítica,integración e implicaciones

Abstract

As the number of older adults increases worldwide, it is becoming increasingly important to find effective ways of fostering better ageing trajectories. The models used to shape this process inform research, policy and practice and impact older adults themselves. Two important ageing models are successful ageing (SA) and resilience (RES). Aligning the conceptual framework in research contexts with those of older adults’ perspectives is an integral component of driving forward the research agenda in a manner that has the greatest potential to benefit older adults. Studies conducted with laypersons indicate that psychosocial components are important components of successful ageing models; therefore, it is imperative that these non-biomedical components are incorporated. There are many similarities between SA and RES models, but an important distinguishing feature is the incorporation of adversity into conceptualizations of resilience. SA models suggest high levels of functioning as a requirement for ageing successfully, regardless of the circumstances the individual experiences; resilience models take into account the level of adversity being experienced by the individual. Individuals can demonstrate RES by having a more positive outcome than would be expected given their level of adversity. The incorporation of psychosocial constructs into SA models and the integration of SA and RES paradigms has important implications for research and for older adults themselves. Through the promotion of models of ageing that include psychosocial components and elements of adversity, greater generalizability to a broader population is possible with enhanced potential for research derived from these efforts to more positively influence individuals’ trajectories of ageing.     

Cognitive plasticity in successful ageing: contributions from a learning potential assessment / Plasticidad cognitiva en el envejecimiento exitoso: aportes desde la evaluación del potencial de aprendizaje

Abstract

Despite numerous studies on the subject of successful ageing, few studies address the issue from a learning potential (LP) perspective. In Latin America there is no empirical background describing LP in successful ageing. In this study, 157 elderly Argentines were categorized into ageing trajectories (successful, normal and pathological ageing) based on objective scores from autonomy level, cognitive performance and mood state scales. Subjects were assessed with classic neuropychological tests, a cognitive reserve scale and an LP test. The results show differences in LP and cognitive reserve according to different ageing trajectories. This study establishes a regional precedent of relevance in the study of LP in elderly people pursuing successful ageing. It also provides evidence of the usefulness of incorporating instances of delayed free recall and recognition in an episodic memory and LP test.     

Education and Career Aspirations of Palestinian and U.S. Youth

Abstract

Belief in free will or determinism is related to attitudes toward punishment and to locus of control. The relationships remain ambiguous, however, perhaps because the belief has been viewed historically as a unidimensional construct. The responses of 507 American undergraduates to a free will-determinism questionnaire established the existence of two types of deterministic belief—psychosocial and religious-philosophical—and a separate, independent belief in libertarianism. Beliefs about punishment were multidimensional, consisting of attitudes toward punitiveness and rehabilitation. Respondents with higher scores on psychosocial or religious-philosophical determinism or libertarianism were more punitive than those with lower scores. High scores on either type of determinism were associated with more external locus of control scores. Respondents who rated the free will-determinism items for themselves and those who rated them for people in general differed on a number of dependent measures.     

Positive perception of time and its association with successful ageing / Percepción positiva del tiempo y su relación con el envejecimiento exitoso

Abstract

The objective of this study was to explore the relationship between perception of time and indicators of successful ageing. The study evaluated preference in temporal orientation, perception of speed of the passage of time and a wide range of psychosocial well-being and health indicators. The sample consisted of 1,178 people aged over 60 years from the ELES longitudinal study, which was representative of the Spanish population. Results showed that: (a) the majority of people of all ages are oriented to the present, although as they become older there is a shift towards the past; (b) orientation to the present implies higher levels of well-being and health, as opposed to orientation to the past; and (c) a perception of a faster passage of time is associated with well-being. In conclusion, the way in which older people perceive time is an indicator of adaptation, well-being and health.     

The Long and Winding Road: An Autobiographic Study of an Elite Athlete Mother’s Journey to Winning Gold

Within sport psychology, researchers have explored elite athlete mothers’ experiences. More work is needed to understand the nuanced psychosocial aspects of their athletic journeys. Studying autobiographical narratives is useful toward understanding the psychosocial nuances of motherhood and athletics in sociocultural context. Within the present study we sought to extend this understanding through studying one elite athlete’s—British runner Jo Pavey—journey as an athlete mother within her autobiography This Mum Runs (26 chapters totaling 253 pages). Thematic narrative analysis of key chapters focusing on pregnancy and motherhood in relation to training and competition allowed for the identification of a central theme—discovery narrative–reconfiguring the performance narrative—along with two subthemes: go with the flow and best of both worlds. The subthemes are used to illustrate the navigation of tensions in relation to an athlete mother identity grounded in family relationships to facilitate training and competition goals, within a discovery narrative. Applied sport psychology recommendations are made using narrative theory in relation to key findings. Recommendations focused on athlete stories and narrative resources as concrete entry points to encourage compatible athlete mother identities and sport career engagement. This study adds to sport psychology work that has used autobiography as theoretical, analytical, and applied resources to expand understanding of marginalized and/or hard to access topics in elite sport. This is the first autobiographic study to focus on elite athlete mother identities, furthering understanding of nuanced identity negotiation and experiences over time.

Lay Summary: Understanding of elite athlete mother's negotiation of identity and athletic career is expanded through studying published/public autobiographical narratives. A discovery narrative grounded in personal growth and family relationships facilitates strategies that facilitate training and competition goals.     

Hypermnesia in older people and its relationship with successful ageing / La hipermnesia en personas mayores y su relación con el envejecimiento exitoso

Abstract

This study analyses the phenomenon of hypermnesia and its relationship with variables associated with successful ageing such as age, sex, cognitive status and cognitive plasticity in older people. The sample consists of 124 institutionalized and non-institutionalized participants, whose ages ranged from 65 to 91. A specific task was used to evaluate hypermnesia; a cognitive screening test and a verbal fluency test were used to assess cognitive status, and the AVLT-LP test was used to measure cognitive plasticity. The results show significant improvements between the hypermnesia recall tests for the total sample and for all the groups, according to the variables studied. Participants with successful ageing characterized by a younger age, a high level of cognitive functioning and a greater cognitive plasticity showed better results than the other participants in the hypermnesia task with the exception of sex, which did not present differences between groups. This study confirms that hypermnesia occurs more significantly in older people with successful ageing regardless of whether they are male or female.     

Seeking an Analytic Identity

Abstract

Rothstein has stimulated all analysts to rethink how we can better commit ourselves to our analytic work. In this paper I focus on factors in analysts' personalities and experiences in their training and practice that contribute to or distract from establishing an analytic identity.

First, I explore analysts' background and motivation. In admissions to psychoanalytic institutes we look for candidates who can see psychoanalysis as an intellectual puzzle to be solved and an emotional involvement to be experienced. We look for earlv conflicts that the candidate can sublimate in the service of analytic functioning. We assume that the capacity to sublimate is only partial and that analysts in their development continue to recognize conflicts in transference—countertransference reactions.

Second, I give some examples of experiences from analysts' training that stimulate the formation of their analytic identities. These include transient identifications and counter-identifications with the training analyst, supervisor, seminar leader, and favorite analytic authors.

Third, I discuss more external factors that influence the development of analytic identity. These include the climate in training and continuing education at the institute. How much does the institute support its members in immersion in psychoanalysis? Economic factors continue to he an important factor in determining individual choice in this immersion.

Finally, I review studies on the effectiveness of psychoanalysis. Dedicated analysts with considerable experience believe that analysis works despite some limitations. Part of high motivation to continue analytic work includes understanding how analytic results differ from the simpler solutions achieved by nonanalytic therapies.     

The Impact of Coping Strategies on the Operations in the Jungle Course of the Brazilian Army

The aim of this study is to investigate which coping strategies can predict success or failure in the Brazilian Army’s Jungle Operations Course. To achieve this, the sample included 36 military volunteers (18 who quit and 18 who completed the course) from a total of 63 candidates (57.14%), all male career officers and sergeants of the Brazilian Army. Results indicate that completers (n = 18) show significantly higher scores in 2 of the 8 different coping strategy factors—self-control and positive reappraisal—than those in the quitters group (n = 18). In general, emotion-focused strategies were prominent in relation to problem-focused ones. The findings of this study suggest that coping strategies focused on emotion, especially self-control and positive reappraisal, can influence individuals’ performance in situations of intensive military training, which possibly makes them more resilient, preparing them for a more successful training.     

Profiles of Resilience and Psychosocial Outcomes among Young Black Gay and Bisexual Men

Young Black gay/bisexual men (YBGBM) are affected by contextual stressors—namely syndemic conditions and minority stress—that threaten their health and well‐being. Resilience is a process through which YBGBM achieve positive psychosocial outcomes in the face of adverse conditions. Self‐efficacy, hardiness and adaptive coping, and social support may be important resilience factors for YBGBM. This study explores different profiles of these resilience factors in 228 YBGBM in New York City and compares profiles on psychological distress, mental health, and other psychosocial factors. Four profiles of resilience were identified: (a) Low self‐efficacy and hardiness/adaptive coping (23.5%); (b) Low peer and parental support (21.2%); (c) High peer support, low father support (34.5%); and (d) High father and mother support, self‐efficacy, and hardiness/adaptive coping (20.8%). YBGBM in profile 1 scored markedly higher on distress (d = .74) and lower on mental health functioning (d = .93) compared to men in the other profiles. Results suggest that self‐efficacy and hardiness/adaptive coping may play a more important role in protecting YBGBM from risks compared to social support and should be targeted in interventions. The findings show that resilience is a multidimensional construct and support the notion that there are different patterns of resilience among YBGBM.     

“How old do you feel today at work?” Work-related drivers of subjective age in the workplace

ABSTRACT

Most Western societies face the challenge of steadily ageing workforces. In recent decades, research on ageing has intensively focused on the subjective age concept to understand the challenges and risks of increasingly ageing workforces. Nevertheless, the subjective age construct is subject to several conceptual uncertainties, namely, regarding its stability and potential work-specific drivers of subjective age. We address these limitations by a) investigating the stability of subjective age in a worker sample, and b) identifying work-specific drivers (e.g., negative work events, positive work events, work stress) of subjective age perceptions. Building on social identity and lifespan theories, we test our conceptual assumptions with an online sample of 168 U.S. employees, applying growth curve modelling in a daily diary study over one workweek. Results indicate that subjective age is a mutable construct and varies between- and within-person in the course of a workweek. We identify positive work events and work stress as between-person drivers and negative work events as a within-person driver of subjective age. We discuss theoretical implications of these findings as well as consequences for practitioners.     

Memory rehabilitation for older adults: preserving independent living / Rehabilitación de la memoria para adultos mayores: preservación de la autonomía de vida

Abstract

Episodic memory problems are the hallmark of cognitive ageing in normal elderly people. Learning of new material is worse in pathological cognitive ageing, such as dementia and its preliminary states (mild cognitive impairment). Because episodic learning is crucial to preserve independent living in the elderly, rehabilitation programmes for everyday memory problems are welcomed. The scope of scientific interest has switched from treatment to prevention. We claim that lifestyle interventions are the most direct way to preserve cognition. We summarize evidence for changes in nutrition and exercise. In addition, psychological interventions for elderly people with normal or pathological cognitive ageing are available. Recent meta-analyses found lacking evidence of transfer to everyday life and long-term effects. We critically assess these meta-analyses. We propose theoretically derived experimental interventions relying on spared learning mechanisms. As an example we report visual-imagery training showing positive effects in a randomized control trial, using individual memory diaries on memory improvement.     

Anxiogenic Patterns in Mother-Child Interactions

ABSTRACT

The current study examined psychosocial variables associated with the development of anxiety in children. While previous literature has established parental affectionless control as an important contributor to the development of anxiety in children, few have examined this construct within the dynamic context of parent-child interaction. In the current study, the affect and behavior of anxious mothers and their children (ages 6 to 12 years) were examined during two mildly stressful tasks, with a total of 64 mother-child dyads participating in the study. Analyses supported the hypothesis that maternal affectionless control mediates the relationship between child anxiety and child disengagement/withdrawal from difficult tasks. Results are discussed in terms of implications for psychosocial mechanisms of the familial transmission of anxiety.     

Ageing Health Care and the Spiritual Imperative: A View from Scotland

SUMMARY

This paper, given as a keynote presentation at the third international conference on Ageing and Spirituality 2004 in Adelaide, Australia, offers a perspective on ageing that makes central and fundamental the spiritual journey. Ageing is not confined to the old. We are all ageing all the time and whilst the imperative of ego integration (Erikson, 1986, 1982) is more pressing in old age, the march of time makes no exceptions. The paper starts with a consideration of the Scottish context and the current interest in Scotland in spirituality and health. Borrowing from the human developmental ideas of Frankl, Jung, Erikson, and Klein, the paper takes the view that we are all spiritual beings, and we are all trying to be successful, integrated reconciled and mature individuals. Ageing and spirituality is relevant to every individual. Successful ageing is fundamentally concerned with the successful self. The spiritual journey is bound up with the search for meaning. Ageing is part of the task of being human and it involves decline and loss. The spiritual journey–search for meaning–is unique to each one of us. The spiritual journey is made evident in the search for the ultimate destination of giving up self, transcending self. Remembrance and routine are methods by which the ageing and the spiritual journey can be facilitated. A successful ageing, according to this perspective, is therefore one that embraces and self-consciously embarks upon a spiritual journey. To take it further–the spiritual journey is bound up with ageing–and further still–ageing is a spiritual journey (Bianchi, 1984). The primary task of ageing is spiritual development. Spiritual development is helped by an appropriate societal context in which ageing as spiritual journey can flourish. This has implications for health and social care services.     

The relevance of current clinical practice in child psychotherapy to child psychiatry

SUMMARY

The role of child psychiatrists is evolving. Economic and psychosocial factors such as marital breakdown, inner city decline, unemployment, plus increased awareness of conditions such as Substance Abuse and all forms of Child Abuse have led to stress for children and their caretakers. There is also increasing recognition that with help many troubled children and their families can emerge better able to function. Child psychiatrists occupy a pivotal position in the child mental health team and need to be familiar with all the treatment options available to ensure their effective use. This paper presents examples of current work being undertaken by child psychotherapists and discusses the implications of this for the training of child psychiatrists as well as for clinical work.     

The role of self-efficacy and job satisfaction on absences from work

IntroductionAbsenteeism is a relevant and costly issue for organizations, constantly looking at its antecedents in order to reduce the phenomenon.ObjectiveThis study aims to deepen the concurrent role — that has been rarely investigated in predicting absence — of self-efficacy and job satisfaction, testing both a direct as well as an indirect relation.MethodSelf-efficacy and job satisfaction were measured in a sample of 1160 white-collars from the main Italian delivery company, a privatized organization. Then, the self-report questionnaire was matched with objective data on absences (i.e., the total days lost at work over 12 months).ResultsThe results of Structural Equation Modeling (SEM) lent support to the indirect relation between self-efficacy and absences from work via job satisfaction, but not to the direct link.ConclusionThese findings show that training in self-efficacy can lead to higher job satisfaction and therefore to greater work attendance.     

Evaluation of an integrated fluency and Acceptance and Commitment Therapy intervention for adolescents and adults who stutter: Participant perspectives

PurposeChildhood-onset stuttering is a neurodevelopmental disorder that may cause pervasive negative consequences for adults who stutter. In addition to significant challenges in personal, social, and emotional domains, stuttering has been shown to impose an economic burden on adults who stutter. Intervention for adults who stutter has historically addressed speech fluency more so than the covert psychosocial aspects of the disorder. There is an identified clinical need for holistic, efficacious, and cost-effective stuttering interventions that meet consumer needs. The purpose of the present study is to evaluate a novel, integrated intervention that combined traditional fluency techniques with Acceptance and Commitment Therapy, from the perspective of the adults who stutter who participated in the intervention.MethodTwenty-eight adults who stutter completed the intervention program. Participants were invited to complete an online post-program written survey (including qualitative comments) and a semi-structured interview to explore their evaluations of the program with respect to its authenticity, acceptability, and social validity.ResultsParticipants perceived positive psychosocial changes as a result of the program, and were satisfied with the program overall. Qualitative thematic analyses of the written survey comments and the semi-structured interviews identified two major themes: factors specific to the intervention and factors specific to the therapeutic process. Several important sub-themes were also identified.ConclusionFindings support the authenticity, acceptability, and social validity of an integrated fluency and psychosocial intervention for stuttering. Findings also highlight the need for consideration of the consumer voice in the management of stuttering disorders, in keeping with person-centred care.     

The impact of a laryngectomy on the spouse: Who is better off?

Background: Diabetes self-care is a key element in the overall management of diabetes. However, the importance of psychosocial factors for successful disease management is under investigated. This study aimed at exploring the role of coping styles and social support in the relationship between self-care activities and glycated haemoglobin in patients with type 2 diabetes.

Methods: One hundred adults (60% female, aged 40–70 years) with type 2 diabetes completed questionnaires assessing self-care activities, coping styles and social support. In addition, a blood test was performed to obtain glycated haemoglobin levels.

Results: Result showed significant relationships of glycated haemoglobin with self-care activities, coping styles and social support. Regression analysis indicated that social support had a moderating role on the relationship between self-care activities and glycated haemoglobin, such that, at very high levels of social support the association, between Self-Care and HbA1c disappears.

Conclusions: Findings indicate that health care providers, within the context of the Iranian social and cultural situation, should pay more attention to psychosocial factors when addressing self-care activities. Delineation of the role of coping styles and social support might be useful for identifying patients in need of particular counselling and support for improving self-care activities and HbA1c levels.     

Negotiating female judoka identities in Greece: A Foucauldian discourse analysis

ObjectivesThe objectives of this paper are to trace the discourses through which female Greek judokas articulate their sporting experiences and to explore how they construct their identities through the negotiation of sociocultural beliefs and gender stereotypes.DesignThis article is based on interview data from a larger ethnographic research with women judo athletes, grounded in a cultural praxis framework.MethodTen semi-structured interviews were conducted during fieldwork in Greece. Interview data were analyzed drawing on a Foucauldian approach to discourse analysis.ResultsWe identified four concepts—biology, gender, femininity, and judo/sport—that were central to unearthing the discourses in which female Greek judokas constructed their identities. Female athletes (strategically) negotiated multiple identities, each serving different purposes.ConclusionThe gender power dynamics in Greek society at large are reproduced in the sporting experience of Greek female judokas. Although women have agency to negotiate their identity, they tend to accept the “given” subject positions within dominant discourses of gender relations. By doing so, female athletes become agents in the reproduction of patriarchal power.     

The challenge of cross-cultural quality of life assessment

Abstract

As a result of an increased international cooperation in the health care field, the demand for cross-culturally applicable, patient-oriented instruments to assess the need for and to evaluate the outcome of medical interventions has also grown. However, basic problems exist in assessing health-related quality of life—one of the most prominent outcomes—across cultures. Conceptually it is unclear to which extent the quality of life construct is transferable from one cultural context to another. Methodologically, ways to assess the construct have to be sensitive to different cultures and practically, application of quality of life measures may be difficult. The current paper addresses these issues, presenting the current state of the art in cross-cultural development of health-related quality of life assessment instruments as well as a critical review thereof. Examples are provided from internationally active working groups in terms of the translation, psychometric testing and norming of quality of life questionnaires.