Critical Reflections on the Body and Related Sociocultural Discourses at the Midlife Transition: An Interpretive Study of Women's Experiences

The present study explored how European American women in midlife transition think about their changing bodies and related sociocultural discourses. The work was informed by theory that illuminates a process in which middle-aged individuals critically evaluate the meaning structures used to make sense of the world and self and transform these schemes for personal relevance. In-depth interviews were conducted with 20 women transitioning into their middle-aged years. Data were analyzed using constant comparison processes. Analyses revealed two major ideological adjustments in participants' thinking, including (a) the shift from an emphasis upon external to internal aspects of the self and (b) the questioning of dominant social discourses about the female body. Although these ideological shifts seemingly contributed to participants' acceptance of their bodies at midlife, participants also expressed ambivalence about their appearances and related social discourses.     

Hypertension differentially impacts cognition in men and women in early midlife

The current study aimed to understand how sex differences in the timing of hypertension onset contribute to early midlife risk for cognitive decline that may differ by sex and whether sex-dependent advantages in normotensive populations are influenced by the presence of hypertension. One hundred and ninety-five adults aged 45–55 from the New England Family Study underwent neuropsychological testing to assess attention, executive function, and memory. Physician-diagnosed hypertension status was self-reported via questionnaire. Mid-adulthood hypertension was associated with worse performance on measures of attention and memory, but the cognitive domains impacted varied by sex. Hypertension was associated with only attention in men, whereas in women it was associated with attention and associative and working memory. Sex differences in midlife cognitive performance found in normotensive adults were attenuated in those with hypertension. Our results underscore the importance of accounting for sex when assessing the impact of hypertension on midlife cognition that could be indicative of later decline and risk for cognitive impairment and dementia, given hypertension is an independent risk factor.     

Spirituality,religiousness, personality as predictors of stress and resilience among middle-aged Vietnamese-Born American Catholics

ABSTRACT

The aim of this study was to examine the predictive power of spirituality and religiousness in terms of well-being. Spirituality and religiousness were measured by the ASPIRES Scale. Participants in this study were 171 middle-aged Vietnamese-born American Catholics. Results indicated that both resilience and stress significantly related to Prayer Fulfillment, Religious Involvement, and Religious Crisis, and Universality related significantly to resilience. A series of hierarchical multiple regressions examined the incremental predictive validity of spirituality and religiousness over gender, religious status, and personality. Results demonstrated that spirituality and religiousness incrementally predicted stress overload and resilience in midlife over these other variables (Δ R² scores ranged from .02 to .06). These findings provided further support for the hypothesis that spirituality and religiousness are important resources for managing stress and maintaining resilience for middle-aged Vietnamese-born American immigrants.     

Children's and Adults' Acquisition of Spatial Information: Actual and Simulated Environmental Experience

Undergraduate students were presented with word pairs (e.g., egg-yolk) and were timed as they decided whether one word named part of the thing named by the other word. In Experiment 1, “no” responses to nonpart pairs (e.g., fish-flaps) were slowed by the similarity of the stimulus part (flaps) to a part that the stimulus object did possess (fins). This suggested that decisions were made by retrieving parts of the stimulus object from memory and comparing them to the stimulus part. Whereas the parts used as stimuli in Experiment 1 were nonspecific, belonging to several different types of object (e.g., wheel), those selected for Experiment 2 were specific to a single type of object (e.g., thumb). In Experiment 2, “no” responses to nonpart pairs (e.g., foot-thumb) were slowed by similarity of the stimulus object (foot) to an object that the stimulus part (thumb) belonged to (hand). This suggested that decisions were made by retrieving the object to which the stimulus part belonged and comparing it to the stimulus object. The results support a hybrid model of part-whole decisions that includes directed retrieval of relational knowledge from memory and a comparison process.     

Paths to Late Midlife Well-Being for Women and Men: The Importance of Identity Development and Social Role Quality

Theories of adult development suggest that personality development and social role involvements are sources of adult well-being for both men and women. However, previous research on this topic has focused mainly on (a) women, and (b) early stages of adulthood. We tested an alternative model for predicting late-midlife adults’ well-being, with role quality, number of roles, and healthy adaptation to late midlife (reflected in lower concern about aging) as mediators of the relationship between young adult identity development and well-being in late midlife. Results indicated that the model fit women’s experience very well, and men’s experience somewhat. Follow-up analyses indicated that the model fit men’s experience with respect to family role quality, but that young adult identity played a lesser role in men’s well-being in later midlife, and that problems in the late-midlife work role were reflected in concerns about aging for men, but not for women.     

Conceptualizing Transition: The Role of Metaphor in Describing the Experience of Change at Midlife

Five new or returning midlife university students were asked to provide metaphors describing their experience of midlife change, change indicated by their attending university at this point in their lives. Five resulting portraits (S. Lawrence-Lightfoot & J. H. Davis, 1997) were created, based on participant-invoked metaphors: personal rebellion against colonization, stage productions, collection and accumulation, journey home, and alchemy and metamorphosis. The portraits indicate that even from within widely divergent metaphoric conceptualizations, the respondents all find midlife to be an active, positive, and hopeful period of life. For them midlife is decidedly neither crisis nor dull plateau. Further, given the richness of the metaphor use, the study demonstrates the desirability of listening carefully to and moreover expressly soliciting metaphoric usage, in order to more fully understand people's inner realities. Finally, the portraits reveal that the participants' metaphoric conceptions are deeply imbedded in their lives, past and current, and as such identify life themes.     

Chapters of Our Lives: Life Narratives of Midlife and Older Australian Women

A narrative approach was used to explore whether women perceive their later years as a time of loss, stability, or gain, and the explanations they give for their perceptions. Life review interviews were held with 20 married or previously married mothers aged 60–65 living in lower-income suburbs of Sydney, Australia. Participants were asked to consider their life story as a book, to divide the book into chapters, and to entitle each chapter. Two types of gain narrative accounted for 70% of the stories: one (breakouts) described gains that resulted from the womans own actions, and the other (stress relief) described gains from role changes and the passage of time. A further 20% described continuing contentment with their lives, and 10% of the accounts described later life in terms of losses. The findings suggest that one reason for the later life satisfaction regularly found by surveys of older adults may be the disappearance or diminishment of previous life stressors. As part of a planned cohort comparison, similar interviews were held with women aged 50–55 and 40–45. An additional category of ongoing stress was required to accommodate their narratives.     

Outcomes From the Transdiagnostic Sleep and Circadian Intervention (TranS-C) for Midlife and Older Adults With Serious Mental Illness and Sleep and Circadian Dysfunction

The present study tested outcomes of the Transdiagnostic Sleep and Circadian Intervention (TranS-C) among midlife and older adults with serious mental illness (SMI). Further, we tested predictors—credibility, expectancy, usefulness, and utilization—that may affect TranS-C outcomes. Midlife and older participants from a community setting (>49 years, 62.3% female, 37.7% African American or Black) with sleep and circadian problems and SMI were randomized to receive TranS-C plus usual care (TranS-C+UC, n = 27) or usual care followed by delayed treatment with TranS-C (UC-DT, n = 26). Immediate and delayed TranS-C data were combined to increase power (combined n = 52). Outcomes were assessed at pretreatment, posttreatment, and 6-month follow-up. Credibility and expectancy were assessed during the second session. Usefulness and utilization of TranS-C skills were assessed at posttreatment and 6-month follow-up. TranS-C+UC, relative to UC-DT, was associated with improvements in depression symptoms, sleep disturbance, overall sleep health, and select sleep/wake outcomes, though not all improvements were sustained at 6-month follow-up. Lower usefulness of TranS-C skills predicted more severe sleep disturbance at posttreatment and daytime sleep-related impairment at posttreatment and 6-month follow-up. Lower utilization predicted more severe psychiatric symptoms at posttreatment, sleep disturbance at posttreatment and 6-month follow-up, and overall impairment and daytime sleep-related impairment at 6-month follow-up. Higher credibility and expectancy predicted greater usefulness of TranS-C skills at posttreatment and 6-month follow-up and greater utilization at 6-month follow-up. Together, findings highlight benefits of TranS-C for midlife and older adults with SMI. However, boosting credibility, expectancy, utilization, and usefulness may meaningfully improve TranS-C outcomes.     

Demeter's Compromise: Separation,Loss, and Reconnection in Mothers with Daughters Entering Adulthood

Drawing on contemporary theory of female development that focuses on the dynamics of the mother/daughter relationship regarding issues of separation and individuation, this article examines the treatment of a middle aged mother as she navigates her way through her daughter's adolescence and early adulthood. Psychoanalytic object relations, psychoanalytic relational theory, and feminist theory serve to frame an understanding of the case material in terms of developmental challenges that are uniquely female. Issues around mother/daughter attachment, separation, competition, conflict, and love are explored in the relationships between the patient and her mother, the patient and her daughter, and the patient and the therapist. The therapist's countertransference, intensified by her relationships with her own mother and daughter, suggests the possibility of both pitfalls and opportunities in the treatment. The article attempts to address a gap in psychoanalytic developmental theory, which offers little understanding of the challenges for women in midlife.     

When Midlife Therapists Treat Midlife Patients

Abstract

Empathic attunement is the bedrock of self psychological treatment. In the treatment of midlifers who show underlying narcissistic vulnerability, achieving such empathy is sometimes more difficult that one might imagine, particularly since therapists, who are midlifers themselves, are often vulnerable to the impact of midlife stresses. Potential stumbling blocks may arise that stem from therapists' identification with and anxiety about patients' struggles that are similar to their own; difficulties relating to patients' problems that seem unfamiliar or alien; and assaults to therapists' own sense of self or selfobject needs.