Chapter 25Chapter 25& Epilogue& Epilogue

Psychosocial Development inPsychosocial Development inLate AdulthoodLate Adulthood

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Death and DyingDeath and Dying Michael Hoerger

Psychosocial Theories of Late AdulthoodPsychosocial Theories of Late Adulthood

1.1. Integrity vs. Despair (Erikson): mortality Integrity vs. Despair (Erikson): mortality leads one to reflect on life and feel leads one to reflect on life and feel complete or incompletecomplete or incomplete

2.2. Selective optimizationSelective optimization

3.3. Disengagement theory: as social sphere Disengagement theory: as social sphere dwindles, passes on the torch and withdrawdwindles, passes on the torch and withdraw

4.4. Activity theory: social involvement is Activity theory: social involvement is important, withdrawal only occurs due to important, withdrawal only occurs due to ageismageism

5.5. Continuity theory: Continuity theory: changes occur in changes occur in late adulthood, late adulthood, but people but people generally behave generally behave in the same way in the same way as earlier in lifeas earlier in life

All theories have All theories have some weightsome weight

DyingDying

Hospice care: palliative care for terminally Hospice care: palliative care for terminally ill patientsill patients

Palliative care: medical care designed to Palliative care: medical care designed to relieve physical and emotional pain rather relieve physical and emotional pain rather than cure illnessthan cure illness

Double effectDouble effect

DeathDeath

Legal right of competent (mentally sound) Legal right of competent (mentally sound) people to refuse treatmentpeople to refuse treatment

Passive euthanasia: letting one die by Passive euthanasia: letting one die by removing interventions that would prolong removing interventions that would prolong lifelife

Active euthanasia: taking action to cause Active euthanasia: taking action to cause deathdeath Physician-assisted suicidePhysician-assisted suicide

PassivePassive

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ActiveActive

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Ethical DilemmasEthical Dilemmas

3 years of painful, terminal cancer, costing 3 years of painful, terminal cancer, costing $100,000 year. Adjustment in medication $100,000 year. Adjustment in medication accidentally leads heart to stop. Resuscitate?accidentally leads heart to stop. Resuscitate?

Diagnosed with neurological disorder that will Diagnosed with neurological disorder that will lead to intense pain, inability to feed oneself lead to intense pain, inability to feed oneself or go to the bathroom on own, will die in 2 or go to the bathroom on own, will die in 2 months. Physician-assisted suicide?months. Physician-assisted suicide?

After years in a coma, diagnosed with a After years in a coma, diagnosed with a permanent vegetative state (brain dead). permanent vegetative state (brain dead). Physician-assisted suicide?Physician-assisted suicide?

DeathDeath

Living will (document) or health care proxy Living will (document) or health care proxy (person) can be designated to make (person) can be designated to make decisions if one is unable to do sodecisions if one is unable to do so

Bereavement: normative sense of loss Bereavement: normative sense of loss following deathfollowing death

Grief: emotional reaction to bereavementGrief: emotional reaction to bereavement

Mourning: traditions related to bereavementMourning: traditions related to bereavement

Disenfranchised grief: excluding some Disenfranchised grief: excluding some people from mourning ceremoniespeople from mourning ceremonies

Michael HoergerMichael Hoerger

To cite this textbook:To cite this textbook:Berger, K. (2005). Berger, K. (2005). The developing person The developing person through the lifespanthrough the lifespan. New York: Worth.. New York: Worth.

To cite this lecture:To cite this lecture:Hoerger, M. (2007, April 18). Hoerger, M. (2007, April 18). Developmental Psychology: Late Developmental Psychology: Late Adulthood Psychosocial Development and Adulthood Psychosocial Development and DeathDeath. Presented at a PSY 220 lecture at . Presented at a PSY 220 lecture at Central Michigan University.Central Michigan University.