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Friday, October 26, 2018

Longevity

From Wikipedia, the free encyclopedia

Comparison of male and female life expectancy at birth for countries and territories as defined in the 2011 CIA Factbook, with selected bubbles labelled. The green dotted line corresponds to equal female and male life expectancy. The apparent 3D volumes of the bubbles are linearly proportional to their population

The word "longevity" is sometimes used as a synonym for "life expectancy" in demography. However, the term longevity is sometimes meant to refer only to especially long-lived members of a population, whereas life expectancy is always defined statistically as the average number of years remaining at a given age. For example, a population's life expectancy at birth is the same as the average age at death for all people born in the same year (in the case of cohorts). Longevity is best thought of as a term for general audiences meaning 'typical length of life' and specific statistical definitions should be clarified when necessary.

Reflections on longevity have usually gone beyond acknowledging the brevity of human life and have included thinking about methods to extend life. Longevity has been a topic not only for the scientific community but also for writers of travel, science fiction, and utopian novels.

There are many difficulties in authenticating the longest human life span ever by modern verification standards, owing to inaccurate or incomplete birth statistics. Fiction, legend, and folklore have proposed or claimed life spans in the past or future vastly longer than those verified by modern standards, and longevity narratives and unverified longevity claims frequently speak of their existence in the present.

A life annuity is a form of longevity insurance.

Life expectancy, as of 2010

Various factors contribute to an individual's longevity. Significant factors in life expectancy include gender, genetics, access to health care, hygiene, diet and nutrition, exercise, lifestyle, and crime rates. Below is a list of life expectancies in different types of countries: Population longevities are increasing as life expectancies around the world grow:
  • Australia: 80 years in 2002, 81.72 years in 2010
  • France: 79.05 years in 2002, 81.09 years in 2010
  • Germany: 77.78 years in 2002, 79.41 years in 2010
  • Italy: 79.25 years in 2002, 80.33 years in 2010
  • Japan: 81.56 years in 2002, 82.84 years in 2010
  • Monaco: 79.12 years in 2002, 79.73 years in 2011
  • Spain: 79.06 years in 2002, 81.07 years in 2010
  • UK: 80 years in 2002, 81.73 years in 2010
  • USA: 77.4 years in 2002, 78.24 years in 2010

Long-lived individuals

The Gerontology Research Group validates current longevity records by modern standards, and maintains a list of supercentenarians; many other unvalidated longevity claims exist. Record-holding individuals include:
  • Eilif Philipsen (1682–1785, 102 years, 333 days): first person to reach the ages of 100, 101, and 102 (on July 21, 1782) and whose age could be validated.
  • Geert Adriaans Boomgaard (1788–1899, 110 years, 135 days): first person to reach the age of 110 (on September 21, 1898) and whose age could be validated
  • Margaret Ann Neve, (18 May 1792 – 4 April 1903, 110 years, 346 days) the first validated female supercentenarian (on 18 May 1902)
  • Jeanne Calment (1875–1997, 122 years, 164 days): the oldest person in history whose age has been verified by modern documentation. This defines the modern human life span, which is set by the oldest documented individual who ever lived.
  • Sarah Knauss (1880–1999, 119 years, 97 days): the second oldest documented person in modern times and the oldest American.
  • Jiroemon Kimura (1897–2013, 116 years, 54 days): the oldest man in history whose age has been verified by modern documentation.

Major factors

Old man at a nursing home in Norway

Evidence-based studies indicate that longevity is based on two major factors, genetics and lifestyle choices.

Genetics

Twin studies have estimated that approximately 20-30% the variation in human lifespan can be related to genetics, with the rest due to individual behaviors and environmental factors which can be modified. Although over 200 gene variants have been associated with longevity according to a US-Belgian-UK research database of human genetic variants, these explain only a small fraction of the heritability. A 2012 study found that even modest amounts of leisure time physical exercise can extend life expectancy by as much as 4.5 years.

Lymphoblastoid cell lines established from blood samples of centenarians have significantly higher activity of the DNA repair protein PARP (Poly ADP ribose polymerase) than cell lines from younger (20 to 70 year old) individuals. The lymphocytic cells of centenarians have characteristics typical of cells from young people, both in their capability of priming the mechanism of repair after H2O2 sublethal oxidative DNA damage and in their PARP gene expression. These findings suggest that elevated PARP gene expression contributes to the longevity of centenarians, consistent with the DNA damage theory of aging.

Change over time

In preindustrial times, deaths at young and middle age were more common than they are today. This is not due to genetics, but because of environmental factors such as disease, accidents, and malnutrition, especially since the former were not generally treatable with pre-20th century medicine. Deaths from childbirth were common for women, and many children did not live past infancy. In addition, most people who did attain old age were likely to die quickly from the above-mentioned untreatable health problems. Despite this, we do find many examples of pre-20th century individuals attaining lifespans of 85 years or greater, including Benjamin Franklin, Thomas Jefferson, John Adams, Cato the Elder, Thomas Hobbes, Eric of Pomerania, Christopher Polhem, and Michelangelo. This was also true for poorer people like peasants or laborers. Genealogists will almost certainly find ancestors living to their 70s, 80s and even 90s several hundred years ago.

For example, an 1871 census in the UK (the first of its kind, but personal data from other censuses dates back to 1841 and numerical data back to 1801) found the average male life expectancy as being 44, but if infant mortality is subtracted, males who lived to adulthood averaged 75 years. The present life expectancy in the UK is 77 years for males and 81 for females, while the United States averages 74 for males and 80 for females.

Studies have shown that black American males have the shortest lifespans of any group of people in the US, averaging only 69 years (Asian-American females average the longest). This reflects overall poorer health and greater prevalence of heart disease, obesity, diabetes, and cancer among black American men.

The normal duration of life was estimated to be 65-67 years in ancient times, 68-71 years in the Middle Ages, and 72-74 years in the first half of the 19th century.

Women normally outlive men. Theories for this include smaller bodies (and thus less stress on the heart), a stronger immune system (since testosterone acts as an immunosuppressant), and less tendency to engage in physically dangerous activities.

There is debate as to whether the pursuit of longevity is a worthwhile health care goal. Bioethicist Ezekiel Emanuel, who is also one of the architects of ObamaCare, has argued that the pursuit of longevity via the compression of morbidity explanation is a "fantasy" and that longevity past age 75 should not be considered an end in itself. This has been challenged by neurosurgeon Miguel Faria, who states that life can be worthwhile in healthy old age, that the compression of morbidity is a real phenomenon, and that longevity should be pursued in association with quality of life. Faria has discussed how longevity in association with leading healthy lifestyles can lead to the postponement of senescence as well as happiness and wisdom in old age.

Limited longevity

All of the biological organisms have a limited longevity, and different species of animals and plants have different potentials of longevity. Misrepair-accumulation aging theory suggests that the potential of longevity of an organism is related to its structural complexity. Limited longevity is due to the limited structural complexity of the organism. If a species of organisms has too high structural complexity, most of its individuals would die before the reproduction age, and the species could not survive. This theory suggests that limited structural complexity and limited longevity are essential for the survival of a species.

Longevity myths

Longevity myths are traditions about long-lived people (generally supercentenarians), either as individuals or groups of people, and practices that have been believed to confer longevity, but for which scientific evidence does not support the ages claimed or the reasons for the claims. A comparison and contrast of "longevity in antiquity" (such as the Sumerian King List, the genealogies of Genesis, and the Persian Shahnameh) with "longevity in historical times" (common-era cases through twentieth-century news reports) is elaborated in detail in Lucian Boia's 2004 book Forever Young: A Cultural History of Longevity from Antiquity to the Present and other sources.

After the death of Juan Ponce de León, Gonzalo Fernández de Oviedo y Valdés wrote in Historia General y Natural de las Indias (1535) that Ponce de León was looking for the waters of Bimini to cure his aging. Traditions that have been believed to confer greater human longevity also include alchemy, such as that attributed to Nicolas Flamel. In the modern era, the Okinawa diet has some reputation of linkage to exceptionally high ages.

Longevity claims may be subcategorized into four groups: "In late life, very old people often tend to advance their ages at the rate of about 17 years per decade .... Several celebrated super-centenarians (over 110 years) are believed to have been double lives (father and son, relations with the same names or successive bearers of a title) .... A number of instances have been commercially sponsored, while a fourth category of recent claims are those made for political ends ...." The estimate of 17 years per decade was corroborated by the 1901 and 1911 British censuses. Time magazine considered that, by the Soviet Union, longevity had been elevated to a state-supported "Methuselah cult". Robert Ripley regularly reported supercentenarian claims in Ripley's Believe It or Not!, usually citing his own reputation as a fact-checker to claim reliability.

Future

The U.S. Census Bureau view on the future of longevity is that life expectancy in the United States will be in the mid-80s by 2050 (up from 77.85 in 2006) and will top out eventually in the low 90s, barring major scientific advances that can change the rate of human aging itself, as opposed to merely treating the effects of aging as is done today. The Census Bureau also predicted that the United States would have 5.3 million people aged over 100 in 2100. The United Nations has also made projections far out into the future, up to 2300, at which point it projects that life expectancies in most developed countries will be between 100 and 106 years and still rising, though more and more slowly than before. These projections also suggest that life expectancies in poor countries will still be less than those in rich countries in 2300, in some cases by as much as 20 years. The UN itself mentioned that gaps in life expectancy so far in the future may well not exist, especially since the exchange of technology between rich and poor countries and the industrialization and development of poor countries may cause their life expectancies to converge fully with those of rich countries long before that point, similarly to the way life expectancies between rich and poor countries have already been converging over the last 60 years as better medicine, technology, and living conditions became accessible to many people in poor countries. The UN has warned that these projections are uncertain, and cautions that any change or advancement in medical technology could invalidate such projections.

Recent increases in the rates of lifestyle diseases, such as obesity, diabetes, hypertension, and heart disease, may eventually slow or reverse this trend toward increasing life expectancy in the developed world, but have not yet done so. The average age of the US population is getting higher and these diseases show up in older people.

Jennifer Couzin-Frankel examined how much mortality from various causes would have to drop in order to boost life expectancy and concluded that most of the past increases in life expectancy occurred because of improved survival rates for young people. She states that it seems unlikely that life expectancy at birth will ever exceed 85 years. Michio Kaku argues that genetic engineering, nanotechnology and future breakthroughs will accelerate the rate of life expectancy increase indefinitely. Already genetic engineering has allowed the life expectancy of certain primates to be doubled, and for human skin cells in labs to divide and live indefinitely without becoming cancerous.

However, since 1840, record life expectancy has risen linearly for men and women, albeit more slowly for men. For women the increase has been almost three months per year, for men almost 2.7 months per year. In light of steady increase, without any sign of limitation, the suggestion that life expectancy will top out must be treated with caution. Scientists Oeppen and Vaupel observe that experts who assert that "life expectancy is approaching a ceiling ... have repeatedly been proven wrong." It is thought that life expectancy for women has increased more dramatically owing to the considerable advances in medicine related to childbirth.

Non-human biological longevity

Currently living:
Non-living:
  • Possibly 250-million year-old bacteria, Bacillus permians, were revived from stasis after being found in sodium chloride crystals in a cavern in New Mexico. Russell Vreeland, and colleagues from West Chester University in Pennsylvania, reported on October 18, 2000 that they had revived the halobacteria after bathing them with a nutrient solution. If they had survived for 250 million years, they would be the oldest living organisms ever recorded. However, their findings date the crystal surrounding the bacteria, and DNA analysis suggests the bacteria themselves are likely to be less ancient.
  • A bristlecone pine nicknamed "Prometheus", felled by a climate dynamics researcher in the Great Basin National Park in Nevada in 1964, found to be about 4,900 years old, is the longest-lived single organism known.
  • The quahog clam (Arctica islandica) is exceptionally long-lived, with a maximum recorded age of 507 years, the longest of any animal. Other clams of the species have been recorded as living up to 374 years.
  • Lamellibrachia luymesi, a deep-sea cold-seep tubeworm, is estimated to reach ages of over 250 years based on a model of its growth rates.
  • Hanako was the longest-lived vertebrate ever recorded at 226 years.
  • A bowhead whale killed in a hunt was found to be approximately 211 years old (possibly up to 245 years old), the longest-lived mammal known.
  • Tu'i Malila, a radiated tortoise presented to the Tongan royal family by Captain Cook, lived for over 185 years. It is the oldest documented reptile. Adwaitya, an Aldabra Giant Tortoise, may have lived for up to 250 years.

Biological immortality

Certain exotic organisms do not seem to be subject to aging and can live indefinitely. Examples include Tardigrades and Hydras. That is not to say that these organisms cannot die, merely that they only die as a result of disease or injury rather than age-related deterioration (and that they are not subject to the Hayflick limit).

Old age

From Wikipedia, the free encyclopedia

An elderly woman at a Ringing Cedars' settlement in Russia

Old age refers to ages nearing or surpassing the life expectancy of human beings, and is thus the end of the human life cycle. Terms and euphemisms include old people, elderly (worldwide usage), seniors (American usage), senior citizens (British and American usages), older adults (in the social sciences), the elderly, and elders (in many cultures—including the cultures of aboriginal people).

Old people often have limited regenerative abilities and are more susceptible to disease, syndromes, injuries and sickness than younger adults. The organic process of ageing is called senescence, the medical study of the aging process is called gerontology, and the study of diseases that afflict the elderly is called geriatrics. The elderly also face other social issues around retirement, loneliness, and ageism.

Old age is not a definite biological stage, as the chronological age denoted as "old age" varies culturally and historically.

In 2011, the United Nations proposed a human rights convention that would specifically protect older persons.

Definitions

Old Woman Dozing by Nicolaes Maes (1656). Royal Museums of Fine Arts, Brussels

Definitions of old age include official definitions, sub-group definitions, and four dimensions as follows.

Official definitions

Old age comprises "the later part of life; the period of life after youth and middle age . . ., usually with reference to deterioration". At what age old age begins cannot be universally defined because it differs according to the context. The United Nations has agreed that 65+ years may be usually denoted as old age and this is the first attempt at an international definition of old age. However, for its study of old age in Africa, the World Health Organization (WHO) set 55 as the beginning of old age. At the same time, the WHO recognized that the developing world often defines old age, not by years, but by new roles, loss of previous roles, or inability to make active contributions to society.

Most developed Western countries set the age of 60 to 65 for retirement. Being 60–65 years old is usually a requirement for becoming eligible for senior social programs. However, various countries and societies consider the onset of old age as anywhere from the mid-40s to the 70s. The definitions of old age continue to change especially as life expectancy in developed countries has risen to beyond 80 years old. In October 2016, a paper published in the science journal Nature presented the conclusion that the maximum human lifespan is an average age of 115, with an absolute upper limit of 125 years. However, the authors' methods and conclusions drew criticism from the scientific community, who concluded that the study was flawed.

Sub-group definitions

Gerontologists have recognized the very different conditions that people experience as they grow older within the years defined as old age. In developed countries, most people in their 60s and early 70s are still fit, active, and able to care for themselves. However, after 75, they will become increasingly frail, a condition marked by serious mental and physical debilitation.

Therefore, rather than lumping together all people who have been defined as old, some gerontologists have recognized the diversity of old age by defining sub-groups. One study distinguishes the young old (60 to 69), the middle old (70 to 79), and the very old (80+). Another study's sub-grouping is young-old (65 to 74), middle-old (75–84), and oldest-old (85+). A third sub-grouping is "young old" (65–74), "old" (74–84), and "old-old" (85+). Delineating sub-groups in the 65+ population enables a more accurate portrayal of significant life changes.

Two British scholars, Paul Higgs and Chris Gilleard, have added a "fourth age" sub-group. In British English, the "third age" is "the period in life of active retirement, following middle age". Higgs and Gilleard describe the fourth age as "an arena of inactive, unhealthy, unproductive, and ultimately unsuccessful ageing".

Dimensions of old age

Key Concepts in Social Gerontology lists four dimensions: chronological, biological, psychological, and social. Wattis and Curran add a fifth dimension: developmental. Chronological age may differ considerably from a person's functional age. The distinguishing marks of old age normally occur in all five senses at different times and different rates for different persons. In addition to chronological age, people can be considered old because of the other dimensions of old age. For example, people may be considered old when they become grandparents or when they begin to do less or different work in retirement.

Senior citizen

Senior citizen is a common euphemism for an old person used in American English, and sometimes in British English. It implies that the person being referred to is retired. This in turn usually implies that the person is over the retirement age, which varies according to country. Synonyms include old age pensioner or pensioner in British English, and retiree and senior in American English. Some dictionaries describe widespread use of "senior citizen" for people over the age of 65.

When defined in an official context, senior citizen is often used for legal or policy-related reasons in determining who is eligible for certain benefits available to the age group.

It is used in general usage instead of traditional terms such as old person, old-age pensioner, or elderly as a courtesy and to signify continuing relevance of and respect for this population group as "citizens" of society, of senior rank.

The term was apparently coined in 1938 during a political campaign. Famed caricaturist Al Hirschfeld claimed on several occasion that his father Isaac Hirschfeld invented the term 'senior citizen'. It has come into widespread use in recent decades in legislation, commerce, and common speech. Especially in less formal contexts, it is often abbreviated as "senior(s)", which is also used as an adjective.

In commerce, some businesses offer customers of a certain age a "senior discount". The age at which these discounts are available varies between 55, 60, 62 or 65, and other criteria may also apply. Sometimes a special "senior discount card" or other proof of age needs to be obtained and produced to show entitlement.

Age qualifications

The age which qualifies for senior citizen status varies widely. In governmental contexts, it is usually associated with an age at which pensions or medical benefits for the elderly become available. In commercial contexts, where it may serve as a marketing device to attract customers, the age is often significantly lower.

In the United States, the standard retirement age is currently 66 (gradually increasing to 67).

In Canada, the OAS (Old Age Security) pension is available at 65 (the Conservative government of Stephen Harper had planned to gradually increase the age of eligibility to 67, starting in the years 2023–2029, although the Liberal government of Justin Trudeau is considering leaving it at 65), and the CPP (Canada Pension Plan) as early as age 60.

The AARP allows couples in which one spouse has reached the age of 50 to join, regardless of the age of the other spouse.

Marks of old age

The distinguishing characteristics of old age are both physical and mental. The marks of old age are so unlike the marks of middle age that legal scholar Richard Posner suggests that, as an individual transitions into old age, he/she can be thought of as different persons "time-sharing" the same identity.

These marks do not occur at the same chronological age for everyone. Also, they occur at different rates and order for different people. Marks of old age can easily vary between people of the same chronological age.

A basic mark of old age that affects both body and mind is "slowness of behavior". This "slowing down principle" finds a correlation between advancing age and slowness of reaction and physical and mental task performance. However, studies from Buffalo University and Northwestern University have shown that the elderly are a happier age group than their younger counterparts.

Physical marks of old age

Physical marks of old age include the following:
  • Bone and joint. Old bones are marked by "thinning and shrinkage". This might result in a loss of height (about two inches (5 cm) by age 80), a stooping posture in many people, and a greater susceptibility to bone and joint diseases such as osteoarthritis and osteoporosis.
  • Chronic diseases. Some older persons have at least one chronic condition and many have multiple conditions. In 2007–2009, the most frequently occurring conditions among older persons in the United States were uncontrolled hypertension (34%), diagnosed arthritis (50%), and heart disease (32%).
  • Chronic mucus hypersecretion (CMH) "defined as coughing and bringing up sputum . . . is a common respiratory symptom in elderly persons."
  • Dental problems. May have less saliva and less ability for oral hygiene in old age which increases the chance of tooth decay and infection.
  • Digestive system. About 40% of the time, old age is marked by digestive disorders such as difficulty in swallowing, inability to eat enough and to absorb nutrition, constipation and bleeding.
  • Essential Tremor (ET) is an uncontrollable shaking in a part of the upper body. It is more common in the elderly and symptoms worsen with age.
  • Eyesight. Presbyopia can occur by age 50 and it hinders reading especially of small print in low lighting. Speed with which an individual reads and the ability to locate objects may also be impaired. By age 80, more than half of all Americans either have a cataract or have had cataract surgery.
  • Falls. Old age spells risk for injury from falls that might not cause injury to a younger person. Every year, about one-third of those 65 years old and over half of those 80 years old fall. Falls are the leading cause of injury and death for old people.
  • Gait change. Some aspects of gait normally change with old age. Gait velocity slows after age 70. Double stance time (i.e., time with both feet on the ground) also increases with age. Because of gait change, old people sometimes appear to be walking on ice.
  • Hair usually becomes grayer and also might become thinner. As a rule of thumb, around age 50, about 50% of Europeans have 50% grey hair. Many men are affected by balding, and women enter menopause.
  • Hearing. By age 75 and older, 48% of men and 37% of women encounter impairments in hearing. Of the 26.7 million people over age 50 with a hearing impairment, only one in seven uses a hearing aid. In the 70–79 age range, the incidence of partial hearing loss affecting communication rises to 65%, predominantly among low-income males.
  • Hearts can become less efficient in old age with a resulting loss of stamina. In addition, atherosclerosis can constrict blood flow.
  • Immune function. Less efficient immune function (Immunosenescence) is a mark of old age.
  • Lungs might expand less well; thus, they provide less oxygen.
  • Mobility impairment or loss. "Impairment in mobility affects 14% of those between 65 and 74, but half of those over 85." Loss of mobility is common in old people. This inability to get around has serious "social, psychological, and physical consequences".
  • Pain afflicts old people at least 25% of the time, increasing with age up to 80% for those in nursing homes. Most pains are rheumatological or malignant.
  • Sexuality remains important throughout the lifespan and the sexual expression of "typical, healthy older persons is a relatively neglected topic of research". Sexual attitudes and identity are established in early adulthood and change minimally over the course of a lifetime. However, sexual drive in both men and women may decrease as they age. That said, there is a growing body of research on people's sexual behaviours and desires in later life that challenges the "asexual" image of older adults. People aged 75–102 continue to experience sensuality and sexual pleasure. Other known sexual behaviours in older age groups include sexual thoughts, fantasies and erotic dreams, masturbation, oral sex, vaginal and anal intercourse.
  • Skin loses elasticity, becomes drier, and more lined and wrinkled.
  • Wounds and injuries take longer to heal.
  • Wounds and injuries are more likely to leave permanent scars.
  • Sleep trouble holds a chronic prevalence of over 50% in old age and results in daytime sleepiness. In a study of 9,000 persons with a mean age of 74, only 12% reported no sleep complaints. By age 65, deep sleep goes down to about 5%.
  • Taste buds diminish so that by age 80 taste buds are down to 50% of normal. Food becomes less appealing and nutrition can suffer.
  • Over the age of 85, thirst perception decreases, such that 41% of the elderly drink insufficiently.
  • Urinary incontinence is often found in old age.
  • Voice. In old age, vocal cords weaken and vibrate more slowly. This results in a weakened, breathy voice that is sometimes called an "old person's voice".

Mental marks of old age

Mental marks of old age include the following:
  • Adaptable describes most people in their old age. Despite the stressfulness of old age, they are described as "agreeable" and "accepting". However, old age dependence induces feelings of incompetence and worthlessness in a minority.
  • Caution marks old age. This antipathy toward "risk-taking" stems from the fact that old people have less to gain and more to lose by taking risks than younger people.
  • Depressed mood. According to Cox, Abramson, Devine, and Hollon (2012), old age is a risk factor for depression caused by prejudice (i.e., "deprejudice"). When people are prejudiced against the elderly and then become old themselves, their anti-elderly prejudice turns inward, causing depression. "People with more negative age stereotypes will likely have higher rates of depression as they get older." Old age depression results in the over-65 population having the highest suicide rate.
  • Fear of crime in old age, especially among the frail, sometimes weighs more heavily than concerns about finances or health and restricts what they do. The fear persists in spite of the fact that old people are victims of crime less often than younger people.
  • Increasing fear of health loss.
  • Mental disorders afflict about 15% of people aged 60+ according to estimates by the World Health Organization. Another survey taken in 15 countries reported that mental disorders of adults interfered with their daily activities more than physical problems.
  • Reduced mental and cognitive ability may afflict old age. Memory loss is common in old age due to the decrease in speed of information being encoded, stored, and retrieved. It takes more time to learn the same amount of new information. Dementia is a general term for memory loss and other intellectual abilities serious enough to interfere with daily life. Its prevalence increases in old age from about 10% at age 65 to about 50% over age 85. Alzheimer's disease accounts for 50 to 80 percent of dementia cases. Demented behavior can include wandering, physical aggression, verbal outbursts, depression, and psychosis.
  • Set in one's ways describes a mind set of old age. A study of over 400 distinguished men and women in old age found a "preference for the routine". Explanations include old age's toll on the "fluid intelligence" and the "more deeply entrenched" ways of the old.

Perceptions of old age

Old age from a middle-age perspective

Many books by middle-age writers depict their perceptions of old people. One writer notices the change in his parents: they move slowly, they have lost strength, they repeat stories, their minds wander, and they fret. Another writer sees her aged parents and is bewildered: they refuse to follow her advice, they are obsessed with the past, they avoid risk, they live at a "glacial pace".

Other writers treat the perceptions of middle-age people regarding their own old age. In her The Denial of Aging, Dr. Muriel R. Gillick, a baby boomer, accuses her contemporaries of believing that by proper exercise and diet they can avoid the scourges of old age and proceed from middle age to death. Studies find that many people in the 55–75 range can postpone morbidity by practicing healthy lifestyles. These discourses take part in a general idea of successful ageing. However, at about age 80, all people experience similar morbidity. Even with healthy lifestyles, most 85+ people will undergo extended "frailty and disability".

Old age from an old-age perspective

Early old age is a pleasant time; children are grown, retirement from work, time to pursue interests. Many people are also willing to get involved in community and activist organizations to promote their well-being. In contrast, perceptions of old age by writers 80+ years old (old age in the real meaning of the term) tend to be negative.

Georges Minois (Wikidata) writes that the first man to talk about his old age was an Egyptian scribe who lived 4,500 years ago. The scribe addressed God with a prayer of lament:
O Sovereign my Lord! Oldness has come; old age has descended. Feebleness has arrived; dotage is here anew. The heart sleeps wearily every day.

The eyes are weak, the ears are deaf, the strength is disappearing because of weariness of the heart and the mouth is silent and cannot speak.

The heart is forgetful and cannot recall yesterday. The bone suffers old age. Good is become evil. All taste is gone. What old age does to men is evil in every respect.
Minois comments that the scribe's "cry shows that nothing has changed in the drama of decrepitude between the age of the Pharaoh and the atomic age" and "expresses all the anguish of old people in the past and the present".

Lillian Rubin, active in her 80s as an author, sociologist, and psychotherapist, opens her book 60 on Up: The Truth about Aging in America with "getting old sucks. It always has, it always will." Dr. Rubin contrasts the "real old age" with the "rosy pictures" painted by middle-age writers.

Writing at the age of 87, Mary C. Morrison delineates the heroism required by old age: to live through the disintegration of one's own body or that of someone you love. Morrison concludes, "old age is not for the fainthearted." In the book Life Beyond 85 Years, the 150 interviewees had to cope with physical and mental debilitation and with losses of loved ones. One interviewee described living in old age as "pure hell".

Old age from society's perspective

Based on his survey of old age in history, Georges Minois concludes that "it is clear that always and everywhere youth has been preferred to old age." In western thought, "old age is an evil, an infirmity and a dreary time of preparation for death." Furthermore, death is often preferred over "decrepitude, because death means deliverance".

"The problem of the ambiguity of old age has . . . been with us since the stage of primitive society; it was both the source of wisdom and of infirmity, experience and decrepitude, of prestige and suffering."

In the Classical period of Greek and Roman cultures, old age was denigrated as a time of "decline and decrepitude". "Beauty and strength" were esteemed and old age was viewed as defiling and ugly. Old age was reckoned as one of the unanswerable "great mysteries" along with evil, pain, and suffering. "Decrepitude, which shrivels heroes, seemed worse than death."

The Medieval and Renaissance periods depicted old age as "cruel or weak".

Historical periods reveal a mixed picture of the "position and status" of old people, but there has never been a "golden age of aging". Studies have disproved the popular belief that in the past old people were venerated by society and cared for by their families. Veneration for and antagonism toward the aged have coexisted in complex relationships throughout history. "Old people were respected or despised, honoured or put to death according to circumstance."

In ancient times, although some strong and healthy people lived until they were over 70 most died before they were 50. The general understanding is that those who lived into their 40's were treated with respect and awe. In contrast, those who were frail were seen as a burden and ignored or in extreme cases killed. People were defined as "old" because of their inability to perform useful tasks rather than their years.

"The Olympians did not like old people." Their youth rebelled against the old, driving them off or killing them.

Although he was skeptical of the gods, Aristotle concurred in the dislike of old people. In his Ethics, he wrote that "old people are miserly; they do not acknowledge disinterested friendship; only seeking for what can satisfy their selfish needs."

The 16th-century Utopians, Thomas More and Antonio de Guevara, allowed no decrepit old people in their fictional lands.

For Thomas More, on the island of Utopia, when people are so old as to have "out-lived themselves" and are terminally ill, in pain, and a burden to everyone, the priests exhort them about choosing to die. The priests assure them that "they shall be happy after death." If they choose to die, they end their lives by starvation or by taking opium.

Antonio de Guevara's utopian nation "had a custom, not to live longer than sixty five years". At that age, they practiced self-immolation. Rather than condemn the practice, Bishop Guevara called it a "golden world" in which people "have overcome the natural appetite to desire to live".

In the Modern period, the "cultural status" of old people has declined in many cultures. Joan Erikson observed that "aged individuals are often ostracized, neglected, and overlooked; elders are seen no longer as bearers of wisdom but as embodiments of shame."

Research on age-related attitudes consistently finds that negative attitudes exceed positive attitudes toward old people because of their looks and behavior. In his study Aging and Old Age, Posner discovers "resentment and disdain of older people" in American society.

Harvard University's implicit-association test measures implicit "attitudes and beliefs" about Young vis a vis Old. Blind Spot: Hidden Biases of Good People, a book about the test, reports that 80% of Americans have an "automatic preference for the young over old" and that attitude is true worldwide. The young are "consistent in their negative attitude" toward the old. Ageism documents that Americans generally have "little tolerance for older persons and very few reservations about harboring negative attitudes" about them.

Despite its prevalence, ageism is seldom the subject of public discourse.

In 2014, a documentary film called The Age of Love used humor and poignant adventures of 30 seniors who attend a speed dating event for 70- to 90-year-olds, and discovered how the search for romance changes; or does not change; from a childhood sweetheart to older age.

Old age from simulated perspective

Simone de Beauvoir wrote that "there is one form of experience that belongs only to those that are old – that of old age itself." Nevertheless, simulations of old age attempt to help younger people gain some understanding.

Texas A&M University offers a plan for an "Aging Simulation" workshop. The workshop is adapted from Sensitizing People to the Processes of Aging. Some of the simulations follow:
  • Sight: Wearing swimmer's goggles with black paper pasted to lens with only a small hole to simulate tunnel vision,
  • Hearing: Use ear plugs to dull the sound of people talking.
  • Touch: Wearing thick gloves, button a shirt or buckle a belt.
  • Dexterity: With tape around several fingers, unscrew a jar lid.
  • Mobility and Balance: Carry packages in one hand while using a walker.
The Macklin Intergenerational Institute conducts Xtreme Aging workshops, as depicted in The New York Times. A condensed version was presented on NBC's Today Show and is available online. One exercise was to lay out 3 sets of 5 slips of paper. On set #1, write your 5 most enjoyed activities; on set #2, write your 5 most valued possessions; on set #3, write your 5 most loved people. Then "lose" them one by one, trying to feel each loss, until you have lost them all as happens in old age.

Old age frailty

An image of an elderly man being guided by a young child accompanies William Blake's poem London, from his Songs of Innocence and Experience

Most people in the age range of 60–80 (the years of retirement and early old age), enjoy rich possibilities for a full life, but the condition of frailty distinguished by "bodily failure" and greater dependence becomes increasingly common after that. In the United States, hospital discharge data from 2003 to 2011 shows that injury was the most common reason for hospitalization among patients aged 65+.

Gerontologists note the lack of research regarding and the difficulty in defining frailty. However, they add that physicians recognize frailty when they see it.

A group of geriatricians proposed a general definition of frailty as "a physical state of increased vulnerability to stressors that results from decreased reserves and disregulation in multiple physiological systems".

Prevalence of frailty

Frailty is a common condition in later old age but different definitions of frailty produce diverse assessments of prevalence. One study placed the incidence of frailty for ages 65+ at 10.7%. Another study placed the incidence of frailty in age 65+ population at 22% for women and 15% for men. A Canadian study illustrated how frailty increases with age and calculated the prevalence for 65+ as 22.4% and for 85+ as 43.7%.

A worldwide study of "patterns of frailty" based on data from 20 nations found (a) a consistent correlation between frailty and age, (b) a higher frequency among women, and (c) more frailty in wealthier nations where greater support and medical care increases longevity.

In Norway, a 20-year longitudinal study of 400 people found that bodily failure and greater dependence became prevalent in the 80+ years. The study calls these years the "fourth age" or "old age in the real meaning of the term". Similarly, the "Berlin Aging Study" rated over-all functionality on four levels: good, medium, poor, and very poor. People in their 70s were mostly rated good. In the 80–90 year range, the four levels of functionality were divided equally. By the 90–100 year range, 60% would be considered frail because of very poor functionality and only 5% still possessed good functionality.

In the United States, the 85+ age group is the fastest growing, a group that is almost sure to face the "inevitable decrepitude" of survivors. (Frailty and decrepitude are synonyms.)

Markers of frailty

Three unique markers of frailty have been proposed: (a) loss of any notion of invincibility, (b) loss of ability to do things essential to one's care, and (c) loss of possibility for a subsequent life stage.

Old age survivors on-average deteriorate from agility in their 65–80s to a period of frailty preceding death. This deterioration is gradual for some and precipitous for others. Frailty is marked by an array of chronic physical and mental problems which means that frailty is not treatable as a specific disease. These problems coupled with increased dependency in the basic activities of daily living (ADLs) required for personal care add emotional problems: depression and anxiety. In sum, frailty has been depicted as a group of "complex issues," distinct but "causally interconnected," that often include "comorbid diseases", progressive weakness, stress, exhaustion, and depression.

Misconceptions of frail people

Johnson and Barer did a pioneering study of Life Beyond 85 Years by interviews over a six-year period. In talking with 85-year-olds and older, they found some popular conceptions about old age to be erroneous. Such erroneous conceptions include (1) people in old age have at least one family member for support, (2) old age well-being requires social activity, and (3) "successful adaptation" to age-related changes demands a continuity of self-concept. In their interviews, Johnson and Barer found that 24% of the 85+ had no face-to-face family relationships; many have outlived their families. Second, that contrary to popular notions, the interviews revealed that the reduced activity and socializing of the over-85s does not harm their well-being; they "welcome increased detachment". Third, rather than a continuity of self-concept, as the interviewees faced new situations they changed their "cognitive and emotional processes" and reconstituted their "self–representation".

Care and costs

The hand of an elderly person

Frail people require a high level of care. Medical advances have made it possible to "postpone death" for years. This added time costs many frail people "prolonged sickness, dependence, pain, and suffering".

According to a study by the Agency for Healthcare Research and Quality (AHRQ), the rate of emergency department visits was consistently highest among patients ages 85 years and older in 2006–2011 in the United States. Additionally, patients aged 65+ had the highest percentage of hospital stays for adults with multiple chronic conditions but the second highest percentage of hospital costs in 2003–2014.

These final years are also costly in economic terms. One out of every four Medicare dollars is spent on the frail in their last year of life in attempts to postpone death.

Medical treatments in the final days are not only economically costly, they are often unnecessary, even harmful. Nortin Hadler, M.D. warns against the tendency to medicalize and overtreat the frail. In her Choosing Medical Care in Old Age, Michael R. Gillick M.D. argues that appropriate medical treatment for the frail is not the same as for the robust. The frail are vulnerable to "being tipped over" by any physical stress put on the system such as medical interventions.

Death and frailty

Old age, death, and frailty are linked because approximately half the deaths in old age are preceded by months or years of frailty.

Older Adults' Views on Death is based on interviews with 109 people in the 70–90 age range, with a mean age of 80.7. Almost 20% of the people wanted to use whatever treatment that might postpone death. About the same number said that, given a terminal illness, they would choose assisted suicide. Roughly half chose doing nothing except live day by day until death comes naturally without medical or other intervention designed to prolong life. This choice was coupled with a desire to receive palliative care if needed.

About half of older adults suffer multimorbidity, that is, they have three or more chronic conditions. Medical advances have made it possible to "postpone death," but in many cases this postponement adds "prolonged sickness, dependence, pain, and suffering," a time that is costly in social, psychological, and economic terms.

The longitudinal interviews of 150 age 85+ people summarized in Life Beyond 85 Years found "progressive terminal decline" in the year prior to death: constant fatigue, much sleep, detachment from people, things, and activities, simplified lives. Most of the interviewees did not fear death; some would welcome it. One person said, "Living this long is pure hell." However, nearly everyone feared a long process of dying. Some wanted to die in their sleep; others wanted to die "on their feet".

The study of Older Adults' Views on Death found that the more frail people were, the more "pain, suffering, and struggles" they were enduring, the more likely they were to "accept and welcome" death as a release from their misery. Their fear about the process of dying was that it would prolong their distress. Besides being a release from misery, some saw death as a way to reunion with departed loved ones. Others saw death as a way to free their caretakers from the burden of their care.

Religiosity in old age

Generally speaking, old people have always been more religious than young people. At the same time, wide cultural variations exist.

In the United States, 90% of old age Hispanics view themselves as very, quite, or somewhat religious. The Pew Research Center's study of black and white old people found that 62% of those in ages 65–74 and 70% in ages 75+ asserted that religion was "very important" to them. For all 65+ people, more women (76%) than men (53%) and more blacks (87%) than whites (63%) consider religion "very important" to them. This compares to 54% in the 30–49 age range.

In a British 20-year longitudinal study, less than half of the old people surveyed said that religion was "very important" to them, and a quarter said they had become less religious in old age. The late-life rise in religiosity is stronger in Japan than in the United States, but in the Netherlands it is minimal.

In the practice of religion, a study of 60+ people found that 25% read the Bible every day and over 40% look at religious TV. Pew Research found that in the age 65+ range, 75% of whites and 87% of blacks pray daily.

Participation in organized religion is not a good indicator of religiosity because transportation and health problems often hinder participation.

Demographic changes

In the industrialized countries, life expectancy and, thus, the old age population have increased consistently over the last decades. In the United States the proportion of people aged 65 or older increased from 4% in 1900 to about 12% in 2000. In 1900, only about 3 million of the nation's citizens were 65 or older (out of 76 million total American citizens). By 2000, the number of senior citizens had increased to about 35 million (of 280 million US citizens). Population experts estimate that more than 50 million Americans—about 17 percent of the population—will be 65 or older in 2020. By 2050, it is projected that at least 400,000 Americans will be 100 or older.

The number of old people is growing around the world chiefly because of the post–World War II baby boom and increases in the provision and standards of health care. By 2050, 33% of the developed world's population and almost 20% of the less developed world's population will be over 60 years old.

The growing number of people living to their 80s and 90s in the developed world has strained public welfare systems and has also resulted in increased incidence of diseases like cancer and dementia that were rarely seen in premodern times. When the United States Social Security program was created, persons older than 65 numbered only around 5% of the population and the average life expectancy of a 65-year-old in 1936 was approximately 5 years, while in 2011 it could often range from 10 to 20 years. Other issues that can arise from an increasing population are growing demands for health care and an increase in demand for different types of services.

Of the roughly 150,000 people who die each day across the globe, about two thirds—100,000 per day—die of age-related causes. In industrialized nations, the proportion is much higher, reaching 90%.

Psychosocial aspects

An elderly Khmer woman

According to Erik Erikson's "Stages of Psychosocial Development", the human personality is developed in a series of eight stages that take place from the time of birth and continue on throughout an individual's complete life. He characterises old age as a period of "Integrity vs. Despair", during which a person focuses on reflecting back on his life. Those who are unsuccessful during this phase will feel that their life has been wasted and will experience many regrets. The individual will be left with feelings of bitterness and despair. Those who feel proud of their accomplishments will feel a sense of integrity. Successfully completing this phase means looking back with few regrets and a general feeling of satisfaction. These individuals will attain wisdom, even when confronting death. Coping is a very important skill needed in the aging process to move forward with life and not be 'stuck' in the past. The way a person adapts and copes, reflects his aging process on a psycho-social level.

For people in their 80s and 90s, Joan Erikson added a ninth stage in The Life Cycle Completed: Extended Version. As she wrote, she added the ninth stage because the Integrity of the eighth stage imposes "a serious demand on the senses of elders" and the Wisdom of the eighth stage requires capacities that ninth stage elders "do not usually have".

Newman & Newman also proposed a ninth stage of life, Elderhood. Elderhood refers to those individuals who live past the life expectancy of their birth cohorts. There are two different types of people described in this stage of life. The "young old" are the healthy individuals who can function on their own without assistance and can complete their daily tasks independently. The "old old" are those who depend on specific services due to declining health or diseases. This period of life is characterized as a period of "immortality vs. extinction". Immortality is the belief that your life will go on past death, some examples are an afterlife or living on through one's family. Extinction refers to feeling as if life has no purpose.

Theories of old age

An elderly Somali woman
 
An elderly woman walks down a road
Social theories, or concepts, propose explanations for the distinctive relationships between old people and their societies.

One of the theories is the disengagement theory proposed in 1961. This theory proposes that in old age a mutual disengagement between people and their society occurs in anticipation of death. By becoming disengaged from work and family responsibilities, according to this concept, people are enabled to enjoy their old age without stress. This theory has been subjected to the criticism that old age disengagement is neither natural, inevitable, nor beneficial. Furthermore, disengaging from social ties in old age is not across the board: unsatisfactory ties are dropped and satisfying ones kept.

In opposition to the disengagement theory, the activity theory of old age argues that disengagement in old age occurs not by desire, but by the barriers to social engagement imposed by society. This theory has been faulted for not factoring in psychological changes that occur in old age as shown by reduced activity, even when available. It has also been found that happiness in old age is not proportional to activity.

According to the continuity theory, in spite of the inevitable differences imposed by their old age, most people try to maintain continuity in personhood, activities, and relationships with their younger days.

Socioemotional selectivity theory also depicts how people maintain continuity in old age. The focus of this theory is continuity sustained by social networks, albeit networks narrowed by choice and by circumstances. The choice is for more harmonious relationships. The circumstances are loss of relationships by death and distance.

Life expectancy

Life expectancy by nation at birth in the year 2011 ranged from 48 years to 82. Low values indicate high death rates for infants and children.

In most parts of the world women live, on average, longer than men; even so, the disparities vary between 12 years in Russia to no difference or higher life expectancy for men in countries such as Zimbabwe and Uganda.

The number of elderly persons worldwide began to surge in the second half of the 20th century. Up to that time (and still true in underdeveloped countries), five or less percent of the population was over 65. Few lived longer than their 70s and people who attained advanced age (i.e. their 80s) were rare enough to be a novelty and were revered as wise sages. The worldwide over-65 population in 1960 was one-third of the under 5 population. By 2013, the over-65 population had grown to equal the under 5 population. The over-65 population is projected to double the under five by 2050.

Before the surge in the over-65 population, accidents and disease claimed many people before they could attain old age, and health problems in those over 65 meant a quick death in most cases. If a person lived to an advanced age, it was due to genetic factors and/or a relatively easy lifestyle, since diseases of old age could not be treated before the 20th century.

In October 2016, scientists identified the maximum human lifespan at an average age of 115, with an absolute upper limit of 125 years. However, the concept of a maximum lifespan in humans is still widely debated among the scientific community.

Old age benefits

German chancellor Otto von Bismarck created the world's first comprehensive government social safety net in the 1880s, providing for old age pensions.

In the United States of America, and the United Kingdom, 65 (UK 60 for women) was traditionally the age of retirement with full old age benefits.

In 2003, the age at which a United States citizen became eligible for full Social Security benefits began to increase gradually, and will continue to do so until it reaches 67 in 2027. Full retirement age for Social Security benefits for people retiring in 2012 is age 66. In the United Kingdom, the state pension age for men and women will rise to 66 in 2020 with further increases scheduled after that."

Originally, the purpose of old age pensions was to prevent elderly persons from being reduced to beggary, which is still common in some underdeveloped countries, but growing life expectancies and older populations have brought into question the model under which pension systems were designed. By 1990, the United States was spending 30 per cent of its budget on the elderly, compared with 2 per cent on education. The dominant perception of the American old age population changed from "needy" and "worthy" to "powerful" and "greedy," old people getting more than their share of the nation's resources. However, in 2011, using a Supplemental Poverty Measure (SPM), the old age American poverty rate was measured as 15.9%.

Assistance: devices and personal

Old man at a nursing home in Norway

In the United States in 2008, 11 million people aged 65+ lived alone: 5 million or 22% of ages 65–74, 4 million or 34% of ages 75–84, and 2 million or 41% of ages 85+. The 2007 gender breakdown for all people 65+ was men 19% and women 39%.

Many new assistive devices made especially for the home have enabled more old people to care for themselves activities of daily living (ADL). Able Data lists 40,000 assistive technology products in 20 categories. Some examples of devices are a medical alert and safety system, shower seat (making it so the person does not get tired in the shower and fall), a bed cane (offering support to those with unsteadiness getting in and out of bed) and an ADL cuff (used with eating utensils for people with paralysis or hand weakness).

A Swedish study found that at age 76, 46% of the subjects used assistive devices. When they reached age 86, 69% used them. The subjects were ambivalent regarding the use of the assistive devices: as "enablers" or as "disablers". People who view assistive devices as enabling greater independence accept and use them. Those who see them as symbols of disability reject them. However, organizations like Love for the Elderly aim to combat such age-related prejudice by educating the public about the importance of appreciating growing older, while also providing services of kindness to elders in senior homes.

Even with assistive devices as of 2006, 8.5 million Americans needed personal assistance because of impaired basic activities of daily living required for personal care or impaired instrumental activities of daily living (IADL) required for independent living. Projections place this number at 21 million by 2030 when 40% of Americans over 70 will need assistance. There are many options for such long term care to those who require it. There is home care in which a family member, volunteer, or trained professional will aid the person in need and help with daily activities. Another option is community services which can provide the person with transportation, meal plans, or activities in senior centers. A third option is assisted living where 24-hour round-the-clock supervision is given with aid in eating, bathing, dressing, etc. A final option is a nursing home which provides professional nursing care.

Depictions in art

A scholarly literature has emerged, especially in Britain, showing historical trends in the visual depiction of old age.

Developmental psychology

From Wikipedia, the free encyclopedia

Special used in the psychological study of infants
 
Piaget's test for Conservation. One of the many experiments used for children
 
Developmental psychology is the scientific study of how and why human beings change over the course of their life. Originally concerned with infants and children, the field has expanded to include adolescence, adult development, aging, and the entire lifespan. Developmental psychologists aim to explain how thinking, feeling, and behaviors change throughout life. This field examines change across three major dimensions: physical development, cognitive development, and socioemotional development. Within these three dimensions are a broad range of topics including motor skills, executive functions, moral understanding, language acquisition, social change, personality, emotional development, self-concept, and identity formation.

Developmental psychology examines the influences of nature and nurture on the process of human development, and processes of change in context and across time. Many researchers are interested in the interactions among personal characteristics, the individual's behavior and environmental factors, including the social context and the built environment. Ongoing debates include biological essentialism vs. neuroplasticity and stages of development vs. dynamic systems of development.

Developmental psychology involves a range of fields, such as educational psychology, child psychopathology, forensic developmental psychology, child development, cognitive psychology, ecological psychology, and cultural psychology. Influential developmental psychologists from the 20th century include Urie Bronfenbrenner, Erik Erikson, Sigmund Freud, Jean Piaget, Barbara Rogoff, Esther Thelen, and Lev Vygotsky.

Historical antecedents

John B. Watson and Jean-Jacques Rousseau are typically cited as providing the foundations for modern developmental psychology. In the mid-18th century Jean Jacques Rousseau described three stages of development: infants (infancy), puer (childhood) and adolescence in Emile: Or, On Education. Rousseau's ideas were taken up strongly by educators at the time.

It generally focuses on how and why certain modifications throughout an individual’s life-cycle (cognitive, social, intellectual, personality) and human growth change over time. There are many theorists that have made a profound contribution to this area of psychology. For example, Erik Erikson developed a model of eight stages of psychological development. He believed that humans developed in stages throughout their lifetimes and this would affect their behaviors. (Similar ideas to Sigmund Freud.)

In the late 19th century, psychologists familiar with the evolutionary theory of Darwin began seeking an evolutionary description of psychological development; prominent here was the pioneering psychologist G. Stanley Hall, who attempted to correlate ages of childhood with previous ages of humanity. James Mark Baldwin who wrote essays on topics that included Imitation: A Chapter in the Natural History of Consciousness and Mental Development in the Child and the Race: Methods and Processes. Baldwin was heavily involved in the theory of developmental psychology. Sigmund Freud, whose concepts were developmental, significantly affected public perceptions.

Theories

Psychosexual development

Sigmund Freud believed that we all had a conscious, preconscious, and unconscious level. In the conscious, we are aware of our mental process. The preconscious involves information that, though not currently in our thoughts, can be brought into consciousness. Lastly, the unconscious includes mental processes we are unaware of.

He believed there is tension between the conscious and unconscious because the conscious tries to hold back what the unconscious tries to express. To explain this he developed three personality structures: the id, ego, and superego. The id, the most primitive of the three, functions according to the pleasure principle: seek pleasure and avoid pain. The superego plays the critical and moralizing role; and the ego is the organized, realistic part that mediates between the desires of the id and the superego.

Based on this, he proposed five universal stages of development, that each is characterized by the erogenous zone that is the source of the child's psychosexual energy. The first is the oral stage, which occurs from birth to 12 months of age. During the oral stage, "the libido is centered in a baby's mouth." The baby is able to suck. The second is the anal stage, from one to three years of age. During the anal stage, the child defecates from the anus and is often fascinated with their defecation. The third is the phallic stage, which occurs from three to five years of age (most of a person's personality forms by this age). During the phallic stage, the child is aware of their sexual organs. The fourth is the latency stage, which occurs from age five until puberty. During the latency stage, the child's sexual interests are repressed. Stage five is the genital stage, which takes place from puberty until adulthood. During the genital stage, puberty starts happening.

Stages of moral development

Piaget claimed that logic and morality develop through constructive stages. Expanding on Piaget's work, Lawrence Kohlberg determined that the process of moral development was principally concerned with justice, and that it continued throughout the individual's lifetime.

He suggested three levels of moral reasoning; pre-conventional moral reasoning, conventional moral reasoning, and post-conventional moral reasoning. The pre-conventional moral reasoning is typical of children and is characterized by reasoning that is based on rewards and punishments associated with different courses of action. Conventional moral reason occurs during late childhood and early adolescence and is characterized by reasoning based on rules and conventions of society. Lastly, post-conventional moral reasoning is a stage during which the individual sees society's rules and conventions as relative and subjective, rather than as authoritative.

Kohlberg used the Heinz Dilemma to apply to his stages of moral development. The Heinz Dilemma involves Heinz's wife dying from cancer and Heinz having the dilemma to save his wife by stealing a drug. Preconventional morality, conventional morality, and post-conventional morality applies to Heinz's situation.

Stages of psychosocial development

German-American psychologist Erik Erikson and his collaborator and wife, Joan Erikson, conceptualized eight stages of psychosocial development that they theorized healthy individuals pass through as they develop from infancy to adulthood. The first stage is called "Trust vs. Mistrust" takes place in infancy. The best virtue for the first stage is hope, in the infant learning who to trust and having hope for a supportive group of people to be there for him/her. The second stage is "Autonomy vs. Shame and Doubt" with the best virtue being will. This takes place in early childhood where the child learns to become more independent by discovering what they are capable of where if the child is overly controlled, they believe to feel inadequate on surviving by themselves, which can lead to low self-esteem and doubt. The third stage is "Initiative vs. Guilt". The basic virtue that would be gained is the purpose and takes place in the play age. This is the stage where the child will be curious and have many interactions with other kids. They will ask many questions as their curiosity grows. If too much guilt is present, the child may have a slower and harder time interacting with other children. The fourth stage is "Industry (competence) vs. Inferiority". The basic virtue for this stage is competency which happens at the school age. This stage is when the child will try to win the approval of others and fit in and understand the value of their accomplishments. The fifth stage is "Identity vs. Role Confusion". The basic virtue gained is fidelity which takes place in adolescence. This is where the child will start to find who he/she is as a person in society. What sex role he/she picks. The sixth stage is "Intimacy vs. Isolation", which happens in young adults and the virtue gained is love. This is where the person will start to share his/her life with someone else intimately and emotionally. In not doing so, it could lead to isolation. The seventh stage is "Generativity vs. Stagnation". This happens in adulthood and the virtue gained would be care. We become stable and start to give back by raising a family and becoming involved in the community. The eighth stage is "Ego Integrity vs. Despair". This happens during maturity and wisdom is gained. When one grows old and they contemplate and look back and see the success or failure of their life. This is also the stage where one can also have closure and accept death without fearing anything.

Theories of cognitive development

Jean Piaget, a Swiss theorist, posited that children learn by actively constructing knowledge through hands-on experience. He suggested that the adult's role in helping the child learn was to provide appropriate materials that the child can interact with and use to construct. He used Socratic questioning to get children to reflect on what they were doing, and he tried to get them to see contradictions in their explanations.

Piaget believed that intellectual development takes place through a series of stages, which he described in his theory on cognitive development. Each stage consists of steps the child must master before moving to the next step. He believed that these stages are not separate from one another, but rather that each stage builds on the previous one in a continuous learning process. He proposed four stages: sensorimotor, pre-operational, concrete operational, and formal operational. Though he did not believe these stages occurred at any given age, many studies have determined when these cognitive abilities should take place.

Stages based on the model of hierarchical complexity

Michael Commons enhanced and simplified of Inhelder and Piaget's developmental and offers a standard method of examining the universal pattern of development. The Model of Hierarchical Complexity (MHC) is not based on the assessment of domain-specific information, It divides the Order of Hierarchical Complexity of tasks to be addressed from the Stage performance on those tasks. A stage is the order hierarchical complexity of the tasks the participant's successfully addresses. He expanded Piaget's original eight stage (counting the half stages) to fifteen stages. The stages are : 0 Calculatory; 1 Sensory & Motor; 2 Circular sensory-motor; 3 Sensory-motor; 4 Nominal; 5 Sentential; 6 Preoperational; 7 Primary; 8 Concrete; 9 Abstract; 10 Formal; 11 Systematic; 12 Metasystematic; 13 Paradigmatic; 14 Cross-paradigmatic; 15 Meta-Cross-paradigmatic. The order of hierarchical complexity of tasks predicts how difficult the performance is with an R ranging from 0.9 to 0.98.

In the MHC, there are three main axioms for an order to meet in order for the higher order task to coordinate the next lower order task. Axioms are rules that are followed to determine how the MHC orders actions to form a hierarchy. These axioms are: a) defined in terms of tasks at the next lower order of hierarchical complexity task action; b) defined as the higher order task action that organizes two or more less complex actions; that is, the more complex action specifies the way in which the less complex actions combine; c) defined as the lower order task actions have to be carried out non-arbitrarily.

Ecological systems theory

Bronfenbrenner's ecological systems theory

Ecological systems theory, originally formulated by Urie Bronfenbrenner, specifies four types of nested environmental systems, with bi-directional influences within and between the systems. The four systems are microsystem, mesosystem, exosystem, and macrosystem. Each system contains roles, norms and rules that can powerfully shape development. The microsystem is the direct environment in our lives such as our home and school. Mesosystem is how relationships connect to the microsystem. Exosystem is a larger social system where the child plays no role. Macrosystem refers to the cultural values, customs and laws of society.

The microsystem is the immediate environment surrounding and influencing the individual (example: school or the home setting). The mesosystem is the combination of two microsystems and how they influence each other (example: sibling relationships at home vs. peer relationships at school). The exosystem is the interaction among two or more settings that are indirectly linked (example: a father's job requiring more overtime ends up influencing his daughter's performance in school because he can no longer help with her homework). The macrosystem is broader taking into account social economic status, culture, beliefs, customs and morals (example: a child from a wealthier family sees a peer from a less wealthy family as inferior for that reason). Lastly, the chronosystem refers to the chronological nature of life events and how they interact and change the individual and their circumstances through transition (example: a mother losing her own mother to illness and no longer having that support in her life).

Since its publication in 1979, Bronfenbrenner's major statement of this theory, The Ecology of Human Development has had widespread influence on the way psychologists and others approach the study of human beings and their environments. As a result of this conceptualization of development, these environments—from the family to economic and political structures—have come to be viewed as part of the life course from childhood through to adulthood.

Zone of proximal development

Lev Vygotsky was a Russian theorist from the Soviet era, who posited that children learn through hands-on experience and social interactions with members of his/her culture. Unlike Piaget, he claimed that timely and sensitive intervention by adults when a child is on the edge of learning a new task (called the "zone of proximal development") could help children learn new tasks. This adult role is often referred to as the skilled "master," whereas the child is considered the learning apprentice through an educational process often termed "cognitive apprenticeship" Martin Hill stated that "The world of reality does not apply to the mind of a child." This technique is called "scaffolding," because it builds upon knowledge children already have with new knowledge that adults can help the child learn. Vygotsky was strongly focused on the role of culture in determining the child's pattern of development, arguing that development moves from the social level to the individual level. In other words, Vygotsky claimed that psychology should focus on the progress of human consciousness through the relationship of an individual and their environment. He felt that if scholars continued to disregard this connection, then this disregard would inhibit the full comprehension of the human consciousness.

Constructivism

Constructivism is a paradigm in psychology that characterizes learning as a process of actively constructing knowledge. Individuals create meaning for themselves or make sense of new information by selecting, organizing, and integrating information with other knowledge, often in the context of social interactions. Constructivism can occur in two ways: individual and social. Individual constructivism is when a person constructs knowledge through cognitive processes of their own experiences rather than by memorizing facts provided by others. Social constructivism is when individuals construct knowledge through an interaction between the knowledge they bring to a situation and social or cultural exchanges within that content.

Jean Piaget, a Swiss developmental psychologist, proposed that learning is an active process because children learn through experience and make mistakes and solve problems. Piaget proposed that learning should be whole by helping students understand that meaning is constructed.

Evolutionary developmental psychology

Evolutionary developmental psychology is a research paradigm that applies the basic principles of Darwinian evolution, particularly natural selection, to understand the development of human behavior and cognition. It involves the study of both the genetic and environmental mechanisms that underlie the development of social and cognitive competencies, as well as the epigenetic (gene-environment interactions) processes that adapt these competencies to local conditions.

EDP considers both the reliably developing, species-typical features of ontogeny (developmental adaptations), as well as individual differences in behavior, from an evolutionary perspective. While evolutionary views tend to regard most individual differences as the result of either random genetic noise (evolutionary byproducts) and/or idiosyncrasies (for example, peer groups, education, neighborhoods, and chance encounters) rather than products of natural selection, EDP asserts that natural selection can favor the emergence of individual differences via "adaptive developmental plasticity." From this perspective, human development follows alternative life-history strategies in response to environmental variability, rather than following one species-typical pattern of development.

EDP is closely linked to the theoretical framework of evolutionary psychology (EP), but is also distinct from EP in several domains, including research emphasis (EDP focuses on adaptations of ontogeny, as opposed to adaptations of adulthood) and consideration of proximate ontogenetic and environmental factors (i.e., how development happens) in addition to more ultimate factors (i.e., why development happens), which are the focus of mainstream evolutionary psychology.

Attachment theory

Attachment theory, originally developed by John Bowlby, focuses on the importance of open, intimate, emotionally meaningful relationships. Attachment is described as a biological system or powerful survival impulse that evolved to ensure the survival of the infant. A child who is threatened or stressed will move toward caregivers who create a sense of physical, emotional and psychological safety for the individual. Attachment feeds on body contact and familiarity. Later Mary Ainsworth developed the Strange Situation protocol and the concept of the secure base.

Theorists have proposed four types of attachment styles: secure, anxious-avoidant, anxious-resistant, and disorganized. Secure attachment is a healthy attachment between the infant and the caregiver. It is characterized by trust. Anxious-avoidant is an insecure attachment between an infant and a caregiver. This is characterized by the infant's indifference toward the caregiver. Anxious-resistant is an insecure attachment between the infant and the caregiver characterized by distress from the infant when separated and anger when reunited. Disorganized is an attachment style without a consistent pattern of responses upon return of the parent.

A child can be hindered in its natural tendency to form attachments. Some babies are raised without the stimulation and attention of a regular caregiver or locked away under conditions of abuse or extreme neglect. The possible short-term effects of this deprivation are anger, despair, detachment, and temporary delay in intellectual development. Long-term effects include increased aggression, clinging behavior, detachment, psychosomatic disorders, and an increased risk of depression as an adult.

Attachment style can affect the relationships between people. Attachment is established in early childhood and attachment continues into adulthood. An example of secure attachment continuing in adulthood would be when the person feels confident and is able to meet their own needs. An example of anxious attachment during adulthood is when the adult chooses a partner with anxious-avoidant attachment.

Major debates

Nature vs nurture

A significant issue in developmental psychology is the relationship between innateness and environmental influence in regard to any particular aspect of development. This is often referred to as "nature and nurture" or nativism versus empiricism. A nativist account of development would argue that the processes in question are innate, that is, they are specified by the organism's genes.

An empiricist perspective would argue that those processes are acquired in interaction with the environment. Today developmental psychologists rarely take such polarised positions with regard to most aspects of development; rather they investigate, among many other things, the relationship between innate and environmental influences. One of the ways this relationship has been explored in recent years is through the emerging field of evolutionary developmental psychology.

One area where this innateness debate has been prominently portrayed is in research on language acquisition. A major question in this area is whether or not certain properties of human language are specified genetically or can be acquired through learning. The empiricist position on the issue of language acquisition suggests that the language input provides the necessary information required for learning the structure of language and that infants acquire language through a process of statistical learning. From this perspective, language can be acquired via general learning methods that also apply to other aspects of development, such as perceptual learning.

The nativist position argues that the input from language is too impoverished for infants and children to acquire the structure of language. Linguist Noam Chomsky asserts that, evidenced by the lack of sufficient information in the language input, there is a universal grammar that applies to all human languages and is pre-specified. This has led to the idea that there is a special cognitive module suited for learning language, often called the language acquisition device. Chomsky's critique of the behaviorist model of language acquisition is regarded by many as a key turning point in the decline in the prominence of the theory of behaviorism generally. But Skinner's conception of "Verbal Behavior" has not died, perhaps in part because it has generated successful practical applications.

Continuity vs discontinuity

Since theorists believe that development is a smooth, continuous process, individuals gradually add more of the same types of skills throughout their lives. Other theorists, however, think that development takes place in discontinuous stages. People change rapidly and step up to a new level, and then change very little for a while. With each new step, the person shows interest and responds to the world qualitatively.

Stability vs change

This issue involves the degree to which we become older renditions of our early experience or whether we develop into something different from who we were at an earlier point in development. It considers the extent to which early experiences ( especially infancy) or later experiences are the key determinants of a person's development.

Most lifespan developmentalists, recognise that extreme positions are unwise. Therefore, the key to a comprehensive understanding of development at any stage requires the ·interaction of different factors and not only one.

Mechanisms of Development

Developmental psychology is concerned not only with describing the characteristics of psychological change over time but also seeks to explain the principles and internal workings underlying these changes. Psychologists have attempted to better understand these factors by using models. Developmental models are sometimes computational, but they do not need to be.

A model must simply account for the means by which a process takes place. This is sometimes done in reference to changes in the brain that may correspond to changes in behavior over the course of the development. Computational accounts of development often use either symbolic, connectionist (neural network), or dynamical systems models to explain the Mechanisms of Development.

Research areas

Cognitive development

Cognitive development is primarily concerned with the ways that infants and children acquire, develop, and use internal mental capabilities such as: problem-solving, memory, and language. Major topics in cognitive development are the study of language acquisition and the development of perceptual and motor skills. Piaget was one of the influential early psychologists to study the development of cognitive abilities. His theory suggests that development proceeds through a set of stages from infancy to adulthood and that there is an end point or goal.

Other accounts, such as that of Lev Vygotsky, have suggested that development does not progress through stages, but rather that the developmental process that begins at birth and continues until death is too complex for such structure and finality. Rather, from this viewpoint, developmental processes proceed more continuously. Thus, development should be analyzed, instead of treated as a product to obtain.

K. Warner Schaie has expanded the study of cognitive development into adulthood. Rather than being stable from adolescence, Schaie sees adults as progressing in the application of their cognitive abilities.

Modern cognitive development has integrated the considerations of cognitive psychology and the psychology of individual differences into the interpretation and modeling of development. Specifically, the neo-Piagetian theories of cognitive development showed that the successive levels or stages of cognitive development are associated with increasing processing efficiency and working memory capacity. These increases explain differences between stages, progression to higher stages, and individual differences of children who are the same-age and of the same grade-level. However, other theories have moved away from Piagetian stage theories, and are influenced by accounts of domain-specific information processing, which posit that development is guided by innate evolutionarily-specified and content-specific information processing mechanisms.

Social and emotional development

Developmental psychologists who are interested in social development examine how individuals develop social and emotional competencies. For example, they study how children form friendships, how they understand and deal with emotions, and how identity develops. Research in this area may involve study of the relationship between cognition or cognitive development and social behavior.
Emotional regulation or ER refers to an individual's ability to modulate emotional responses across a variety of contexts. In young children, this modulation is in part controlled externally, by parents and other authority figures. As children develop, they take on more and more responsibility for their internal state. Studies have shown that the development of ER is affected by the emotional regulation children observe in parents and caretakers, the emotional climate in the home, and the reaction of parents and caretakers to the child's emotions.

Music also has an influence on stimulating and enhancing the senses of a child through self-expression.

A child's social and emotional development can be disrupted by motor coordination problems as evidenced by the environmental stress hypothesis. The environmental hypothesis explains how children with coordination problems and developmental coordination disorder are exposed to several psychosocial consequences which act as secondary stressors, leading to an increase in internalizing symptoms such as depression and anxiety. Motor coordination problems affect fine and gross motor movement as well as perceptual-motor skills. Secondary stressors commonly identified include the tendency for children with poor motor skills to be less likely to participate in organized play with other children and more likely to feel socially isolated.

Social and emotional development focuses on 5 keys areas: Self-Awareness, Self Management, Social Awareness, Relationship Skills and Responsible Decision Making.

Physical development

Physical development concerns the physical maturation of an individual's body until it reaches the adult stature. Although physical growth is a highly regular process, all children differ tremendously in the timing of their growth spurts. Studies are being done to analyze how the differences in these timings affect and are related to other variables of developmental psychology such as information processing speed. Traditional measures of physical maturity using x-rays are less in practice nowadays, compared to simple measurements of body parts such as height, weight, head circumference, and arm span.

A few other studies and practices with physical developmental psychology are the phonological abilities of mature 5- to 11-year-olds, and the controversial hypotheses of left-handers being maturationally delayed compared to right-handers. A study by Eaton, Chipperfield, Ritchot, and Kostiuk in 1996 found in three different samples that there was no difference between right- and left-handers.

Memory development

Researchers interested in memory development look at the way our memory develops from childhood and onward. According to Fuzzy-trace theory, we have two separate memory processes: verbatim and gist. These two traces begin to develop at different times as well as at a different pace. Children as young as 4 years-old have verbatim memory, memory for surface information, which increases up to early adulthood, at which point it begins to decline. On the other hand, our capacity for gist memory, memory for semantic information, increases up to early adulthood, at which point it is consistent through old age. Furthermore, our reliance on gist memory traces increases as we age.

Research methods and designs

Main research methods

Developmental psychology employs many of the research methods used in other areas of psychology. However, infants and children cannot be tested in the same ways as adults, so different methods are often used to study their development.

Developmental psychologists have a number of methods to study changes in individuals over time. Common research methods include systematic observation, including naturalistic observation or structured observation; self-reports, which could be clinical interviews or structured interviews; clinical or case study method; and ethnography or participant observation. These methods differ in the extent of control researchers impose on study conditions, and how they construct ideas about which variables to study. Every developmental investigation can be characterized in terms of whether its underlying strategy involves the experimental, correlational, or case study approach. The experimental method involves "actual manipulation of various treatments, circumstances, or events to which the participant or subject is exposed; the experimental design points to cause-and-effect relationships. This method allows for strong inferences to be made of causal relationships between the manipulation of one or more independent variables and subsequent behavior, as measured by the dependent variable. The advantage of using this research method is that it permits determination of cause-and-effect relationships among variables. On the other hand, the limitation is that data obtained in an artificial environment may lack generalizability. The correlational method explores the relationship between two or more events by gathering information about these variables without researcher intervention. The advantage of using a correlational design is that it estimates the strength and direction of relationships among variables in the natural environment; however, the limitation is that it does not permit determination of cause-and-effect relationships among variables. The case study approach allows investigations to obtain an in-depth understanding of an individual participant by collecting data based on interviews, structured questionnaires, observations, and test scores. Each of these methods have its strengths and weaknesses but the experimental method when appropriate is the preferred method of developmental scientists because it provides a controlled situation and conclusions to be drawn about cause-and-effect relationships.

Research designs

Most developmental studies, regardless of whether they employ the experimental, correlational, or case study method, can also be constructed using research designs. Research designs are logical frameworks used to make key comparisons within research studies such as:
In a longitudinal study, a researcher observes many individuals born at or around the same time (a cohort) and carries out new observations as members of the cohort age. This method can be used to draw conclusions about which types of development are universal (or normative) and occur in most members of a cohort. As an example a longitudinal study of early literacy development examined in detail the early literacy experiences of one child in each of 30 families.

Researchers may also observe ways that development varies between individuals, and hypothesize about the causes of variation in their data. Longitudinal studies often require large amounts of time and funding, making them unfeasible in some situations. Also, because members of a cohort all experience historical events unique to their generation, apparently normative developmental trends may, in fact, be universal only to their cohort.

In a cross-sectional study, a researcher observes differences between individuals of different ages at the same time. This generally requires fewer resources than the longitudinal method, and because the individuals come from different cohorts, shared historical events are not so much of a confounding factor. By the same token, however, cross-sectional research may not be the most effective way to study differences between participants, as these differences may result not from their different ages but from their exposure to different historical events.

A third study design, the sequential design, combines both methodologies. Here, a researcher observes members of different birth cohorts at the same time, and then tracks all participants over time, charting changes in the groups. While much more resource-intensive, the format aids in a clearer distinction between what changes can be attributed to an individual or historical environment from those that are truly universal.

Because every method has some weaknesses, developmental psychologists rarely rely on one study or even one method to reach conclusions by finding consistent evidence from as many converging sources as possible.

Life stages of psychological development

Prenatal development

Prenatal development is of interest to psychologists investigating the context of early psychological development. The whole prenatal development involves three main stages: germinal stage, embryonic stage and fetal stage. Germinal stage begins at conception until 2 weeks; embryonic stage means the development from 2 weeks to 8 weeks; fetal stage represents 9 weeks until birth of the baby. The senses develop in the womb itself: a fetus can both see and hear by the second trimester (13 to 24 weeks of age). The sense of touch develops in the embryonic stage (5 to 8 weeks). Most of the brain's billions of neurons also are developed by the second trimester. Babies are hence born with some odor, taste and sound preferences, largely related to the mother's environment.

Some primitive reflexes too arise before birth and are still present in newborns. One hypothesis is that these reflexes are vestigial and have limited use in early human life. Piaget's theory of cognitive development suggested that some early reflexes are building blocks for infant sensorimotor development. For example, the tonic neck reflex may help development by bringing objects into the infant's field of view.

Other reflexes, such as the walking reflex appear to be replaced by more sophisticated voluntary control later in infancy. This may be because the infant gains too much weight after birth to be strong enough to use the reflex, or because the reflex and subsequent development are functionally different. It has also been suggested that some reflexes (for example the moro and walking reflexes) are predominantly adaptations to life in the womb with little connection to early infant development. Primitive reflexes reappear in adults under certain conditions, such as neurological conditions like dementia or traumatic lesions.

Ultrasound has shown that infants are capable of a range of movements in the womb, many of which appear to be more than simple reflexes. By the time they are born, infants can recognize and have a preference for their mother's voice suggesting some prenatal development of auditory perception. Prenatal development and birth complications may also be connected to neurodevelopmental disorders, for example in schizophrenia. With the advent of cognitive neuroscience, embryology and the neuroscience of prenatal development is of increasing interest to developmental psychology research.

Several environmental agents—teratogens—can cause damage during the prenatal period. These include prescription and nonprescription drugs, illegal drugs, tobacco, alcohol, environmental pollutants, infectious disease agents such as the rubella virus and the toxoplasmosis parasite, maternal malnutrition, maternal emotional stress, and Rh factor blood incompatibility between mother and child. There are many statistics which prove the effects of the aforementioned substances. A leading example of this would be that, in America alone, approximately 100,000-375,000 'cocaine babies' are born on an annual basis. This is a result of an expectant mother abusing the drug while pregnant. 'Cocaine babies' are proven to have quite severe and lasting difficulties which persist throughout infancy and right throughout childhood. The drug also encourages behavioural problems in the affected children, as well as defects of various vital organs.

Infancy

From birth until the first year, the child is referred to as an infant. Developmental psychologists vary widely in their assessment of infant psychology, and the influence the outside world has upon it, but certain aspects are relatively clear.

The majority of a newborn infant's time is spent in sleep. At first, this sleep is evenly spread throughout the day and night, but after a couple of months, infants generally become diurnal.

Infants can be seen to have six states, grouped into pairs:
  • quiet sleep and active sleep (dreaming, when REM sleep occurs)
  • quiet waking, and active waking
  • fussing and crying

Infant perception

Infant perception is what a newborn can see, hear, smell, taste, and touch. These five features are better known as one's "five senses". Infants respond to stimuli differently in these different states.
  • Vision is significantly worse in infants than in older children. Infant sight tends to be blurry in early stages but improves over time. Color perception similar to that seen in adults has been demonstrated in infants as young as four months, using habituation methods. Infants get to adult-like vision in about six months.
  • Hearing is well-developed prior to birth, unlike vision. Newborns prefer complex sounds to pure tones, human speech to other sounds, mother's voice to other voices, and the native language to other languages. Scientist believe these features are probably learned in the womb. Infants are fairly good at detecting the direction a sound comes from, and by 18 months their hearing ability is approximately equal to an adult's.
  • Smell and taste are present, with infants showing different expressions of disgust or pleasure when presented with pleasant odors (honey, milk, etc.) or unpleasant odors (rotten egg) and tastes (e.g. sour taste). Newborns are born with odor and taste preferences acquired in the womb from the smell and taste of amniotic fluid, in turn influenced by what the mother eats. Both breast- and bottle-fed babies around 3 days old prefer the smell of human milk to that of formula, indicating an innate preference. There is good evidence for older infants preferring the smell of their mother to that of others.
  • Touch and feel is one of the better-developed senses at birth considering it's one of the first senses to develop inside the womb. This is evidenced by the primitive reflexes described above, and the relatively advanced development of the somatosensory cortex.
  • Pain: Infants feel pain similarly, if not more strongly than older children but pain-relief in infants has not received so much attention as an area of research. Glucose is known to relieve pain in newborns.

Language

Babies are born with the ability to discriminate virtually all sounds of all human languages. Infants of around six months can differentiate between phonemes in their own language, but not between similar phonemes in another language. At this stage infants also start to babble, producing phonemes.

Infant cognition: the Piagetian era

Piaget suggested that an infant's perception and understanding of the world depended on their motor development, which was required for the infant to link visual, tactile and motor representations of objects. According to this view, it is through touching and handling objects that infants develop object permanence, the understanding that objects are solid, permanent, and continue to exist when out of sight.

Special methods are used in the psychological study of infants

Piaget's sensorimotor stage comprised six sub-stages (see sensorimotor stages for more detail). In the early stages, development arises out of movements caused by primitive reflexes. Discovery of new behaviors results from classical and operant conditioning, and the formation of habits. From eight months the infant is able to uncover a hidden object but will persevere when the object is moved.

Piaget came to his conclusion that infants lacked a complete understanding of object permanence before 18 months after observing infants' failure before this age to look for an object where it was last seen. Instead, infants continue to look for an object where it was first seen, committing the "A-not-B error." Some researchers have suggested that before the age of eight to nine months, infants' inability to understand object permanence extends to people, which explains why infants at this age do not cry when their mothers are gone ("Out of sight, out of mind").

Recent findings in infant cognition

In the 1980s and 1990s, researchers have developed many new methods of assessing infants' understanding of the world with far more precision and subtlety than Piaget was able to do in his time. Since then, many studies based on these methods suggest that young infants understand far more about the world than first thought.

Based on recent findings, some researchers (such as Elizabeth Spelke and Renee Baillargeon) have proposed that an understanding of object permanence is not learned at all, but rather comprises part of the innate cognitive capacities of our species.

Other research has suggested that young infants in their first six months of life may possess an understanding of numerous aspects of the world around them, including:
  • an early numerical cognition, that is, an ability to represent number and even compute the outcomes of addition and subtraction operations;
  • an ability to infer the goals of people in their environment;
  • an ability to engage in simple causal reasoning.

Critical periods of development

There are critical periods in infancy and childhood during which development of certain perceptual, sensorimotor, social and language systems depends crucially on environmental stimulation. Feral children such as Genie, deprived of adequate stimulation, fail to acquire important skills and are unable to learn in later childhood. The concept of critical periods is also well-established in neurophysiology, from the work of Hubel and Wiesel among others.

Developmental delays

Children with developmental delays (DD) are at heightened risk for developing clinically significant behavioral and emotional difficulties as compared to children with typical development (TD). However, nearly all studies comparing psychopathology in youth with DD employ TD control groups of the same chronological age (CA).This comorbidity of DD and a mental disorder is often referred to as dual diagnosis. Epidemiological studies indicate that 30–50% of youth with DD meet the clinical cutoff for behavioral and emotional problems and/or diagnosable mental disorder. Studies that include comparison samples of children with typical development (TD) highlight the considerable difference in risk for psychopathology, with the relative risk for youth with DD (to youth with TD) ranging from 2.8–4.1 to 1.

Toddler-hood

Infants shift between ages of one and two to a developmental stage known as toddlerhood. In this stage, an infant's transition into toddlerhood is highlighted through self-awareness, developing maturity in language use, and presence of memory and imagination.

During toddlerhood, babies begin learning how to walk, talk, and make decisions for themselves. An important characteristic of this age period is the development of language, where children are learning how to communicate and express their emotions and desires through the use of vocal sounds, babbling, and eventually words. Self-control also begins to develop. At this age, children take initiative to explore, experiment and learn from making mistakes. Caretakers who encourage toddlers to try new things and test their limits, help the child become autonomous, self-reliant, and confident. If the caretaker is overprotective or disapproving of independent actions, the toddler may begin to doubt their abilities and feel ashamed of the desire for independence. The child's autonomic development is inhibited, leaving them less prepared to deal with the world in the future. Toddlers also begin to identify themselves in gender roles, acting according to their perception of what a man or woman should do.

Socially, the period of toddler-hood is commonly called the "terrible twos". Toddlers often use their new-found language abilities to voice their desires, but are often misunderstood by parents due to their language skills just beginning to develop. A person at this stage testing their independence is another reason behind the stage's infamous label. Tantrums in a fit of frustration are also common.

Childhood

Erik Erikson divides childhood into four stages, each with its distinct social crisis:
  • Stage 1: Infancy (0 to 1½) in which the psychosocial crisis is Trust vs. Mistrust
  • Stage 2: Early childhood (2½ to 3) in which the psychosocial crisis is Autonomy vs. Shame and doubt
  • Stage 3: Play age (3 to 5) in which the psychosocial crisis is Initiative vs. Guilt. (This stage is also called the "pre-school age," "exploratory age" and "toy age.")
  • Stage 4: School age (5 to 12) in which the psychosocial crisis is Industry vs. Inferiority
Play (or preschool) ages 3–5.

In the earliest years, children are "completely dependent on the care of others." Therefore, they develop a "social relationship" with their care givers and, later, with family members. During their preschool years (3-5), they "enlarge their social horizons" to include people outside the family.
Preoperational and then operational thinking develops, which means actions are reversible, and egocentric thought diminishes.

The motor skills of preschoolers increase so they can do more things for themselves. They become more independent. No longer completely dependent on the care of others, the world of this age group expands. More people have a role in shaping their individual personalities. Preschoolers explore and question their world. For Jean Piaget, the child is "a little scientist exploring and reflecting on these explorations to increase competence" and this is done in "a very independent way."

Play is a major activity for ages 3–5. For Piaget, through play "a child reaches higher levels of cognitive development."

In their expanded world, children in the 3-5 age group attempt to find their own way. If this is done in a socially acceptable way, the child develops the initiative. If not, the child develops guilt. Children who develop "guilt" rather than "initiative" have failed Erikson's psychosocial crisis for the 3-5 age group.

Middle childhood ages 6–12.

For Erik Erikson, the psychosocial crisis during middle childhood is Industry vs. Inferiority which, if successfully met, instills a sense of Competency in the child.

In all cultures, middle childhood is a time for developing "skills that will be needed in their society." School offers an arena in which children can gain a view of themselves as "industrious (and worthy)." They are "graded for their school work and often for their industry." They can also develop industry outside of school in sports, games, and doing volunteer work. Children who achieve "success in school or games might develop a feeling of competence."

The "peril during this period is that feelings of inadequacy and inferiority will develop. Parents and teachers can "undermine" a child's development by failing to recognize accomplishments or being overly critical of a child's efforts. Children who are "encouraged and praised" develop a belief in their competence. Lack of encouragement or ability to excel lead to "feelings of inadequacy and inferiority".

The Centers for Disease Control (the CDC) divides Middle Childhood into two stages, 6–8 years and 9–11 years, and gives "developmental milestones for each stage."

Middle Childhood (7-10).

Entering elementary school, children in this age group begin to thinks about the future and their "place in the world." Working with other students and wanting their friendship and acceptance become more important. This leads to "more independence from parents and family." As students, they develop the mental and verbal skills "to describe experiences and talk about thoughts and feelings". They become less self-centered and show "more concern for others".

Middle Childhood (9-11).

For children ages 9–11 "friendships and peer relationships" increase in strength, complexity, and importance. This results in greater "peer pressure." They grow even less dependent on their families and they are challenged academically. To meet this challenge, they increase their attention span and learn to see other points of view.

Adolescence

Adolescence is the period of life between the onset of puberty and the full commitment to an adult social role, such as worker, parent, and/or citizen. It is the period known for the formation of personal and social identity (see Erik Erikson) and the discovery of moral purpose (see William Damon). Intelligence is demonstrated through the logical use of symbols related to abstract concepts and formal reasoning. A return to egocentric thought often occurs early in the period. Only 35% develop the capacity to reason formally during adolescence or adulthood. (Huitt, W. and Hummel, J. January 1998)

It is divided into three parts, namely:
  1. Early Adolescence: 9 to 13 years
  2. Mid Adolescence: 13 to 15 years and
  3. Late Adolescence: 15 to 18 years
The adolescent unconsciously explores questions such as "Who am I? Who do I want to be?" Like toddlers, adolescents must explore, test limits, become autonomous, and commit to an identity, or sense of self. Different roles, behaviors and ideologies must be tried out to select an identity. Role confusion and inability to choose vocation can result from a failure to achieve a sense of identity through, for example, friends.

Early adulthood

Early adulthood generally refers to the period between ages 18 to 25, and according to theorists such as Erik Erikson, is a stage where development is mainly focused on maintaining relationships. Examples include creating bond of intimacy, sustaining friendships, and ultimately making a family. Some theorists state that development of intimacy skills rely on the resolution of previous developmental stages. A sense of identity gained in the previous stages is also necessary for intimacy to develop. If this skill is not learned the alternative is alienation, isolation, a fear of commitment, and the inability to depend on others.

A related framework for studying this part of the lifespan is that of emerging adulthood. Scholars of emerging adulthood, such as Jeffrey Arnett, are not necessarily interested in relationship development. Instead, this concept suggests that people transition after their teenage years into a period not characterized as relationship building and an overall sense of constancy with life, but with years of living with parents, phases of self-discovery, and experimentation.

Middle adulthood

Middle adulthood generally refers to the period between ages 25 to 69. During this period, middle-aged adults experience a conflict between generativity and stagnation. They may either feel a sense of contributing to society, the next generation, or their immediate community; or develop a sense of purposelessness.

Physically, the middle-aged experience a decline in muscular strength, reaction time, sensory keenness, and cardiac output. Also, women experience menopause and a sharp drop in the hormone estrogen. Men experience an equivalent endocrine system event to menopause. Andropause in males is a hormone fluctuation with physical and psychological effects that can be similar to those seen in menopausal females. As men age lowered testosterone levels can contribute to mood swings and a decline in sperm count. Sexual responsiveness can also be affected, including delays in erection and longer periods of penile stimulation required to achieve ejaculation.

Old age

The World Health Organization finds "no general agreement on the age at which a person becomes old." Most "developed countries" set the age as 60 or 65. However, in developing countries inability to make "active contribution" to society, not chronological age, marks the beginning of old age. According to Erikson's stages of psychosocial development, old age is the stage in which individuals assess the quality of their lives. In reflecting on their lives, people in this age group develop a feeling of integrity if deciding that their lives were successful or a feeling of despair if evaluation of one's life indicates a failure to achieve goals.

Physically, older people experience a decline in muscular strength, reaction time, stamina, hearing, distance perception, and the sense of smell. They also are more susceptible to diseases such as cancer and pneumonia due to a weakened immune system. Programs aimed at balance, muscle strength, and mobility have been shown to reduce disability among mildly (but not more severely) disabled elderly.

Sexual expression depends in large part upon the emotional and physical health of the individual. Many older adults continue to be sexually active and satisfied with their sexual activity.

Mental disintegration may also occur, leading to dementia or ailments such as Alzheimer's disease. It is generally believed that crystallized intelligence increases up to old age, while fluid intelligence decreases with age. Whether or not normal intelligence increases or decreases with age depends on the measure and study. Longitudinal studies show that perceptual speed, inductive reasoning, and spatial orientation decline. An article on adult cognitive development reports that cross-sectional studies show that "some abilities remained stable into early old age."

Parenting

Parenting variables alone have typically accounted for 20 to 50 percent of the variance in child outcomes.

All parents have their own parenting styles. Parenting styles, according to Kimberly Kopoko, are "based upon two aspects of parenting behavior; control and warmth. Parental control refers to the degree to which parents manage their children's behavior. Parental warmth refers to the degree to which parents are accepting and responsive to their children's behavior."

Parenting styles

The following parenting styles have been described in the child development literature:
  • Authoritative parenting is characterized as parents who have high parental warmth, responsiveness, and demandingness, but rate low in negativity and conflict. These parents are assertive but not intrusive or overly restrictive. This method of parenting is associated with more positive social and academic outcomes. The beneficial outcomes of authoritative parenting are not necessarily universal. Among African American adolescents, authoritative parenting is not associated with academic achievement without peer support for achievement. Children who are raised by authoritative parents are "more likely to become independent, self-reliant, socially accepted, academically successful, and well-behaved. They are less likely to report depression and anxiety, and less likely to engage in antisocial behavior like delinquency and drug use."
  • Authoritarian parenting is characterized by low levels of warmth and responsiveness with high levels of demandingness and firm control. These parents focus on obedience and they monitor their children regularly. In general, this style of parenting is associated with maladaptive outcomes. The outcomes are more harmful for middle class boys than girls, preschool white girls than preschool black girls, and for white boys than Hispanic boys. Furthermore, the negative effects of authoritarian parenting among Asian Americans can be offset by positive peer support. Finally, among African Americans, some elements of authoritarian parenting such as firm control and physical discipline do not serve as predictive factors for negative outcomes.
  • Permissive parenting is characterized by high levels of responsiveness combined with low levels of demandingness. These parents are lenient and do not necessarily require mature behavior. They allow for a high degree of self-regulation and typically avoid confrontation. Compared to children raised using the authoritative style, preschool girls raised in permissive families are less assertive. Additionally, preschool children of both sexes are less cognitively competent than those children raised under authoritative parenting styles.
  • Rejecting or neglectful parenting is the final category. This is characterized by low levels of demandingness and responsiveness. These parents are typically disengaged in their child's lives, lacking structure in their parenting styles and are unsupportive. Children in this category are typically the least competent of all the categories.

Mother and father factors

Parenting roles in child development have typically focused on the role of the mother. Recent literature, however, has looked toward the father as having an important role in child development. Affirming a role for fathers, studies have shown that children as young as 15 months benefit significantly from substantial engagement with their father. In particular, a study in the U.S. and New Zealand found the presence of the natural father was the most significant factor in reducing rates of early sexual activity and rates of teenage pregnancy in girls. Furthermore, another argument is that neither a mother nor a father is actually essential in successful parenting, and that single parents as well as homosexual couples can support positive child outcomes. According to this set of research, children need at least one consistently responsible adult with whom the child can have a positive emotional connection. Having more than one of these figures contributes to a higher likelihood of positive child outcomes.

Divorce

Another parental factor often debated in terms of its effects on child development is divorce. Divorce in itself is not a determining factor of negative child outcomes. In fact, the majority of children from divorcing families fall into the normal range on measures of psychological and cognitive functioning. A number of mediating factors play a role in determining the effects divorce has on a child, for example, divorcing families with young children often face harsher consequences in terms of demographic, social, and economic changes than do families with older children. Positive coparenting after divorce is part of a pattern associated with positive child coping, while hostile parenting behaviors lead to a destructive pattern leaving children at risk. Additionally, direct parental relationship with the child also affects the development of a child after a divorce. Overall, protective factors facilitating positive child development after a divorce are maternal warmth, positive father-child relationship, and cooperation between parents.

Reproductive rights

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