Springer Series in Adult Development and Aging – serie

This multiauthored introductory textbook could not have been conceived or brought to fruition 10 or 15 years ago. Indeed, at that time relatively little attention was accorded to the psychological needs of older adults. The general tenor of the field then was that older adults would not benefit from psychological intervention. As we now know, this was a faulty assumption that has been discredited with empirical data. Indeed, clinical research data adduced, primar­ ily in the last decade, clearly documents that older adults do benefit from specific psychotherapies that are tailored to their unique presentation of symptoms. Given the explosion of interest in this area (as evinced by increased investi­ gatory activity, national funding, and media attention) and the increased number of masters-and doctoral-level courses devoted to this topic, we felt that the time was right for a textbook in the area. Such flurry of activity also has been fueled by statistics showing how our population by the year 2030 will consist of 30% who are senior citizens. Moreover, since 12% of older adults in the community are estimated to have diagnosable psychiatric disorders and 40% to 50% of older adult medical inpatients have a concomitant psychiatric disorder, the task for clinicians in the next century will be overwhelming.

In The American Father, Wade C. Mackey documents a wealth of infor­ mation demonstrating the vast benefits to society when its children are raised in families with fathers. The biopsychosocial approach Mackey in human employs is consistent with the current treatment of topics development. This approach-which is grounded in a variety of diverse sources-assumes that we understand little about people when we study them a bit at a time; rather, the fullness of the individual requires a fullness of examination. For example, in the cases of fathers, we note that humans do not reproduce alone; after all, we are not an asexual species. No, human reproduction and its sequelae are social, just as clearly as they are biological, and involve the whole panoply of psychic function (mo­ tivation, sociability, intelligence, and the like). The evidence marshaled by Mackey indicates strongly that indi­ viduals and societies have an essential requirement for something more than mothering; they also need fathering. Much of the discourse and publication on fathers during the past several decades has been posited on a "more is better" model of male parenting in which it is seldom stated who it is better for-the father, the child, the mother, the couple, or the family. Further, much of this discussion infers that fathers are merely "Mr. Moms"; yet this is not so.

This volume proposes a theoretical integration of several major streams in contemporary psychological theory about adult development and therapy. It adopts the perspective that there are steps in development throughout the adult period, and that they are characterized by a union of the cognitive and affective, the self and the other, and idea with idea (in second-order collective abstractions). That is, they are at once postformal in terms of Piaget's theory, sociocultural in terms ofVygotsky's theory, and postmodern­ with the latter perspective providing an integrating theme. The affirmative, multivoiced, contextual, relational, other-sensitive side ofpostmodernism is emphasized. Levinas's philosophy of responsibility for the other is seen as congruent with this ethos. The neopiagetian model of development on which the current ap­ proach is based proposes that the last stage in development concerns collective intelligence, or postmodern, postformal thought. Kegan (1994) has attempted independently to describe adult development from the same perspective. His work on the development of the postmodern mind of the adult is groundbreaking and impressive in its depth. However, I ana­ lyze the limitations as well as the contributions of his approach, under­ scoring the advantages of my particular model.

From time to time, professional journals and edited volumes devote some of their pages to considerations of pain and aging as they occur among the aged in different cultures and populations. One starts from several reasonable assumptions, among them that aging per se is not a disease process, yet the risk and frequency of disease processes increase with ongoing years. The physical body's functioning and ability to restore all forms of damage and insult slow down, the immune system becomes compromised, and the slow-growing pathologies reach their critical mass in the later years. The psychological body also becomes weaker, with unfulfilled promises and expectations, and with tragedies that visit individuals and families, and the prospect that whatever worlds remain to be conquered will most certainly not be met with success in the rapidly passing days and years that can only culminate in death. Despair and depression coupled with infirmity and sensory and! or motor inefficiency aggravate both the threshold and the tolerance for discomfort and synergistically collaborate to perpetuate a vicious cycle in which the one may mask the other. Although the clinician is armed with the latest advances in medicine and phar­ macology, significant improvement continues to elude her or him. The geriatric specialist, all too familiar with such realities, usually can offer little else than a hortative to "learn to live with it," but the powers and effectiveness of learning itself have declined.

Over the last two decades, the number of persons over 65 has increased by 65%. Handbook of Clinical Geropsychology focuses attention on how the contributions of clinical psychology address the problems faced by this enormous population. In the first part, chapters cover a historical perspective, clinical geropsychology and U.S. federal policy, psychodynamic issues, and other key topics. Part II details assessment and treatment for a wide range of disorders affecting the elderly. Part III considers such special issues as family caregiving, minority issues, physical activity, and elder abuse and neglect.

In this book Jan D. Sinnott synthesizes her 20 years of research on lifespan cognitive development to describe the growth of complex (or `postformal') thought in adults. She shows specifically how adults improve mentally over a lifetime and learn to think in more complex and wiser ways. Applications of postformal thought are demonstrated in such diverse areas as - family relations - adult education - personal identity - and spirituality. Chapters examine relations between postformal thought and pertinent variables such as age, health, memory, and vocabulary. Other sections deal with issues in humanistic psychology such as - guided imagery - mind - body medicine - and creative intentionality.

Human Development in Adulthood is a comprehensive, multidisciplinary overview of adult development in a number of areas both personal and societal, from mental and physical health, to economic and social conditions. Variables including race, gender, economic status, and political and religious affiliation are considered in the discussion of such human issues as - love and marital relations - economic concerns, including employment and living conditions - violence in its various forms, including crime and war - aging and death. The numerous illustrations, chapter summaries, and glossary will prove especially useful to students.

De cibo quod superest nobis sufficit; oportet gratias agere. Some elders have accepted this proposition, although seldom with enthu- siasm. Gerontologists also have been burdened with the adage: "Leftovers are good enough for us, and we should be grateful for them." I remember how a clerk tried to palm off astale and cheap cigar to her octogenarian customer. He knew better and carne away with a far superior smoke. The clerk fumed, "What does he need a good cigar for? Who is he to be particular!" In this and in many other ways, elders often have labored under the sociocultural expectation that they should be well content with whatever scraps and shmattes happen to come their way. Gerontologists can identify with this situation. The systematic study of aging and the aged was a new enterprise at the midpoint of this century, but the concepts and methods were pretty much limited to those already on hand. What biological and sociobehavioral scientists had been doing for years was simply extended to the newly annexed territory. This as not only a convenient but also a cost-effective strategy.Data accumulated more rapidly by remaining within familiar frarnes of reference and relying on farniliar designs and mea- sures. The new gerontologists soon harvested a promising crop of descriptive findings. Within a decade after the establishment of the Gerontological Society of America (1947), it was possible to discern the outlines of a valuable new field of knowledge.

A landmark contribution to chronic pain literature, this contemporary text measures the intricate relationship between chronic pain and life transition events. Researchers and clinicians will appreciate The Changing Nature of Pain Complaints Over the Lifespan for its linking of life transition theories to health and illness. Drawing on nearly 20 years of research, the authors bring together the epidemiological and psychosocial aspects of chronic pain and suggest expanding options for pain management. Their coverage encompasses every stage of the human life cycle.

An unusually understandable survey of the forces or perception and feeling that determine the purchases we make; the roles played by fashion, fads, and status; and the psychological needs that they fulfill. The book discusses how children become consumers and how they change as they age. Research based throughout, it shows how ads use classical conditioning, harnessing psychological motivation to create image and sell products.

I first met Ernest Furchtgott twenty-five years ago after joining the faculty of the College of Social Work at the University of South Carolina. At that time, Ernie chaired the Department of Psychology. In the following three years we collaborated with an Academic Committee on Gerontology in conceptualizing and shaping the University's Certificate of Graduate Study in Gerontology Program, guiding it to final approval by the South Carolina Commission on Higher Education. For twenty years we team­ taught our graduate-level course, "Psychosocial Approaches to Geron­ tology," involving colleagues from related disciplines. Over the years, we examined and jointly graded hundreds of research posters prepared by our graduate students in gerontology as their final course requirement. Several years ago, Ernie formally retired from the university. He in­ stantly agreed to my request that he continue teaching the psychology of aging portion of our interdisciplinary course. On campus nearly every day since retirement, Ernie frequently telephoned to discuss are­ cent article in The Gerontologist or a paper presentation that had ex­ cited him at the Gerontological Society's annual scientific meeting. He maintained a clear presence in the academic community.

The author proposes a theory of the development of consciousness in which ego is the central agent of socialization and culture and the driving force behind individual self-control and self-regulation. He reviews the literature on identity and narrative; outlines the fields of intellectual, self, moral, and consciousness development; and discusses the evidence indicating that the development of consciousness trancends the limitations of conventional ego development.

This volume is an outgrowth ofcontemporary research on development over the adult lifespan, which by now has burgeoned and developed both nationally and internationally. However, for us, the impetus to be involved in this area was spawned and nurtured by our initial association with the Society for Research in Adult Development (SRAD) with its origins some 15 years ago by Michael Commonsand his associates inCambridge, Massachusetts. Throughthegood will and support of this society, we also became, and are still, heavily involved with the Journal of Adult Development and the Kluwer-Plenum Monograph Series on Adult Development and Aging, ofwhich this volume is a companion. Many ofthe contributions in the volume are from SRAD members, who con­ sistently adhere to a focus on positive adult development. Their chapters have been complemented by pieces from other researchers, who have adopted more mainstream approaches to adult development and/oraging. Regardless ofthe par­ ticular approach and/or focus of the chapter, all the work reported herein sup­ ports the relatively recent idea that development is not restricted to children and adolescents but continues throughout the adult lifespan in ways that we never envisionedsome 20 years ago. Thus, the volume represents state-of-the-arttheory, research, and practice on adult development, which has the potential to occupy us all for some time to come.

That painting is at least in part an expression of the painter's personality is obvious from the differences between very impulsive and very controlled painters - between the paintings of a Picasso, for example, and a Piet Mondriaan. But these differences have not been looked at in a controlled setting. In this book, Machotka sets out to understand the images produced by a broad sample of students and to connect them to the students' inner lives - to their interpersonal relations, their wishes and fears, their impulses and inhibitions. Their image making was followed in detail and their personality was studied in a long clinical interview, producing a rich, individual picture of the style and substance of the inner life of each. Then the images were grouped into seven types by cluster analysis. The personal data were found to fit the image clusters closely: for example, images with little form and much narration were produced by people with strong compensatory longings, while dense, collaged images were made by participants who exercised relentless control over one major issue in their life. Other individuals had a strong need to integrate their lives and produced well-formed, well-composed images. As expected, no single motive explained all artistic activity - but the style of the images, such as their inhibited formality, abstractness, or fluid boldness, reflected what could be called the map of each participant's interpersonal world.

Aging, Creativity and Art: A Positive Perspective on Late-Life Development explores the strengths and opportunities of old age as these are manifested by the accomplishments of aging artists, late artistic works, and elderly arts audiences. The book draws on scholarship in the humanities, primarily in art history; examines mainly paintings and painters, both historical and contemporary; reviews empirical research on creativity and cognition, predominantly from psychology and gerontology; and presents the author's original studies, including surveys of art historians, questionnaires completed by aging artists and arts audiences, and experiments involving judgments of art by laypersons. The research presented in Aging, Creativity and Art: A Positive Perspective on Late-Life Development suggests that creativity continues into the later years; higher-order mental abilities related to creativity, like imagination and problem-solving, persist until late in life; and the elderly's physical, sensory, mental, and interpersonal competencies may be enhanced by engagement with the arts. This work interrelates the disciplines of science, the humanities, and the arts to form a synthesis that builds on the strengths of the methods of quantification of science; the emphasis on the individual in the humanities; and the expressive and intuitive modes of communication in the arts. Aging, Creativity and Art: A Positive Perspective on Late-Life Development critically examines the psychology of creativity, cognitive development, and gerontology, and will be of interest to a wide range of professionals and students in these fields.

In this book Jan D. Sinnott synthesizes her 20 years of research on lifespan cognitive development to describe the growth of complex (or `postformal') thought in adults. She shows specifically how adults improve mentally over a lifetime and learn to think in more complex and wiser ways. Applications of postformal thought are demonstrated in such diverse areas as - family relations - adult education - personal identity - and spirituality. Chapters examine relations between postformal thought and pertinent variables such as age, health, memory, and vocabulary. Other sections deal with issues in humanistic psychology such as - guided imagery - mind - body medicine - and creative intentionality.

I first met Ernest Furchtgott twenty-five years ago after joining the faculty of the College of Social Work at the University of South Carolina. At that time, Ernie chaired the Department of Psychology. In the following three years we collaborated with an Academic Committee on Gerontology in conceptualizing and shaping the University's Certificate of Graduate Study in Gerontology Program, guiding it to final approval by the South Carolina Commission on Higher Education. For twenty years we team­ taught our graduate-level course, "Psychosocial Approaches to Geron­ tology," involving colleagues from related disciplines. Over the years, we examined and jointly graded hundreds of research posters prepared by our graduate students in gerontology as their final course requirement. Several years ago, Ernie formally retired from the university. He in­ stantly agreed to my request that he continue teaching the psychology of aging portion of our interdisciplinary course. On campus nearly every day since retirement, Ernie frequently telephoned to discuss are­ cent article in The Gerontologist or a paper presentation that had ex­ cited him at the Gerontological Society's annual scientific meeting. He maintained a clear presence in the academic community.

Aging, Creativity and Art: A Positive Perspective on Late-Life Development explores the strengths and opportunities of old age as these are manifested by the accomplishments of aging artists, late artistic works, and elderly arts audiences. The book draws on scholarship in the humanities, primarily in art history; examines mainly paintings and painters, both historical and contemporary; reviews empirical research on creativity and cognition, predominantly from psychology and gerontology; and presents the author's original studies, including surveys of art historians, questionnaires completed by aging artists and arts audiences, and experiments involving judgments of art by laypersons. The research presented in Aging, Creativity and Art: A Positive Perspective on Late-Life Development suggests that creativity continues into the later years; higher-order mental abilities related to creativity, like imagination and problem-solving, persist until late in life; and the elderly's physical, sensory, mental, and interpersonal competencies may be enhanced by engagement with the arts. This work interrelates the disciplines of science, the humanities, and the arts to form a synthesis that builds on the strengths of the methods of quantification of science; the emphasis on the individual in the humanities; and the expressive and intuitive modes of communication in the arts. Aging, Creativity and Art: A Positive Perspective on Late-Life Development critically examines the psychology of creativity, cognitive development, and gerontology, and will be of interest to a wide range of professionals and students in these fields.

That painting is at least in part an expression of the painter's personality is obvious from the differences between very impulsive and very controlled painters - between the paintings of a Picasso, for example, and a Piet Mondriaan. But these differences have not been looked at in a controlled setting. In this book, Machotka sets out to understand the images produced by a broad sample of students and to connect them to the students' inner lives - to their interpersonal relations, their wishes and fears, their impulses and inhibitions. Their image making was followed in detail and their personality was studied in a long clinical interview, producing a rich, individual picture of the style and substance of the inner life of each. Then the images were grouped into seven types by cluster analysis. The personal data were found to fit the image clusters closely: for example, images with little form and much narration were produced by people with strong compensatory longings, while dense, collaged images were made by participants who exercised relentless control over one major issue in their life. Other individuals had a strong need to integrate their lives and produced well-formed, well-composed images. As expected, no single motive explained all artistic activity - but the style of the images, such as their inhibited formality, abstractness, or fluid boldness, reflected what could be called the map of each participant's interpersonal world.

This volume is an outgrowth ofcontemporary research on development over the adult lifespan, which by now has burgeoned and developed both nationally and internationally. However, for us, the impetus to be involved in this area was spawned and nurtured by our initial association with the Society for Research in Adult Development (SRAD) with its origins some 15 years ago by Michael Commonsand his associates inCambridge, Massachusetts. Throughthegood will and support of this society, we also became, and are still, heavily involved with the Journal of Adult Development and the Kluwer-Plenum Monograph Series on Adult Development and Aging, ofwhich this volume is a companion. Many ofthe contributions in the volume are from SRAD members, who con­ sistently adhere to a focus on positive adult development. Their chapters have been complemented by pieces from other researchers, who have adopted more mainstream approaches to adult development and/oraging. Regardless ofthe par­ ticular approach and/or focus of the chapter, all the work reported herein sup­ ports the relatively recent idea that development is not restricted to children and adolescents but continues throughout the adult lifespan in ways that we never envisionedsome 20 years ago. Thus, the volume represents state-of-the-arttheory, research, and practice on adult development, which has the potential to occupy us all for some time to come.

The author proposes a theory of the development of consciousness in which ego is the central agent of socialization and culture and the driving force behind individual self-control and self-regulation. He reviews the literature on identity and narrative; outlines the fields of intellectual, self, moral, and consciousness development; and discusses the evidence indicating that the development of consciousness trancends the limitations of conventional ego development.

An unusually understandable survey of the forces or perception and feeling that determine the purchases we make; the roles played by fashion, fads, and status; and the psychological needs that they fulfill. The book discusses how children become consumers and how they change as they age. Research based throughout, it shows how ads use classical conditioning, harnessing psychological motivation to create image and sell products.

Human Development in Adulthood is a comprehensive, multidisciplinary overview of adult development in a number of areas both personal and societal, from mental and physical health, to economic and social conditions. Variables including race, gender, economic status, and political and religious affiliation are considered in the discussion of such human issues as - love and marital relations - economic concerns, including employment and living conditions - violence in its various forms, including crime and war - aging and death. The numerous illustrations, chapter summaries, and glossary will prove especially useful to students.

This volume proposes a theoretical integration of several major streams in contemporary psychological theory about adult development and therapy. It adopts the perspective that there are steps in development throughout the adult period, and that they are characterized by a union of the cognitive and affective, the self and the other, and idea with idea (in second-order collective abstractions). That is, they are at once postformal in terms of Piaget's theory, sociocultural in terms ofVygotsky's theory, and postmodern­ with the latter perspective providing an integrating theme. The affirmative, multivoiced, contextual, relational, other-sensitive side ofpostmodernism is emphasized. Levinas's philosophy of responsibility for the other is seen as congruent with this ethos. The neopiagetian model of development on which the current ap­ proach is based proposes that the last stage in development concerns collective intelligence, or postmodern, postformal thought. Kegan (1994) has attempted independently to describe adult development from the same perspective. His work on the development of the postmodern mind of the adult is groundbreaking and impressive in its depth. However, I ana­ lyze the limitations as well as the contributions of his approach, under­ scoring the advantages of my particular model.

De cibo quod superest nobis sufficit; oportet gratias agere. Some elders have accepted this proposition, although seldom with enthu- siasm. Gerontologists also have been burdened with the adage: "Leftovers are good enough for us, and we should be grateful for them." I remember how a clerk tried to palm off astale and cheap cigar to her octogenarian customer. He knew better and carne away with a far superior smoke. The clerk fumed, "What does he need a good cigar for? Who is he to be particular!" In this and in many other ways, elders often have labored under the sociocultural expectation that they should be well content with whatever scraps and shmattes happen to come their way. Gerontologists can identify with this situation. The systematic study of aging and the aged was a new enterprise at the midpoint of this century, but the concepts and methods were pretty much limited to those already on hand. What biological and sociobehavioral scientists had been doing for years was simply extended to the newly annexed territory. This as not only a convenient but also a cost-effective strategy.Data accumulated more rapidly by remaining within familiar frarnes of reference and relying on farniliar designs and mea- sures. The new gerontologists soon harvested a promising crop of descriptive findings. Within a decade after the establishment of the Gerontological Society of America (1947), it was possible to discern the outlines of a valuable new field of knowledge.

Over the last two decades, the number of persons over 65 has increased by 65%. Handbook of Clinical Geropsychology focuses attention on how the contributions of clinical psychology address the problems faced by this enormous population. In the first part, chapters cover a historical perspective, clinical geropsychology and U.S. federal policy, psychodynamic issues, and other key topics. Part II details assessment and treatment for a wide range of disorders affecting the elderly. Part III considers such special issues as family caregiving, minority issues, physical activity, and elder abuse and neglect.

In The American Father, Wade C. Mackey documents a wealth of infor­ mation demonstrating the vast benefits to society when its children are raised in families with fathers. The biopsychosocial approach Mackey in human employs is consistent with the current treatment of topics development. This approach-which is grounded in a variety of diverse sources-assumes that we understand little about people when we study them a bit at a time; rather, the fullness of the individual requires a fullness of examination. For example, in the cases of fathers, we note that humans do not reproduce alone; after all, we are not an asexual species. No, human reproduction and its sequelae are social, just as clearly as they are biological, and involve the whole panoply of psychic function (mo­ tivation, sociability, intelligence, and the like). The evidence marshaled by Mackey indicates strongly that indi­ viduals and societies have an essential requirement for something more than mothering; they also need fathering. Much of the discourse and publication on fathers during the past several decades has been posited on a "more is better" model of male parenting in which it is seldom stated who it is better for-the father, the child, the mother, the couple, or the family. Further, much of this discussion infers that fathers are merely "Mr. Moms"; yet this is not so.

From time to time, professional journals and edited volumes devote some of their pages to considerations of pain and aging as they occur among the aged in different cultures and populations. One starts from several reasonable assumptions, among them that aging per se is not a disease process, yet the risk and frequency of disease processes increase with ongoing years. The physical body's functioning and ability to restore all forms of damage and insult slow down, the immune system becomes compromised, and the slow-growing pathologies reach their critical mass in the later years. The psychological body also becomes weaker, with unfulfilled promises and expectations, and with tragedies that visit individuals and families, and the prospect that whatever worlds remain to be conquered will most certainly not be met with success in the rapidly passing days and years that can only culminate in death. Despair and depression coupled with infirmity and sensory and! or motor inefficiency aggravate both the threshold and the tolerance for discomfort and synergistically collaborate to perpetuate a vicious cycle in which the one may mask the other. Although the clinician is armed with the latest advances in medicine and phar­ macology, significant improvement continues to elude her or him. The geriatric specialist, all too familiar with such realities, usually can offer little else than a hortative to "learn to live with it," but the powers and effectiveness of learning itself have declined.

This multiauthored introductory textbook could not have been conceived or brought to fruition 10 or 15 years ago. Indeed, at that time relatively little attention was accorded to the psychological needs of older adults. The general tenor of the field then was that older adults would not benefit from psychological intervention. As we now know, this was a faulty assumption that has been discredited with empirical data. Indeed, clinical research data adduced, primar­ ily in the last decade, clearly documents that older adults do benefit from specific psychotherapies that are tailored to their unique presentation of symptoms. Given the explosion of interest in this area (as evinced by increased investi­ gatory activity, national funding, and media attention) and the increased number of masters-and doctoral-level courses devoted to this topic, we felt that the time was right for a textbook in the area. Such flurry of activity also has been fueled by statistics showing how our population by the year 2030 will consist of 30% who are senior citizens. Moreover, since 12% of older adults in the community are estimated to have diagnosable psychiatric disorders and 40% to 50% of older adult medical inpatients have a concomitant psychiatric disorder, the task for clinicians in the next century will be overwhelming.