PSY 233 quiz 5

spiritual dimension of death

• making meaning

• religious rituals/customs

• cultural practices

• beliefs about afterlife

mental/psychological dimension of death

letting go

physical dimension of death

the body has a developmental process here too

ecological dimension of death

people die in a context, just as they lived in one

what components make up a “good death”?

1. preference for a specific dying process

2. pain-free status

3. religiosity/spirituality

4. life completion

5. treatment preferences

6. emotional well-being

7. family

8. life quality

palliative care

prevention, relief, reductions, or soothing symptoms of a disease or disorders without affecting a cure

hospice

6 months life expectancy, focus on care and comfort. supports the patient and family

• usually provided at home and paid by insurance

durable power of attorney

designates an agent, surrogate, or proxy to make healthcare decisions on the patient’s behalf, based on patient’s wishes

advanced directives/living will

signed and witnessed documents providing specific instructions for medical care, and only go in effect if you can’t communicate your own wishes

• ex. organ donation, feeding tube

Do Not Resuscitate (DNR)

says not to attempt to resuscitate someone and allow natural death

euthanasia

carrying out a terminally ill patient to take their life

the dying process

loss of energy, visual/hearing changes, decreased appetite, bowel changes, emotional changes

• hearing is one of the last senses to leave before death

resilience

positive adaptation during/after some threat or disturbance

• ability to bounce back

are we wired for resilience?

yes, we have the biological systems for them

sensitive periods and resilience

the brain is able to shape itself from resilience more

waves of resilience research

1. case studies

2. processes

3. intervention

4. interconnected processes

case studies (RR)

deep study on individual

process (RR)

how did resilience happen?

intervention (RR)

how (if at all) can we promote/foster resilience?

interconnected processes

genetics, intergeneration, transmissions, parent-child

how many ACEs do you need for a 90% chance of developmental delay?

4

what does ACEs stand for?

Adverse Childhood Experiences

• difficult childhood experiences linked to long-term mental and physical health risks

what does PACEs stand for?

Protective And compensatory Childhood Experiences

can we make people resilient?

some things are stable (temperament), but some are not (relationships, resources, etc.)

developmental differences between children and adults

children: still developing coping skills, self-regulation, limited life experience, understanding through their developmental lens

adults: array of coping skills, fully formed self-regulation skills. extensive life experience, more sophisticated ways of thinking

hallmarks of resilience

1. relationships with caring adultss

   1. at least one caring, consistent adult is the strongest predictor

2. cognitive development/problem solving skills

3. self-regulation skills

Rooting ourselves in development helps us figure out how to cultivate hallmarks of resilience

emotional development for children

• beginning of a vocabulary for emotions

• key to developing coping skills

• self-conscious emotions (pride/shame/guilt)

• by 4-5 years old, children can reflect on their emotions and understand they evoke different emotions in different people

• a bundle of contradictions