Young adulthood - week 7

young adulthood age

20-40 years

• legal age of adulthood in US is 18

body mass index

BMI

The ratio of a person’s weight in kilograms divided by his or her height in meters squared

piaget

cognitive development

formal operational

can think abstractly and understands symbols, can think in hypothetical terms

• is future oriented

• understands scientific bases of theories

• cultural practices play a role in helping the adolescent understand rules and develop the moral sense of what is right

dialectical thought

the ability to consider a thesis and its antithesis simultaneously and thus to arrive at a synthesis

kohlberg

stages of moral development

post conventional

older adult, develops own set of principles that may overrule social laws or customs

• is independent

• Define rights and morality in terms of self-chosen principles

• Formal operational level must be achieved

• Understanding others’ points of view, how one’s actions affect others, taking responsibility

erikson

intimacy vs. isolation

intimacy vs. isolation

develops an ability to share all aspects of life with others

Task of adults to seek someone with whom to share their lives in an enduring and self-sacrificing commitment.

• Goal = increased competency and self-esteem

• Learns to develop reciprocal intimate relationships (requires mutual trust)

• More than s*xual relationships

• If identity not achieved in adolescence, intimacy difficult

Snowplow parents

Clear every obstacle in their child’s path

3 components of love

• passion

• intimacy

• commitment

passion

“Falling in love”; an intense physical, cognitive, and emotional onslaught characterized by excitement, ecstasy, and euphoria.

intimacy

A reciprocal aspect of romance; knowing someone well, sharing secrets and nakedness as well as sex

commitment

Grows gradually through decisions to be together, mutual caregiving, shared possessions, and forgiveness

Cohabitation

Living with unmarried partner

domestic violence

• Men and women can be victims

• Men less likely to report

• Violence against women reached epidemic proportions

• CDC: intimate partner violence

• Screening, education, referral

intimate partner violence

• situational couple violence

• intimate terrorism

situational couple violence

• Both partners fight (verbal & physical)

• Both partners sometimes caring and affectionate

• Situations bring out the anger

intimate terrorism

not just occasional conflict or isolated violence. It involves one partner systematically trying to dominate and control the other using multiple forms of abuse.

• More violent and demeaning

• More likely to lead to serious harm

• The victim is too frightened to fight back

• The victim and anyone who intervenes is in danger

• Extreme jealousy and social isolation

signs of intimate partner violence

• Erratic prenatal care

• Erratic child healthcare appointments

• Bruises and lacerations in various stages of healing

• Self blame for marital or relationship problems

• History of alcohol or drug abuse in partner

• History of abuse as a child

• History of minor battering incidents

suicide

• Suicide is the 2nd leading cause of death in young adults

• Risk factors for suicide include:

  • Alcohol use

  • Family member/ friend attempted suicide

  • Exposure to violence

  • Depression

• More women attempt suicide; more men succeed

screening tool for depression

Patient Health Questionnaire -2

(PHQ-2)

questions to ask about depression

Over the past 2 weeks, how often have you been bothered by any of the following problems?

1. Little interest in doing things;

2. Feeling down, depressed or hopeless?

depression

Life experiences of emerging adulthood can set a downward spiral in motion though major depression may be rooted in biochemistry (in particular, neurotransmitters and hormones.)

bipolar depression

In adulthood, the grandiosity of the mania and the despair of depression may be unchecked by the normal restraints on children

• In adults with bipolar disorder, manic and depressive behaviors can become more intense or dangerous because there are fewer built-in limits stopping them

• the depressive phase of Bipolar Disorder, a condition where a person’s mood shifts between highs (mania or hypomania) and lows (depression).