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Stages of Life

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Stages of Life
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Adult Development & Psychotherapy

I believe that adult development theory is not sufficiently emphasized in our psychology and counseling training schools. This is unfortunate, because I believe it offers a unique and helpful perspective to the task of psychotherapy. Because I wish to offer to my prospective patients some idea of the importance of this topic, and how it informs my clinical practice, I offer below a synopsis of the theory and its development.
In a most fundamental sense, development in adulthood is about getting older. Traditional psychotherapy looks at how our adult emotional lives are rooted in childhood and infancy. But what happens when the child becomes an adult? Is adulthood only the unconscious reenactment of early childhood conflicts and traumas?
In the 1950s, famous author and psychologist Erik Erikson constructed a psychosocial, developmental model of the life cycle. He wrote numerous anthropological studies and psychobiography’s in order to buttress his views. Drawing upon Sigmund Freud and Karl Abraham's psychosexual theory of infant and child development, Erikson described eight ages of the life cycle. Childhood and adolescence cover the first five stages. The last three stages focus on adulthood and its crises: intimacy versus isolation (in young adulthood); generativity versus stagnation (in adulthood proper); and ego integrity versus despair (in old age).
Other theories of adult development followed Erikson’s path, although they had different emphases. Elliott Jaques has emphasized the importance of the mid-life crisis in individual development. Arguing for a confrontation with personal mortality as the central issue of mid-life development, He presented a theory of developmental stages that was a variant of those like Erikson, or adult development researcher Daniel Levinson. Other important theorists have included Therese Benedek, Bernice Neugarten, Roger Gould, Peter Newton, and George Valliant.



References: Emanuel, L. L. (1998). Facing requests for physician-assisted suicide: Toward a practical and principled clinical skill set. JAMA, 280, 643-647. Farberman, R. K. (1997). Terminal illness and hastened death requests: The important role of the mental health professional. Professional Psychology: Research and Practice, 28, 544-547. Farrenkopf, T. & Bryan, J. (1999). Psychological consultation under Oregon 's 1994 Death With Dignity Act: Ethics and procedures. Professional Psychology: Research and Practice, 30, 245-249. Fenn, D. S., & Ganzini, L. (1999). Attitudes of Oregon psychologists toward physician-assisted suicide and the Oregon Death With Dignity Act. Professional Psychology: Research and Practice, 30, 235-244. Grisso, T., & Appelbaum, P. S. (1998). Assessing competence to consent to treatment: A guide for physicians and other health care professionals. New York: Oxford. Jamison, S. (1997). Assisted suicide: A decision-making guide for health professionals. San Francisco: Jossey-Bass. Miller, P. J., Hedlund, S. C., & Murphy, K. A. (1998). Social work assessment at the end of life: Practice guidelines for suicide and the terminally ill. Social Work in Health Care, 26(4), 23-36. Muskin, P. R. (1998). The request to die: Role for a psychodynamic perspective on physician-assisted suicide. JAMA, 279, 323-328. National Association of Social Workers. (1994). Client self-determination in end-of-life decisions. In Social Work Speaks: NASW Policy Statements (3rd ed.) (pp. 58-61). Washington, DC: NASW Press. Sanson, A., Dickens, E., Melita, B., Nixon, M., Rowe, J., Tudor, A., & Tyrrell, M. (1998). Psychological perspectives on euthanasia and the terminally ill: An Australian Psychological Society discussion paper. Australian Psychologist, 33, 1-11. Sullivan, M. D., Ganzini, L., & Youngner, S. J. (1998, July/August). Should psychiatrists serve as gatekeepers for physician-assisted suicide? Hastings Center Report, 28 (4), 24-31. Veterans Affairs National Center for Cost Containment. (1997). Assessment of competency and capacity of the older adult: A practice guideline for psychologists. Milwaukee, WI: Author. Werth, J. L., Jr. (1999a). Mental health professionals and assisted death: Perceived ethical obligations and proposed guidelines for practice. Ethics and Behavior, 9, 159-183. Werth, J. L., Jr. (1999b). Clinical depression and desire for death among persons with terminal illnesses. Social Pathology: A Journal of Reviews, 5, 22-26.

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