Adulthood and middle age

Chapter 7 Adulthood and middle age


As young people mature into adults, their health behaviour changes. They may become less likely to take risks when they have responsibilities and may no longer perceive themselves as invincible.


Most children long to be grown up, and grown-ups are seen as having rights and privileges that are strongly desired by children (see pp. 10–11). However, they do not always recognize the accompanying responsibilities of adulthood. Young adults grapple with problems of budgeting, relationships, demands of work and study.


Health is probably better in early adulthood than at any other time of life. As people get older they may begin to worry about the negative consequences of ageing. This realization may not be inevitable and may occur at different ages for different people, or, indeed, for men and women. At some point the anticipation of the next birthday may be tinged with apprehension about the ageing process.


The ages between 17 and 40 years are often described as early adulthood and, until relatively recently, would be regarded as the prime of life. Individuals and society emphasize growth and development on each birthday. In the UK, the 18th birthday is seen as being culturally important. Other important milestones may be the legal age of consent to sexual intercourse, drinking alcohol in pubs or voting. It is also a healthy time of life and young adults are the age group that are least likely to consult doctors apart from health related to reproduction (see pp. 4–5).



Marriage and civil partnerships


During adulthood most people will form a relationship with the opposite sex. Family patterns are rapidly changing. Many couples cohabit, though most (76% of women and 71% of men) expect to marry. In 2006 24% of children were living in one-parent families in the UK (Fig. 1) – more than triple the number from 1972 (Office for National Statistics 2007). Homosexual partnerships are becoming increasingly accepted in our society. Civil partnerships give the same rights to homosexual couples as heterosexual couples. There were over 15 000 civil partnerships between December 2005 and September 2006, 60% of which were male couples.



There is considerable evidence that men benefit from marriage in terms of physical and mental health, but for women, being married can have disadvantages. Being single, widowed or divorced is associated with lower rates of depression in women than it is in men. Blaxter (1987) found that men living with a spouse had lower illness scores than men living alone, but for women there was no difference. The protective effect of marriage for men could be linked to social support. However in 2006 58% of young women and 39% of young men aged 20–24 in England lived with their partners – an increase of 8% since 1991 (Office for National Statistics, 2007).


Although marriage appears to be good for men’s health, men suffer more severely from loss of their wives by bereavement or breakdown of marriage, and they are more likely to suffer from a range of health problems.


Patients who consult with physical symptoms may be having marital problems, and sometimes these can disrupt their medical treatment. These may involve depression associated with childbirth or sexual problems, or major health and social problems if the wife has been physically abused. A marital separation may be followed by depression and would certainly impede recovery from illness or surgery. Knowledge of the psychology of relationships can help us understand the context of change in health and illness.

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Jun 10, 2016 | Posted by in PSYCHOLOGY | Comments Off on Adulthood and middle age

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