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Aging is a natural process that all human beings must experience at some point in their
lives. As people age their bodies also undergo many physical and psychological changes. Many
of these changes affect cognitive functioning and development of a person. Each person is
different therefore, aging differently, which means that the age-related changes in the structure of
the brain and how it function in cognitive domains are not the same across the brain as a whole
nor are they the same for every individual. In other words some changes a person maybe
experiencing due to aging may not be the same as another person. This material will discuss the
Cognitive Development
Everyone goes through stages of cognitive development from the time we are born to
adulthood. Psychologist and developmental biologist Jean Piaget theorized four stages of
cognitive development in which were named after himself (Miller, 2011). Piaget’s four stages of
Operational.
The Sensorimotor stage is from birth to 2 years old. “Infants understand the world in
terms of their overt, physical actions on the world. Simple reflexes gradually become more
interactions, for example, ‘things you can suck on.’ Piaget refers to a ‘logic of action’” (Miller,
2011).
The Preoperational stage is from ages 2 to 7 years old. “Children use symbols (mental
images, words, gestures) to represent objects and events. That is, they reconstruct the
sensorimotor concepts of objects, relations, causality, space, and time in a new medium (mental
representation) and a more highly organized structure. Despite the limitations of egocentrism,
rigid thought, and limited role-taking and communication abilities, these symbols become
increasingly organized and logical, so that children can think about causes” (Miller, 2011).
Concrete operational stage is from the ages 7-11. According to Miller (2011), “Logical
structures permit children to perform various mental operations, which are internalized actions
that can be reversed. Thinking now is more flexible and abstract. Actions are still the main
source of knowledge, but the actions now are mental. Logic dominates over perceptions, such
that children understand that quantities stay the same even though they change their appearance.”
The final stage is the Formal operational stage, which we pass through from 11-
adulthood. “Mental operations now can be applied not only to concrete objects but also to purely
verbal or logical statements, to the possible as well as the real, to the future as well as the
present. Children take the results of concrete operations and generate hypotheses (propositions,
statements) about their logical relations. Thus, they have operations on operations; thought has
become truly logical, abstract, and hypothetical. The essence of formal operational thought is the
scientific method. Children formulate a hypothesis and test it. They can imagine all possible
Piaget stated that we all pass through each one of these stages in the same sequence,
although he acknowledged that some children would go through the stages at different ages than
others and that some children would show mannerisms of more than one stage at time (Miller,
2011).
As technology evolves, the average age of the population increases as well as the interest
in the ability to understand cognitive and neural changes, which accompany aging (Kensinger &
Corkin, 2009). While it is clear that substantial cognitive decline cannot be avoided with
advancing age. This has motivated researchers to examine what isolates older high-performing
adults from older lower-performing adults (Kensinger & Corkin, 2009). It also allows them to
research the difference between successful aging from those who suffer from age-related
Not all people’s cognitive domains and processes are affected the same with age. Most
common and noticeable cognitive declines in older people are, problems paying attention and
problems with memory (Kensinger & Corkin, 2009). Cognitive changes that occur with aging
may be linked to changes in sensation, such as vision and hearing (Kensinger & Corkin, 2009).
Most people in their 80th year of life have a reduced ability to discriminate colors and significant
hearing loss. For example, if asked to remember certain words dictated in a noisy environment,
younger adults perform better than older adults (Kensinger & Corkin, 2009). These deficits can
also be a result of slower performance due to slower auditory processing and could probably
explain why older adults have poorer memory. It is also possible that some older adults could
have a correlation, which derives from common influence of sensory and cognitive changes
Older adults are also better able to regulate their emotions. Research has shown that older
adults have lower rates of depression and are able to bounce back quickly from negative moods.
This has to do because older adults tend to focus on positive events in their environment and
choose activities based on their emotional fulfillment (Kensinger & Corkin, 2009). While some
people have healthy cognitive development, others are less fortunate. Alzheimer’s Disease (AD),
is the most common cause in negative cognitive development that affects older people and two-
thirds of all AD cases lead to dementia (Kensinger & Corkin, 2009). Alzheimer’s can only be
confirmed through autopsy, so there is a clinical profile for the disease, which requires symptoms
of memory impairment plus a decline in other areas of cognition such as, language, motor
function, attention, executive function, personality, or object recognition. Usually those deficits
have a gradual onset and have to progress continually. Once the criteria is met, a trained clinician
will then give a diagnosis of “probable” Alzheimer’s disease (Kensinger & Corkin, 2009).
Researchers are starting to recognize the need of taking a more individualistic approach
to understanding cognitive changes in older adults. They are also beginning to explore
differences between high-performing and low-performing older adults. Piaget theorized that we
all pass through many stages of cognition from birth to adulthood and as we age our cognitive