Elderly Drivers
Part 1
|| 2 ||
Highlighting the reality of fatality statistics for older drivers, a National Highway
Traffic Safety Administration (NHTSA) publication reported, "In 1997, older people
made up 9 percent of the resident population but accounted for 14 percent of all traffic
fatalities and 17 percent of all pedestrian fatalities." NHTSA summarized 1997
highway statistics for older drivers in "Traffic Safety Facts 1997: Older
Population" (DOT HS 808 769). The publication reported that:
In 1997, more than 24 million people in the United States were over 70 years of age.
Representing 9 percent of the population in 1997, the 70-and-older age group grew 2.1
times faster from 1987 to 1997 than the total population.
In 1986 older drivers were 7 percent of licensed drivers; in 1996 they were 19 percent of
licensed drivers.
Of traffic fatalities involving older drivers, 82 percent happened in the daytime, 71
percent occurred on weekdays, and 75 percent involved a second vehicle.
When a crash involved an older driver and a younger driver, the older driver was 3 times
as likely as the younger driver to be the one struck. Moreover, 28 percent of
crash-involved older drivers were turning left when they were struck-- 7 times more often
than younger drivers were struck while making left turns.
Older drivers involved in fatal crashes and fatally injured older pedestrians claimed the
lowest proportion of intoxication--defined as a blood alcohol concentration of 0.10 grams
per deciliter or higher.
While only 55 percent of adult vehicle occupants (ages 18 to 69) involved in fatal crashes
were using restraints at the time of the crash, 70 percent of fatal- crash-involved older
occupants were using restraints.
"On the basis of estimated annual travel, the fatality rate for drivers 85 and over
is nine times as high as the rate for drivers 25 through 69 years old."
original here
Watch
News Video about elderly drivers
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New precautions to help the elderly behind the wheel Elderly drivers learn new skills.
Watch this report from NBC's Kerry Sanders.
story and video here |
See also this excerpt from our book Road
Rage and Aggressive Driving on the Gender
Effect in Driving,
Men Drivers, Women Drivers by Leon James and Diane Nahl
Date: Sat, 21 Oct 2000 06:22:16 -1000
From: JP <bkaa@hotmail.com>
To: DrDriving@DrDriving.orgSubject: older driver
DrDriving, I know exactly what you're talking about when it comes to the dangers of older drivers.
I was rear ended at a yield sign by some old man who "thought I had already
gone". I was waiting for traffic to pass and I heard him peel out and I had no where
to go. He just floored the peddle in his new dodge ram and pushed me into traffic. Several
other cars had to slam on their brakes to avoid me. He just didn't see my bright red car
right in front of him.? He wasn't ticketed and my insurance is VERY high, seeing that I'm
19 years old. My car was totaled and I had to buy a new one. Lets just say that I don't
believe that older drivers should be on the road!
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Elderly Driving/Age Factor --
Web Links
www.nhtsa.dot.gov/people/injury/research/MedicalAdvisory/pages/In-depth-j.html
This article shows a debate about whether visual exams
should be administered during renewals. It discusses the fact that people
between 20 and 40 should not have to be tested again every five years. It did a
good comparison between elderly drivers and young adults.
http://www.motorists.com/issues/elderly/elderly.html
This
article seem interesting because it gave a different approach to elderly
drivers. Normally people attribute bad driving of the elderly with poor
motor skills, but this article says it is disease related.
http://www.ama-assn.org/ama/pub/category/8925.html
older driver safety – Per mile driven, the fatality rate for drivers 85 years
and older is NINE times higher than the rate for drivers 25-69 years old.
http://www.ama-assn.org/ama/pub/category/9115.html
vision, cognition, motor functions of older drivers and how that put them at
risk
http://familydoctor.org/487.xml
This website talks about the driving skills of older
people. It talks about the signs to look for concerning when an elderly
person should stop driving. It also talks about why a person should stop
driving.
See also this directory of links on elderly drivers:
http://www.drdriving.org/elderly/
Research
on Aging as it impacts senior drivers -- see the following
Bibliography.

Yesterday's Young in Today's Traffic
J. Peter Rothe, Ph.D."Rothe writes in an ethnographic style to provide the
contextual social factors that influence or determine thinking and behavior. The social
images are followed by reports of statistical analyses of his research. The combination of
the two forms allows the reader to achieve a fine understanding of the knowledge,
attitudes, rationalizations, and behavior of those who place themselves and others at
risk. " IPW
Order from
Amazon.com |
Journal of Safety Research Special Issue
The Journal of Safety Research presents articles and
research covering all aspects of safety, in both work and home
environments.
Read the foreword and table of contents excerpted from the
Journal's special issue on driving and the elderly (Vol. 34,
No. 4). Articles from the issue are excerpted below.
-
Evaluating the impact of passengers on the safety of older
drivers (.pdf, 147K)
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Impact of impulsiveness, venturesomeness, and empathy on driving
by older adults (.pdf, 121K)
-
Driving disability and dizziness (.pdf, 405K)
-
Improving older driver knowledge and self-awareness through
self-assessment: The driving decisions workbook (.pdf, 380K)
-
Deconstructing gender difference: Driving cessation and personal
driving history of older women (.pdf, 326K)
-
MaryPODS revisited: Updated crash analysis and implications for
screening program implementation (.pdf, 516K)
-
Older women drivers: Fatal crashes in good conditions (.pdf,
175K)
-
Driving and alternatives: Older drivers in Michigan (.pdf,
133K)
-
Assessment of older drivers: Relationships among on-road errors,
medical conditions and test outcome (.pdf, 219K)
-
On-road driving evaluations: A potential tool for helping older
adults drive safely longer (.pdf, 141K)
-
Effect of vehicle and crash factors on older occupants (.pdf,
168K)
-
Using a driving simulation to identify older drivers at inflated
risk of motor vehicle crashes (.pdf, 171K)
-
The 2001 national household travel survey: A look into the
travel patterns of older Americans (.pdf, 177K)
Senior Drivers to Increase 70% Over Next 20 Years
6/11/08
Over the next 20 years, the United States
will experience a substantial
growth in senior drivers. According to the U.S. Census Bureau,
the population
of those over 75 will grow from 18 million to 31 million between
2008 and
2028. With accident rates for drivers over the age of 65 higher
than for any
other group except teens, this large increase in senior drivers
could result
in up to 100,000 senior driving deaths between 2008 and 2028.
"With our senior driving population growing, there will be more
drivers
over the age of 75, potentially causing serious safety issues on
our roads,"
said John Kennedy, executive director of NSC
Defensive Driving Programs. "As a
nation, we must do more to promote mature driver safety through
better
education, self-evaluation tools, refresher driving courses, and
more options
for public transportation."
http://www.earthtimes.org/articles/show/senior-drivers-to-increase-70-over-next-20-years,429094.shtml
Jun 11, 2008
NEW YORK (Reuters Life!) - The number of senior drivers is
expected to soar by 70 percent in the next 20 years but many
adults are reluctant to talk to their aging parents about their
driving abilities. (...)
By Michael A. Piekarz
According to the National Highway Traffic Safety Administration,
the more than 30 million senior drivers aged 65 or older on the
road today will soon need to evaluate the physical limitations
that may cause them to reduce their driving or seek alternative
transportation altogether.
By 2012, approximately 10,000 Americans will turn 65 every day,
and by 2030, America’s overall senior population will reach
nearly 71 million. (...)
ITNAmerica uses a community-based approach to provide
personalized rides to seniors who limit their driving or stop
altogether. ITN volunteers from the local community and a small
paid staff use their own or donated cars to bring member-riders
to and from medical appointments, grocery shopping, work,
exercise and other local destinations. (...)
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Older
Drivers at Risk
From the book
Road Rage and Aggressive Driving by
Leon James and Diane Nahl
Driving elderly requires new
adjustments that challenge personal philosophy and ideology. For instance,
night vision loss for some drivers is due to glare, and this does not
necessarily affect their day vision. Scheduling driving times to avoid night
driving, and possibly rush-hour traffic and bad weather is a good coping
strategy that preserves driving freedom and maximizes safety. Automotive
sociologist J. Peter Rothe has interviewed many elderly drivers and listened
to them in focus groups. These conversations reveal concerns senior
motorists have about themselves and concerns others have about them.21
1.
Insufficient self-confidence due to inexperience ("After my husband
passed away, everything was pushed on me.")
2.
Anxiety due to decline in ability ("I'm sometimes a bit nervous on
the blind side on my right when I'm in the left hand lane. The only way I
can see is to turn my head and take a look.")
3.
Resentment due to social ostracism ("They think older drivers are
worse and should stop driving.")
4.
Hostile behavior addressed to older drivers which they find degrading
("One time one of the ladies yelled at me in the parking lot, 'You’ve got
all day but I haven't.' I guess what she thinks is we're just a bunch of old
fogies.")
5.
Lack of awareness of how family members see them as drivers, and
disbelief when told of their criticisms.
6.
Inability to see their slowness as others experience it, equating
slowness with caution and patience.
7.
Increased difficulty in certain vehicle maneuvers such as parallel
parking ("The curb disappears from your rear view mirror before you're
really close so I have to kind of guess how far I am."
8.
The distressing experience of information overload on multilane
super-highways ("Cars are coming and going on either side and it's taken me
a long time to learn to keep in my lane, to signal, to look before I get
into that other lane.")
9.
The experience of fatigue during extended driving hours on highways
("They just go on for miles and miles and there is no stimulation. It puts
you to sleep.")
10.
Frustration with signs whose letters aren't big enough or are too
similar to each other, and other vision problems ("Driving would be easier
if there were more lines, reflectors, and larger signs placed in the center,
not on the side.")
11.
Being very fearful of hitting a pedestrian ("Pedestrian crossings
should be better marked and lit.")
12.
Coping with disabling diseases or injuries like arthritis, loss of
vision, and other health problems. ("I just hope my health stays well enough
so I can drive for a long time.")
13.
The dread of crashing or getting into a collision ("I worry about
someone going through a stop light, especially late at night with drunks."
14.
Rigidifying driving style due to a preoccupation with taking great
precautions ("You don't take chances you did sixty years ago. When a car
comes too fast to a stop I just wait until he stops, until I'm sure.")
15.
Strong anxiety about being tailgated, seeing it as an infringement
and an attack. ("It's a selfish invasion of my rights."
16.
Refusing to concede that the left lane is not a cruising lane ("I'm
already driving the speed limit so I don't need to drive faster. It's my
right")
17.
Experiencing greater difficulty in talking while driving ("My friend
was talking but I tried not to talk because it could have distracted me.")
18.
Lapsing into daydreaming episodes ("Somehow I had missed the stop
sign there. I didn't see it.")
New drivers who are elderly
and female have a double handicap to overcome in the eyes of society and the
motorists on the road. They need to learn how to manage people's hostility
toward both older drivers and female drivers. They especially need to learn
to monitor their driving in relation to other motorists. Every stretch of
road has regular users who develop "local norms" about how people should
drive in that area. Anyone who drives differently violates their
expectations, arouses ire, and is treated aggressively and with hostility by
regulars. This hostile treatment adds to the stress and confusion of the
novice elderly driver.
Many
widows over the age of 65 never learned how to drive a car. Their husbands
were the drivers, and when their husbands passed on, they had to become more
independent, doing a lot of walking and learning how to take buses and
subways. After speaking to many widows over 65, most of them agreed that
they did not learn to drive because their husbands didn't encourage them
and/or they were very afraid of driving. Obviously, nowadays, women are not
as afraid of driving anymore. (A correspondent, July 1999)
Since this is a cultural
practice in certain layers of society, many 65+-year-old widows whose
husbands have passed on, or who are no longer able to drive, find themselves
in a predicament created by societal values. Besides understanding safety
principles, these women need driver education that includes a driving
psychology component to learn how to cope with the interactive nature of the
highway environment, which can be aggressive, hostile, and overwhelming.
A common bitter complaint
motorists voice about older drivers is that they travel at speed limit in
the passing lane and refuse to move over into the slower lane. This blocking
behavior causes a flurry of dangerous activity around them as drivers
angrily scramble to pass them in the right lane. New drivers who are older
need training to remain alert to this problem of cruising in the passing
lane, and how to monitor and facilitate the activity of vehicles around
them. This is a special concern for older drivers because reaction time
tends to slow with age. Older drivers typically take longer to get going at
traffic lights and intersections, to make turns, or to park. What older
drivers call "being patient" others around them call "obnoxiously slow."
Since the number of older drivers will increase dramatically over the next
two decades, there is a critical need for age groups to better understand
each other, and this requires developing a greater tolerance for diversity.
The increasing age of American
drivers is a serious national concern. Everyone agrees that drivers need
additional skills to compensate for the decreased abilities due to aging.
People 65 years and older represent 13 percent of the population and 17
percent of all motor vehicle deaths. The aging process reduces the driver's
ability to deal with traffic incidents both physically and mentally, and
increases the seriousness of injuries. Elderly drivers are more likely to
receive citations for failing to yield, improper turns, and running red
lights and stop signs. AARP, the largest association of older Americans,
opposes licensing restrictions and testing of elderly drivers, citing age
discrimination. This powerful lobby group argues that restrictions should be
based solely on driving ability and not age, and a program of universal
testing for 177 million licensed individuals in the U.S. is not considered
practical.
Several organizations, have
developed special training courses for older drivers. The American
Automobile Association (AAA), AARP, and the National Safety Council offer
refresher courses for seniors. Illinois requires a driver re-examination
every three years for those over age 75 and Louisiana requires that drivers
age 60 and over obtain a physical examination. Several states require
re-examination if a driver is determined to be unsafe or mentally or
physically unfit. However, there is no known reliable test that predicts how
well a driver will operate a motor vehicle. Recent research with driving
simulators is promising because the program varies light conditions as well
as the dynamics of driving situations. We recommend that new drivers who are
elderly participate in QDCs. Older women drivers can benefit from these
group interactions that can provide support and motivation to continue to
develop their driving skills.
Older drivers have two things
going for them. First, driving experience accumulates with age, and since
driving is a complicated bundle of skills, being more experienced is an
advantage. For example, older drivers excel in the skill of assessing risk,
while young, inexperienced drivers do not, so collision rates for youth are
three times higher than rates for older, more experienced drivers.
Consequently, insurance costs are higher for young drivers, and they have
more traffic citations and license suspensions. Older drivers think more
critically behind the wheel than younger drivers. Second, older drivers
manage their emotions and impulses better than younger drivers.
The results from our 1999
Internet survey in show marked differences:22
|
Admitted aggressive
driving behavior:
"I do it on a regular
basis:" |
Percent Who Admit
Doing it Regularly |
Check all that apply to
you |
|
Young drivers
(15-24) |
Older drivers
(55-83) |
|
Swearing |
66 |
42 |
|
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Breaking speed limit over 15 mph |
52 |
19 |
|
|
Lane
changes without signaling |
36 |
13 |
|
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Running red lights |
16 |
2 |
|
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Tailgating dangerously |
19 |
6 |
|
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Cruising in the passing lane |
15 |
6 |
|
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Making insulting gestures (men) |
42 |
20 |
|
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Making insulting gestures (women) |
22 |
22 |
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The majority of young drivers
swear and speed. Young men outdo older drivers in flipping the bird, while
young women are either too scared or more compassionate. Tailgating,
dangerous lane hopping. and running red, are far less common among older
drivers. Other driving behaviors that decrease with age and experience
include, "Enjoying fantasies of violence", "Experiencing rage while driving"
and "Feeling impatient" ,"Feeling hostile" or "Feeling road rage". Older
drivers "feel more compassion" behind the wheel. But when asked, "How do you
rate your aggressiveness as a driver?", young drivers chose 6 and older
drivers selected 5. Not much difference! When asked how much stress they
experience daily as a driver, the picture is reversed: 33 percent of
younger drivers pick 5 or above, while 50 percent of older drivers
experience higher stress. Driving stress thus increases with age, and there
are both medical and psychological consequences to consider. Medically,
stress kills by weakening immune system functioning and raising the
concentration of potentially harmful chemicals in the blood. If one in two
older drivers experience high stress while driving, a certain percentage of
them will suffer medically unless they learn to manage driving stress.
Psychologically, stress is a depressant. People tend to be more pessimistic
when in a depressed state, they're less happy and contribute to the
unhappiness of others. It makes sense for older drivers to use their
experience and maturity to practice stress management skills while driving.
The above is from the book
Road Rage and Aggressive Driving by
Leon James and Diane Nahl
| 6 January 1999
Wearing Suit Helps Ford Understand Mature Drivers
DETROIT, Jan. 6 -- How can young ergonomics engineers develop vehicles for customers as
much as 30 years older than they are?
A desire to better understand the special needs of older customers led to Ford's
breakthrough development of the Third Age Suit in conjunction with the University of
Loughborough in England. The suit, which appears to be a cross between a bee-catcher's
protective gear and a high-tech astronaut suit, restricts Ford engineers' agility to
simulate driving capabilities of individuals 30 years older than themselves.
The suit is made up of materials that add bulk and restrict movement in key areas of
the body such as the knees, elbows, stomach and back. Together with gloves that reduce the
sense of touch and goggles that simulate cataracts, the Third Age Suit gives engineers and
designers a feel for the needs of an older generation as they design new vehicles.
"We developed this suit to show our engineers and designers what it feels like to
be an older person," said Vivek Bhise, manager, Human Factors and Ergonomics for
Ford. "When you are young, you think you're designing for everybody, but you really
don't understand the range of people and their limitations."
The Ford Focus is the first Ford product to benefit from extensive use of the suit as
it first came into use as the vehicle development program started. The expected wide range
of Focus customers all will benefit from this increased awareness of restricted mobility
caused by aging. Designers and engineers developed the car with more headroom than the
Escort for ease of ingress/egress in addition to providing a more comfortable interior.
The suit also led to a class-leading 'H-point' -- the point at which the hips swivel --
also making it easier to enter and exit the Focus.
"When you're young and fit enough to leap out of a car without effort, it's hard
to appreciate why an older person may need to lever themselves out of the driver's seat by
pushing on the seat back and the door frame," said Mike Bradley, ergonomics
specialist in Ford's Dunton, England design center and Ford's first full-time ergonomics
specialist dedicated to one vehicle development program in Europe. "But, try leaping
out while you are wearing this suit and you really understand the challenges we
face."
Ford engineers are using the Third Age Suit to keep pace with the demands of aging baby
boomers over the coming decades. Demographics show that the number of people in the United
States between 55 and 74 will almost double by 2030 -- rising from 40 million to about 74
million. In Europe between 1985 and 2005, the number of male drivers over 65 is expected
to increase by 90 percent while the number of female drivers in this age range will grow
by more than 200 percent.
As people age, their physical capabilities erode. Experts on aging say most functions
degrade at a rate of 5 percent to 10 percent for every 10 years an adult ages.
"Our top priorities in establishing an automotive product development benchmark
are understanding and satisfying our customers," said Richard Parry- Jones, vice
president -- Product Development. "The numbers show that mature and elderly drivers
are becoming an increasingly large percentage of the motoring public. So, with the Third
Age Suit, we believe we have an advantage in knowing what that large demographic group
demands."
Ford development teams in both the United States and Europe are using Third Age Suits
in ergonomics research.
"It's one thing to read customer feedback in a marketing study," Bhise said.
"It's a whole different thing to feel what they're feeling while driving a car. This
has been a real eye-opener for our engineers."
original
here
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There are more than 25 million people age 70 years and older in the United States. In
1999, this age group made up 9 percent of the total U.S. resident population, compared
with 8 percent in 1989.
From 1989 to 1999, this older segment of the population grew twice as fast as the total
population. There were 18.5 million older licensed drivers in 1999 a 39 percent
increase from the number in 1989. In contrast, the total number of licensed drivers
increased by only 13 percent from 1989 to 1999.
Older drivers made up 10 percent of all licensed drivers in 1999, compared with 8
percent in 1989. In 1999, 171,000 older individuals were injured in traffic crashes,
accounting for 5 percent of all the people injured in traffic crashes during the year.
These older individuals made up 13 percent of all traffic fatalities, 13 percent of all
vehicle occupant fatalities, and 18 percent of all pedestrian fatalities.
Most traffic fatalities involving older drivers in 1999 occurred during the daytime (82
percent), on weekdays (71 percent), and involved another vehicle (75 percent).
In two-vehicle fatal crashes involving an older driver and a younger driver, the
vehicle driven by the older person was more than 3 times as likely to be the one that was
struck (58 percent and 19 percent, respectively).
In 44 percent of these crashes, both vehicles were proceeding straight at the time of
the collision. In 27 percent, the older driver was turning left 7 times as often as
the younger driver.
Older drivers involved in fatal crashes had the lowest proportion of intoxication
with blood alcohol concentrations (BAC) of 0.10 grams per deciliter (g/dl) or
greater of all adult drivers.
Fatally injured older pedestrians also had the lowest intoxication rate of all adult
pedestrian fatalities.
In 1999, older people made up 9 percent of the resident population but accounted for 13
percent of all traffic fatalities and 18 percent of all pedestrian fatalities.
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It was a baby-boomer anthem: having fun, fun, fun til Daddy takes the T-Bird
away. But as car-crazy boomers age into grandparents, the question is becoming: when to
take Daddys license away.
At the American Gerontological Societys annual meeting this week, and around the
country, experts are trying to figure out how to get unsafe older drivers off the road
without unfairly penalizing those who drive well.
Statistics show that drivers over 65, along with teen-agers, have the highest accident
rates per miles driven. But proposals in several states to toughen requirements for older
drivers have been thwarted recently by senior-citizen lobbying groups who say age-based
measures are discriminatory.
There are good drivers and bad drivers of all ages, said Nina Glasgow, a
Cornell University researcher who opposes age-based testing and favors screening targeted
at all unsafe drivers.
Few Tests for Older Drivers
Several states require elderly drivers to renew their licenses more frequently than other
drivers, but very few require road tests or medical exams.
Lawrence Nitz, a political scientist from the University of Hawaii, presented a three-year
study of Hawaiian traffic records at the gerontological meeting. It found that drivers
over 75 were far more likely than other motorists to be cited for certain offenses,
including failing to yield to pedestrians, backing up unsafely and failing to stop at a
flashing red light.
To deal with elderly problem drivers, Nitz suggested a phased removal of driving
privileges comparable to the phased adding of privileges for young drivers. For example,
an older driver might be barred from driving at night or restricted to an area near home.
By Dick Crary The Associated Press Original
here
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by Dr. Leon James
Stress-free, safe, and friendly driving. How do we get to it? First, we resist blaming
others and their shortcomings. Second, we examine how we ourselves contribute to the
stress and hostility. Third, and finally, we do the opposite. Result: reduced stress,
greater safety, more civility or mutual support..
Problem
"Why should I resist blaming idiots who endanger my life and their own because
they're too stupid to be aware of what's going on?"
This attitude problem has gotten thousands of drivers killed last year, and again as
many this year. Hundreds of thousands of crashes every year are caused by this attitude
problem.
Solution
Make yourself face this: getting angry is stress producing. Who is making you angry?
That driver you call "idiot"? No. Wrong theory. You are making yourself angry
over that driver's behavior or mentality. Therefore: It is you who is pumping up the
stress by mentally churning up your emotions through the venting you're doing. Venting
your anger means feeling indignant at the other driver, and wanting the other driver to
know that you're displeased, mad, shocked, or scared. You can tell yourself this: it's
worth giving up venting so that you can reduce your stress. Medical research shows that
the stress from venting weakens your body's resistance to getting sick.
Giving up venting is not easy, even after you decide you want to. One trick I
recommend:
ACT THE OPPOSITE OF WHAT YOU FEEL LIKE
Another way of saying that is
PRETEND YOU'RE FROM HAWAII AND DRIVE WITH ALOHA
The Way you Drive is Contagious
Smile and the whole highway smiles with you!
Try this advice and you will be convinced that it works. Your driving stress will be
reduced if you don't vent your anger. By not venting, you discover alternative ways of
handling driving situations. You're happier, safer, and others are more happy with you!
more advice from DrDriving? See
Dear DrDriving Letters & Answers |
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