Growing old: A psychoanalyst’s point of view1

With the help of clinical examples, the author shows that psychoanalysis or psychotherapy after the age of 70 can be a fascinating experience, one that enables patients to reconstruct their internal history in such a way that their final years can be given their rightful place in the overall journey through life. Often it will be a matter of going beyond the conflict between paralysing time with the illusion of keeping death at bay and taking the transient nature of life into account in order to perceive its true flavour. We can grow old passively, juxtaposing different periods of our life without linking them together, thereby creating the illusion of time without end; or we can grow old actively, integrating the different phases of our life into a coherent historical narrative. This representation of time leaves the door open for experiences which the author calls ‘small seconds of eternity’. We can all experience such moments when we are deeply moved – joyfully or painfully – by something, so that we perceive another quality of time that goes beyond its chronological dimension without all the same negating it. Helping elderly people to identify these seconds of eternity and catch hold of them can be an invaluable experience for them. Perhaps we need to see our life unfold through the chronology of its different phases in order to discover, second by second, how to express on an everyday basis something of which we have had an inkling in some second of eternity.     

Life satisfaction in old age: linking social psychology and history

A life course perspective on aging assumes that adaptation is governed by factors beyond the immediate situation. Using longitudinal data on 79 women from the 1900 generation of the Berkeley Guidance Study, we examined how social and psychological factors interact over time in the course of successful aging, as expressed by life satisfaction. The consequences of adaptive resources in early adulthood vary in relation to social class. Intellectual skills in 1930 indirectly predict life satisfaction in old age for women from the working class, whereas emotional health is more influential in the life satisfaction of women with higher class origins. Social activity in old age makes a difference only in the lives of women from the working class. Finally, adaptation to old age is related to women's experiences with past stressful events. Middle-class women in 1930 showed gains attributable to Depression hardship (1930s), whereas the life satisfaction of women from the working class was diminished by such hardships. Several mechanisms are discussed that may link widely separated problem situations and life events across the life course. The analysis provides empirical support for the proposition that the influence of social change on life trajectories is contingent on what individuals bring to change situations.     

The influence of aging on the spatial and temporal variables of gait during usual and fast speeds in older adults aged 60 to 102 years

BackgroundWith increases in life expectancy, it is important to understand the influence of aging on gait, given that this activity is related to the independence of older adults and may help in the development of health strategies that encourage successful aging in all phases of this process.Research questionTo compare gait parameters with usual and fast speeds for independent and autonomous older adults throughout the aging process (60 to 102 years old), and also to identify which of the gait variables are best for identifying differences across the different age groups.MethodsTwo hundred older adults aged between 60 and 102 years were evaluated. The sample was divided into 3 age groups: 60 to 79 years, 80 to 89 years and 90 years and over. The analyzed gait variables were: speed (meters/s), cadence (steps/min), stride time (seconds), step length (centimeters), double support (percentage of the gait cycle), swing (percentage of the gait cycle), step length variability (CoV%) and stride time variability (CoV%).ResultsGroup comparison regarding usual gait and fast gait revealed a significant difference in all gait variables. In addition, it can be seen that variables such as gait speed and step length showed greater effect sizes in intergroup comparison (usual gait: 0.48 and 0.47; fast gait: 0.36 and 0.40; respectively), possibly showing that these variables can better detect the changes observed with increasing age.ConclusionThere are differences in the gait performance of older adults from different age groups for usual and fast gait speeds, which is more evident regarding gait speed and step length variables. We recommend the use of usual gait for the identification of the effects of aging because, besides showing a higher effect size values it is more comfortable and requires less effort from older subjects.     

人类会继续进化吗

从猿到人的进化经历了漫长的过程,但是今天的人类是青少年,还是已迈入老年？未来的命运将怎样？至今仍无答案。一个关于人类生命历程的假说回答了上述问题,并探讨发展进程中人类的生物学变化。结论：目前的人类正处在成熟（青少年）期,可能经较长的时间发展后进入稳定期,最终逐渐衰老     

Odor Memory and Aging

Although, odor memory is considered to be impervious to time, an unfortunate reality is that many older people lose some olfactorial abilities across the adult life span. This review examines the unique features of odor memory and detection in perspective of the aging adult. Memory for odors does not inherently diminish with age, but neither is it impervious to the effects of time. Many, if not most of the declines typically associated with age are the result of insult and injury, neuropathologies, pharmacological and nutritional imbalance, cognitive slowing, and diminished memorial capacity. Extent research has typically ignored major facets of efficient memory encoding and recall, especially context and experience. Among the most salient experimental factors in need of more research are lexicality effects, in which some stimuli are more easily remembered because of the ability to label or name them, either overtly or covertly. Another important experimental factor is context, typically relied on more by older persons to aid in both encoding and recall. Specific suggestions for research are discussed.     

"You're only as old as you feel": self-perceptions of age, fears of aging, and life satisfaction from adolescence to old age

We examined differences in subjective age identification from adolescence to old age and the relation between subjective age and fears about one's own aging and life satisfaction. Using a questionnaire format, 188 men and women from 14 to 83 years of age made judgments about how old they felt, looked, acted, and desired to be. Respondents also answered questions about their personal fears of aging and present life satisfaction. Results revealed that individuals in their teens held older subjective age identities, whereas during the early adult years, individuals maintained same age identities. Across the middle and later adult years, individuals reported younger age identities, and women experienced younger age identities than men across these adults years. Results also revealed that discrepancies between subjective and actual age were associated with personal fears of aging and life satisfaction, especially in younger men and women.     

基于年龄建构的老化心理——一项深度访谈研究报告

为考察年龄建构的老化心理,采用质化深度访谈法收集资料,结合现象学分析法和使用扎根理论资料分析法分析资料,结果发现,年龄建构了“增龄即老化”以及拒老、服老、怯老、终老等老化心理。老年人先以“不老之心”抵抗生理性老化;后屈服于并认可“落伍者”和退休者的老年身份;再因老年病的常态化对成为“累赘”和“负担”感到担忧;最后在恐惧和无奈中向人生告别。研究评估了结果的描述型、解释型和评价型效度作,分别为5、4.77、4.38分。     

College Sophomores in the Laboratory Redux: Influences of a Narrow Data Base on Social Psychology's View of the Nature of Prejudice

In this article we review answers to 5 questions concerning the development of personality across the life course: How early in the life course can we identify characteristics unique to individuals that will show continuity over time? When in the life course is personality fully developed? What life course factors moderate continuity and change in personality? What are the mechanisms that promote continuity in personality? And finally, what are the mechanisms that promote change in personality? Based on the answers to these 5 questions we conclude (a) that there is modest continuity from childhood to adulthood, (b) that personality traits do not become fixed at a certain age in adulthood and retain the possibility of change even into old age, and (c) that with time and age people become more adept at interacting with their environment such that personality consistency increases with age and is more common than change in midlife and old age.     

自然情境下舌尖效应的认知年老化——日记研究

舌尖效应是一种话到嘴边却说不出来的单词提取失败现象(Tip-of-the-Tongue, TOT)。本研究通过TOT回溯问卷和日记记录方法对青年人和老年人进行了为期28天的追踪, 考察了自然情境下舌尖效应认知年老化的发生特点及机制。结果表明：(1)自然情境下TOT存在认知老化现象, 老年人TOT发生频率比青年人更高; (2) TOT发生时, 个体存在替代词和语义相关信息的提取, 且青年人比老年人产生了更强烈的兴奋感和疲惫感的元认知体验; (3) TOT发生后目标词几乎都能获得提取, 老年人TOT的解决时间比青年人长, 但其解决率无年龄差异。TOT的解决时间受目标词熟悉性、是否存在替代词和个体主观体验的认知和元认知因素影响。(4)对TOT认知状态和元认知状态的记录会影响后续发生TOT的状态, 且延长其解决时间, 表明被试付出了更多努力和时间解决TOT。TOT的认知状态和元认知状态的因素都对TOT的解决时间产生了影响。     

Successful aging: Social theory,scripture, church teaching

ABSTRACT

Thanks to medical progress and better overall living conditions, a greater number of people are living well into old age, many more than in previous generations. However, we feel instinctively that there must be more to life than longevity and merely living longer. Religious communities and social scientists are both interested in what makes for “successful aging.” The dialogue between them can be enriched by fostering a mutual appreciation for biblical norms and stories, and a better working knowledge of the models and methods of the social sciences. To that end, I offer a sketch of four models of aging: disengagement, activity, continuity, and Tornstam’s theory of gerotranscendence. This sketch serves as a prelude to a discussion of three biblical stories: (1) the story of Barzillai and King David in 2 Samuel, which shows how the elderly can make a positive contribution to the common good, in spite of their limitations; (2) the intertwined stories of Jacob and Joseph in Genesis, which can help us understand the theological significance of life review, forgiveness, reconciliation, and life review in the aging process; and (3) the third phase of the encounter considers John Paul II’s Letter to the Elderly, and builds on several suggestions he makes concerning the life of Moses and successful aging.     

Old age from an existential-analytical perspective.

Aging confronts humans with specific existential issues. They frequently cause suffering in old age. Not dealing with or insufficiently dealing with these existential themes may result in crisis, psychological disorders, and illness. By integrating existential themes of aging into the understanding of one's own life, the process of aging contributes to personal maturity.     

Spiritual Development in the Fourth Quarter of Life

SUMMARY

Spirit, the activating or essential principle influencing a person, and body interpenetrate each other but do not dominate each other in predictable ways. Normal aging is neither a failure of the human spirit nor a failure in the body's Biology. The spirit becomes more apparent as a result of spiritual development.

The fourth quarter of life covers age 75 to 100 years. Prior to age 75, the human spirit undergoes significant developmental events: a crisis of meaning which may result in conversion or more commonly stripping or shedding; transitions, including loss of clearly defined roles and loss of the sense that the individual's life makes a difference.

One motif applied by our culture to old age is the “iconic illusion”; however, it is evident that in some respects this motif has limited application to the fourth quarter of life. “Meaning making” is, in fact, enhanced in the fourth quarter of life, given reasonable levels of cognitive health. The desire and ability to make sense out of existence, to draw together an understanding of a meaningful life trajectory, is best done in the fourth quarter of life. The dominant sense of time in the fourth quarter of life particularly facilitates spiritual development.     

Finishing the Story: Aging,Spirituality, and the Work of Culture

ABSTRACT

Society projects its death anxiety onto old age and the aging, who are isolated from generative human contact, with no conversation expected. Any shared, common language atrophies. Broken connection becomes a cultural expectation. Society and the aging lose sight of developmental tasks appropriate to old age. We do not seek or foster last careers devoted to finishing the human story, to completing a sense of meaning about life. Such a last career would raise questions about soul-making and invite awe and wonder at life and death. But no one is called to do such work today, so unfinished cultural business accumulates. We should anoint or commission the aging for their last career because of its significance for them and for culture. When the aging take up such last careers and find themselves immediately confronted with the task of life review, they may discover opportunities for repenting, mythologizing, and sacralizing. The work of culture gets done, and gifts to the future are offered by the aging. The broken circle of conversation is closed, re-connections are made, and human communities, including the worlds of the living and the dead, are made whole.     

Positive Aging Through Reading Our Lives

The same turn toward ??narrative?? that has been making its way across psychology, sociology, and related disciplines is influencing how gerontologists view the inner experience of aging??inside aging, as it were: subjective aging or biographical aging. In sympathy with Kenneth and Mary Gergen??s vision of ??positive aging??, and in contrast to the biomedical paradigm that dominates societal perceptions of aging in general, a narrative gerontology appreciates that lives are in many ways ??texts?? that are socially constructed - and co-authored??amid our relationships with others within a wide range of narrative environments, larger stories, and master narratives??families, friendships, cultures, creeds, etc.. In this way, it opens up a theoretical space for appreciating the poetic complexity of later life and for seeing aging as a process, potentially, of growing old and not just getting old. This paper explores how a poetic or narrative perspective sheds light on the intimate links between memory, meaning, wisdom, and spirituality; moreover, how learning to ??read our lives?? can aid us in developing resilient, robust stories??of self, other, and world??with which to meet the many challenges of later life.     

Sleep and Sleep Disorders in Older Adults

A common but significant change associated with aging is a profound disruption to the daily sleep-wake cycle. It has been estimated that as many as 50% of older adults complain about difficulty initiating or maintaining sleep. Poor sleep results in increased risk of significant morbidity and mortality. Moreover, in younger adults, compromised sleep has been shown to have a consistent effect on cognitive function, which may suggest that sleep problems contribute to the cognitive changes that accompany older age. The multifactorial nature of variables affecting sleep in old age cannot be overstated. Changes in sleep have been thought to reflect normal developmental processes, which can be further compromised by sleep disturbances secondary to medical or psychiatric diseases (e.g., chronic pain, dementia, depression), a primary sleep disorder that can itself be age-related (e.g., Sleep Disordered Breathing and Periodic Limb Movements During Sleep), or some combination of any of these factors. Given that changes in sleep quality and quantity in later life have implications for quality of life and level of functioning, it is imperative to distinguish the normal age-related sleep changes from those originating from pathological processes.     

Concurrent and prospective relationships between social engagement and personality traits in older adulthood

The current research examined the longitudinal relationship between social engagement and personality traits in older adults. Specifically, the present research examined how engagement in family and community roles related to conscientiousness, agreeableness, and emotional stability in a sample of 100 Illinois residents age 60-86 years assessed twice over a period of 2.5 years. Social engagement and personality traits were related in three ways. First, concurrent relationships during Wave 1 suggested that agreeable older adults are more socially engaged. Next, Wave 1 standing on both personality traits and social engagement predicted respective change over time. In addition, changes in engagement and personality traits covaried over time. The specific patterns presented in this study suggest that although some relationships were consistent with research findings in young adulthood and midlife, role investment in old age may have a distinctly different meaning than role investment earlier in the life span. These patterns suggest that personality traits can both inform our understanding of engagement during older adulthood and that personality traits may be meaningful outcomes of the aging experience in their own right. (PsycINFO Database Record (c) 2012 APA, all rights reserved).     

Women and Elderly Parents: Moral Controversy in an Aging Society

The human life span has been extended considerably, and among the very old, women outnumber men by a large margin. Thus, the aging society cannot be adequately addressed without taking into account the experience of women in specific. This article focuses on women as caregivers for aging parents. It critically assesses what some women philosophers are saying about the basis and limits of these caregiving duties.     

Plato's Theory of Aging

Plato's writings express a positive attitude toward elderly people. But do his writings also show a serious theoretical interest in issues of aging? We approach this question by comparing what Plato says about aging to major theoretical issues in gerontology. We argue that many of Plato's subtler observations of the behavior of elderly people and many of his ideas about aging anticipate specific research and theoretical advances in contemporary gerontology. We compare passages in Plato's works to the debate between activity and disengagement theories, the concepts of continuity and gerotranscendence, Robert Butler's discovery of “the life review,” and recent theories of old age wisdom. Plato's anticipation of these ideas and issues related to them suggests that his writings may contain still other major insights into aging which are not yet articulated in gerontology. We suggest three possibilities.     

The “Blurring” of the Lifecourse: Narrative, Memory and the Question of Authenticity

The view that aging provokes its own form of masquerade raises the question of what lies behind the mask and whether it is possible to outline what an authentic existence in later life might be like. Contemporary trends toward a narrative explanation of identity, exemplified by the growth of narrative therapies, may pose particular difficulties for theorising about aging. These therapies are associated with a submersion of the personal and social past under demands in the here and now and the de-contextualisation of old age from the lifecourse as it has been lived. Memory and lifecourse context are examined as possible foundations for authenticity and a model is suggested that contains postmodern preoccupations with multiple identity choices, the personal past and the possibilities for expression made available by particular social spaces or contexts.