Suicidal Intent/Life Satisfaction: Comparing the Life Stories of Older Women

The purpose of this paper is to examine the Maris hypothesis that some people have relevant biographies and life histories that predispose suicidal careers. Using a life history approach, this paper reports differing themes in the lives of two groups of older women recently relocated to a nursing home—those who are satisfied with their lives and those who are not. Twelve women were selected from a sample of 256 by their scores on a life satisfaction index or suicidal intent scale. Seventy-two hours of transcribed life histories were content-analyzed for dominant themes that contributed to either life satisfaction or suicidal intent. Strong overall themes emerged for both groups under the headings of childhood, families, role models, connectedness, confidantes, life involvement, death experience, and memories. However, the most important correlates to contribute to a suicidal career for ideators were dysfunctional families of origin, poor role models, a feeling of isolation, and a pessimistic outlook.     

Chapters of Our Lives: Life Narratives of Midlife and Older Australian Women

A narrative approach was used to explore whether women perceive their later years as a time of loss, stability, or gain, and the explanations they give for their perceptions. Life review interviews were held with 20 married or previously married mothers aged 60–65 living in lower-income suburbs of Sydney, Australia. Participants were asked to consider their life story as a book, to divide the book into chapters, and to entitle each chapter. Two types of gain narrative accounted for 70% of the stories: one (breakouts) described gains that resulted from the womans own actions, and the other (stress relief) described gains from role changes and the passage of time. A further 20% described continuing contentment with their lives, and 10% of the accounts described later life in terms of losses. The findings suggest that one reason for the later life satisfaction regularly found by surveys of older adults may be the disappearance or diminishment of previous life stressors. As part of a planned cohort comparison, similar interviews were held with women aged 50–55 and 40–45. An additional category of ongoing stress was required to accommodate their narratives.     

Religiosity and Quality of Life in Older Christian Women in Ireland: A Mixed Methods Analysis

Journal of Religion and Health - This study used a mixed methods approach to understand the ways in which religion and quality of life (QoL) are associated in later life in Ireland. Longitudinal...     

Optimism and Hope After Multiple Disasters: Relationships to Health-Related Quality of Life

Natural and technological disasters are devastating events for individuals and communities. The authors examined the role of optimism and hope in predicting health indicators in a sample of disaster survivors who were exposed to Hurricanes Katrina and Rita in 2005. Participants were noncoastal residents, current coastal residents, and current coastal fishers who were also economically impacted by the 2010 BP Deepwater Horizon oil spill. All participants completed measures of optimism, hope, and the SF-36 Health Survey, which provides summary scores for mental and physical health. Logistic regressions indicated that optimism and hope were independently and positively associated with better mental health (OR = 1.21; 95% CI: 1.10, 1.32 and OR = 1.11; 95% CI: 1.05, 1.17 respectively). Neither optimism nor hope were significantly associated with physical health when considered alone. However, optimism interacted with prior lifetime trauma, where optimism only significantly predicted physical health for those with higher previous trauma scores. These results provide new evidence of optimism and hope as protective factors that may positively impact mental health after multiple disasters.     

Hope Against Hope in Cancer at the End of Life

Hope has many facets to it in the context of cancer. This article outlines an instrumental case study for a patient with aggressive lymphoma who rapidly deteriorated to the point of dying. How her and her family’s hope was managed is outlined here from various perspectives. Interviews were carried out with the patient’s family, medical consultant-in-charge (attending physician) and nurses caring for her at the end of life. The findings outline the transition from hope for cure to hope for a good death and the role that the patient and family’s Christian hope played in this. Religiosity and spirituality of hope in terms of Christian hope is explored from the theological perspective. Practical aspects of care in the face of changing hope are discussed. Conclusions are drawn about reframing hope in a changing clinical situation with reference to theories of hope. The importance of acknowledging hope, coping, spirituality and religiosity, especially at end of life, is emphasised.     

Hope and Coping with Cancer by College Women

The relations of dispositional hope to various self-reported cancer-related coping activities were examined in 115 college women. Dispositionally high- as compared to low-hope women were more knowledgeable about cancer, and this relationship remained when the shared variances due to previous academic achievement, experience with cancer among family or friends, and positive and negative affectivity were removed. Additionally, high- as compared to low-hope women reported more hope-related coping responses in four separate imagined phases of cancer (prevention/risk, detection, temporal course, and impact), and these relationships remained when shared variances related to previous academic achievement, knowledge about cancer, experience with cancer, and negative affectivity were removed. Hope is discussed as means of maintaining a "fighting spirit" for coping with cancer.     

Asian Women in the Ecumenical Movement: Voices of Resistance and Hope

Throughout Asian ecumenical history, Christian women have found ways to organize themselves and create structures that give them the space to articulate their concerns and contribute their theological and leadership skills to the church and society. Asia's complex context has played a pivotal role in framing the contributions of women to the ecumenical movement, while the ecumenical movement in Asia has played a key role in helping define feminism, feminist theory, and feminist theology for this continent, contributing to national‐level initiatives in each Asian country as well as to regional and to World Christianity. At the same time, ecumenical women in each nation of Asia have linked with secular women's efforts and with women of other faiths to bring transformation in the lives of women, to challenge violence in all its manifestations, and to demand justice and dignity for all women and men.     

Life Stories: Integrating Quantitative and Qualitative Approaches

Motivation and Emotion -     

Stronger Than You Think: Older Women and Physical Activity

Many negative stereotypes of older women are related to changes in the body that render it incompetent (e.g., weak, frail, debilitated). Such stereotypes disempower women in the eyes of others and in their own eyes if they come to embody the stereotype. One way to resist the stereotype and remain empowered is to engage in regular physical activity, which increases stamina, energy, muscle strength, joint flexibility, and balance. Here we review the physical and mental health benefits of physical activity for older women and discuss the barriers that keep many older women from regular exercise. We discuss ways that feminist therapists can encourage their older clients to become more physically active, provide information about role models who can inspire clients, and suggest resources suitable for recommendation.     

Women and Alcoholism: A Biopsychosocial Perspective and Treatment Approaches

Viewing alcoholism in women from a biopsychosocial perspective reveals a unique set of circumstances and challenges that women alcoholics face when compared with men. Biologically, women react differently to alcohol ingestion than do men. Women reach higher blood alcohol levels and sustain more somatic and cognitive damage than men when consuming equivalent amounts of alcohol. Psychosocially, women alcoholics face societal rebuke and chastisement of a greater magnitude than do men. Finally, barriers to treatment faced by women, such as the need for child care, cost of treatment, familial opposition, denial of alcoholism, and inadequate diagnostic training of physicians, must be overcome to create successful treatment approaches for the female alcoholic. Obstacles to and implications for treatment are also discussed.     

The Role of Personal Spirituality and Religious Social Activity on the Life Satisfaction of Older Widowed Women

We examined the impact of personal spiritualityand religious social activity on the life satisfactionof older widowed women. Fifty-one White, femaleretirement community residents completed measures of personal spirituality, religious socialactivities, and life satisfaction. Ten residents werealso interviewed about their religious beliefs andactivities. Although the interviews revealed bothpersonal spirituality and religious social activity tobe central to the life satisfaction of these women,quantitative results suggested only involvement withreligious social activities was related to lifesatisfaction. Interviews revealed thatchurch activitiesprovided the women a loving family and a supportivecommunity. Religious activities helped these older womenovercome hardships, gave them a chance to sustainfriendships, and provided a vehicle through which they couldcontribute to their community.     

Hope for the Future and Avoidance of the Present: Associations with Well-being in Older Adults

Positive psychology and third wave cognitive behavioral therapy approaches have seldom been applied to older adults. This study therefore examined whether two concepts drawn from these areas, hope for the future and avoidance in the present, were associated with well-being in a sample of 259 older adults (65–94 years). Hope was measured as a stable trait. Experiential avoidance was measured as avoidance of present internal and external events. Respondents also completed two well-being measures: hedonic (positive and negative affect) and eudeimonic (meaning in life). Path analyses showed that high hope was significantly associated with high positive affect, and high meaning in life; and high experiential avoidance was associated with high negative affect and low meaning in life. This was also true when both (hope and avoidance) were taken into account, along with sociodemographic variables and perceived health. Many of the pathways between hope and well-being, and between experiential avoidance and well-being appear to be bidirectional. However the path from hope to positive affect was stronger than that from positive affect to hope. Further research is needed to clarify each of these points. Both hope for the future and lack of avoidance in the present are important for well-being in older adulthood and interventions targeting these processes may enhance positive aging and contribute to a sense of having a meaningful life.     

Mental Health and Spirituality in Later Life: Pastoral Approaches

SUMMARY

This chapter proposes a perspective on providing pastoral care for people at risk of, or who have mental health problems in later life. Two major areas of mental health, depression and dementia are explored, examining their impact on older people and strategies to identify risk in depression, and signs indicating need for pastoral intervention in depression and/or dementia. The work from two studies that examine issues for meaning of people, the first for older people living independently and the second in residential care, form the basis of the material presented in this chapter. It is maintained that pastoral interventions may greatly improve quality of life for these people, their families and carers.¹     

Women at Midlife: Spiritual Maturity and Life Satisfaction

This study examined the relationship between spiritual maturity and life satisfaction in a multi-ethnic, religiously diverse sample of women middle aged and older. Spiritual maturity was measured by the spiritual support and spiritual openness subscales of the Revised Spiritual Experience Index. Life-satisfaction was positively related to spiritual support and spiritual openness. European Americans and African Americans did not differ on life-satisfaction, spiritual support, or spiritual openness. Mean splits on the spiritual-support and spiritual-openness scales were used to classify subjects as underdeveloped, dogmatic, transitional, and growth-oriented. Growth-oriented subjects reported greater life-satisfaction than subjects in all other groups. No other group differences were found.     

Raising Hope: Hope Inducement and Voter Turnout

Politicians routinely invoke hope on the campaign trail, presumably because they believe that inducements of hope attract supporters and impel citizens to the polls. Social psychologists and political scientists similarly posit that activating positive emotions like hope and other powerful psychological mechanisms has the capacity to stimulate prosocial behavior, like voting in elections. In this study, I subject these claims to empirical scrutiny by designing and implementing a series of randomized field experiments to examine whether inducing hope raises electoral participation. Overall, I find little evidence that hope affects voting behavior, but I acknowledge the null effects may reflect the [im]potency of the treatment.