Self And Meaning In The Lives Of Older People

A longitudinal study of how older people maintain a sense of self and meaning despite the losses associated with ageing.

Among the many studies of aging and the aged, there is comparatively little material in which the aged speak for themselves. In this compelling study, Sharon Kaufman encourages just such expression, recording and presenting the voices of a number of old Americans. Her informants tell their life stories and relate their most personal feelings about becoming old. Each story is unique, and yet, presented together, they inevitable weave a clear pattern, one that clashes sharply with much current gerontological thought. With this book, Sharon Kaufman allows us to understand the experience of the aging by listening to the aged themselves. Kaufman, while maintaining objectivity, is able to draw an intimate portrait of her subjects. We come to know these people as individuals and we become involved with their lives. Through their words, we find that the aging process is not merely a period of sensory, functional, economic, and social decline. Old people continue to participate in society, and--more important--continue to interpret their participation in the social world. Through themes constructed from these stories, we can see how the old not only cope with losses, but how they create new meaning as they reformulate and build viable selves. Creating identity, Kaufman stresses, is a lifelong process. Sharon Kaufman's book will be of interest and value not only to students of gerontology and life span development, and to professionals in the field of aging, but to everyone who is concerned with the aging process itself. As Sharon Kaufman says, "If we can find the sources of meaning held by the elderly and see how individuals put it all together, we will go a long way toward appreciating the complexity of human aging and the ultimate reality of coming to terms with one's whole life."

Quality of life and older people reviews the way that older people talk about their quality of life and how this differs from the ways that younger people, researchers and scientists, policy makers and professionals discuss it. The book challenges the traditional approaches to the meaning and measurement of quality of life in older people by placing older people's accounts at the centre. It draws on a range of behavioural and social science knowledge to present a new way of thinking and understanding about quality of life and older people.

Social isolation and loneliness are serious yet underappreciated public health risks that affect a significant portion of the older adult population. Approximately one-quarter of community-dwelling Americans aged 65 and older are considered to be socially isolated, and a significant proportion of adults in the United States report feeling lonely. People who are 50 years of age or older are more likely to experience many of the risk factors that can cause or exacerbate social isolation or loneliness, such as living alone, the loss of family or friends, chronic illness, and sensory impairments. Over a life course, social isolation and loneliness may be episodic or chronic, depending upon an individual's circumstances and perceptions. A substantial body of evidence demonstrates that social isolation presents a major risk for premature mortality, comparable to other risk factors such as high blood pressure, smoking, or obesity. As older adults are particularly high-volume and high-frequency users of the health care system, there is an opportunity for health care professionals to identify, prevent, and mitigate the adverse health impacts of social isolation and loneliness in older adults. Social Isolation and Loneliness in Older Adults summarizes the evidence base and explores how social isolation and loneliness affect health and quality of life in adults aged 50 and older, particularly among low income, underserved, and vulnerable populations. This report makes recommendations specifically for clinical settings of health care to identify those who suffer the resultant negative health impacts of social isolation and loneliness and target interventions to improve their social conditions. Social Isolation and Loneliness in Older Adults considers clinical tools and methodologies, better education and training for the health care workforce, and dissemination and implementation that will be important for translating research into practice, especially as the evidence base for effective interventions continues to flourish.

By 2030 there will be about 70 million people in the United States who are older than 64. Approximately 26 percent of these will be racial and ethnic minorities. Overall, the older population will be more diverse and better educated than their earlier cohorts. The range of late-life outcomes is very dramatic with old age being a significantly different experience for financially secure and well-educated people than for poor and uneducated people. The early mission of behavioral science research focused on identifying problems of older adults, such as isolation, caregiving, and dementia. Today, the field of gerontology is more interdisciplinary. When I'm 64 examines how individual and social behavior play a role in understanding diverse outcomes in old age. It also explores the implications of an aging workforce on the economy. The book recommends that the National Institute on Aging focus its research support in social, personality, and life-span psychology in four areas: motivation and behavioral change; socioemotional influences on decision-making; the influence of social engagement on cognition; and the effects of stereotypes on self and others. When I'm 64 is a useful resource for policymakers, researchers and medical professionals.

"This volume is uncontestably the most comprehensive and authoritative work on the subject of self-care available to date. It should set the stage for a new policy perspective on building a health care system that incorporates self-care at its core."--Lowell S. Levin, Yale School of Public Health Practitioners and researchers who work with older adults are challenged to find ways to strengthen an elderly person's capacity to cope wiht age-related changes that threaten independence. This volume assesses the efficacy of self-care in maintaining autonomy. It applies a broad definition of self-care that includes a range of behaviors undertaken by individuals, families, and communities to enhance health, prevent disease, limit illness, and restore health.

The authors examine age-related changes and their impact upon the concept of self - sense of well-being, life satisfaction, perceived quality of life. Each chapter is followed by two expert commentaries. For teachers, researchers and graduates interested in the sociology and psychology of ageing.