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Successful Aging

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By Dr. Bruce T. Marshall
November 7, 2010

Reading

Some Wishes for You

I wish for you a troubled heart at times
As woes of world and friend come close beside
And keep you sleepless.
I wish for you the thrill of knowing
Who you are,
Where you stand,
And why.
Especially why.
Not prosperity, but dreams I wish for you;
Not riches, but a sense of your own worth I wish
For you.
Not even long life, however proud we’d be to have it so.
But life that is crammed with living,
Hour by hour.
And love I wish for you;
May you give it frequently.
I wish for you solitude in the midst of company,
And a mind full of company within your quiet times.
Full todays I wish for you, and full tomorrows.

Charles S. Stephen, Jr.

Sermon

This morning I would like to offer some thoughts on successful aging.

In our youth-oriented culture, the term “successful aging” might seem an oxymoron. That is, two mutually-contradictory words strung together. “Success” in our society appears dependent upon staying young—or at least appearing to say young.

But we’re all aging all the time. And like just about everything else in the human experience, the process of aging offers both perils and possibilities. There are some people who age better than others—like there are some wines that age better than others and, for that matter, some friendships that age better than others. The question: what’s the difference? What does successful aging look like and how do people realize it?

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My sources to address these questions are several studies on aging in America. What makes these particularly useful is that they are longitudinal. That is, they follow the same people throughout their lives, starting in their youth and continuing through the middle years and into old age. Periodically, the subjects of these of these studies were interviewed to find out how things were going at that time.

One of these studies was of Harvard men (because there weren’t Harvard women back then) who were college sophomores from 1939-1942. Another followed inner city school boys who were age 14 in 1939. Unlike the Harvard students, these young men had few advantages starting out in life. A third study followed girls born between 1908 and 1914, who attended urban elementary schools in California. So these studies followed people whose lives began in quite different circumstances—yet, there were many share themes in what each group experienced as they aged. The results have been brought together in a book called Aging Well by George Vaillant.

One interesting finding is that our memories are highly selective. It’s not just that we remember some things, forget others. It is that we recall the same events quite differently in different stages of our lives. For example, there was the story a man raised in a difficult family—as a young man, he described his father as an alcoholic who spent what little money the family had on drinking. He saw his father as essentially “mean” who would administer terrible beatings. His mother had been diagnosed manic-depressive when this man was a three-year-old child, and there was constant conflict between his mother and father, leading to separation and divorce.

Despite a difficult beginning to his life, this man had become successful, working his way through college, marrying well, becoming a Certified Public Accountant, establishing his own business. At age 70, looking back at a mostly happy life, his memory of his parents softened considerably. Now he remembered his mother as “the kindest person in the world.” His father, whose beatings he had vividly described when interviewed as a young man, he now remembered as “a good family man,” who had the best garden of anyone on the block.

Several factors influence our memories of the past, but a big one is how we are doing today. If we’re reasonably happy, we are likely to remember the past as happy also. If we’re struggling, past difficulties become more real to us.

Another finding: it’s not the bad things that happen to people that defeat us. More important is how we deal with the setbacks we encounter. Seemingly similar misfortunes can affect different people in vastly different ways.

Objective good physical health turns out to be less important to successful aging than subjective good health. That is, it’s not so much how you feel that makes a difference. It’s how you feel about how you feel.

And here’s a finding that maybe I should not cite. According to the study, (and this is a quote) “...the presence or absence of either spirituality or religious adherence had little association with successful aging. It was hope and love rather than faith that seemed most clearly associated with...successful aging.” Studies found that having good relationships with people was a better predictor of aging well than religious faith.

I’m going to cite two sets of factors that are associated with successful aging. The first is of seven fairly measurable factors that reliably predict successful aging. While there are always individual differences and also the factor of chance—good luck/bad luck, good genes/bad genes—in general, those who are attentive to these seven factors age better than those who don’t. The second factors I’ll cite are less measurable, but significant in determining the quality of our lives—probably at all ages, but especially as we grow older.

I’ll start with the first set of factors—those that reliably predict successful aging.

     1. The single most important factor in predicting who will age well and who won’t: smoking. Those who do not smoke age more successfully than those who do. Some good news here: if you smoked in early adulthood and quit by age 45, the effects of smoking could no longer be discerned by age 70. You are about as likely to age well as one who has never smoked.

     2. The second most powerful predictor of successful aging is something labeled an “adaptive coping style.” Or having “mature defenses.” In everyday language, what that means is the capacity to “turn lemons into lemonade” and to not turn “molehills into mountains.” Another way of expressing this: the ability and willingness to keep things in perspective.

     3. Number three on this list: absence of alcohol abuse. By “alcohol abuse” what’s meant is heavy drinking, not moderate use. There are physical effects of heavy drinking that put extra stress on one’s body. And there are social effects that create problems in relationships with family, friends, neighbors, employers.

     4 & 5. Numbers four and five we’ve all heard about and will come as no surprise: maintaining a healthy weight and exercise. Those who are not overweight and those who exercise, even moderately, are more likely to age successfully than those whose weight strays beyond the standard indicators and those who are inactive.

     6. Number 6: A stable marriage or strong friendships. Those who have strong relationships with others are more likely to age successfully than those who do not.

     7. The final factor: years of education. This was particularly significant among the inner city men who were part of this study. The significance of education is not in the higher income that usually results. Rather, two other factors are what matter. One of these is self care. The more educated we are, the more likely we are to take care of ourselves. The other factor is perseverance. Those who make it through years of schooling without giving up are more likely to bring that capacity with them into the rest of their lives—and that perseverance helps us age well.

There’s nothing surprising on this list. We all kind of know these things. What might be surprising is what’s not on it.

Such as, wealth is not a reliable indicator of who will age well. Wealthy people are just as likely to be unhappy, to die young, to self-destruct as those who are of average income and those who are poor.

Another factor that doesn’t matter with regard to successful aging is IQ. Smart people are no more likely to age well than those of average or below average intelligence.

Childhood traumas, family background, advantages or disadvantages while growing up: these factors have an effect until about middle age and then they diminish. After that, it just doesn’t matter what kind of childhood you had.

Social class, the status of your college or institution of higher learning, the prestige of your profession or, as I indicated earlier, religious faith: none of these are good indicators of who will age successfully. Far more important are the seven protective factors I just named. (1) Abstaining from smoking, (2) the ability to cope with adversity, (3) not abusing alcohol, (4) maintaining a healthy weight, (5) exercise, even moderate exercise, (6) a good marriage or good primary relationships, and (7) education.

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As many of you know, on Thursdays I work at a Senior Residence Center, Riderwood Village in Silver Spring, where I am chaplain to the Unitarian Universalist population: about 90 people. Riderwood is quite large: there are 2700 residents in a complex featuring 21 buildings spread out over 120 acres, all connected by a series of walkways so that it’s possible to get anywhere without encountering even one step. Riderwood people refer to the whole complex as a “campus,” which I think is accurate: the closest analogy to Riderwood is a college campus, not just because of the living arrangements but also because of the range of activities: classes, lectures, concerts, theater both on and off-site, common areas where residents can hang out, have bull sessions, meet new people. There are even occasional outbursts of campus unrest, protests against the administration, people carrying signs: just like the good old days. (And just to be clear, the instigators are often UUs.)

There are also differences from a college campus. The most obvious is that the average age of residents is 85. Some remain quite active, others are physically frail. Most fall somewhere in between and so the concerns of aging are all around. Early in my tenure at that position, I overhead a conversation in a hallway that seems to represent at least one aspect of the Riderwood experience. A woman greeted her friend and said, “How are you today?”

The friend replied, “About the same as yesterday.”

The woman persisted, “So how were you yesterday?”

Her friend replied, “I don’t remember.”

Yet, I encounter many people at Riderwood who effectively respond to the challenges of aging. And I find that Unitarian Universalists—particularly long-time UUs—are often models for how to negotiate both the difficulties and the opportunities that aging presents. Among the Unitarian Universalists particularly, I see people engaged in life, happy in the moment, interested in issues of the day, looking toward the future, retaining old friends and making new ones.

The studies I cited for the original list of what is involved in successful aging also identify another set of factors. These identify challenges to us as we grow older, sort of like the tests a mythological hero encounters as he or she goes on a quest. Engaging these tests successfully determines how well we will do on this journey. I’ll note five.

(1) I’ll start with one that surprised me: learning or rediscovering how to play. That is, engaging in activities that do not aim toward reaching goals but that are about enjoying the activity itself. Play comes naturally to children. You know how children spend hours creating an elaborate imaginary kingdom only to forget about it by bedtime.

But as we grow up, most of us find that capacity much diminished. We get captured by the serious work of making our way in the world, earning a living, finding a partner, raising the children. Then just about everything we do has a purpose that extends beyond the activity itself. We forget the simple joy of going for a walk, playing a game, painting a picture, working in the garden, having a conversation, listening to a piece of music.

So one of our tasks as we age is to learn again how to play, to engage in activities for the pleasures they bring in themselves. Maybe your game is bad tennis, maybe it’s cards, maybe it’s reading trashy novels, maybe it’s trying out drawing or pottery, maybe it’s using your hands to create something, maybe it’s tending a garden or even a few plants for the pleasure you receive in seeing them grow, maybe it’s square dancing, maybe it’s talk for the sake of talk: sharing memories, ideas. Those who age most successfully learn to let go of life’s seriousness and have some fun—and also laugh. For laughter too is a form of play: a human capacity which feels good in the moment and that can help us transcend the aches and worries of our lives.

(2) A second test we encounter on this journey has to do with creativity: developing our creativity. Creativity is a capacity that can also get beaten out of us in everyday life. Such as, in the work world. At work, creativity sometimes brings rewards, but it can also get us in trouble, get us fired. When faced with the necessity of paying the mortgage and saving enough money to get the kids through college, and preparing for the costs of retirement, most of us become cautious. We play it safe. We stash our creativity somewhere in the back of a closet where it’s not going to get in the way.

Aging successfully involves rummaging through that closest where you hid your creativity and getting it out again. Remember when you thought you might be able to write a story about an experience you had? Remember when you were interested in learning how to paint? Remember when you could sort of picture yourself as an actor? Remember when you were fascinated by stories of inventors that made subtle changes in an everyday object and something altogether new resulted? Remember when you thought about taking pieces of wood with strong grains and making something both beautiful and useful? Remember when you played a musical instrument and the joy and satisfaction that brought?

To age successfully, we need to rediscover those things that bring out creativity in us. Our society assumes that young people are creative, old people are stuck in their ways. But it doesn’t have to be that way. In fact, creativity can get easier as we grow older because a crucial inhibitor is gone. That inhibitor is the fear that we might not be good enough, and the self-consciousness that results. As we age we realize that it doesn’t matter: it doesn’t matter if we’re “good enough.” Everybody’s good enough. What matters is the enjoyment and satisfaction that comes from creativity itself.

(3) A third task of aging: continuing to learn. Taking a class. Developing a skill. Finding out everything you can about something that interests you. Staying current in your field, even if you are no longer professionally involved in it.

In study after study, those who make the effort to stay interested and involved in life age more successfully than those who don’t. They are happier, they enjoy life more, they stay more alert. In ancient Greece, the word scholar meant “leisure,” meaning that what people did with their free time in ancient Greece was to learn new things.

Mary Fasano was 89 years old when she entered the record books as the oldest person ever to earn an undergraduate degree from Harvard.

Following is an excerpt from her graduation address: “I remember one night a few years ago when my daughter was frantic with worry. I usually arrived at the bus station near my home by 11:00 p.m., but on that night I was nowhere to be found....My daughter checked the bus station, drove around the streets, and contacted some friends. But she couldn’t find me—until she called my astronomy professor, who told her that I was on top of the Science Center using the telescope to gaze at the stars. Unaware of the time, I had gotten lost in the heavens and was only thinking about the new things I had learned that night in class. This story illustrates a habit I have developed over the years: I lose track of the time when it comes to learning.”

(4) For a fourth factor influencing successful aging, I’ll draw upon a term used by the psychologist Erik Erikson: Generativity. Erikson was one of the first to look at the stages of life, and how our needs and opportunities change with different stages.

He used generativity to name what he saw as an important undertaking as we age, particularly in the second half of our lives. It means passing things on to the next generation: the traditions of one’s family and one’s people, the stories, the rituals, the meanings of years past.

My mother is 89 years old. From childhood, she has kept a diary. That’s what she does every night. She writes in her diary about what occurred that day. Her mother—my grandmother—did the same. Between them, those diaries cover well over 100 years of our family’s everyday day life: the challenges, the problems, the successes, the ordinary things that occur during a day.

The problem is, though, my grandmother’s diaries are written in an old and obsolete form of German. Even Germans can’t read it. My mother’s diaries are written in a form of shorthand called Speedwriting that nobody uses anymore. So my cousin has hired someone to go through the writings—diaries and letters—of both my grandmother and grandfather to translate them. And my mother is going through her diaries, transcribing them into plain English. The results are bits and pieces of my family’s history, my family’s story. As a younger person, I didn’t care much about this, but now it assumes vital importance.

Amy and I have children who are now mostly graduated from college, going out into the world, getting apartments. They have asked us for recipes: food we made while they were at home and growing up. That’s another way of passing on family traditions, family memories. I have a set of index cards with recipes from my mother and my grandmother. So that when Amy and I and whoever of our family is with us have latkes to celebrate Hanukkah—the recipe we use comes from my German grandmother. I expect she didn’t know they were latkes, but hers is the best recipe we’ve found.

So: generativity. Passing something of our lives down to the next generations.

(5 ) The fifth and final challenge for us as we age is to maintain relationships with other people.

Growing older involves losses. People who have been important to us—friends, siblings, spouses—they move away, they die. Successful aging calls for us to establish new relationships: to make new acquaintances, new friends. This does not mean ignoring the sorrow of the losses—that sorrow lives on. Sorrow, after all, is a form of love. But while experiencing loss, we can also move on to meet new people, let others into our lives.

Of the five tasks I’ve identified as important to aging well, this is the most important: staying in touch with people. Those who cut off relationships and withdraw into themselves do not age successfully. Those who maintain relationships and make new friends do age successfully. It is that simple.

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A final thought. In the book I’ve been using as a source for this sermon, the author makes the statement that “biology flows downhill.” What that means is that parents care for children, not the other way around. And grandparents care for grandchildren, not the other way around. Biology flows downhill. This rule holds no matter what your age. Even if we reach a point in life in which our physical needs must be attended to by our children, we still retain the parental relationship with them. We retain a responsibility to the generations that follow us.

I have already identified ways in which this may occur, such as, through passing on the stories and rituals of our families. But there is something more basic that we hand down to our children, to the generations that follow us—more important than any stories or rituals or recipes that we might share. It is this: the affirmation that life has worth, that there is joy and love and meaning in life, that our lives matter. As we approach old age, that is our role: to assure our children and our grandchildren that our lives matter.

In that spirit, I offer this final quote from a participant in one of the studies I’ve been drawing on.

“I think it is enormously important to the next generation that we be happy into old age—happy and confident—not necessarily that we are right but that it is wonderful to persist in our search for meaning and rectitude. Ultimately, that is our most valuable legacy: the conviction that life is and has been worthwhile right up to the limit.”


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