Monday, March 25, 2019

Forgotten, Not Gone

As the population surges into young old age and old old age, the number of books wrestling with that question has grown from a trickle to a tsunami. Today the field of gerontology is, dare I say, older and wiser and I am older and warier. “Old age” has crept up a decade or two, reflecting the steady rise of people living into their nineties and, the fastest-growing category, into their hundreds. Many are living well, without mental or physical incapacitation, but anywhere between a quarter and a half of the population will show signs of Alzheimer’s disease and other forms of dementia by the age of eighty-five. The cost of care – emotionally and financially – is already immense. Understanding the social, physiological and economic consequences of this massive demographic change has thus become more pressing. So has the need to help people cope psychologically, now that old age can arrive almost without warning. People may go along feeling youthful and vigorous, but pain or infirmity caused by injury, bone deterioration, illness, arthritis, stenosis, or any other condition, can alter that overnight. A seventy-four-year-old friend who has spent a decade hiking in exotic places abruptly developed excruciating back pain, forcing her to curtail her adventures. “I suddenly feel old”, she said.

Apart from the science journals and science-fiction novels debating whether is it possible or desirable to prolong the lifespan by fifty or a hundred years, or (might as well go for it) eternally, books designed to help readers navigate the treacheries of ageing fall roughly into three categories: the scientific, the personal and the political.

Books in the first category may provide empirical research on all aspects of the ageing boom, from biology to demographics. Sue Armstrong, the author of Borrowed Time: The science of how and why we age, is an appealing guide through the evidence and the controversies. She is a woman in her late sixties, “still swimming happily in the mainstream of life”, who watched her mother “lose her sight, her hearing, her beloved life partner and most of her friends, and finally her mind, across her ninth and tenth decades of life”. (This also describes my mother, who lived to be ninety-seven.) Armstrong goes right to the crucial issue: “what will life be like for us as we reach these venerable ages? No matter how positive and philosophical one’s general disposition, one cannot ignore the evidence that for too many of us old age is nasty, brutish and long”. A five-year-old child in the UK today can expect to live to be about eighty years old, but, for many, around twenty of those years, she observes, “will likely be dogged by ill health” – a fact that has generated immense research and argument. Is ageing (and its attendant cellular damage and decline in immune function) an inevitable result of normal wear and tear, in which case might it possibly be delayed or repaired, or is it a result of genetic programming, over which we have no control? The controversy is especially pressing today given that, in the words of one gerontologist she quotes, “health care hasn’t slowed the ageing process so much as it has slowed the dying process”. (...)

Michelle Pannor Silver’s Retirement and Its Discontents: Why we won’t stop working, even if we can provides a thoughtful investigation of a specific transition of ageing – retirement “For many people,” Silver begins, “retirement is a much-awaited and enjoyable time in life. This book is not about those people.” It’s also not about people who retire because of health issues or who have financial struggles. Silver’s research focuses on a narrower constituency, five groups of people – doctors, CEOs, elite athletes, professors and homemakers – who were discontented in retirement because they loved what they used to do and because that work was woven into their identities. What happens now that it’s over, and over not by choice but because they felt forced to leave, or because circumstances dictated it? How do they decide what to do next? How do they structure activities, in ways that provide the social connection, fulfilment and meaning that they enjoyed throughout their careers?

These are crucial questions now that people are living longer, in many cases well beyond official “retirement” age. The answers do not necessarily come through travelling, volunteering, learning a language, or taking up art lessons – activities that can certainly be enjoyable but which for many people do not provide meaning, deep satisfaction or a new identity. I recently met a man in his seventies, a radiologist, who, once retired, spent all his time carving wood pieces of exceptional artistry. “When did you begin to develop your skill in this hobby?” I asked, expecting to hear that he was sixty or so. “At sixteen”, he said. “And my hobby was being a radiologist.” In my experience, friends and colleagues who retired with glowing fantasies of learning to play the lute, becoming a woodcarver, or acquiring another skill that takes years to master, often discover that it will take too long to make performing or creating intrinsically enjoyable. Silver’s interviewees concur, leading Silver to explore “the larger structural problems that society must grapple with as individuals confront the mismatch between an idealized retirement and the reality of giving up identity, income and status”: becoming invisible where once they were centres of attention, the person others went to for advice, help and wisdom; feeling unneeded where once they were essential. The heart of the dilemma, she writes, is that retirement, a life without the “burdens” of work, can be a burden itself: “Herein lies the irony of retirement’s lack of boundaries and lauded freedoms, which can feel like a forced rupture from our core identity”. That irony captures the bittersweet feelings that people may have at their retirement parties: “Sure, thanks for your tributes – but now what? Tomorrow you’ll have forgotten me”. (As George S. Kaufman famously noted when he saw his fellow playwright S. N. Behrman in his office the morning after the latter’s farewell party, “Ah, forgotten but not gone, eh?”) While some of the retirees Silver interviewed enjoyed a honeymoon phase – time, at last, for lute playing – most went directly to the disenchantment phase, followed by efforts to forge new identities and satisfactions. Some succeeded. Some still struggle.

by Carol Tavris, TLS |  Read more:
Image: Same Old Future” by Darren Smith, 2019