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Self-Esteem in Aging

by Deborah A. Banazak, D.O.

Improving one's self-esteem as advancing years approach is a real issue that affects all of us. Adults often overlook the realities of what increasing years will bring. Most people live well into old age. The life expectancy of men at age 65 is 79 years and of women at age 65 is 84 years, leaving them much time beyond retirement to enjoy.

We can construct the foundation of how we will live out those years and the emotional health we experience during them long before retirement. Integral to positive aging is positive self-esteem. We'll look at what self-esteem in aging means, how to assess it, and how to find weak areas that require bolstering.

Assessing Your Self-Esteem
A quick cure for poor self-esteem is non-existent. Because self-image has taken years to develop, change can be challenging. Unlike Freud's view that after age 40 psychological growth through therapy becomes impossible, many modern theorists believe that late life is not a stagnant time, provided an individual is motivated to grow.

To begin the task, assessing self-esteem through a personal inventory may be helpful. This exercise requires taking stock of all aspects of your life. Do you use your emotional life constructively? Is your spiritual growth keeping up with your financial or family success? Often weak areas appear with this assessment and, once identified, may respond to concerted effort to balance self-esteem.

Most of us are so preoccupied with day-to-day events that taking time to reflect on our lives is challenging. A personal inventory requires setting aside specific time to reflect on your current situation. Retreats or vacations are great times for thinking. It is important to find this time. Unless you structure time for this purpose, it will usually not happen.

In this personal reflection, spend your time examining the spiritual, physical, social, and emotional parts of your life. First, identify those areas that are going well. These strongly contribute to a healthy sense of self-esteem. Create a list of the strong and weak areas. This will allow you to reexamine them in months or years to come.

Don't neglect the help of family and friends. They may provide helpful feedback about strong and weak areas in your self-esteem. Therapists, pastors, and other professionals can also be an invaluable source of help.

To more easily understand how to bolster your self-esteem, we'll look at the components of self-esteem as one ages. Although there is no one way to age successfully, certain positive trends have been identified.

Aspects of Self-Esteem
Erik Erickson, a pioneer in psychological development, interviewed healthy octogenarians about their religious faith. He found much variability in religious practices from strict church attendance to little outward evidence of faith. Many of those interviewed took comfort and improved their self-esteem from the heritage and principles of faith they learned as children. Those who evidenced maturity in faith had opened themselves to struggle with their beliefs in order to grow. Although their bodies grew frail, they continued an active faith stance by intellectual challenge, an active prayer life, and maintaining fellowship within the church.

Dan Blazer and his colleagues at Duke University discovered that with increasing age, religious attitudes maintained stability. Strong religious attitudes were associated with increased feelings of happiness, usefulness, and adjustment.

To improve your spiritual life and achieve these gains requires concentrated effort. Begin now to enrich your faith. Go beyond weekly church attendance to take an active role in study, prayer, and community fellowship. Volunteer to meet needs in your congregation or the world. Lillian Carter, long past retirement age, joined the Peace Corps and went to India to minister to others. No one told the former president's mother she was too old to take such risks.

Many people are terrified of growing older because they immediately associate aging with overwhelming crippling infirmities. This fear can impair their self-esteem. While it is true that more than 80 percent of those 65 or older have one chronic physical problem, often these conditions of arthritis, hypertension, or heart disease may be managed medically, causing little impairment.

If you feel helpless over health issues and neglect good health practices, the feelings of powerlessness, fear, and depression that result can injure your self-esteem. Although "willing away" disease is unlikely, making good health choices is possible and will bolster your self-respect. If your health is a weak area of the personal inventory, begin now to correct this. Do you exercise regularly? This can greatly improve your stamina. Is your diet balanced? Substances such as sodium and cholesterol may contribute to blood vessel diseases. Do you routinely get a physical examination to find silent diseases such as hypertension or to detect early cancer? Taking an active stance to work on your physical health gives you a psychological feeling of empowerment.

The importance of social support in late life cannot be overemphasized. Spouse, family, friends, and coworkers often play a vital role in reinforcing your self-esteem. They often provide encouragement and strength when self-respect is traumatized. Because of the previous life experiences we share with them, they offer us a sense of personal history. In addition, their perspective may offer a different angle on difficult life situations.

As loved ones move away or die, the danger for social isolation with increasing age grows. Often older people are left without many personal resources unless they make an active effort to develop new relationships. To ease this transition, many years before late life occurs, make acquiring the ability to make new friends a goal. Join clubs, church groups, or social organizations now to reinforce your social support network. It doesn't matter what your age is, it's never too late to start. The experience of giving to others in a social context aids in your self-worth. It gives purpose and meaning as well as establishes friendship networks that can be longlasting.

This relationship between emotional health and self-esteem is complex. Clearly, if an aging person suffers psychological trauma, they may come to be discouraged, disheartened, and have poor self-esteem. Although one's "golden years" are often looked upon with anticipation, the loss of job with retirement, death of spouse and friends, or changes in physical health or attractiveness can be overwhelming. Successful aging requires that we grieve our losses through venting our thoughts and feelings about the event. The challenge of aging is to create new ways of reinvesting the emotional energy we once directed toward the lost person or object. Some people never come to terms with these losses and choose social isolation in their later years, becoming overwhelmed with grief, anxiety, and loneliness.

Maintaining good emotional health and thus self-esteem involves recognizing the warning signs of loss and stress and dealing with them appropriately. Any life change, even one seen as positive, creates anxiety. If possible, try in advance to recognize the stressful event/loss before it occurs. Plan for it. Talk about it. Seek the advice and companionship of others who have gone through similar experiences. As one example, when the physical needs of the older person increase, nursing home placement may become the only option for care. If possible, allow time for this move. Let yourself grieve over the loss of your home through talking about your feelings. Giving yourself as many options as possible can overcome the feelings of powerlessness that are often associated with poor self-esteem.

Sometimes, despite one's best efforts to ward it off, emotional illness may affect the aging person. Born in a generation unaccustomed to aggressive treatment for mental illness, some older people view seeking help outside the family as weakness. Social attitudes may reinforce this stance, saying that because of the overwhelming losses of aging, depression is simply to be expected. Often people find a major step to improved self-respect is in ignoring these prejudices and seeking help. Emotional illness in later life can often be treated.

Self-esteem does not have to diminish with increasing age. Its components, however, should not be neglected or taken for granted. It's realistic for you to set as a goal to live your later years with dignity. To achieve it, you must employ active effort in earlier years. Regardless of your age, setting the foundation for healthy self-esteem should begin today, not "When I retire" or "When I have more time." The efforts you spend today helping develop respect for yourself and others will be fruitful in later years.

 

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TODAY: Healthy Self-Esteem — Grace for the Journey of Life

Deborah A. Banazak, D.O., was a Senior Staff Psychiatrist for Pine Rest's Older Adult Program. As a gerontologist whose primary area of interest is emotional disorders, she treated such conditions as memory disorders, depression, and late-life stress reactions.