The Psychosocial Challenge for Older Women
Anne Hassett
“Age and gender hierarchies shape female lives across the life course in specific social and historical contexts” (1). Why devote a chapter in a book on women’s mental health specifically to the psychosocial challenges facing older women? With increasing life expectancy in developed countries there is a burgeoning literature on adaptive processes in later life, but until recently this research has lacked a gender-specific focus. And yet, women dominate the population of older people, are known to suffer from greater psychological morbidity in later life, and are more likely than men to spend their later years living alone, and with less financial security (2). Much has been written about sexism and ageism as forms of societal oppression; older women are vulnerable to a double jeopardy in this regard. For women of minority ethnic groups, racism can be a further compounding factor, which contributes to their marginalization and disempowerment (3). It is not surprising then that gender and age politics have been powerful forces shaping a widespread negative perception of aging womanhood. This is not to deny that ageist practices do not impact on men, but they are to an extent buffered by the power relations implicit in the gender hierarchy.
The recognition that later life is a developmental stage in its own right has greatly expanded the theoretical discourse on aging, so that the focus is no longer solely on issues of loss and decline. Erik Erikson’s epigenetic theory of human development has been seminal in this regard. He describes the psychosocial challenges that characterize the sequential stages of the life span, continuing to shape later life with the potential for mature creativity and the attainment of wisdom (4). Fundamentally, according to
Erikson’s model, the successful negotiation of the challenges of each life stage is dependent on the maturational building blocks of previous life stages. For example, adolescents’ specific developmental task is defining their individual identities so as to achieve healthy separateness from their families of origin. This is not simply about moving away from the parental home but requires the adolescent to identify with and internalize positive childhood role models. The person who fails to achieve this maturational task will inevitably struggle with subsequent adult developmental challenges. These include forming intimate relationships, creating a satisfying role in society, and maintaining a sense of meaning in their later years. However, while this theoretical framework has been heuristic in its depiction of a more positive culture of aging, overly simplistic interpretation of Erikson’s later life-stage developmental tasks has resulted in a tendency to homogenize the experience of aging.
Erikson’s model, the successful negotiation of the challenges of each life stage is dependent on the maturational building blocks of previous life stages. For example, adolescents’ specific developmental task is defining their individual identities so as to achieve healthy separateness from their families of origin. This is not simply about moving away from the parental home but requires the adolescent to identify with and internalize positive childhood role models. The person who fails to achieve this maturational task will inevitably struggle with subsequent adult developmental challenges. These include forming intimate relationships, creating a satisfying role in society, and maintaining a sense of meaning in their later years. However, while this theoretical framework has been heuristic in its depiction of a more positive culture of aging, overly simplistic interpretation of Erikson’s later life-stage developmental tasks has resulted in a tendency to homogenize the experience of aging.
More recent writers have expanded the focus in social gerontology to include an exploration of the importance of gender, time, and place in shaping an individual’s later years. In particular, the far-reaching historical events and societal changes during the course of the twentieth century have necessitated a closer examination of the impact of these factors on individual development. In Western societies, increased longevity and pluralization of lifestyle options have resulted in greater personal choice and responsibility for the individual in determining their own future. And yet, are older women today better able to actualize their developmental potential than their mothers and grandmothers? Their life expectancy is now twice as long as for women in the late nineteenth century, when less than 50% of the population survived beyond adolescence (5). But what about the quality of these additional years, which, pessimistically, could be regarded as just lengthening the time that women have to endure ageist and sexist societal attitudes? For example, the association of female worth and attractiveness with youthfulness is a prominent ageist stereotype in Western culture. This pervasive social myth powerfully reinforces women’s preoccupation with the physical signs of aging long before they need to be concerned about other aging-related issues, such as functional decline and loss of independence. Now that Western women can reasonably expect to live into their late 70s or early 80s, they are likely to be subjected to socially sanctioned negative images of female aging over many decades. As a consequence, aging women are vulnerable to feeling marginalized as they struggle with the populist notion that their attractiveness, and by implication also their worth, is dependent on maintaining a youthful appearance (1).
If Western women are growing old in a cultural paradigm characterized by negative representations of their physical maturation, from where do they draw their resilience? Will the vocal generation of baby boomer women challenge these entrenched female stereotypes? In order to answer these questions, we need to look beyond the one-dimensional portrayal of aging as physical and mental decline. We need to examine the resources that enable older women to maintain a coherent, unified sense of self and identity in the face of adversity. The following sections examine the themes of older women’s roles in family life, the workforce, and the broader community. The term “being older” will not be specifically defined in terms of chronologic age because of the subjectivity and diversity with which women view themselves, and others view them, with regard to the aging process. As a consequence the discussion will include women from more than one generation—older female baby boomers, their mothers, and their grandmothers, who are now the very old. Only now, with an increased life span for women in developed countries, can this transgenerational appraisal of aging be undertaken and cohort-specific issues examined. What is most striking when the three generations of women who might now be
considered older are compared as separate cohorts is that their early developmental paths were intersected by very different major historical events. These included world wars and dramatic sociodemographic shifts in the structure of the family unit and women’s involvement in the workforce.
considered older are compared as separate cohorts is that their early developmental paths were intersected by very different major historical events. These included world wars and dramatic sociodemographic shifts in the structure of the family unit and women’s involvement in the workforce.
Today’s very old women were born in the early years of the twentieth century, were adolescents during the First World War, young homemakers during the years of the Great Depression, and then had to endure another world war. Their lives have spanned a century of remarkable change, and to have survived and adapted must say a great deal about the resilience of their psychosocial resources. They are truly the experts on aging as society has decreed them as being old for the greater proportion of their adult lives. The next broad cohort of older women comprises those who would generally regard themselves as now being in the phase of later life, but perhaps are still struggling with this adjustment. This cohort were young women during the Second World War, and like their mothers, were subjected to the untimely deaths of brothers, fiancés, and husbands. They also experienced the emancipation and responsibility that went with maintaining a male-depleted workforce. However, after the war, they were expected to return quietly to the traditional role of homemaker. They received little recognition for their wartime achievements and sacrifices, and regardless of their aspirations, they were expected to relinquish paid employment to the returning men. In contrast, their baby boomer daughters grew up during postwar economic prosperity. This was also a time when new patterns of family life were emerging, and female participation in the labor force became acceptable once again and not just as a wartime measure. Although all three cohorts had exposure to the turbulence of the women’s liberation movement of the 1960s, this occurred during the late adolescence and early adulthood of the early female baby boomers. This cohort would have been most impressionable and likely to embrace a philosophy of radical change in the way women perceived their role in society and their sense of control over their own destinies.
These three successive generations of women all share the experience today of being categorized as older women. However, very different sociohistorical contexts have shaped each generation’s collective developmental trajectory. One consequence may be that the older generations’ practical knowledge and accumulated wisdom have become less relevant for subsequent generations (5). Examining this issue, Grob et al. (5) compared the biographical narratives of three cohorts of Swiss women—a group born between the world wars (1920-1925), a group who were early baby boomers (1945-1950), and a group from “Generation X” (1970-1975). They found that the three generations of women shared traditional developmental concerns and were similar in the broad construction of the chronology of their lives. The three groups differed in that, although the Generation X cohort mostly expected to have children, only a minority expected to marry. In contrast, most of the early baby boomer participants in the study had married and borne children. Subsequently though, about half divorced, highlighting the increasingly transitory phase that marriage appears to occupy in women’s lives today. Overall, there was a progressive shift for younger participants to be more preoccupied with issues of lifestyle, relationships, and personal freedom. They expected to be able to exert more control over their destinies but were also more uncertain about being able to achieve happiness because of the range of choices to be made. The older subjects were profoundly affected by their experiences during the Second World War, whereas no single historical event had shaped the lives of the two younger cohorts. The authors of this study suggest that their findings illustrate the importance of examining developmental issues within a sociohistorical context. They conclude that aging is not simply a matter
of advancing chronologic age, but the aging process for women is greatly influenced by cohort-specific differences that shift the social context of role definitions and norms from generation to generation.
of advancing chronologic age, but the aging process for women is greatly influenced by cohort-specific differences that shift the social context of role definitions and norms from generation to generation.
SELF-IDENTITY
Although an illusive concept, a sense of continuity is fundamental to a person’s construction of an individual identity and its preservation over time and into later life. Characteristics such as age, gender, ethnicity, and class define an external form of continuity that embeds the person in a particular social role and status. Internal continuity is more related to self-esteem and personality style, which influence quality of relationships and the capacity for positive maturation. From middle age onward, evidence suggests significant continuity in the global aspects of self and identity, despite aging adults perceiving substantial changes in the ebb and flow of their lives. This is achieved through the consolidation of personal experiences and their transformation into life themes, which serve to refine and give meaning to a sense of self and identity (6). This focus on individualistic themes advances and complements adult developmental theories, which emphasize the commonality of experiences in the attainment of psychosocial maturation. As a consequence, aging can be conceived as a continual creation of the self through the ongoing interpretation of past experiences and their incorporation into a person’s current emotional and social context. However, anthropologist Barbara Myerhoff notes that continuity in life does not arise spontaneously but must be “achieved;” that is, the individual needs to actively seek continuity as she or he goes through ordinary daily existence interpreting, and ultimately finding meaning in, their life circumstances (7).
Maintaining a degree of continuity in relationships is a major goal for most older people, enhancing their sense of identity and facilitating adaptation to the aging process. For older women who have been traditional homemakers, identity has always been inextricably linked with their role in the family. A century ago shorter life expectancies and relatively high infant mortality rates meant that, within the family unit, women had a well-defined and crucial role in maximizing their children’s chances of surviving to adulthood. In traditional societies particularly, if they survived beyond these childbearing and child-rearing years, their sense of identity was maintained by their continued role within the family as “cultural expert” instructing and advising children and grandchildren (1). Today, as the links between generations of aging women appear to be becoming more tenuous, a sense of “loss of role” has become an issue for older women. This is most apparent in Western societies, where transformations in the structure of the family have been far reaching. Because of mothers’ participation in the labor force, it is now the norm that persons other than parents are involved in raising children. Parenthood is no longer such a defining identity for women, either because they remain childless or because of their participation in work and community contexts outside the home. Further, grandparents are less likely to be geographically close and available for substitute parenting. Nevertheless, today’s family is more likely to be multigenerational, even if not within one household, and older women, in particular, can find themselves with multiple responsibilities toward spouse, children, and aging parents (3). These societal trends are challenging for the older woman as social roles are now less prescribed but still powerfully influence her sense of identity and its continuity over time with aging.
PARENTHOOD
Although parenthood continues to be regarded as a major developmental goal for women, childlessness is an increasing social phenomenon. In fact, single, childless women are one of the fastest growing groups in Western societies. Greater career opportunities, increasing divorce rates, and unbalanced gender ratios in middle and later adulthood have been contributing factors to this sociodemographic shift. In particular, highly educated women are the group most likely to remain single or become single through divorce (8). And yet, little empirical literature has explored the developmental consequences for this fast-growing cohort. Traditional theories focus on establishing a nuclear family unit as a fundamental rite of passage for women progressing adaptively through the sequence of life stages. What happens to childless women as they age? Of course, there are diverse reasons why women might remain childless. The majority of today’s “oldest old” women who have remained childless did so because of physiologic infertility or because they did not marry rather than because they deliberately chose not to have children. Economic hardship during the Great Depression and early widowhood during World War II were historical factors that have also contributed to childlessness in this group of older women. However, the last few decades have seen the rise of voluntary childlessness rather than childlessness occurring inadvertently (9). More sophisticated birth control, better career opportunities, and the greater acceptability of remaining unmarried have allowed women, both married and single, to exert choice in regard to parenthood. In particular, this social shift has challenged the paternalistic stereotype of the “spinster” with its implication of lack of fulfillment and reduced social credibility. The pathways to childlessness have thus become more diverse, and the psychological consequences for aging women who do not have children are likely to reflect this diversity.
Koropeckyi-Cox (9) examined the issue of incongruence between attitudes and childless status in a sample of women 50 to 89 years. She found that those who considered themselves unfulfilled because of their childlessness described themselves as significantly more lonely and depressed than those who were accepting of their situation. The former group were also more likely to be less educated and have a marital status of separated, divorced, or widowed rather than never married. Comparing these childless women with a group of similar-aged mothers, Koropeckyi-Cox found that the women who were content with being childless were similar in their sense of psychosocial well-being to mothers who described mutually supportive relationships with their children. Interestingly, she found that mothers who had a conflicted or distant relationship with at least one child reported levels of depressive symptomatology similar to those of the women who did not want to be childless. These findings suggest that it is the discrepancy between attitudes or expectations and actual circumstances, not parental status per se, which impact on women’s self-identity and sense of contentment as they age. Further, the ability to choose to remain childless rather than have this state imposed is likely to be a crucial factor and one more able to be exercised by better educated women.
OLDER WOMEN WITHOUT A PARTNER
No discussion about the psychosocial challenge for older women can ignore the state of widowhood and increasingly separated status, which is shared by a very large number of women. In modern Western societies loss of a long-term partner
has come to be defined more by a collapse of old roles and structural supports than by norms and institutions that can provide new roles and a meaningful sense of social status. In contrast, preindustrial societies had very clear roles for widows, in particular. Some were very extreme, such as the expectation that Brahmin widows in traditional Indian society would throw themselves on their husband’s funeral pyre. In many African societies, a widow and her children were “inherited” by a male relative, thereby becoming one of his several wives in a polygamous family. These may not have been particularly desirable options for the recently widowed woman, but her destiny was clearly prescribed for her. In industrial societies, widowhood has evolved into what has been called a roleless role, a social category without a central source of identity and with little social credibility (10). Certainly, today’s “old-old” widows were a generation that defined themselves primarily as wife-mother-housewife despite the reality that these roles often occupied a relatively transient period in their life course. As divorce, separation, and choosing to remain single join widowhood as reasons for women of the baby boom generation to age without a partner, will we see a shift away from the negative perceptions associated with this social status?
has come to be defined more by a collapse of old roles and structural supports than by norms and institutions that can provide new roles and a meaningful sense of social status. In contrast, preindustrial societies had very clear roles for widows, in particular. Some were very extreme, such as the expectation that Brahmin widows in traditional Indian society would throw themselves on their husband’s funeral pyre. In many African societies, a widow and her children were “inherited” by a male relative, thereby becoming one of his several wives in a polygamous family. These may not have been particularly desirable options for the recently widowed woman, but her destiny was clearly prescribed for her. In industrial societies, widowhood has evolved into what has been called a roleless role, a social category without a central source of identity and with little social credibility (10). Certainly, today’s “old-old” widows were a generation that defined themselves primarily as wife-mother-housewife despite the reality that these roles often occupied a relatively transient period in their life course. As divorce, separation, and choosing to remain single join widowhood as reasons for women of the baby boom generation to age without a partner, will we see a shift away from the negative perceptions associated with this social status?
A well-established finding in the literature is that having a long-term partner (usually a marital partner) is one of the best positive predictors of a person’s health status and mortality. This has been noted in the general population, and especially among older adults. However, although older married men generally report higher levels of well-being than older single men, the situation is more complex for older women. In particular, never married older women appear to fare better than divorced or separated older women. Comparing long-term effects for the latter two groups, Choi (11) found that long-term female divorcees were generally better educated and financially more secure than long-term widows. However, they were also more likely to be socially isolated and rely on paid helpers for functional help when they became frail. Of note, these subjects, who were recruited in the late 1980s in their eighth decade, were still part of that generation for which divorce was not a typical life-course transition for many women; that is, it was even less recognized as a credible social status category than widowhood. Further, these women were still a small group in terms of numbers, and the twenty-first century will see a significant increase in the numbers of divorced elderly women who are likely to age alone and have fewer children to provide them with support. Despite better education, these women will remain at risk of social marginalization if societal attitudes do not change.

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