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Understanding Older Adults’ Wellbeing from a Philosophical Perspective

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Abstract

In spite of the large research interest in older adults’ wellbeing, a theory of older adult’s wellbeing as such is still lacking. I present the outline of such a theory, determining its scope and premises and suggesting avenues for its further development and related empirical research. I assume that wellbeing is a complex and dynamic phenomenon, depending on a subtle interplay between several different factors. Older adults tend to combine and value these factors differently from other age groups, and this should be reflected by a domain-specific wellbeing theory. I argue more specifically that dispositional properties are less important to older adults’ wellbeing; that vulnerability is a second-order disposition, and that this explains why it does not seem to impede wellbeing; that hedonic adaptation takes very different forms, not least in older adults, and that it should be assessed in a correspondingly differentiated manner; that cognition and cognitive impairment can play very different, both positive and negative, roles depending on the context; and that notions like flourishing need modification, and are actually modified in wellbeing assessments and self-assessments.

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Notes

  1. It should also be noted that personality development theories, notably that of Erikson (Erikson and Erikson 1998), but also those of Kegan (1982) and Waterman (e.g. Waterman and Archer 1990), have considered the particularities of old age, including particular challenges to or possibilities for living a satisfactory life, at considerable detail. They could be an important source of inspiration for a detailed future theory of older adults’ wellbeing. But they are not explicitly concerned with wellbeing, nor do they fit easily into the scheme of established positions in wellbeing research. However, it also true that “we don’t see many discussions of the human life cycle these days”, as Michael Slote has remarked (Slote 2016, p. 5); this supports my contention that older adults’ wellbeing as such is an under-theorized topic.

  2. In line with standard usage in philosophy, I use the term “hedonism” to refer to this specific, strictly experience-based view of wellbeing (see e.g. Crisp 2017; compare also Haybron 2008, p. 34). This is to be contrasted with the more generic notion of “hedonic” theories commonly used in psychology, which covers both hedonist and life-satisfaction theories (inasmuch as these can both be said to be about “subjective” measures of wellbeing), and which is often contrasted with more objective, “eudaimonic” theories. “Eudaimonic” theories are of course “subjectivist” in that “eudaimonia” is usually assessed by self-reporting, just as in the case of e.g. life-satisfaction theories, and not by expert evaluations or “outward” criteria. But the ontological understanding of wellbeing implicit in such theories is objectivist in that it takes wellbeing to comprise more than mental states of the subject in question. Thanks to a reviewer for prompting me to clarify this. The delineation of hedonic and eudaimonic theories, and their relationship to the standard philosophical taxonomy (i.e. “the Big Three”, see e.g. Alexandrowa 2017), is a complex issue that deserves further attention, but lies outside the scope of the present article. Since I opt for a multifactor theory that can accommodate aspects of both “hedonic” and “eudaimonic” wellbeing, and since I am not committed to hedonism in the philosophical sense, the distinctions do not matter to my own purpose.

  3. Notable exceptions are Slote (1983) and Velleman (1991).

  4. Again, it is not that the theory is incompatible with, or unable to explain, the empirical findings. It is widely recognized that the surprisingly positive self-assessments of wellbeing made by older adults can be explained, at least in part, by adaption, which might consist in the use of a less demanding standard of judgment (expecting less of life). A flourishing theorist like Kraut might simply dismiss this as self-deception and so maintain his verdict. But see below for an alternative interpretation of the findings.

  5. As suggested by a reviewer.

  6. On the same grounds, it can be argued that theories of so-called”successful ageing” [like that of Rowe and Kahn (1998)] are not really theories of ageing (”growing old”), but rather of postponed or suppressed ageing.

  7. The expression emotional “sensitivity” is ambiguous and the very notion of sensitivity is insufficiently discriminate. Hence this phenomenon is one the alleged “findings” that need further interpretation and clarification. See Sect. 6 below.

  8. Though, as argued above, it is controversial whether dispositions should actually be included (and the same goes for attitudes). This, however, is a more specific question of exactly what kind of state of mind happiness is, that is, which kind of psychological properties are relevant to it.

  9. This does not mean that only well-being carry normative weight. Happiness does so, too. Indeed, on a hedonistic view, happiness carries all the normative weight. But it is possible to agree about the psychological description and disagree about its normative significance—i.e. take happiness to be more or less important to wellbeing.

  10. I thus concur completely with the statement of a reviewer that “wellbeing functions as a disposition”. And wellbeing—not the special, some would perhaps say idiosyncratic—notion of happiness (as just defined) is the primary object of concern here.

  11. Thus, the notion of dispositions employed here does not prioritize experiences or affective states. In accordance with standard views in psychology—as well as in the philosophy of mind—dispositional (and psychological) states are taken to encompass a large range of phenomena, including character traits and behavioral dispositions. It should also be noted that although dispositions are not per se objects of consciousness—they can exist without being reflected in the subject’s “occurent” mental states, i.e. her actual experiences—this by no means implies that they cannot become objects of consciousness. When coming to learn about our personality traits, we gain reflective consciousness of our dispositional states. But the fact that we usually learn about them only gradually and incompletely also indicates that they are not necessarily present to consciousness (thank you to a reviewer for prompting me to clarify this). For an exploration of the idea that we may have some immediate conscious awareness of at least some psychological dispositions, see Klausen (2013).

  12. Or, to be more precise, the partly cognitive states (more or less explicitly articulated “pro-attitudes”) usually associated with such wellbeing.

  13. As reported by managers and staff at residential homes in the Municipality of Vejle at deliberative workshops in held in May 2018.

  14. Both of which were raised by a very perceptive reviewer.

  15. This does not mean, however, that results obtained by other, even quantitative, methods cannot be equally relevant, provided the results are interpreted and used with sufficient care.

References

  • Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010). Emotion-regulation strategies across psychopathology: A meta-analytic review. Clinical Psychology Review, 30, 217–223.

    Google Scholar 

  • Alexandrowa, A. (2017). A philosophy for the science of well-being. Oxford: Oxford University Press.

    Google Scholar 

  • Beauchamp, T. (2005). The nature of applied ethics. In R. G. Frey & C. H. Wellman (Eds.), A companion to applied ethics. Oxford: Wiley.

    Google Scholar 

  • Bickenbach, J., Felder, F., & Schmitz, B. (Eds.). (2013). Disability and the good human life. Cambridge: Cambridge University Press.

    Google Scholar 

  • Bobbio, N. 2001 [1996]. Of old age and other essays (A. Cameron, Trans.). Cambridge: Polity Press.

  • Boerner, K. (2004). Adaptation to disability among middle-aged and older adults: The role of assimilative and accommodative coping. The Journals of Gerontology, B, 59(1), 35–42.

    Google Scholar 

  • Bredsdorff, T. (2017). Tøsne og forsytia. Noget om livet med Alzheimers. Copenhagen: Gyldendal.

    Google Scholar 

  • Broad, C. D. (1925). The mind and its place in nature. London: Harcourt Brace.

    Google Scholar 

  • Carstensen, L. L., Fung, H. H., & Charles, S. T. (2003). Socioemotional selectivity theory and the regulation of emotion in the second half of life. Motivation and Emotion, 27, 103–123.

    Google Scholar 

  • Carstensen, L. L., Isaacowitz, D. M., & Charles, S. T. (1999). Taking time seriously: A theory of socioemotional selectivity. American Psychologist, 54, 165–181.

    Google Scholar 

  • Carstensen, L. L., Pasupathi, M., Mayr, U., & Nesselroade, J. R. (2000). Emotional experience in everyday life across the adult life span. Journal of Personality and Social Psychology, 79, 644–655.

    Google Scholar 

  • Choi, S., & Fara, M. (2018). Dispositions. In E. N. Zalta (Ed.), The stanford encyclopedia of philosophy (Fall 2018 Edition). https://plato.stanford.edu/archives/fall2018/entries/dispositions/.

  • Clegg, A., et al. (2013). Frailty in older adults. The Lancet, 381(9868), 752–762.

    Google Scholar 

  • Crisp, R. (2017). Wellbeing. In E. N. Zalta (Ed.), The stanford encyclopedia of philosophy (Fall 2017 Edition). https://plato.stanford.edu/archives/fall2017/entries/well-being/.

  • Darwall, S. (2002). Welfare and rational care. Princeton: Princeton University Press.

    Google Scholar 

  • de Beauvoir, S. 1972 [1970]. The coming of age (P. O’Brian, Trans.). Norton: New York

  • Depp, C. A., & Jeste, J. V. (2009). Succesful cognitive and emotional aging. Washington, DC: American Psychiatric Publishing, Inc.

    Google Scholar 

  • Diener, E. (1984). Subjective well-being. Psychological Bulletin, 95, 542–575.

    Google Scholar 

  • Emiliussen, J., Christiansen, R., Engelsen, S., & Klausen, S. (2020). Elderly wellbeing and alcohol (report from a qualitative study of eldercare in Vejle, Denmark).

  • Emmons, R. A., & Crumpler, C. A. (2000). Gratitude as a human strength: Appraising the evidence. Journal of Social and Clinical Psychology, 19(1), 56–69.

    Google Scholar 

  • Erikson, E., & Erikson, J. M. (1998). The life cycle completed: Extended version. New York: W. W. Norton.

    Google Scholar 

  • Erlangsen, A., Bille-Brahe, U., & Jeune, B. (2003). Differences in suicide between the old and the oldest old. The Journals of Gerontology: Series B, 58(5), 314–322.

    Google Scholar 

  • Feldman, F. (2010). What is this thing called happiness?. Oxford: Oxford University Press.

    Google Scholar 

  • Frederick, S., & Loewenstein, G. (1999). Hedonic adaptation. In D. Kahnemann, et al. (Eds.), Well-being. The foundations of hedonic psychology (pp. 302–329). New York: Russell Sage.

    Google Scholar 

  • Fried, L., Tangen, C. M., Walston, J., et al. (2001). Frailty in older adults. Evidence for a phenotype. Journal of Gerontology, 56A(3), 146–156.

    Google Scholar 

  • Fry, P., & Keyes, C. (Eds.). (2010). New frontiers in resilient aging: Life-strengths and well-being in late life. Cambridge: Cambridge University Press.

    Google Scholar 

  • Hain, P. L. (1974). Age, ambitions, and political careers: The middle-age crisis. The Western Political Quarterly, 27(2), 265–274.

    Google Scholar 

  • Hansen, T., & Slagsvold, B. (2012). The age and subjective well-being paradox revisited: A multidimensional perspective. Norsk Epidemiologi, 22(2), 187–195.

    Google Scholar 

  • Haybron, D. M. (2008). The pursuit of unhappiness. Oxford: Oxford University Press.

    Google Scholar 

  • Hedges, K. (2014). Why you’re losing ambition as you age. Forbes. https://www.forbes.com/sites/work-in-progress/2014/07/16/why-youre-losing- ambition-as-you-age/#34931eee1f73.

  • Hendriks, R. (2012). Tackling indifference—Clowning, dementia, and the articulation of a sensitive body. Medical Anthropology, 31(6), 459–476.

    Google Scholar 

  • Hill, S. (2009). Haybron on mood propensity and happiness. Journal of Happiness Studies, 10, 215–228.

    Google Scholar 

  • Hsieh, Chang-ming. (2005). Age and relative importance of major life domains. Journal of Aging Studies, 19(4), 503–512.

    Google Scholar 

  • Hurka, T. (2011). The best things in life. A guide to what really matters. Oxford: Oxford University Press.

    Google Scholar 

  • Isaacowitz, D. M., & Livingstone, K. (2012). Emotions in adulthood: What changes and why? In K. J. Reynolds & N. R. Branscombe (Eds.), Psychology of change: Life contexts, experiences and identities (pp. 116–132). New York: Psychology Press.

    Google Scholar 

  • Kegan, Robert. (1982). The evolving self: Problem and process in human development. Cambridge, MA: Harvard University Press.

    Google Scholar 

  • Kegan, Robert. (1994). In over our heads: The mental demands of modern life. Cambridge, MA: Harvard University Press.

    Google Scholar 

  • Kirwood, T. B. L., & Cooper, C. L. (Eds.). (2014). Wellbeing: A Complete Reference Guide. Oxford: Wiley.

    Google Scholar 

  • Klausen, S. H. (2013). Losing belief, while keeping up the attitudes: The case for cognitive phenomenology. In N. Nottelmann (Ed.), New essays on belief (pp. 188–208). Basingstoke: Palgrave Macmillan.

  • Klausen, S. H. (2016). Happiness, dispositions and the self. Journal of Happiness Studies, 17(3), 995–1013.

    Google Scholar 

  • Klausen, S. H. (2018). Ethics, knowledge, and a procedural approach to wellbeing. Inquiry. https://doi.org/10.1080/0020174X.2018.1529619.

    Article  Google Scholar 

  • Klausen, S. H. (2019). Happiness and the structure and dynamics of human life. In S. H. Klausen, B. Martin, C. Camci, & S. Bushey (Eds.), Perspectives on happiness (pp. 88–97). Brill: Leiden.

    Google Scholar 

  • Kluger, A., Gianutsos, J. G., Golomb, J., Ferris, S. H., George, A. E., Franssen, E., et al. (1997). Patterns of motor impairment in normal aging, mild cognitive decline, and early Alzheimer’s disease. The Journals of Gerontology, B, 52(1), 28–39.

    Google Scholar 

  • Kraaij, V., Arensman, E., & Spinhoven, P. (2002). Negative life events and depression in elderly persons: A meta-analysis. The Journals of Gerontology, B, 57(1), 87–94.

    Google Scholar 

  • Kraut, R. (2007). What is good and why. The ethics of well-being. Cambridge, MA: Harvard University Press.

    Google Scholar 

  • Kruse, A. (2017). Lebensphase hohes Alter. Verletzlichkeit und Reife. Heidelberg: Springer.

    Google Scholar 

  • Löckenhoff, C. E., & Carstensen, L. L. (2004). Socioemotional selectivity theory, aging, and health: The increasingly delicate balance between regulating emotions and making tough choices. Journal of Personality, 72, 1395–1424. https://doi.org/10.1111/j.1467-6494.2004.00301.x.

    Article  Google Scholar 

  • Luppa, M., Sikorski, C., Luck, T., et al. (2012). Age- and gender-specific prevalence of depression in latest life—Systematic review and meta-analysis. Journal of Affective Disorders, 136(3), 212–221.

    Google Scholar 

  • Magliano, J., Kopp, K., McNerney, M. W., Radvansky, G. A., & Zacks, J. M. (2012). Aging and perceived event structure as a function of modality. Aging, Neuropsychology, and Cognition, 19, 264–282.

    Google Scholar 

  • Mather, M., & Carstensen, L. L. (2005). Aging and motivated cognition: The positivity effect in attention and memory. Trends in Cognitive Sciences, 9(10), 496–502.

    Google Scholar 

  • McAdams, D. P., & Bauer, J. J. (2004). Gratitude in modern life: Its manifestations and development. In R. A. Emmons & M. E. McCullough (Eds.), Series in affective science. The psychology of gratitude (pp. 81–99). New York, NY: Oxford University Press.

    Google Scholar 

  • Mroczek, D., & Spiro, A. (2005). Change in life satisfaction during adulthood: findings from the Veterans Affairs Normative Aging Study. Journal of Personality and Social Psychology, 88, 189–202.

    Google Scholar 

  • Nakagawa, T., Gondo, Y., Ishioka, Y., & Masui, Y. (2017). Age, emotion regulation, and affect in adulthood: The mediating role of cognitive reappraisal. Japanese Psychological Research, 59, 301–308.

    Google Scholar 

  • Pinquart, M. (2001). Age differences in perceived positive affect, negative affect, and affect balance in middle and old age. Journal of Happiness Studies, 2(4), 375–405.

    Google Scholar 

  • Powys, J. C. 1974 [1944]. The art of growing old. London: Village Press

  • Reed, A. E., & Carstensen, L. L. (2012). The theory behind the age-related positivity effect. Frontiers in psychology, 3, 339.

    Google Scholar 

  • Rottenberg, J. J., Gross, J., & Gottlib, I. H. (2005). Emotion context insensitivity in major depressive disorder. Journal of Abnormal Psychology, 114(4), 627–639.

    Google Scholar 

  • Rowe, J. W., & Kahn, R. L. (1998). Successful aging. New York: Pantheon Books.

    Google Scholar 

  • Salthouse, T. A. (2009). When does age-related cognitive decline begin? Neurobiology of Aging, 30(4), 507–514.

    Google Scholar 

  • Schnittker, J. (2005). When mental health becomes health: Age and the shifting meanings of self-evaluation of general health. Millbank Quarterly, 83(3), 397–423.

    Google Scholar 

  • Schramme, T. (2013). Disability (not) as a harmful condition: The received view challenged. In J. Bickenbach, F. Felder, & B. Schmitz (Eds.), Disability and the good human life (pp. 72–92). Cambridge: Cambridge University Press.

    Google Scholar 

  • Segal, L. (2013). Out of time. The pleasures and perils of aging. New York: Verso.

    Google Scholar 

  • Sen, A. (2004). Capabilities, lists, and public reason: Continuing the conversation. Feminist Economics, 10(3), 77–80.

    Google Scholar 

  • Slote, M. (1983). Goods and virtues. Oxford: Clarendon Press.

    Google Scholar 

  • Slote, M. (2016). Human development and human life. Berlin: Springer.

    Google Scholar 

  • Steptoe, Andrew, et al. (2014). Subjective wellbeing, health, and ageing. Lancet, 385(9968), 640–648.

    Google Scholar 

  • Sumner, L. Wayne. (1996). Welfare, happiness, and ethics. Oxford: Oxford University Press.

    Google Scholar 

  • Teschl, M., & Comim, F. (2005). Adaptive preferences and capabilities: Some preliminary conceptual explorations. Review of Social Economy, 63(2), 229–247.

    Google Scholar 

  • Ulloa, B. F. L., Møller, V., & Sousa-Poza, A. (2013). How does subjective well-being evolve with age? A literature review”. FZID Discussion Paper, No. 72-2013. Universität Hohenheim, Forschungszentrum Innovation und Dienstleistung (FZID), Stuttgart. http://nbn-resolving.de/urn:nbn:de:bsz:100-opus-8412.

  • Velleman, J. D. (1991). Wellbeing and time. Pacific Philosophical Quarterly, 72, 48–77.

    Google Scholar 

  • Von Faber, M., et al. (2001). Successful aging in the oldest of old: Who can be characterized as successfully aged? Archives of Internal Medicine, 161, 2694–2700.

    Google Scholar 

  • Wahl, H.-W. (2017). Die neue Psychologie des Alterns. München: Kösel.

    Google Scholar 

  • Waterman, A. S., & Archer, S. L. (1990). A life-span perspective on identity formation: Developments in form, function, and process. In P. B. Baltes, D. L. Featherman, & R. M. Lerner (Eds.), Life-span development and behavior (Vol. 10, pp. 29–57). New York: Psychology press.

    Google Scholar 

  • Weimann, J., Knabe, A., & Schöb, R. (2015). Measuring happiness. The economics of wellbeing. Cambridge, MA: MIT Press.

    Google Scholar 

  • Zarifnejad, G., Noghabi, E. S., Noghabi, D., & Koshyar, H. (2014). The relationship between social support and morale of Older adults in Mashhad in 2012. Journal of Rafsanjan University of Medical Sciences, 13(1), 3–12.

    Google Scholar 

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Acknowledgements

Thanks to Søren Engelsen, Jakob Emiliussen and Regina Christiansen for fruitful collaboration and valuable suggestions, and to Helle Brinch from the Municipality of Vejle and her staff for supporting our project and enabling us to do empirical studies of older adults in care facilities. Thanks also to two very perceptive and openminded reviewers, to Mustafa Cihan Camci and his colleagues and students at Akdeniz University and to the audience at the 8th International Social and Applied Gerontology Symposion in Antalya.

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Work on this paper was supported by a generous grant by the VELUX Foundation (to the project Elderly Wellbeing and Alcohol)

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Klausen, S.H. Understanding Older Adults’ Wellbeing from a Philosophical Perspective. J Happiness Stud 21, 2629–2648 (2020). https://doi.org/10.1007/s10902-019-00197-5

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