Reversing Disability in Old Age

  • Becca Levy
  • Ellen Langer
Part of the The Plenum Series in Culture and Health book series (PSCH)


In his autobiographical novel, House of God, medical resident Samuel Shem (1978) described the tendency of physicians in his hospital to call the old patients “gomers.” The term gomer (or “gome” for short), Shem explains, serves as an acronym for “Get Out of My Emergency Room.” The phrase implies than old patients will be annoying and that their health will inevitably decline with a variety of age-related complications. Although Shem wrote his novel in 1978, some hospital house staff still refer to people over the age of 60 as gomes. The doctors who use the term gome would defend themselves by pointing out that the term is said tongue in cheek and that they would never use the term in the hearing vicinity of an old patient. We will argue in this paper, however, that the use of the term represents a kind of thinking and behavior that has negative consequences for the health of old people.


Nursing Home Successful Aging Negative Stereotype Explanatory Style United States Bureau 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. Adams, I. (1991). Structural plasticity of synapses in Alzheimer’s Disease. Molecular Neuro-biology, 5, 41–419.Google Scholar
  2. Adler, N., & Mathews, K. (1994). Health psychology: Why do some people get sick and some stay well? Annual Review of Psychology, 45, 229–259.PubMedCrossRefGoogle Scholar
  3. Avorn, J., & Langer, E. (1982). Induced disability in nursing home patients: A controlled trial. Journal of the American Geriatrics Society, 30, 397–400.PubMedGoogle Scholar
  4. Baron, R., Cutrona, C., Hicklin, D., Russel, D., & Lubaroff, D. (1990). Social support and immune function among spouses of cancer patients. Journal of Personality and Social Psychology, 59, 344–352.PubMedCrossRefGoogle Scholar
  5. Bartrop, R., Luckhurst, E., Lazarus, L., Kiloh, L., & Penny, R. (1977). Depressed lymphocyte function after bereavement. Lancet, 1, 834–836.PubMedCrossRefGoogle Scholar
  6. Bethel, D. (1992) Life on Obasuteyama, or inside a Japanese institution for the elderly. In T. Lebra (Ed.), Japanese social organization (pp. 109–134). Honolulu: University of Hawaii Press.Google Scholar
  7. Botwinick, J., & Storadt, M. (1980). Recall and recognition of old information in relation to age and sex. Journal of Gerontology, 35, 70–76.PubMedGoogle Scholar
  8. Brown, P., & Levinson, S. (1987). Politeness: Some universals in language usage. New York: Cambridge University Press.Google Scholar
  9. Caporael, L. (1981). The paralanguage of caregiving: Babytalk to the institutionalized aged. Journal of Personality and Social Psychology, 40, 876–884.PubMedCrossRefGoogle Scholar
  10. Chanowitz, B., & Langer, E. (1981). Premature cognitive commitment. Journal of Personality and Social Psychology, 41, 1051–1063.PubMedCrossRefGoogle Scholar
  11. Cotman, C., & Hoff, S. (1983). Synapse repair in the hippocampus: The effects of aging. Birth Defects, 19, 119–134.PubMedGoogle Scholar
  12. Czeisler, C., Allan, J., Strogatz, S., Ronda, J., Sanchez, R., Rios, C., Freitag, W., Richardson, G., & Kronauer, R. (1986). Bright light resets the human circadian pacemaker independent of the timing of the sleep-wake cycle. Science, 233, 667–671.PubMedCrossRefGoogle Scholar
  13. Czeisler, C., Dumont, M., Duffy, J., Steinberg, J., Richardson, G., Brown, E., Sanchez, R., Rios, C., & Ronda, J. (1992). Association of sleep-wake habits in older people with changes in output of circadian pacemaker. Lancet, 340, 933–936.PubMedCrossRefGoogle Scholar
  14. de Graaf, C., Polet, P., & Van Staveren, W. (1994). Sensory perception and pleasantness of food flavors in elderly subjects. Journal of Gerontology: Psychological Sciences, 49, 93–99.Google Scholar
  15. Diamond, M. (1988). Enriching heredity: The impact of the environment on the anatomy of the brain. New York: Free Press.Google Scholar
  16. Fawzy, F. (1994, January). Psychosocial intervention for individuals with melanoma. Paper presented at a meeting of the Behavioral Immunology Study Group, Brookline, MA.Google Scholar
  17. Fiatarone, M., Marks, E., Ryan, N., Meredith, C., Lipsitz, L., & Evans, W. (1990). High-intensity strength training in nonogenerians. Journal of the American Medical Association, 263, 3029–3034.PubMedCrossRefGoogle Scholar
  18. Fiatarone, M., Morley, J., Bloom, E., Benton, D., Solomon, G., & Makinodan, T. (1989). The effect of exercise on natural killer cell activity in young and old subjects. Journal of Gerontology: Medical Sciences, 44, 37–45.Google Scholar
  19. Fiatarone, M., O’Neill, E., Ryan, N., Clements, K., Solares, G., Nelson, M., Roberts, S., Kehayiuas, J., Lipsitz, L., & Evans, W. (1994). Exercise training and nutritional supplementation for physical frailty in very elderly people. The New England Journal of Medicine, 330, 1169–1775.CrossRefGoogle Scholar
  20. Foreman, J. (1993, April 26). Trouble sleeping? In later years, our internal clocks change. The Boston Globe, p. 39.Google Scholar
  21. Foreman, J. (1994, August 22). Cancer risk rises with age but treatment declines. The Boston Globe, pp. 22, 24, 28.Google Scholar
  22. Greenough, W. (1994, May). Plasticity and environment Paper presented at the Harvard Memory distortion conference, Cambridge, MA.Google Scholar
  23. Hunley-Dunn, P., & McIntosh, J. (1984). Meaningfulness and recall of names by young and old adults. Journal of Gerontology, 39, 583–585.Google Scholar
  24. Isaacs, L., & Bearison, D. (1986). The development of children’s prejudice against the aged. International Journal of Aging and Human Development, 23, 175–194.PubMedGoogle Scholar
  25. Jones, E., & Nisbett, R. (1971). The actor and the observer: Divergent perceptions of the causes of behavior. In E. Jones, D. Kanouse, H. Kelley, R. Nisbett, S. Valins, & B. Weiner (Eds.), Attribution: Perceiving the causes of behavior (pp. 79–94). Morristown, NJ: General Learning Press.Google Scholar
  26. Kamen-Siegal, L., Rodin, J., Seligman, M., & Dwyer, J. (1991). Explanatory style and cell-mediated immunity in elderly men and women. Health Psychology, 10, 229–235.CrossRefGoogle Scholar
  27. Keicolt-Glaser, J., Dura, J., & Speicher, C. (1991). Spousal caregivers of dementia victims: Longitudinal changes in immunity and health. Psychosomatic Medicine, 53, 345–362.Google Scholar
  28. Kennedy, S., Keicolt-Glaser, J., & Glaser, R. (1990). Social support, stress and the immune system. In B. Sarason, I. Sarason, & G. Pierce (Eds.), Social support: An interactional view (pp. 253–266). New York: Wiley.Google Scholar
  29. Kite, M., & Johnson, B. (1988). Attitudes toward older and younger adults: A meta-analysis. Psychology and Aging, 3, 233–244.PubMedCrossRefGoogle Scholar
  30. Lachman, M., & MacArthur, L. (1986). Adulthood and age differences in causal attributions for cognitive, social and physical performance. Psychology and Aging, 1, 127–132.PubMedCrossRefGoogle Scholar
  31. Langer, E. (1989). Mindfulness. Reading, MA: Addison-Wesley.Google Scholar
  32. Langer, E., & Abelson, R. (1974). A patient by any other name...: Clinical group differences in labeling bias. Journal of Consulting and Clinical Psychology, 42, 4–9.PubMedCrossRefGoogle Scholar
  33. Langer, E., & Benevento, A. (1978). Self-induced dependence, Journal of Personality and Social Psychology, 36, 886–893.CrossRefGoogle Scholar
  34. Langer, E., Chanowitz, B., Palmerino, M., Jacobs, S., Rhodes, M., & Thayer, P. (1990). Nonsequential development and aging. In C. Alexander & E. Langer (Eds.), Higher stages of human development (pp. 114–136). New York: Oxford University Press.Google Scholar
  35. Langer, E., Perlmuter, L., Chanowitz, B., & Rubin, R. (1988). Two new applications of mindfulness theory: Alcoholism and aging. Journal of Aging Studies, 2, 289–299.CrossRefGoogle Scholar
  36. Langer, E., & Rodin, J. (1976). The effect of enhanced personal responsibility of the aged: A field experiment in an institutional setting. Journal of Personality and Social Psychology, 34, 191–198.PubMedCrossRefGoogle Scholar
  37. Langer, E., Rodin, J., Beck, P., Weinman, C., & Spitzer, L. (1979). Environmental determinants of memory improvement in late adulthood. Journal of Personality and Social Psychology, 11, 2003–2013.CrossRefGoogle Scholar
  38. Levy, B., & Langer, E. (1994). Aging free of negative stereotypes: Successful aging in China and among deaf Americans. Journal of Personality and Social Psychology, 66, 989–997.PubMedCrossRefGoogle Scholar
  39. Lindsted, K., Tonstad, S., & Kuzma, J. (1991). Self-report of physical activity and patterns of mortality in Seventh Day Adventists men. Journal of Clinical Epidemiology, 44, 355–364.PubMedCrossRefGoogle Scholar
  40. Manton, K. (1992) The dynamics of aging: Measurement and intervention issues for health and function. Journal of Cross-Cultural Gerontology, 7, 185–201.CrossRefGoogle Scholar
  41. Markus, H., & Kitayama, S. (1991). Culture and the self: Implications for cognition, emotion and motivation. Psychological Review, 98, 224–254.CrossRefGoogle Scholar
  42. Moses, S. (1992, August). More clinicians needed to help a graying America. APA Monitor, 34.Google Scholar
  43. Ornish, D., Brown, S., Scherwitz, L., Billings, J., Armstrong, W., Ports, T., McLanahan, S., Kirkeeide, R, Brand, R, & Gould, K. (1990) Can lifestyle changes reverse coronary heart disease? The Lancet, 336, 129–133.CrossRefGoogle Scholar
  44. Palmore, E. (1988). Facts on aging quiz: A handbook of uses and results. New York: Springer.Google Scholar
  45. Perdue, C., & Gurtman, M. (1990). Evidence for the automaticity of ageism. Journal of Experimental Social Psychology, 26, 199–216.CrossRefGoogle Scholar
  46. Perlmutter, M. (1978). What is memory aging the aging of? Developmental Psychology, 4, 330–345.CrossRefGoogle Scholar
  47. Peterson, C., & Seligman, M. (1987). Explanatory style and illness. Journal of Personality, 55, 237–265.PubMedCrossRefGoogle Scholar
  48. Peterson, C., Seligman, M., & Valliant, G. (1988). Pessimistic explanatory style as a risk factor for physical illness: A 35 year longitudinal study. Journal of Personality and Social Psychology, 55, 23–27.PubMedCrossRefGoogle Scholar
  49. Rodeheaver, D., & Datan, N. (1988). The challenge of double jeopardy: Toward a mental health agenda for aging women. American Psychologist 43, 648–654.PubMedCrossRefGoogle Scholar
  50. Rodin, J. (1987, October). The determinants of successful aging. Paper presented at a meeting of the Federation of the Behavioral, Psychological and Cognitive Sciences, Washington, DC.Google Scholar
  51. Rodin, J., & Langer, E. (1977). Long-term effects of a control relevant intervention with the institutionalized aged. Journal of Personality and Social Psychology, 35, 897–902.PubMedCrossRefGoogle Scholar
  52. Rodin, J., & Langer, E. (1980). Aging labels: The decline of control and the fall of self-esteem. Journal of Social Issues, 36, 12–29.Google Scholar
  53. Rossi, A. (1992, August). Cross-cultural study of menopause. Paper presented at the meeting of the American Psychological Association, Washington DC.Google Scholar
  54. Rowe, J., & Kahn, R. (1987) Human aging: Usual and successful. Science, 237, 143–148.PubMedCrossRefGoogle Scholar
  55. Ryan, E. (1992). Beliefs about memory across the life span. Journal of Gerontology: Psychological Sciences, 47, 41–47.Google Scholar
  56. Schaie, K. W. (1993). The optimization of cognitive functioning in old age: Prediction based on cohort-sequential and longitudinal data. In P. Baltes & M. Baltes (Eds.), Successful aging: Perspectives from the behavioral sciences (pp. 94–117). New York: Cambridge University Press.Google Scholar
  57. Schaie, K. W., & Willis, S. (1986). Can intellectual decline in the elderly be reversed? Developmental Psychology, 22, 223–232.CrossRefGoogle Scholar
  58. Schulz, R., Heckhausen, J., & Locher, J. (1991). Adult development, control and adaptive functioning. Journal of Social Issues, 47, 177–196.CrossRefGoogle Scholar
  59. Shem, S. (1978). The house of God: A novel New York: R. Marek.Google Scholar
  60. Taylor, S. (1986). Health psychology. New York: Random House.Google Scholar
  61. Terry, R., Deteresa, R., & Hansen, L. (1987). Neocortical cell counts in normal human adult aging. Annals of Neurology, 21, 530–539.PubMedCrossRefGoogle Scholar
  62. United States Bureau of the Census. (1975). Historical statistics of the United States, colonial times to 1970 (p. 10, p. 56). Washington, DC.Google Scholar
  63. United States Bureau of the Census. (1993). Statistical abstract of the United States: 1993 (113th ed., pp. 15–16). Washington, DC.Google Scholar
  64. Weintraub, S., Powell, D., & Whitla, D. (1994). Successful cognitive aging: Individual differences among physicians on a computerized test of mental state. Journal of Geriatric Psychiatry, 27, 15–33.Google Scholar
  65. Wilkes, M., & Shuchman, M. (1989, June 4). What is too old? New York Times Magazine, 58–60.Google Scholar
  66. Willis, S., & Schaie, K. (1986). Training the elderly on the ability factors of spatial orientation and inductive reasoning. Psychology and Aging, 1, 239–247.PubMedCrossRefGoogle Scholar

Copyright information

© Plenum Press, New York 1996

Authors and Affiliations

  • Becca Levy
    • 1
  • Ellen Langer
    • 2
  1. 1.Division on AgingHarvard Medical SchoolBoston
  2. 2.Department of PsychologyHarvard UniversityCambridge

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