Joy in the age of loss

Young Bin Lee, a neuropsychiatrist, stays young by trying to think like a younger person. He is shown here listening as his wife Euli play the piano in their Medford, N.J., home on Monday, Aug. 6, 2018. (Jessica Griffin/Philadelphia Inquirer/TNS)
Caption
Young Bin Lee, a neuropsychiatrist, stays young by trying to think like a younger person. He is shown here listening as his wife Euli play the piano in their Medford, N.J., home on Monday, Aug. 6, 2018. (Jessica Griffin/Philadelphia Inquirer/TNS)

PHILADELPHIA — Jerry Jackson, a retired accountant, described the accumulation of losses that accompany old age in concrete, mathematical terms.

When he and his wife moved to Rydal Park, a Jenkintown, Pa., retirement community, they joined an informal breakfast group of about 10. “They were a great bunch of people,” said Jackson, who is now 90.

Seven years later, “I’m still in the same chair as when everybody was here, but there are only two of us left, and we eat at different times.” Among the empty chairs is the one his wife of almost 70 years occupied. She died in May.

Coping with the deaths of friends and family members and the inescapable knowledge that time is limited for remaining peers is among the great emotional challenges of aging. “It sucks, period,” said Dorree Lynn, a 77-year-old psychologist in Charleston, S.C., who recently lost two close colleagues. “It starts in your 60s and gets worse.” Not everyone can overcome it, but those who are resilient enough to navigate this dance with mortality well can find wisdom and everyday joy made sweeter by the depletion of time.

Thelma Reese, 85, Bella Vista neighborhood of Philadelphia

History: A retired professor of English and education, she coauthored The New Senior Woman and The New Senior Man and is working on another book about seniors.

Wisdom: She’s a believer in “doing things that take you out of yourself enough to widen your horizon a little” to improve mental health and prevent focus on the physical problems of old age.

It’s tough to lose old friends, either from death or growing apart. “You feel like you’re losing part of your history when they go.” New friends can listen to your stories, but you haven’t “lived and breathed it together.”

She is “extremely” conscious of her mortality and has been reading about psychologist Erik Erikson’s stages of development. His last stage (65 and up) is the age of integrity or despair. That resonates with Reese. Once you have a “sense of an ending,” she said, “it can either make you despair or make you think: ‘I’ve got to do something. I’ve got to get it done somehow.’ “

Interviewing other seniors who are leading active lives helps her open up. “I’m interested in these people because they’re doing things I’m not. I admire them. I find it encouraging that they’re in the world.”

There’s no doubt that many elders let their social world contract. “They sort of shrink into a box,” said Thelma Reese, an 85-year-old Philadelphian who has written books about aging. Scientific evidence that isolation and loneliness are harmful, both physically and emotionally, is mounting. “Being by yourself with the shades drawn and not interacting with other people can be deadly,” said Stephen Scheinthal, a geriatric psychiatrist who is chair of psychiatry at the Rowan University School of Osteopathic Medicine.

And yet research also shows that, as a group, older people in decent health score higher on measures of happiness than young and middle-aged adults. (Scores sometimes dip a bit as infirmities increase.) This is true even though deaths are not the only losses the aged face. Many have also lost their independence and professional prestige. Friends and family members have moved away or cut ties.

What allows some people to thrive emotionally at a time when losses are piling up like leaves under a maple tree in October? How do they find the courage to care when they have so much experience with heartbreak?

PAIN AND JOY

The answer, according to experts and older people themselves, is not as simple as “you have to keep making new friends,” although that is a common part of the equation. It also helps to embrace the idea that life can have meaning and purpose at any age, to treasure the people who are left, to cultivate gratitude and seek personal growth. A sense of humor is invaluable. Curiosity helps, too.

Virginia Sale, 90, Rydal Park retirement community

History: Sale was a Presbyterian minister like her husband. He died in 2015 of Alzheimer’s disease. They had lived and worked together for almost 60 years. She has outlived most of her longtime friends.

Wisdom: During her husband’s nine-year illness, she learned to find positives, even in their suffering. “What I discovered was that, in this daily struggle for both of us, we learned how much we loved each other,” she said.

After years of counseling others, Sale was surprised by how traumatic her husband’s death felt. She realized she had lost a part of herself that had belonged to the marriage. “When that bond is broken, there is part of you that’s missing, not just the loss of the person, the loss of the identity,” she said.

At 90, she asked herself, “ ‘Well, Virginia, you’re old. What are the possibilities?’ “

“A lot of life is a matter of stops and starts,” she has learned, “and every time we grow.”

She decided she would stop feeling sorry for herself. “Somewhere along the way you say, ‘I am worth living for myself. … I claim myself.’”

After her husband’s death, she learned to make decisions for herself, without compromise. She redecorated. She plays bridge and works in the library. She takes walks. An introvert, a few friends are enough for her. She relishes the time she has to read. “I just love to learn,” she said.

Is she happy? “I’m at peace,” she said, “and that is the kind of happiness you can count on.”

“I live for the day,” said Marian Poole, 88, a Rydal Park resident whose husband died eight months ago. “I’m anxious to get up in the morning. I want to see what happens.”

Even for people who are outgoing, this takes work. Seniors who are thriving despite loss say they make a point of trying new things and meeting new people. They accept the possibility of failure, rejection, and pain. They cherish memories. They do not fear grief.

“A hunch that I have is that pain and joy are really located right next to each other in our heart,” said Rabbi Dayle Friedman, a chaplain and spiritual director whose Philadelphia-based practice is focused on serving people beyond midlife. “To be open to one, you have to be open to the other.”

Friedman’s sister died four years ago at age 61. Think of life, she said, as a half marathon. You start off with lots of other runners, but, if you take a long time to get to the finish line, the field thins out. “That really hurts. It can be lonely, and it can start to feel like you know more people on the other side than this side.”

Young Bin Lee, 81, Medford

History: Raised in both North and South Korea, Lee came to the U.S. for advanced medical training in 1964. He had planned to go back to Korea, but his wife, also a doctor, got cancer, and they stayed. She died in 2000. Two good friends died this year. He works four half-days a week as a neuropsychiatrist and is active in his church and Korean organizations. He loves opera. He has had heart surgery and a kidney transplant. His kidney came from his second wife, Eulie, whom he married 10 years ago.

Wisdom: Asked about grief, Lee quoted a character from the opera Nabucco, who said, “Lord, give us the courage to endure suffering.” Notice, Lee said, the character did not say, “Lord, do not give us any suffering.”

Keeping busy and maintaining a younger mind-set help him live with loss. “I like to think I’m still in my 50s and 60s. At that age, you work hard. You take care of your children and you think about your grandchildren and try to study and learn more. That kind of lifestyle, I like that.”

He keeps his eye on today. “I don’t think about how long I’m going to live. I focus on now. I have no fear of dying, actually, but I will do my best until I die.”

SaraKay Smullens, 78, a Philadelphia clinical social worker and author, echoed that. “As we get older, we just see things very differently with every decade,” she said, “and I don’t know that you can teach that.”

Along with loss and decline, Agronin said, old age can mean “a simultaneous process of growth and development.” Ideally, perspectives broaden and people become more resistant to adversity. Amy Yotopoulos, director of the Mind Division of the Stanford Center for Longevity, said that, at all income levels, research has found that ratings of happiness rise until the final years of life when failing health restricts activities. This is true across all socioeconomic strata.

Seniors tend to focus more than the young on positive information and emotions, Yotopoulos said. This may be dangerous when evaluating scammers, but it tends to make life feel rosier.

Caroline Wroblewski, 75, Normandy Farms Estates, a retirement community in Blue Bell

History: She retired at 70 as director of a counseling and treatment program for women in Washington, D.C. Never married, she has lost a sister and moved to be near her brother. Close friends have moved to Texas and Massachusetts. She counts leaving her beloved condo near Washington as a loss. She volunteers with hospice patients.

Wisdom: Wroblewski is clear-eyed about her mortality now that she is well past the halfway point in her life. “I am healthy, but I know I’ve lived longer than I’m going to live.” Her deepest friendships are those established long ago, but she is forming strong relationships at Normandy Farms, too. One, Pat, is in her late 80s. They do jigsaw puzzles and water aerobics together. “I am coming to love Pat. She’s one of my trusted friends here. … Granted, she is at the end of her life, but she’s very alive in the moment.”

One of her hospice patients was 89 and able to communicate only with her eyes. The day before she died, Wroblewski told her: “I just want you to know it’s been a joy working with you, being with you. I believe you’re already in the hands of God.” Wroblewski felt lucky to have had time with her. “I learned the most from her. She was just a gracious receiver. She had no complaints. She enjoyed the moment.”

Wroblewski treasures hearing the stories of older residents. “They’re my mentors right now. They’re in places where I have yet to go, and they’re helping me choose how I want to go there.”

Therapists who work with the elderly said some people really struggle with making new connections. Some may never have had good social skills. Others might just be out of practice.

‘GRIEF IS A LOVE LETTER’

Rowan psychiatrist Scheinthal said his 90-year-old father-in-law made a fast friend soon after moving to assisted living. Within months, the man died. “That’s it,” he said afterward. “I’m not making any more friends here. They’re just going to get sick and die.”

But grief doesn’t have to keep people from reaching out.

Smullens tells her older clients it’s OK to grieve and to recognize that no one can replace a cherished person. Letting go is part of every new phase of life. “Grief,” she said, “is a love letter. It just can’t dominate your world.”

Lynn, the Charleston psychologist, remembers her dad telling her he hated going to the golf course when he was in his late 80s. “I never know who’s not going to show up,” he told her. She added: “But he went anyway, and that’s part of the trick.”

People need to let themselves grieve, she said, because that’s part of the healing, and then they need to let themselves care. “The instinct is to want to never love again,” she said. That’s a mistake. “Love cures.”

Therapists recommend volunteering as a way to do something valuable and meet like-minded people. Learn a new skill. Get involved in politics. Join a book club. Friendships will follow.

About the Author