WOMEN AND POSITIVE AGING WOMEN AND POSITIVE AGING AN INTERNATIONAL PERSPECTIVE Lisa Hollis-Sawyer Amanda Dykema-Engblade AMSTERDAM • BOSTON • HEIDELBERG • LONDON NEW YORK • OXFORD • PARIS • SAN DIEGO SAN FRANCISCO • SINGAPORE • SYDNEY • TOKYO Academic Press is an imprint of Elsevier Academic Press is an imprint of Elsevier 125 London Wall, London EC2Y 5AS, UK 525 B Street, Suite 1800, San Diego, CA 92101-4495, USA 50 Hampshire Street, 5th Floor, Cambridge, MA 02139, USA The Boulevard, Langford Lane, Kidlington, Oxford OX5 1GB, UK Copyright © 2016 Elsevier Inc. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. 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ISBN: 978-0-12-420136-1 British Library Cataloguing-in-Publication Data A catalogue record for this book is available from the British Library Library of Congress Cataloging-in-Publication Data A catalog record for this book is available from the Library of Congress For information on all Academic Press publications visit our website at https://www.elsevier.com/ Publisher: Nikki Levy Acquisition Editor: Emily Ekle Editorial Project Manager: Barbara Makinster Production Project Manager: Julie-Ann Stansfield Designer: Maria Inês Cruz Typeset by MPS Limited, Chennai, India “On Aging” from AND STILL I RISE by Maya Angelou, copyright © 1978 by Maya Angelou. Used by permission of Random House, an imprint and division of Penguin Random House LLC. All rights reserved. Any third party use of this material, outside of this publication, is prohibited. Interested parties must apply directly to Penguin Random House LLC for permission. On Aging “When you see me sitting quietly, like a sack left on a shelf, Don’t think I need your chattering. I’m listening to myself. Hold! Stop! Don’t pity me! Hold! Stop your sympathy! Understanding if you got it, otherwise I’ll do without it! When my bones are stiff and aching and my feet won’t climb the stair, I will only ask one favor: Don’t bring me no rocking chair. When you see me walking, stumbling, don’t study and get it wrong. ‘Cause tired don’t mean lazy and every goodbye ain’t gone. I’m the same person I was back then, a little less hair, a little less chin, A lot less lungs and much less wind. But ain’t I lucky I can still breathe in.” –Maya Angelou, And Still I Rise (1978). Authors Dr. Lisa Hollis-Sawyer is an Associate Professor in the Psychology department and Coordinator of the Gerontology program at Northeastern Illinois University. She received her doctorate in Industrial Gerontology from The University of Akron and conducted postdoctoral aging-related training at Boston University. Her research interests range from eldercare to aging workforce issues, espe- cially focusing on aging women’s issues within these roles. Dr. Hollis-Sawyer has coauthored three textbooks and authored/coauthored 24 scholarly articles. Dr. Amanda Dykema-Engblade is an Associate Professor in the Psychology department and Vice Chair at Northeastern Illinois University. She earned an MA and PhD in Applied Social Psychology from Loyola University (Chicago). Her research interests include small group perfor- mance/decision-making, the psychology of food, and women’s studies. Dr. Dykema-Engblade has authored/coauthored 10 scholarly articles. xiii Preface The focus of this book is about important topics related to women positively aging across many different races, ethnicities, and backgrounds. Related to this aim, the book’s sections and chapters cover topics encompass- ing a “holistic” model of women’s aging and will range in focus from the physical and psychological experiences of women’s aging to societies’ percep- tions of older women in many different cultures. All topics related to the focus of contemporary issues with aging women are presented and discussed. In addition to incorporating timely research on aging women’s issues, each chapter provides readers with engaging stories and activities to fur- ther reinforce their learning of this content. By design, the content of each book chapter is tailored to offer both theoretical and practical perspectives in how to best support and optimize the aging of women. For example, testimonies and advice from self-identified successfully aging women (Words of Wisdom) are presented in select chapters. The topics discussed in this book are helpful for both women experienc- ing aging issues across the life span and/or those involved in their care. Many of the issues examined in this book, of course, have implications toward all individuals who are navigating the complex, sometimes unantic- ipated “journey” of aging. The aim of this book is to discuss both women’s universal experiences of aging and their unique experiences within specific cultural, historical, and genetic contexts of human development over time. This book is meant as a helpful guide for all women experiencing the aging process from birth onward, as well as those involved in their lives (eg, significant other, caregiver). The main “message” from the contents of this book is that women should find ways to live their lives to the fullest and to embrace the many different challenges and transitions that aging offers. To effectively adapt in such a way requires a conscious, ongoing self-examina- tion of changing personal capabilities (eg, physical strength), environmental resources (physical, social, and living), and support services, which need to be optimized in combination (ie, best “fit”) for women’s aging. This book offers advice to achieve positive aging for women, as well as anyone aging across the life span. In addition to the content within the chapters, please review the supplemental attitude scales (Appendix A) and national and international support resources (Appendix B) presented in this book. Dr. Lisa Hollis-Sawyer Gerontology Program Coordinator, Northeastern Illinois University, Chicago, IL, United States xv Acknowledgments The authors would like to give a heartfelt “thank you” to the people who helped and supported them throughout the book writing process. Both authors would like to thank Linda Rada, Marta Bartasiute, and Wendy De Leon for their invaluable help in both conducting and summarizing the interviews of wise older women from many different cultural backgrounds for this book. Lisa Hollis-Sawyer, would also like to thank Tom, Josh, and May for their wonderful support and understanding during this busy time. Amanda Dykema-Engblade, would like to thank David, Zeke, and Evelyn for their equally wonderful support and understanding over the many months of writing and editing this book. Without their help and support, this book would not have been possible! xvii S E C T I O N I THE PSYCHOLOGY OF WOMEN’S AGING Relevant chapters 1 Older Women and Their Mental Health Needs 3 2 Women’s Resiliency and Psychological Adaptation to Aging 27 3 Aging Self-Acceptance for Women 51 4 Aging Women and Mental Aerobics 71 The first section of the book examines issues related to aging women’s health on psychological, physical, cognitive, and social bases. In order to ensure positive aging for women from a societal perspective, it is vital to understand the factors that precipitate and impact a woman’s aging trajectory over time. The purpose of this section of the book is to introduce many foundational research ideas and practical issues related to women’s aging from a diversity perspective. A cross-cultural and individual-differences examination of aging women’s issues is important in order to identify both “universal” and unique experiences of aging. Across chapters in this section, person-environment “fit” issues are discussed in different ways as they relate to women’s positively aging over time. C H A P T E R 1 Older Women and Their Mental Health Needs Global Fact: Unipolar depression is projected to be the second leading cause of global disability burden by the year 2020, and aging women are twice as likely to report this condition. —World Health Organization (n.d.) Across everyone’s life span, people are faced with a variety of life situ- ations which require adaptive coping reactions and a healthy mental atti- tude. The process of getting older is one of those significant life situations to be positively adapted over an extended time period. An understanding of realistic aging processes is a vital factor underlying effective personal adaptation. Before reading this chapter further, please take the Facts of Aging quiz in Appendix A to assess your knowledge about aging-related facts and associated adjustment issues. What did you learn? Apply what you learned from taking the quiz to the proceeding discussion of aging women’s mental health and psychological adjustment. What factors underlie positive aging attitudes and adaptation? Myint et al. (2011) suggested that many life events significantly impact an older adult’s ability to successfully adapt and achieve positive quality-of-life outcomes. Being both actively engaged in daily activities and open to new experiences (eg, learning new information or skills) are two examples of conducive events promoting positive and adaptive responses to aging- related changes. Aging can be a challenging experience for most people, especially within certain living circumstances (eg, community-dwelling older adults; Akincigil et al., 2011). Aging research started to turn its attention to issues of positive aging and adjustment from a woman’s perspective over 30 years ago (eg, Levy, 1981). Whether older women are truly different than their male coun- terparts in terms of mental health characteristics, as well as predictive factors, needs further examination (eg, Pachana, McLaughlin, Leung, Byrne, & Dobson, 2012). It is interesting to note that although older men Women and Positive Aging. 3 DOI:http://dx.doi.org/10.1016/B978-0-12-420136-1.00001-3 © 22001164 Elsevier Inc. All rights reserved. 4 1. OldER WOMEN ANd THEiR MENTAl HEAlTH NEEds and women are very similar in many ways, their patterns of mental health diagnoses show some differences within different cultures (eg, South Korean culture; Lee & Lee, 2011) and life situations (eg, stressful role responsibilities; Darling, Coccia, & Senatore, 2012). Is it possible that older women are inherently different in aging-related attitudes or coping reactions? Or, is this perception more an outcome of “double jeopardy” bias regarding stereotyped perceptions of women (eg, emotionality) and their aging (eg, decrement and loss)? This concept of “double jeopardy” (eg, Hollis-Sawyer & Cuevas, 2013) is important to explore because this stereotype may have a significant influence on wom- en’s positive aging potential. In certain cultures and societies, older women may be at a social disadvantage in terms of financial viability, social power, and associated support resources. Exploring this idea from a positive aging perspective, women who are empowered and supported in their social roles will be better able to cope and proliferate when faced with aging. Financial resources are important for women’s later-life adaptation and personal growth. The concept of “feminization of poverty” speaks toward this issue (Minkler & Stone, 1985), emphasizing the need for society to better understand lifespan issues of workforce participation, participation inter- ruptions (eg, caregiving role demands), and an associated gender dispar- ity in earned income (eg, wage gap and pension acquisition) significantly impacting women’s social status and living situations over a life span. WOMEN AND HARMONIOUS AGING Positive aging as applied to mental health is analogous to Liang and Luo’s (2012) examination of the concept of “harmonious” aging. Brennan et al. (2012) emphasized the idea that there needs to be an examination of positive mental health perspectives to better understand and identify coping factors that assist in later-life adjustment. Grafova, McGonagle, and Stafford (2006) suggested that there is a very important link between older adults’ feelings of positive well-being and their associated func- tional status in conducting activities of daily living. The delicate “balance” between mental health and functional status is a vital issue to examine with women who are faced with balancing many roles and responsibilities across a life span (Byles, Gallienne, Blyth, & Banks, 2012). The impact of the caregiver role within a woman’s life cannot be understated because of its broad range of role demands and responsibilities within the family system. Further, being a caregiver can have a significant impact upon an aging person’s mental and physical health (Hoffman, Lee, & Mendez-Luck, 2012; Neysmith, & Reitsma-Street, 2009; Nordtug, Krokstad, & Holen, 2011). Financial and other support I. THE PSYCHOLOGY OF WOMEN’S AGING