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Why the Resistance to Recommendations for Exercise and Social Engagement Amongst the Elderly
A psychological paradox often emerges in later life: a conflict between a love of autonomy and the need to accept necessary change.
This paradox emerged in my experience with my old friend Sam, 88 years old. He tends to procrastinate and resents efforts to get him to exercise. His daughter has put me in charge of getting him to the gym and to choir practice, both of which, while he values them, he regards as a nuisance. He expresses this discomfort by giving his daughter a tough time pushing him towards these activities. Sometimes, indeed, he puts his foot down.
The conflict between autonomy and change is most clearly seen in the health practices of older adults. Sam also has a lingering resistance to singing in groups, even though this was a major source of pleasure in his younger years.
However, the more profound message here raises questions about human dignity and self-determination in the later years.
Consider how challenging it is to confront physical limitations after decades of independence. Each refusal to cooperate or go along might represent stubbornness and a more profound protest aging itself.