by Erin Gentry Lamb

About Erin Gentry Lamb

Erin Gentry Lamb is the Carl F. Asseff, MD, MBA, JD, Designated Professor in Medical Humanities; the faculty lead of the Humanities Pathway; and an associate professor of bioethics at Case Western Reserve University School of Medicine. She is the co-editor of Research Methods in Health Humanities.

Aging

Aging is the biological, social, and cultural process of growing older. It is a lifelong process, but the word’s common usage focuses our attention on later life; we are more inclined, for example, to describe childhood and young adulthood as “growing up.” The language and imagery we use to describe aging—from the stair-step images of the Ages of Man to over-the-hill birthday cards—map the life course as a rise and a fall; the progress implied by growing “up” contrasts with the decline narratives we frequently associate with aging (Gullette 2011). Cultural ideas of aging as decline are shaped strongly by the biological process of aging into old age. While individuals have varied experiences of biological aging—invariably shaped by accumulated advantages and disadvantages over the life course—changes in physical functioning are inevitable, and many additionally experience changes in mental capacity. However, our broad associations of old age with physical and mental decline too often dictate the social roles and cultural ascriptions associated with older people. For example, regardless of health or work status, we are likely to perceive any seventy-year-old as a retiree whose contributions to society are limited to volunteering, grandparenting, and consumption—of both commercial goods (a positive) and health-care resources (a negative). Such limited views of older people’s social worth and capacities provide the fodder for ageism: stereotypes, prejudice, and/or discrimination on the basis of age. As biological notions of aging have had an undue and problematic influence on the social practices and cultural meanings around old age, decoupling aging from decline should be a focus for health humanities.