In Praise of Craziness, of a Certain Kind

On cold evenings
my grandmother,
with ownership of half her mind-
the other half having flown back to Bohemia-

spread newspapers over the porch floor
so, she said, the garden ants could crawl beneath,
as under a blanket, and keep warm,

and what shall I wish for, for myself,
but, being so struck by the lightning of years,
to be like her with what is left, that loving.

by Mary Oliver

from New and Selected Poems: Volume Two

This is probably one of the poems I love most, for so many reasons. The way it shifts between description and evaluation, the former showing an outsider’s perspective, the latter a relationship to another human being as well as a yearning for some form of grace. The tenderness with which a seemingly “crazy” act is put into perspective, disambiguated as a form of loving, is striking. We so often, scared to death by the perceived reality of losing our minds, rather distance ourselves from crazy behavior, instead of finding some remaining value in it. Oliver also acknowledges that we cannot count on (or control) a particular way of aging, but might be blessed – either avoiding dementia or finding a light within. A frightful admission and her unswerving insistence on finding hope, as in so much of her work.

There is a German saying that age brings out either the cow or the goat in women. The former is supposed to be a hefty, placid, friendly, not particularly flexible form of being. The latter has more the qualities of what English speakers would call “catty” a nervous, snippy, mean and often stubborn crone. Folk wisdom like this is wrong as often as it is right, or contains at least partial kernel of truths, as all stereotypes do. Fact is, despite an explosion of research into aging across the last decades we, as scientists as well, know very few things for sure.

We do know that the brain parts that regulate inhibition of behaviors are affected early on. The subsequent disinhibition might be relevant for becoming “a goat,” bitterness and anger now more expressed.

There seems to be overall agreement, that although personality traits remain relatively stable across the life span (UNLESS dementia occurs, which can completely change your personality without your fault) some traits seem to get a bit stronger age, and others diminish. Of the “Big Five” personality traits, agreeableness, conscientiousness and emotional stability seem to be getting a lift with maturation. Two other traits do decline with age – a general openness to experiences, and both facets of extraversion, social vitality and social dominance. (Ref.) Personality and aging interacts – some of us have an easier go accepting the hardship of aging than others. Personality resources such as self-esteem, perceived control, self-efficacy and resilience shape the person’s response to adversity in later life, not surprisingly.

What else do we know? Some of our long-held beliefs – for example that older people display a positivity bias and are better at emotional regulation compared to younger ones – are now questioned. New insights have found that contemporary old people are cognitively much better off than their peers who were born 20 years earlier, when tested at the same age. This is not because we somehow managed to delay the onset of age-dependent decline or because we decline more slowly across the years. Rather, we have been overall, across our lifespan, cognitively strengthened with better education, technological use, wider access to information, and that overall improved performance is giving us some slack to cover up the early signs of decline with age.

Here is a short list of the questions that are currently asked in the field (NIH/National Institute of Aging.)

• There is a whole enterprise exploring the biology of aging to help with prevention, progression and prognosis of disease and disability. It is a two way street – aging is a risk factor for developing chronic disease, but diseases also hasten aging.
• There is a body of work dedicated to better understand the effects of personal, interpersonal, and societal factors on aging, including the mechanisms through which these factors exert their effects. Research is looking into the interaction between behavior (lifestyle)social, psychological and economic factors, as well as the timing of intervention during critical periods in a person’s life span where the course is set, and the effect of place (there are geographic aspects that impact aging.)
• Researchers are interested in looking a population differences, to see where disparities need to be tackled, and also how we can improve our understanding of the consequences of an aging society to inform intervention development and policy decisions.

They got their work cut out for them. Whether potential answers enable us to improve our empathic responses to people living with dementia, or help us to prepare better for our own decline, I cannot tell.

May what is left be loving.