In 1974 Henri Amiel said, “To know how to grow old is the master-work of wisdom, and one of the most difficult chapters in the great art of living.”
The average age of lawyers working in the U.S. today is 45. This can be a stressful and difficult time for many reasons. You’ve been working for 20 years or so, but work may not have matched your hopes with regard to earnings level, financial stability, intellectual interest or enjoyment. Although you’re straining to put away money for the future college education of your children, are you having trouble communicating and getting along with them? Have you lost a parent to illness or are you under the strain of helping care for an aging parent afflicted with stroke, Alzheimer’s or another disabling illness?
Are you sagging or showing a bulge about the middle and wondering forlornly where the body you had in high school went? If you’re a man is your hair gone or thinning on top? Has your long term marriage left you feeling taken for granted, unappreciated or even invisible at times? Are you and your spouse irritable toward each other? Do you argue a lot? Is your level of sexual intimacy unsatisfactory? Are you feeling pressured and harried by all the bills that never stop coming at the office and at home? When was the last time you had a truly fun and relaxing vacation? Does life seem more and more like a tiring treadmill that you’d like to unplug and take some time away from?
If you’re not springing out of bed each morning filled with vitality and enthusiasm for the day at middle age, you’re not alone. Middle age is often the time of life when lawyers suffer from struggles with work satisfaction, finances, family relationships, personal health, depression and substance abuse. It can be a time of disillusionment with religion and wavering faith or loss of faith. It is often the time in life when lawyers resort to medications for anxiety, depression and/or sleep, and when they start carving time from their weekly schedule to see a psychologist or therapist.
While anti-depressants help a substantial number of people with severe depression, which is a biological event, the medical evidence is that anti-depressants don’t do much for people with mild depression arising from dissatisfaction with the lives they’ve built. Therapy isn’t always an effective solution either because most insurance policies severely restrict the number of visits you can make to a psychotherapist. The idea is to help you just enough so you can adjust to an acutely distressing situation, rather than fund an ongoing exploration and reconstruction of your adult self. Even if you have the resources to pay for long term psychotherapy, the process of re-visiting, making sense of and accepting or forgiving painful situations in childhood is not always successful.
This article explores self-help strategies to enable lawyers in their middle years to age well and increase their health and happiness as they grow older. In our era improved nutritional and healthcare practices can keep us alive into our 80s. The big question is do you want the next three or four decades to be a blessing or a burden? Are you willing to take control, do some planning and invest some energy in your own future welfare or just keep sliding into a deeper pit? Modern studies of adult development indicate that an old dog can learn new tricks, and that we can transform our attitudes and relationships sufficiently in middle age to overcome an unhappy past.
The model of adult development which was dominant in the last century was the one articulated by such American psychologists as Charlotte Buhler and Else Frenkel-Brunswick. They said human beings ascend developmental steps until middle age, when the period of “regressive growth” begins marked by symptoms of decline and gradual retirement from life. In 1965 Canadian psychoanalyst Elliot Jacques coined the term “mid-life crisis.” Jacques theorized that most adults underwent an episode of falling apart during middle age when they sensed the passing of their best years and recognized the onset of decline. The conventional image of a midlife crisis for a man was to have an affair and buy a Corvette.
Between 1978 and 1987 developmental psychologist Erik Erikson published three major books on adult development which set forth a very different view. Erikson advocated a more optimistic model in which psychologically healthy adults continued to change, develop and grow throughout their lifespan as they successfully met life’s challenges. During the 1980s empirical research on adult development showed that the number of adults who had the sort of mid-life crisis described by Elliot was just 10%. This research concluded that for many people mid-life was a time for reflection and re-assessment rather than for freaking out.
During the past couple of years Carlos Strenger, a Professor of Psychology at Tel Aviv University, has written articles saying it’s time to cast off the stereotype of the mid-life crisis as a myth and to see our middle years as a time of transition. Strenger says if you’re willing to make the most of what you learned during the first half of your life, the second half will be happier and more fulfilling. Making the second half of your life a blessing rather than a burden is more important now than ever, since life expectancies have kept rising.
How are we to do this? Strenger says you should do four things: recognize you have a great deal of time in front of you with the ability to re-make your life for the better and start planning; identify your strongest abilities and the things that please you the most without regard to what your parents, teachers, coaches or mentors said; make choices based on knowledge and experience instead of “youthful blind ambition” and be willing to invest the energy it will take to make changes no matter how daunting the obstacles; and make full use of colleagues, friends and family to support you in the new directions you want to take.
The strongest and most scientific case that people can make major changes in their lives from 50-75 and wind up Happy-Well instead of Sad-Sick at the finish line (the period from 75-85) comes from George Vaillant, M.D. Dr. Vaillant says that no matter how difficult or sad our childhoods were, we each have a chance to mature emotionally and socially and reach a happy old age if we commit ourselves to grow in healthy directions. Do you remember the E.F. Hutton commercial in which everyone stopped to listen to what he had to say about stock investment? Dr. Vaillant is like the E.F. Hutton of adult development. What he says counts.
The suicide of Dr. Vaillant’s father caused him to have a lifelong interest in adult human development. He became a psychiatrist, a professor at Harvard Medical School and an expert on the process of recovery in schizophrenia, heroin addiction, alcoholism and personality disorder. In 1967 he became the Director of the Harvard Study of Adult Development and he has served in that capacity for the past 33 years.
The Harvard Study began over 80 years ago and is the longest running, the best financed and by far the most respected prospective study of adult development in the world. Most studies of human development are retrospective, which means the experts review records of past human health and behavior, select variables to study, crunch the numbers and try to account for why certain individuals flourished and others floundered. A prospective study is one in which the participants are screened and selected in advance, and then carefully followed (with questionnaires, medical exams and interviews) as they age to determine how they respond to life’s challenges and opportunities as they age.
These kinds of studies are expensive and difficult to pull off. They require a high degree of organization, coordination and effort from the investigators and a high degree of loyalty and cooperation from the participants over the decades. The Harvard Study cost millions of dollars, but was worth it, because it was run very professionally and the participants remained extremely loyal and cooperative. It has yielded very valuable data to understand the human aging process.
The primary objective of the Harvard Study was to ascertain the causes of positive aging and figure out why some people lived longer, stayed healthier and felt happier than others over the course of a lifetime. The researchers wanted to know what factors mattered and which didn’t for the aging process to be successful. During the course of the Harvard Study the participants endured all the ups, downs, joys, and sorrows that all of us do – marriage, divorce, the births of children and grandchildren, deaths in the family, periods of good health/ability and periods of illness/disability, gaining and losing employment, building up a business and losing a business and so forth.
Watching the participants handle these real life events, the investigators discerned patterns that made for successful aging. On the psycho-social side, they found that investing in your marriage (to deepen the love, intimacy and friendship between spouses); learning to make lemonade out of the lemons life throws at you; working to keep widening your social radius (making new friends as old ones die off); making the time to keep learning, playing and creating; and finding ways to be of service to others were keys to a happy old age. On the physical side, they found that not smoking, moderate use of alcohol, regular exercise and maintaining a normal weight were key to healthy aging.
The people in the study with bad marriages, the ones who complained bitterly about life’s disappointments and held grudges, the self-absorbed ones who put no effort into making new friends or assisting others; and the ones who watched lots of TV instead of reading, engaging in sports or engaging in creative or artistic pursuits were sad. The ones who didn’t take good care of themselves – the ones who smoked, abused alcohol, didn’t get regular exercise or maintain a normal weight – ended up sick.
If you really want to end up Happy-Well rather than Sad-Sick, now is the time to implementing changes in your routines. The Harvard Study demonstrated that people could grow progressively happier into old age if they stayed hopeful about the future, kept active and kept learning, making new friends and playing throughout life. The least happy were those who stopped learning, growing and making friends – the ones who became stuck, passive and complaining – the ones who weren’t living life but felt life was happening to them and didn’t like what life was dishing out.
The passive complainers were pessimists who felt that happiness depended on having the right set of external circumstances and that they had been dealt a bad deck. The happy ones recognized that even if life had not given them circumstantial advantages (like loving parents, money, high social class, a high IQ or a fine education) they still had an inner potential to make their lives good and be of service to others. The happy ones used their energy to make the most of their inner potential.
The Harvard Study (which is still going on) contains three separate groups or cohorts:
(1) The Grant Cohort consisting of 268 sophomores at Harvard University selected between 1939-1942 by physicians Arlie Bock and Clark Heath as academically solid students without evidence of physical or psychological difficulty. All of them were white, but not all of them were from wealthy or privileged backgrounds. Half of the men were on scholarships or worked during college to help pay tuition. They had a mean IQ of 130-135. At age 50 they had a mean income of $105,000.
(2) 500 inner city teenage boys from Boston (99% Caucasian) selected in 1939 by Harvard Law School professor Sheldon Glueck. They had all the risk factors for juvenile delinquency (such as living in poor families in blighted, slum neighborhoods) but did not engage in delinquent behavior. Their mean IQ was 95 and at age 50 their mean income was $35,000.
(3) 672 female students (99% Caucasian) attending Stanford University selected by Stanford professor Education Lewis Terman in between 1920-1922 on the basis of their having an IQ of 140 or higher. Their mean IQ was 151 and by age 50 their mean income was $35,000 (which reflected lack of opportunity and low pay scales for women).
Study investigators interviewed the parents and teachers of the participants. Of the 268 Harvard University sophomores who started, 248 remained in the study after graduation. Until their deaths they answered detailed questionnaires every two years, had a physical examination every five years and were interviewed every fifteen years. Some of them are still alive and have been interviewed four times. Glueck reduced the number of inner city youth from 500 to 456 for reasons of expense. The 456 who remained in the study also answered biennial questionnaires, had a physical exam every five years and gave periodic interviews. The Terman Cohort answered questionnaires every 4-5 years and was not given physical exams. They have been studied by successive investigators over the past 80 years. Dr. Vaillant interviewed 40 of the survivors of the Terman Cohort in 1987 at a time when their average age was 78.
By age 80 both the Harvard Cohort men and the Terman Cohort women enjoyed a mortality only half of what would be expected for their white peers. The Inner City men had a comparatively more rapid rate of physical decline and tended to die about 10 years earlier than the other groups, something associated with lack of education and higher levels of smoking, alcohol consumption and obesity. However, at age 70 the health of the 29 Inner City men who graduated college was the same as that of the Harvard Cohort men.
Dr. Vaillant has published and discussed the results of the Harvard Study in many different periodicals. For the benefit of the lay public he summarized the results with plenty of illustrations from his interviews of the study participants in a fascinating book titled Aging Well that came out in 2002.
In Aging Well Dr.Vaillant groups the study participants into one of four categories once they’ve reached age 50. These are the Happy-Well, the Sad-Sick, the Prematurely Dead and the Intermediate. The Happy-Well were subjectively happy, happy according objective assessment and healthy both mentally and physically according to the study psychiatrists and physicians. The Sad-Sick were subjectively and objectively unhappy, unwell mentally and/or physically and sometimes partially disabled. The Prematurely Dead were seriously depressed with one or more severe illnesses and severe disabilities. The Intermediate were people who overlapped and blurred the boundaries of different categories.
Only one in six of the Happy Well was dead by age 75. Half of the Sad-Sick were dead by 75. All the Prematurely Dead were dead by age 75. Ninety percent of the Happy Well who reached 80 years of age had “all their marbles” which is considerably higher than the national average. These people had successfully replaced their former workmates with good friends, found creative outlets (e.g. mastering a symphony on the piano or translating a literary classic from a foreign language) and learned not to take themselves too seriously. With age they grew less egotistical, less competitive, more fun loving and more affectionate. They made wonderful grandparents. It pays in many ways to be Happy and Well as an older person.
If psychologists knew as much about aging as they thought they did, then it should have been possible for the Harvard Study investigators to predict with certainty, or at least a very high degree of accuracy, who would turn out Happy-Well or Sad-Sick based on their initial, comprehensive assessment of study participants which included interviews with the participants, their parents and their teachers and review of all pediatric health records, college health records, college grades and college activities.
Not surprisingly the investigators were right in predicting a happy future for students who had happy childhoods in which they were loved, accepted and helped to trust their emotions and the Universe. The big surprise came with regard to predicting the future for students who had desolate and relatively loveless childhoods. The good news is that in a substantial number of these cases, the prediction for unhappy, unsuccessful aging turned out wrong.
The value of the study as far as Dr. Vaillant was concerned was: (1) in debunking myths that certain factors destined a person to have a certain quality of life; (2) in demonstrating that adults can change, mature and improve with age (like a fine wine); and (3) in showing what factors do promote successful aging – even in people who did not appear to be good candidates for a happy old age based on a bleak childhood.
Here are some of the key findings from Aging Well:
By age 50 the following things had no significant effect one’s psychological status: Birth order, childhood physical health, the distance in age between you and the next child or the death of one or both parents.
Bad events in childhood do not doom us. They do not deprive us of the potential for happiness. Children who were treated poorly by being ignored, neglected, screamed at, or hit, and who were not loved in a healthy, consistent way while growing up, can still mature into happy, well adjusted adults. Given the number of study participants who overcame loveless childhoods to become happy adults, Dr. Vaillant concluded that an unhappy childhood becomes less important over time.
While we cannot change our temperament (things like tested IQ, personality style of introversion/extroversion or heredity aspects of our social intelligence) these things do not determine our level of happiness as adults. Happiness as an adult is more a function of character which is within our control. We can make an effort to overcome our fear of others, to increase our comfort with others, to increase our self-assurance, to express our opinions more openly, to criticize our children less and so forth.
Certainly there were women from the Terman Study with very high IQs who were Happy-Well and flourishing, but some of the women with very high IQs from that study became sad, lonely people with an ever-shrinking social circle. On the other hand there people with low IQs from the Inner City group who grew to enjoy their work, make many friends, find pleasure in family and enjoy life.
Growing up in a wealthy, privileged home does not guarantee one will be happy and well in old age. There were a number of people in the study who came from a high social class with all the material advantages while growing up, but went through adulthood as negative, friendless people, some of whom drank themselves to a premature death. One of these people was a successful, wealthy trial lawyer. This man had a succession of relationships with women but never married. He put in just the amount of time needed at work to win his cases, but reserved his weekends for heavy drinking. He did not serve a mentor to any associates or serve on any law firm or bar association committees. He had no close friends. He died of alcoholism before age 75.
On the other hand the study showed that growing up in a family where one was truly and well loved by one’s mother significantly raised the odds of being in the Happy-Well group. Children well loved by their mothers who grew up without depression and who did not seek psychiatric help or anti-depressant medication before age 50 appeared not to need spirituality or religion to be happy. On the other hand, children who grew up without a loving mother and who exhibited serious depression before age 50 were able to use spirituality and religion to become happier after 50.
How one manages anger is a good predictor of aging well or poorly in adulthood. Study participants who habitually exploded in anger or buried it deep inside did poorly. Study participants who could express anger in a healthy way reported having gratifying careers and relationships. Dr. Vaillant says it’s more challenging for an adult to express anger in a healthy way if he had parents who didn’t tolerate his emotions, who labeled them as misbehavior and who weren’t able to “hold” his sadness, love or anger. Yet, it’s possible as an adult to recognize you have difficulty expressing anger, to work on it in therapy and get better at it.
Based on his readings of his predecessors in the study of adult development (such as Erik Erikson) and his own observations of the study participants as they aged, Dr. Vaillant came up with three “essential tasks of adulthood.” According to Dr. Vaillant the more satisfactorily an adult accomplishes these tasks the greater the probability he will be in the Happy-Well group as he ages. The three tasks he named were Generativity, Keeper of Meaning and Integrity.
According to Dr. Vaillant, “Generativity involves the demonstration of a clear capacity to unselfishly guide the next generation…. and to be in relationships where one cares for those younger than oneself” but where one respects the autonomy of younger people and holds the reins of control loosely. A generative person is one who shares his self and gives it away after he has developed an identity and consolidated his career skills. A generative person helps to build community “by serving as a consultant, guide, mentor or coach to young adults in the larger society.” Dr. Vaillant says that in all three Study cohorts mastery of Generativity tripled the chances that members would experience joy not despair during their 70s.
Being a Keeper of Meaning refers to preserving one’s culture (“the collective products of mankind”) by transmitting it to the young. While a generative person takes a succession of individual young people under his wing to mentor, the Keeper of Meaning guides groups, organizations and bodies of people toward the conservation of past traditions. Dr. Vaillant says that a wise old judge, the chairman of a town historical society, the ongoing correspondent for a college class long past graduation, a village matriarch, a genealogy maven and an antique refinisher are all examples of people who discharge this function. Keepers of meaning are not partisans who take sides and do not feel loyalty to any one person. Their virtues are those of wisdom and justice, and their loyalty is to the past and the whole of society.
Integrity is the hard won sense of order in the world including the “acceptance of one’s one and only life cycle as something that had to be and that, by necessity, permitted of no substitutions.” Integrity is the ability to affirm that life was worth living in the face of declining mental and physical function and the imminence of death – something that models hope and courage for the young.
In general the members of the three Study cohorts who were Happy-Well in their old age had mastered these three tasks in sequential order. However, not all Study participants handled each task equally well or in the order that Dr. Vaillant laid out. Some participants were much better at one task than another. Some worked on the last task first or worked on all three at once.
Dr. Vaillant says, “One life stage is not better or more virtuous than another.” and “Adult development is neither a footrace nor a moral imperative. It is a roadmap to help us make sense of where we are and where our neighbors might be located. It also contributes to our ‘wholeness’ from which our word ‘health’ is derived. In old age there are many losses and these may overwhelm us if we have not continued to grow beyond ourselves.”
Being generative, a keeper or meaning or having integrity all have to do with one’s attitude and orientation. Are you a philanthropist (a lover of humankind) and an altruist (one who helps others because it’s the right thing to do not because you expect a reward) or are you a ruthlessly competitive person who will sacrifice anyone to win a case, make the big bucks and buy the most toys to flatter his own ego? Being a smart person with a high IQ or having a lot of money in the bank from being a big business success can’t substitute for the three virtues of the second half of life or ease your way into the Happy-Well group.
We only have so many minutes to spend in our lives and only so much energy to utilize during those minutes. Buddhist monk Matthieu Ricard said “Don’t spend your life killing time since time will eventually kill you.” Clearly we want to stay busy, rather than waste our time, but what we do and the spirit in which we do it is crucial to whether we will age successfully. If we spend it mainly on making money and buying stuff will this make us happy? Matthieu Ricard says a life of self-absorption and chronic selfishness is destined to be unhappy, whereas a life spent being of service to others will be a happy one, because our greatest source of joy is being useful and leaving the world better for our having been here.
You may be resisting this line of thinking, because lawyers are so very status competitive and because law firms and their systems of compensation and promotion are so money-oriented. But don’t be fooled. The Harvard Study concluded that having abundant money was not related to happiness in old age. Some of the most well off participants were lonely, drank heavily and took poor care of themselves. To avoid loneliness, it’s essential to remain socially useful and help out other people. Acts of kindness and altruism enlarge the heart and increase joy. Even when age has put physical limitations upon you, a person can offer emotional support, comfort and advice to others. Some of the happiest people in the study had become mentors or wisdom figures.
Dr. Vaillant illustrates this from the lives of participants in the Harvard Study as well as the following quote from psychologist Edmund Stanford: “The real secret of a happy old age is once more in service for others carried on to the end of life – a service which, on the one hand, gives perennial interest to life by making the old man [or woman] a participant in the life of all those about him, and on the other, surrounds him with love in return.”
The happy people were the ones who did not complain about every ache and pain, but who showed cheerful tolerance of the indignities of old age and a graceful acceptance of their dependency needs. By seeking medical help when you need it and being openly grateful for the services of a kind physician, you’re making lemonade out of lemons.
Happy people were able to see life as a journey. Instead of becoming dour and pessimistic as some abilities declined, they maintained hope in life. They not only continued to do for themselves whatever they could still do, but tried new things and celebrated their new skills or activities.
A good marriage at age 50 predicted positive aging at 80, but surprisingly having low cholesterol levels at age 50 did not. A good marriage sometimes provided the love, care and support a participant did not receive as a child, and made up for that lack.
Learning to play and create after retirement adds more to life’s enjoyment than retirement income. By play Dr. Vaillant is referring to sports like tennis, skiing, golf, hunting or fishing. He’s also referring to having a good sense of humor and exercising your humor muscle often by laughing. By creating Dr. Vaillant is referring to activities that draw upon feeling, emotion and intuition like painting, sculpting, pottery, writing poetry or singing in a choir.
Objective good physical health was less important to successful aging than subjective good health. It’s all right to be ill as long as you don’t feel sick.
Learning to balance the gratification of one’s appetites (for food, drink, sex, etc.) with one’s capacity for self-control and learning to balance one’s instinct for adventure with one’s tendency to avoid risk for self-preservation is a key to successful aging. The participants who learned to live with neither too much desire and adventure, nor too much caution and self care were happiest. The health nut who gives up Cuban cigars, scotch whiskey, French cuisine and Italian romance to live to 100 can no longer tell if he’s still alive at age 30. On the other hand, the person who obsessively trains for and participates in super-endurance sports events, can end up anorexic, depleted and an outcast in the family he’s always avoiding.
One of the essential paths to reaching a happy old age is to befriend “the loving and health giving individuals within one’s social matrix wherever they may be.” By this Dr. Vaillant means making close friends with the good people we encounter (a boss, a colleague, a neighbor, a relative) and remaining intimate with those people through life. Further, it’s crucial to replace those wonderful friends with new ones when the old ones die. The loss of close friends and loved ones is inevitable and can be overwhelming, unless we “widen our social radius” as we age.
Study participants who made no effort to replace the best friends who died became lonely, sad and depressed. Those who befriended new people as they aged were happiest in their old age. To maximize the benefits of old or new friendship we must “take people in.” By taking someone in, Dr. Valliant means something more than inviting people over for dinner.
He’s referring to the process of opening your mind to the other person’s perspectives on life (so you can learn something from them) and opening your heart so you allow the other person to care for you and love you in the way they want. To be capable of such friendships requires the capacities for forgiveness and gratitude. It also means taking a break from always being the one to help and take care of others. Dr. Valliant found that the Study participants in the Sad-Sick group were the ones who failed to widen their social radius and to take people in.
Conclusion Aging successfully means staying healthy and growing progressively happier past age 50. The people who do it stand a very high chance of living into their 80s “with all their marbles,” plenty of friends and much to look forward to in the way of social activities, new learning, play and creative activities. While no one is guaranteed successful aging, no one is doomed to be unhappy even those who had desolate, loveless childhoods. You can age successfully by mastering and implementing the techniques and virtues described in Dr. George Vaillant’s book.
Good luck. I hope every one of you ends up Happy-Well.
For millennia great philosophers have advocated moderation in all things to preserve health and happiness. Although the Buddha and Aristotle did not have the Internet, I do not doubt they would have used it with moderation. These days it is becoming increasingly common for some people to spend most of their day on the Internet for non-work purposes which include viewing pornography, gaming or gambling and social networking via texting, emails and chat rooms. Psychologists believe these people can suffer a true addiction to the Internet, one with the same hallmarks as a substance abuse disorder, and they have proposed that Internet addiction be included in the upcoming fifth edition of the DSM (the Diagnostic and Statistical Manual of Mental Disorders).
Although treatment for major depression significantly raises the odds for recovery and speeds recovery time, less than half of all people suffering from major depression get treatment. If their reasoning is that their case of the blues will go away on its own, they’re mistaken. Left untreated depression can worsen and even become chronic with devastating effects on one’s relationships and one’s employment. The longer an episode of depression lasts the higher the toll exacted on your brain and body by elevated stress hormone levels. Untreated depression can cause brain shrinkage in healthy people. It produces worse outcomes in heart patients and cancer patients. It is associated with higher risk of dementia and higher rates of mortality from suicide and accidents in the elderly.