Even as toddlers we start establishing ourselves as autonomous individuals, and we turn up the volume in our teens. Then in old age we are obliged (or expected) to gradually surrender some decisions, some control over our lives. How are we to navigate these changes?
Defending our autonomy is a serious business at any age. In this bonus episode, the Sturdy Centenarian rages against “thoughtless condescension.” We intuitively want to be boss of ourselves. In old age, when we notice others deciding and acting on our behalf, that hurts. Doris Carnevali has figured out how to deal with this.
Retired professor Doris Carnevali is one of my most important mentors for the uncharted territory of aging. In her 90s she noticed that younger people felt free to breach her boundaries, disregarding her opinions and being downright rude. This was shocking, and apparently due only to her advanced age.
The problem was obvious — but what to do, how to protect her precious autonomy? She decided to bring the topic into the light. She began talking to her family openly and truthfully about how old age affected her. She set some rules, too.
I always find guidance from this wise woman. I’m about 18 younger, and I get tips from her experience of defending autonomy that would have been useful to me 40 years ago.
What is autonomy and why is it so difficult to achieve?
Medical ethics: autonomy
My cat suffers from ageism too