Social isolation in later years can take a number of forms and includes both positive and negative aspects. Some people said that they made a conscious decision not to seek the company of others. People we spoke to who did experience loneliness described many things they did that helped feelings of isolation.
Social isolation in later years can take a number of forms and includes both positive and negative aspects. Some people said that they made a conscious decision not to seek the company of others. People we spoke to who did experience loneliness described many things they did that helped feelings of isolation. Social isolation is not necessarily an inevitable aspect of growing older and many people described finding alternatives that enabled them to continue living a rich and full life.
Connection to others was important to many of the people we spoke to. For example, Earl was concerned that, because his social circle had shrunk, he did not have many people who would ‘look in on him’ to make sure he was alright. For others, being socially connected was an important requirement to being an active participant in life.
Leonie feels that connection with others is associated with the values and priorities she holds now that she is older.
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Yes, but sometimes at that age I think to be needed is much more important than having the freedom. You want the freedom much more with a family, or at 20 or 30 or whatever, by the time you get to this stage what is important is to be needed.
That’s really interesting
Much more so than freedom of doing this or that because at that age you’re free to do what you like, or within the law sort of thing. But, at least that’s how I see it, I may be wrong. But I think the idea of being needed, wanted, call it whatever you wish, is very important and would help to avoid the sense of isolation and the sense of loneliness.
I would love to be [passionate], let’s put it that way. But being passionate about something demands certain things, it demands maybe another person too, it demands your wish and capacity to look things up and run things around and all kinds of things like that. And that becomes more and more difficult the more you have to do it by yourself particularly. So the main thing for me is this question of belonging, belonging somewhere or basically to someone if you could, more than anything.
Being connected was of particular value for people who had a strong cultural identity. For example, Rebecca noted this as being important to members of the Greek community. Elaine M explained how the prospect of separation from family was distressing for Yolngu (Aboriginal) people in her community.
Elaine M explains that her people are scared to leave their country when they need medical treatment because they will be separated from family. They are also afraid they may not return.
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I’m just talking about general thing, because when, this is for everyone in the community and I think it’s for Yolngu people, especially Yolngu people, when they’ve been sent away to the city where the Balanda [white people] can look after them, that is where Yolngu feels inside even though when these people out here, they don’t like to send them away to hospital or, for example [an aged care facility]. There have been people from here sent away and they’re more scared of going there because sometimes they have got no family visiting me. People think that that’s a place where they can’t come back, family think that they can’t come back and then they don’t see them for maybe three or four years. They’re allowed to go there but the clients or the old age person thinking that they have given them to another person or another Balanda world or something like that.
Others discussed the need to have a wide range of friends of different ages, interests and backgrounds as they became older; this was particularly the case for participants in their sixties who were looking ahead to their older years. For Leonie, this was about not being a burden on a small set of friends who had their own lives and family priorities; others were more concerned with surrounding themselves with a range of life experiences that did not limit them to experiences of ‘ageing’.
Marjorie sees the benefits of having friends who are younger than she is and who come from different backgrounds to her own.
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And I also notice their physical changes, you know. I’ve got a close friend who lives just a few doors down the road, and she is older than I am. She is 70, going onto 71. And we have been friends since 1969 or something like that. And she is getting that stoop thing. Every time I see it, I feel confronted by it. You know, it’s just all of the physical signs of aging and I think oh God, we are all going down together. So there is a peer thing in all of this. I need to get some younger friends, that’s what I need. In fact that’s true, because I think one of the things that happens is when you are with your peers and when things are happening to them, like memory loss, or like osteoporosis, or, you know, orthopaedic operations, and stents in the heart and all of that, you can get into a mode when you are just thinking about health and symptoms. And I did something a few years ago, again my mother – she is long dead, but she was a wise woman – she said when she was about 65, 70, I need some younger friends, and she made some younger friends. And I have joined a book group, very, very consciously, where there’s a range of people who are significantly younger and from different backgrounds. Because the other thing is that if most of your friends are ones that you met at university, they’re all like you. You are all clones and you all reinforce one another. You all have the same world view, the same age, the same world view, we’ve all been baby boomers together and all of that. And sitting discussing literature with a 38 year old accountant is a very different experience. So while the friends of longstanding are very important, I am conscious of that closing in.
A number of reasons were raised as to why social isolation may occur in older years. Leonie, who is in her 90s, noted her preference for talking with people face-to-face, rather than by more recent electronic means such as email and Skype. We also spoke to people of a wide range of ages who were proficient in using computers to communicate with family and friends and held computers in high regard for enabling this form of social connection (see Technology). This was particularly useful when they were house-bound due to ill-health, reduced mobility or caring responsibilities in the home.
Some people who lost their spouse described the sudden social isolation they experienced. Sharing so much of day-to-day life meant they were acutely aware of the fact they were now alone in the world. The death of friends contributed to a sense of social isolation and was usually a more gradual process. Most of the people we spoke to found the loneliness easier to manage if they were aware this was a normal part of bereavement and they were able to find a way out of the isolation in time (see Death and dying).
Dot had more to do around the house after her husband died, but that had advantages. Being alone was the worst aspect, but she knew this was normal and she was able to cope.
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Yes, but that’s a healthy thing and yes more physical work, and the aloneness of it all is the worst part I think. Because there were periods where you don’t talk to anyone at all, all day, and though I have lots of friends who phone it’s not quite the same is it? You accept that, that’s part of the system or the way things go.
How did you deal with that Dot, especially in the early stages when you were alone for the first time?
Well I realised what was happening so I of course spend a lot of time on the computer, I’ve just finished a recent study and also I use a computer, fortunately, to many friends we converse that way.
Losing a spouse through death or divorce led some people to feel they were excluded by their social networks, or at least not regarded in the same way they were whilst they still had a life partner. This came as quite a shock, as they felt they were still the same people. They also felt that this treatment came just at the time when they needed other people the most.
Once
Leonie was ready to participate in life following her husband’s death, she noticed that she was invited out less by her friends who were nearly all couples.
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Well at first it didn’t seem to matter very much but then I was too shattered anyway to worry very much about anything. But once that started coming in, people don’t ask you are you coming to dinner the two of you or shall we go and see this play and they’d always assume that there’s husband and wife or at least a couple of some sort. And it’s much less likely to happen when you’re on your own. You can advance all kinds of reasons but I think when you’re older that jealousy is not likely to be one of the reasons, which might quite easily be when you’re young and attractive.
So what I’m sensing there is it’s almost like a double whammy where you’re widowed and you’re on your own but then you’re less likely to be invited as well and have that social circle?
Yes your circle declines too, almost automatically.
Many people referred to the difficulty they had participating socially due to the physical limitations and a reduced ability to do things that increased with age. These did not usually mean they were prevented from socialising altogether, but it did make it difficult for them to be completely involved or to ‘keep up’. No longer being able to drive meant that certain activities were curtailed, or it was more difficult or took longer to travel to them.
Leonie finds the increasing isolation to be the most difficult part of getting older.
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The negative aspect as I say is the isolation and, I think a feeling of loneliness quite often. You know it’s not deliberate by other people but it does have the effect as though a lot of what you even knew or what you enjoyed or whatever, is left behind maybe, anyway it’s not part of the mainstream anymore somehow. And I think that’s a pity, that’s the negative issue the fact that certainly physically there’s no way you can keep up, whether you want to or not it’s just not possible. You can try and I dare say in a little while now it will probably get a bit better but it’s an effort and it’s not what it ought to be and you don’t have many people that can do things with, which is a pity.
Chronic pain and illness prevented some people from going out as they wished, or from leaving the house at all; hearing or eyesight reduced to the point where it was, for some people, preferable to avoid those groups than struggle to join in.
Dorothy finds it difficult being in social situations with a lot of people because the deterioration of her vision and hearing makes it difficult to see and hear what is going on.
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Another reason is it took me 10 years to accept the fact that I have to wear hearing aids, and if you’re in a group of people and you only half-hear the conversation, you tend not to join in because you’re not sure what they’ve said. So now, if I’m in a group of people, which I admit I try to avoid because it’s uncomfortable, you watch their mouths before you open your mouth, because if their lips are together they’re not in the middle of something which you hadn’t heard. And I think loss of hearing, and with a group of people my eyes become confused. So I don’t go up to the things in the centre nearly as much as I used to. I know I’m becoming isolated, but it doesn’t bother me.
Len can no longer drive because of his poor health and reduced mobility. He is conscious that these significantly restrict the social activities he can do.
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Missing out on quite a lot. I did get a reception on the radio on 720 this afternoon and they discussed about getting old and a lot of societies that you can join like the back shed or the book exchange but I’m not fit enough for that. I’m just getting old and worse, and drinking too much alcohol unfortunately. I quite enjoy it but other people don’t. And I can’t drive my car when I’ve had a few drinks because at the moment I’m also on drugs as well. Drugs, drink and motor cars certainly don’t go together.
So your first response there was missing out on a lot and that you weren’t fit enough to participate in the social clubs and things?
No I can’t.
Why not? What do you mean by not fit enough?
Well I can’t dance, I can’t get on chairs and make a noise or I can’t walk anywhere because I need a walking frame and I find it quite lonely now. It’s really come about suddenly. Two or three years ago I was on top of the world, I had girlfriends and I had jobs and money and now I have nothing, except my girlfriend and she just wants a couple of crayfish for dinner to christen the BBQ, that’s about all, and she’s good fun.
It was important to many people we spoke to that they had things they could do about being more socially isolated. The majority of people we spoke to had found ways to reduce or manage any isolation they experienced. Establishing new routines was also helpful, particularly to make up for any loss in their capacity to be involved in social activities such as reduced mobility. Some people found local services that could help, such as providing transport when they could no longer drive. Others learned new skills like using computers so they had another means of communication with family and friends.
Denis now has an established routine for his social outings and he is also involved in voluntary work. He finds that getting out of the house prevents him from dwelling on his problems.
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Yes so I’ve got a set pattern of when I go out, going to dinner tonight, that’s what this is for. I joined the thing like the Probus Club, that’s a social club, that keeps me amused. I’m now president of arthritis and osteoporosis, that keeps me busy on that side, I also volunteer a fair bit for them. I’m still working because there’s no good throwing away the knowledge that I’ve got in real estate. Yes and meet up with the boys at the pub a couple of times a week, keeps you busy, keeps you smiling.
So that sounds like an important thing to not let yourself become isolated?
Yes, don’t – if you start dwelling within yourself you’re going to get miserable, get out and enjoy it.
Having interests and keeping busy were two active approaches people took to remain positive. This included solo pastimes like reading, and group activities such as becoming involved in organised clubs and volunteer work. Physical activity in organised exercise groups was noted as having benefits for both physical and mental health, as well as having the added bonus of mixing with other people.
Janet is keeping active and involved by doing voluntary work and going to the gym, even though she notices frustrating signs of older age.
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It keeps my mind sharp because I have to learn, for instance about arthritis I have to learn about arthritis and there’s always more information about it. I enjoy being with young children so I enjoy that side [of volunteering] and that keeps me sitting on the floor, sitting on a small chair just interacting with younger people. It’s good interaction at the gym because there are probably 40 of us in Darwin who attend this gym, not all at the same time but off and on, who are in probably very good shape for people in their 70s and we do what everybody else does but with the music lower, probably not quite the pressure on us. So that’s important to me to mix with people and learn new things.
All of these strategies for managing social isolation were found to be helpful, whether people were socially isolated temporarily, such as following the death of a spouse, or more permanently as they grew older. Some people spoke of how important it was to accept that there were now limitations to what was possible for them to do. These people acknowledged that they were isolated, but they made a conscious decision not to be worried about it as it was inevitable and a normal stage of life. This was easier to accept by those who felt they had lived a ‘good life’ and could look back on happy memories.
Marjorie can look ahead to the coming years with optimism as she has led a very satisfying life. She is enjoying having more time in retirement to do the things she never had time for when she was working.
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I’ve been fortunate professionally, you know, I came from a very humble, poor migrant background, I’ve worked at things that I really enjoyed working in, and things that are consistent with my values, things that I have been privileged in being able to do that. And in doing so, I made a very good income, I’ve got good super, I’m still earning money from other things, I’m able to do what I want to do. So at 80 if it closes in, I think I’ll still be feeling, well, you had it good. And I think, too, that I think it’s possible as long as mentally you’re okay, if your life closes in, in a physical sense, it’s possible to develop a rich inner life. I don’t know, have you ever read May Sarton, she is an American writer, since died. SARTON. And she wrote a lot of journals which I read years ago, but she, her thinking and work taught me that it is possible to find – I mean, I’ve had more time to listen to classical music, or read, or re-read the stuff that I have enjoyed in the past. So no, that closing in doesn’t terrify me.