Senescence, the Last Half of LifeHall, G. Stanley (Granville Stanley)
Science
Senescence, the Last Half of Life
Hall, G. Stanley (Granville Stanley)
Geriatrics
As to medico-legal aspects, eccentricities may prevent the aged
testator from being allowed the right of testament, but in general the
mental symptoms of advanced senility differ from senile dementia only
in degree.
As to the future of old age, those who are not senile have a distinct
place as counsellors. They should excel in strength of reason, cool
judgment, and breadth of view. One may be past the age of discretion
before one is old in years. The conservative tendencies of this
period are valuable as checks to the exuberant impulses of youth. The
dependent aged are a burden and their support is often a handicap. With
modern progress the number who fail to keep pace increases with the
speed of advance and this has to be complemented by the fact that the
old are increasing in numbers. With few exceptions man lives longest of
any animal. Everything does grow old except vanity and the more perfect
the organization the earlier the aging and the sooner the end, for it
is the perfect more surely than the good that die young. Every stage
of life is marked by a limit, but this limit varies greatly. “Every
man past forty is a fool, physician, or a divine, and most people
practically throw away their lives.” The lower the scale of education,
the greater the hazard of life. Longevity among pure muscle workers is
rare. We know little of the influence of race, but we know that women,
lean people, the married, the religious, on the whole, live longest.
Haeckel believed in “medical selection” and pointed to the fact that
some have greater power to resist disease. Is this desirable for the
integrity of the race? “Death is a process, not an event.” Man does
begin to die early in life. The bicycle rider has to keep going to keep
erect, and so the old must keep working. The first vacation is often
fatal.
Hastings Gilford[147] regards the development of the human body as
a whole, or of any portion of the body, as describing a curve that
ascends from the time of the union of the two genetic elements to a
maximum at which there is the greatest development of specialization
in function and the least in the general characters, such as those
of multiplication. The curve then begins to descend, with a gradual
and progressive loss of differentiation in form and function and an
increasing tendency of certain cells to multiply. Decay of certain
cells during advancing age leads to their becoming bodies foreign
to their host, and this, in turn, calls forth the phagocytes which,
walling off the foreign body, become themselves transformed into
fibrotic tissue. The three characters of old age are decay, fibrosis,
and proliferation of non-specialized cells. As the more specialized
cells retrogress, with the loss of specialization they take on an
increased tendency to multiplication. “Reversion ... is the keynote of
the proliferation in old age wherever it occurs.”
Public-domain text, read in full here on John Shaqi.
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