Some Medical Aspects of Old Age: Being the Linacre lecture, 1922, St. John's college, CambridgeRolleston, Humphry Davy, Sir
Science
Some Medical Aspects of Old Age: Being the Linacre lecture, 1922, St. John's college, Cambridge
Rolleston, Humphry Davy, Sir
Geriatrics; Linacre lecture, St. John's college, Cambridge; Longevity
The _sleep_ of the aged is less continuous, and from interruptions
often appears to them to be much less than it really is. There is
often a tendency to irregularity, bad and good nights alternating. But
too much attention to disturbed sleep in the aged must be avoided, as
hypnotics are inadvisable, and it has been urged by Sir Hermann Weber
and others that too much sleep is more harmful than too little.
In old age the _mental condition_ varies in different individuals
according to their previous character and their present physical state.
Freedom from sexual and other perturbations often renders the minds of
old people calm, tolerant, less susceptible to disappointed ambition,
and philosophic when the part of spectator has been accepted in place
of that of actor in life’s drama. In what may be regarded as normal old
age psychical activity diminishes; not only do initiative, elasticity,
and originality fail, but new ideas and fresh lines of thought are
assimilated with difficulty; hence the old are commonly conservative
and _laudatores temporis acti_. Mental fatigue occurs more readily and
the power of concentration and attention is impaired so that the old
may appear deaf; the mind begins to show disintegration and a return to
the primitive condition in which each act demands individual care; it
has indeed been said that old age is nothing but progressive fatigue.
A less agile memory for names is commonly one of the early symptoms of
senescence, and long precedes the characteristic loss of memory for
recent events while that for the remote past remains, as if the nerve
cells were photographic plates which in course of time have all become
occupied with impressions. With commencing failure of memory there
is often a tendency to make the same remark or tell the same story
repeatedly, to mislay things, and unconsciously to become careless
about personal appearance and habits. As a kind of protest against the
inevitable there may, in the early stage of old age, be a tendency
to ape the young and to conceal the true age; thus a man may remove
the date of his birth from _Who’s Who_ and books of reference, and a
mother may delay the “coming-out” of her daughter. On the other hand,
at a later stage there may be the opposite desire to appear a wonderful
prodigy of senescence. The old are notoriously less subject to feel the
loss of relatives and friends by death; they become more self-centred;
this may be because retirement from active work switches their minds on
to their own feelings, and possibly in part depends on loss of touch
with the external world, resulting from failure of the sense organs.
This when exaggerated develops into selfish dependence and demands on
relatives. Senile vanity is not uncommon, and Eden Phillpotts[183]
remarks that all old people love to be in the centre of the stage, one
of the pathetic things in life being that they are seldom allowed to
be there. The ego-centric frame of mind may lead to hypochondriasis
Public-domain text, read in full here on John Shaqi.
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