A review of gerontological research reveals a dearth of inf ormation relating to the sexual activity of the aged and the degree to which this impacts upon overall life satisfaction.. The goal of this study is to look at these issues in hopes of enabling those serving the aged, especially social workers, to better understand this aspect of their clients.
Demographic data indicates that each year about half a millionAmericans reach the age of 65. By the year 2000 it is predicted that 15% of the total American population will be comprised of the elderly.Although the number of persons within this age cohort is steadily increasing, it represents a forgotten minority whose needs remain unmet.The definition of "elderly" has changed. In 1900 the average life expectancy was 47 years; today it is 70.4 years. Fully half of all older persons are over 73, and one million are 85 and over. In 1970 there were 106,441 centinarians (Butler, 1975). Of the half million people reaching 65 each year, ·26% will experience institutional!-zation at least once before their deaths, and 8% of those will die in institutions. Although only 4.8% of the total population are in fact institutionalized at any one time, this 4.8% represents approximately one million people (Palmore, 1970). Even though everyone ages differently, the basic components associated with aging remain the same: loss, change, and adjustment. Significant losses include position in society, possessions, friends, and mates. These necessitate change and accom~anying adjustments which become incr·easingly difficult with age.· Bereavement may be one of the most crucial concerns of the elderly and of those who are invoived with them, either professionally or personally. (Shanes, 1962) · Any change is a reminder of the aging process, and these .decrements can be frightening as predictors of things to come (Kalish, 1975, p. 58). Neither the process of aging nor the state of being old is pathological, strange or deviant except as the result of certain unpleasant occurences that tend to be age related, much as other unpleasant occurences are associated with the pre~school years or middle years of life. (ibid., p. 1) An unpleasant occurence generally associated with aging begins with a change in a person's self-image~ This process occurs when it is realized that youth, so highly valued by American society, has diminished. Physiological changes are paramount. There are more variations in biological and behavioral f.unctioning in older persons than in younger persons.· Changes in appearance, wrinkles, gray hair, are culturally defined as negative. Psychomotor performance levels decrease with age. The more notable physical chang~s include decrements in visual and auditory capacities (MacFarland, 1968 andKalish, 1975), resulting in impaired communication and ensuing social isolation. The lens of the eye loses elasticity causing the farsightedness, common to most older people. Depth perception and pupil functioning also diminish with age. Hearing impairments affect 13% of individuals betwe...