Older Self-Neglecters: Interpersonal Problems and the Maintenance of Self-Continuity

ABSTRACT This qualitative study using the grounded theory method explores the nature of self-neglect among older persons who have been involved with Adult Protective Services. Two basic social psychological processes were identified which explain much of the self-neglecting behavior exhibited by older persons. These include preserving and protecting self and maintaining customary control. These two processes comprise the overarching process of Maintaining Continuity. Interpersonal problems of these older self-neglecters are a main source of threat to identity and sense of personal control. It is the quest for continuity that accounts for many of the interactional activities between these persons and others including their caseworkers, family members, neighbors, and others. Viewed in this way, continuity goes beyond being just an adaptive strategy. It is a motivating force and also a continuous life goal.