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load, despite stressors such as adverse economic conditions. In
contrast, those who did not receive adequate social medicine
early — that is, they had to deal with abuse or neglect — experienced
ongoing heavier allostatic load.
Social medicine is good for the brain as you age. Your brain needs
an enriched environment in which to thrive as you age, and there
is no better way to provide both emotional comfort and cognitive
stimulation than with multifaceted relationships.
In support of this
fact, the MacArthur Study on Successful Aging found that emo-
tional support was the best predictor of better cognitive functioning
at a seven - and - a - half - year follow - up.
An aging study in Taiwan found that men between the ages of fi fty -
four and seventy who had had a spouse for at least six to eight years
before the study had a lighter allostatic load than men who were single
at the time. In both men and women ages seventy - one and older, those
with close ties to friends or neighbors had a lighter allostatic load.
Elderly people who have a supportive and an engaging social life
have been reported to have better cognitive abilities after seven
years of follow - up than people who were socially isolated did. Social
support has been shown to have a therapeutic
effect on people
who are suffering from various medical conditions or mental health
problems. Empathy and social support are simply good for your
brain, which has been built and rebuilt through relationships. Social
medicine is brain medicine.
Wisdom
Aging can and often does result in gaining wisdom. A lifetime of
experience can broaden your perspective so that you appreciate the
complexity and interrelationships of things.
Some brain changes that occur during aging can make you wiser.
There is good reason for regarding the village elders in many socie-
ties as the wise ones in their communities. Gaining wisdom is more
than knowing all the ins and outs of society ’ s traditions and beliefs.
Wisdom involves being able to see the larger picture.
Neuroscience has illustrated how wisdom occurs and develops.
As you move into your sixties and seventies, the balance between
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the amygdala and the OFC shifts to the OFC, especially when you
are analyzing facial expressions. This shift
is due not to the declining
activity of the amygdala but rather to the maturation of the OFC,
which helps to inhibit emotional impulses that can get in the way
of higher levels of understanding and communicating with others.
The maturation of the OFC also ushers in the emergence of grasp-
ing the bigger picture. Compared to adolescents, older adults are
better able to apply their attention to problem - focused strategies
rather than to emotional strategies.
There appears to be increasingly
less
asymmetry in the way the
brain functions as you age. That is, one hemisphere doesn ’ t domi-
nate the other. I emphasize the word
less
, because there are still
functions that are lateralized (dominated by one hemisphere), such
as language. However, the functions that
were lateralized earlier in
life become less lateralized — to compensate, perhaps, for potential
weaknesses or illnesses such as stroke. Like cognitive reserve, less
asymmetry gives you more fl exibility and potentially more resiliency
in the face of illness, injury, and the effects of aging.
There is evidence that higher - functioning older adults show bilat-
eral hemispheric activation. In contrast, lower - functioning older
adults show greater activation in one hemisphere, and often with
less effi ciency. Thus, two hemispheres are better than one, espe-
cially as you age. The wider the activation
distribution throughout
your brain, the wider your perspective is and the wiser you can be.
Many people increase their knowledge and their perspective as
they age. Your ability to weave a cohesive narrative increases. You
can make better sense of what happened throughout your life and
create a coherent story that puts it all together. Your brain undergoes
neuroplastic changes throughout your later years, so you can appre-
ciate greater complexity in the world and develop a wide - perspective
narrative.
You can cultivate wisdom by rewiring your brain through the
use of the FEED method. The fi rst step is to focus on the bigger
picture. Next, go beyond your traditionally held beliefs, which will
recruit new neural connections. Your job is to do this enough until it
becomes effortless, to rise above your personal
needs and grasp your
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interdependence with others. The brain system for those inclusive
and compassionate experiences multiplies. By being determined to
stay with your efforts, you ’ ll make your life richer.
Compassion for others is an aspect of what we might call
emo-
tional wisdom.
Being open to modifying your beliefs based upon the
perspective and needs of others cultivates wisdom and rewires your
brain. In order for you to gain this aspect of wisdom, your actions
should represent an empathetic and compassionate effort to con-
sider the collective good. Incorporate the
crucial insight that we are
all fallible and that kindness and forgiveness are part of wisdom.
A Sense of Humor
Wisdom involves a sense of humility and the ability to laugh at
yourself. As you strive to improve yourself with realistic expecta-
tions, you should not take yourself too seriously. Lighten the load by
acknowledging your humanity. Humor, especially if it ’ s self - directed,
is a liberating way to transcend your attachment to the petty details
that bind you to unrealistic expectations.
Cultivating a sense of humor is good for the brain and the mind.
There are several physiological changes that occur, particularly
in the cardiovascular system, the immune system, and the muscu-
lature. Dopamine and endorphins are released
when you experience
mirth.
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