Having grown up in Milwaukee, Wisconsin, I went to college in Madison, where, during the second week of school, I fell in love with my extraordinary-in-every-way wife, Renee. Our first daughter, Lauren, was born in Chicago during my second year of medical school (she hated to go to bed and I needed to study). Our second daughter, Cheryl (who, thank God, loved to play by herself), was born in Los Angeles a few years later during my medical internship. Then there were two miserable years in Fort Polk, Louisiana, renowned as the worst possible assignment in the Army (108 degrees Fahrenheit during the summer, with 99 percent humidity). We returned to Los Angeles after the Army so that I could complete my residency. By the time I'd finished my psychiatric training, we'd lived in seven different rented houses and apartments. | Perhaps then adults could be spared some of the pain and misunderstanding of significant life events. How many other major, hazardous growth steps awaited in the future? How many had we already muddled through without knowing? Yes, someone, we thought, ought to write a Dr. Spock for adults. And then we forgot about it. Several years later, while supervising psychiatric residents, I became acquainted indirectly with the life stories of approximately a hundred and twenty-five people over a five-year period. The supervisory position turned out to be crucial to the development of my theories about normal adult changes, for I began to see patterns that I couldn't have seen if I had known the people more directly. The resident psychiatrists filtered for me the compelling but obscuring uniqueness of each individual. When I asked the simple orienting questions-" What is the patient's major area of concern? Why did this person seek treatment at this time?"-I began to hear answers that sounded agerelated. All teenagers were preoccupied with their parents. Undeniably, people in their twenties were preoccupied with vocational choice, with their new roles as spouses and parents, or with their inability to get into those roles. People in their early thirties talked about being stuck and mired down; the same important topics of life suddenly seemed vague, more diffuse and more difficult for them to understand. People in their late thirties and early forties all were experiencing an intense discontent and were feeling an urgency about determining what their lives had been and what they still could be. As I brought these observations home, Renee and I began to ask ourselves if this was not preliminary evidence of a predictable sequence of changing patterns and preoccupations during the adult years. We began to see that certain key events-buying a house, a first car, experiencing a first job, a first baby, the first loss of a parent, first physical injury or first clear sign of aging-force us to see ourselves more as the creators of our lives and less as living out the lives we thought were our destiny. Only gradually do we let go of the values and programs of our parents' way of life. Progressively, we become freer to determine our own lives. I started a research project at UCLA to track this hunch a little further. For six months, my colleagues and I had co-therapist investigators sit in on all therapy in the outpatient department. The groups were organized by age. At the end of six months, we rotated each investigator to a different age group. During the first year, we compared the preoccupations of each age group. By discarding problems common to all age groups for instance, anxiety and depression-and by eliminating individual patterns of hostility or self-defeating behavior-fundamental differences between one age group and another became obvious. This first study led to a second project. We constructed a questionnaire to be given to people aged 16 to 50 who were not patients, using the particularly salient or emotional or repetitive statements from the previous year's treatment groups. The questionnaire forced people to rank these statements according to their personal applicability. There were no right answers, so the ranking was a measure of each person's intuitive reading of himself. When the questionnaire was given to 524 people, mostly between 16 and 50, who were not patients, the results matched the patient-group observations. Patients and non-patients of the same age shared the same general concerns about living. As a result of this study, we had a rough catalog of the march of concerns and the changing patterns of self-awareness that occur in men and women between ages 16 and 50. After reporting the findings of this study in the American Journal of Psychiatry in 1972 and to various lay and professional audiences, I received hundreds of letters and personal anecdotes saying, essentially, "Right on!" Not all those who said "right on" were relating anecdotes that conformed to my descriptions. Yet these people felt they were covered by my general explanation even though it didn't apply exactly to their experience. I concluded that my report on the "posturing of the self" over the adult years was useful to all because it brought home the obvious fact that adulthood is not a plateau; rather, it is a dynamic and changing time for all of us. As we grow and change, we take steps away from childhood and toward adulthood, steps such as marriage, work, consciously developing a talent or buying a home. With each step, the unfinished business of childhood intrudes, disturbing our emotions and requiring psychological work. With this in mind, adults may now view their disturbed feelings at particular periods as a possible sign of progress, as part of their attempted movement toward a fuller adult life. In 1973, Gail Sheehy, a journalist who had decided to write on the subject of adult development, came to interview me. After a second interview, she asked me to join her in writing a book on the subject. I told her I wasn't quite ready-it wasn't quite clear to me how these vague notions and descriptions connected with the deep unconscious workings revealed by psychoanalysis, and without that connection, any book on the subject would have to be superficial. I thought I would write a book in about three or four more years, after I had thought about the problem more. This book is the product of the three years of maturing that I correctly guessed I would need. It is about the evolution of adult consciousness as we release ourselves from the constraints and ties of childhood consciousness. |
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