The late-life developmental process of self-transcendence shapes elders’ perspectives on self, others, the nature of this world, and of a dimension beyond the here and now. This qualitative pilot study evaluated the Psychoeducational Approach to Transcendence and Health (PATH) Program, a psychoeducational intervention to promote self-transcendence and well-being in community-dwelling women at a senior center. The intervention involved eight weekly group sessions using group processes, mindfulness practices, creative experiences, and independent at-home practice. The findings supported the underlying theory-based structure and content of the intervention and indicated the intervention may empower elders to attend to self-care, develop acceptance, and learn new skills associated with health and well-being, thus merits further study. Based on insights gained from facilitators’ and participants’ experiences and perceptions, the intervention will be revised and strengthened.
AlexanderC. N.LangerE. J.NewmanR. J.ChandlerH. M.DaviesJ. L. (1989) Transcendental meditation, mindfulness, and longevity: An experimental study with the elderly. Journal of Personality and Social Psychology57(6): 950–964.
BaldacchinoD.DraperP. (2001) Spiritual coping strategies: A review of the nursing research literature. Journal of Advanced Nursing34(6): 833–841. doi:10.1046/j.1365-2648.2001.01814.x.
4.
BeanK. B.WagnerK. (2006) Self-transcendence, illness distress, and quality of life among liver transplant recipients. Journal of Theory Construction and Testing10(2): 47–53.
5.
BickerstaffK. A.GrasseC. M.McCabeB. (2003) How elderly nursing home residents transcend losses of later life. Holistic Nursing Practice17(3): 159–165.
6.
BorsonS.ScanlanJ. M.ChenP.GanguliM. (2003) The Mini-Cog as a screen for dementia: Validation in a population-based sample. Journal of the American Geriatric Society51(10): 1451–1454.
7.
BrownN. W. (2004) Psychoeducational groups: Process and practice, New York, NY: Brunner & Routledge.
8.
CharmazK. (2006) Constructing grounded theory: A practical guide through qualitative analysis, Thousand Oaks, CA: Sage.
9.
CollieK.BottorffJ. L.LongB. C. (2006) A narrative view of art therapy and art making by women with breast cancer. Journal of Health Psychology11(5): 761–775. doi:10.1177/1359105306066632.
10.
CowardD. D.KahnD. L. (2004) Resolution of spiritual disequilibrium by women newly diagnosed with breast cancer. Oncology Nursing Forum31(2): E1–E8.
11.
CowardD. D.KahnD. L. (2005) Transcending breast cancer: Making meaning from diagnosis and treatment. Journal of Holistic Nursing23(3): 264–283.
12.
EllermannC. R.ReedP. G. (2001) Self-transcendence and depression in middle age adults. Western Journal of Nursing Research23(7): 698–713.
13.
EriksonE. H.EriksonJ. M. (1997) The life cycle completed: Extended version with new chapters on the ninth stage of development, New York, NY: W. W. Norton and Company, Inc.
14.
FloodM.PhillipsK. D. (2007) Creativity in older adults: A plethora of possibilities. Issues in Mental Health Nursing28: 389–411.
15.
HaaseJ. E.BrittT.CowardD. D.Kline-LeidyN.PennP. E. (2007) Simultaneous concept analysis of spiritual perspective, hope, acceptance and self-transcendence. Image: The Journal of Nursing Scholarship24(2): 141–147. doi:10.1111/j.1547-5069.1992.tb00239.x.
16.
HasenkampW.BarsalouL. W. (2012) Effects of meditation on functional activity of distributed brain networks. Frontiers in Human Neuroscience6(38): 1–14.
17.
HauganG. (2014) Nurse–patient interaction is a resource for hope, meaning in life and self-transcendence in nursing home patients. Scandinavian Journal of Caring Science28(1): 74–88. doi:10.1111/scs.12028.
18.
HayesS. C. (2014) Acceptance and commitment therapy and the new behavior therapies: Mindfulness, acceptance, and relationship. In: HayesS. C.FolletteV. M.LinehanM. (eds) Mindfulness and acceptance: Expanding the cognitive-behavioral tradition, New York, NY: Guilford Press, pp. 1–29.
19.
HolzelB. K.CarmodyJ.VangelM.CongletonC.YerramsettiS. M.GardT.LazarS. W. (2010) Mindfulness practice leads to increases in regional brain gray matter density. Psychiatry Research: Neuroimaging191: 36–43.
LarsonR.MannellR.ZuzanekJ. (1986) Daily well-being of older adults with friends and family. Psychology and Aging1(2): 117–126. doi:10.1037/0882-7974.1.2.117.
22.
Levy, D. M., Wobbrock, J. O., Kaszniak, A. W., & Ostergren, M. (2012). The effects of mindfulness meditation training on multitasking in a high-stress information environment. Presented to the Graphics Interface Conference, 28–30 May, Toronto, Ontario, Canada.
23.
LoflandJ.LoflandL. H. (1995) Analyzing social settings, Belmont, CA: Wadsworth.
24.
MaslowA. (1969) Various meanings of transcendence. Journal of Transpersonal Psychology1(1): 56–66.
25.
MaslowA. (1971) The farther reaches of human nature, New York, NY: Viking Press.
26.
MatthewsE. E.CookP. F. (2009) Relationships among optimism, well-being, ST, coping, and social support in women during treatment for breast cancer. Psychooncology18(7): 716–726. doi:10.1002/pon.1461.
27.
McCarthy, V. L. (2010). Exploring a new theory of successful aging among low-income older adults in a retirement community. Poster presentation at the Gerontological Society of America 62nd Annual Scientific Meeting Atlanta, GA.
28.
McCrathyV. L. (2011) A new look at successful aging: Exploring a mid-range nursing theory among older adults in a low-income retirement community. Journal of Theory Construction and Testing15(1): 17–21.
29.
McCrathyV. L.BockwegA. (2013) The role of transcendence in a holistic view of successful aging: A concept analysis and model of transcendence. Journal of Holistic Nursing31(2): 83–91. doi:0.1177/0898010112463492.
30.
McCarthyV. L.LingJ.BowlandS.HallL. A.ConnellyJ. (2015) Promoting self-transcendence and well-being in community-dwelling older adults: A pilot study of a psychoeducational intervention. Geriatric Nursing36(6): 431–437. doi:10.1016/j.gerinurse.2015.06.007.
31.
McCarthyV. L.LingJ.CariniR. M. (2013) The role of self-transcendence: A missing variable in the pursuit of successful aging?Research in Gerontological Nursing6(3): 1–9. doi:10.3928/19404921-20130508-01.
32.
MoyerC. A.DonnellyM.AndersonJ. C.ValekK. C.HuckabyJ.WiederholtD. A.RiceB. L. (2011) Frontal electroencephalographic asymmetry associated with positive emotion is produced by very brief meditation training. Psychological Science22(10): 1277–1279. doi:10.1177/0956797611418985.
33.
NewmanB.NewmanP. (2014) Development through life: A psychosocial approach, Stamford, CT: Cengage Learning.
34.
NiemiecC. P.BrownK. W.KashdanT. B.CozzolinoP. J.BreenW. E.Levesque-BristolC.RyanR. M. (2010) Being present in the face of existential threat: The role of trait mindfulness in reducing defensive responses to mortality salience. Journal of Personality and Social Psychology99(2): 344–365. doi:10.1037/a0019388.
35.
NygrenB.AlexL.JonsenE.GustafsonY.NorbergA.LundmanB. (2005) Resilience, sense of coherence, purpose in life and self-transcendence in relation to perceived physical and mental health among the oldest old. Aging & Mental Health9(4): 354–362.
36.
ReedP. G. (2008) Theory of self-transcendence. In: SmithM. J.LiehrP. R. (eds) Middle range theory for nursing, 2nd ed. New York, NY: Springer, pp. 105–125.
37.
ReedP. G. (2009) Demystifying self-transcendence for mental health nursing practice and research. Archives of Psychiatric Nursing23(5): 397–400.
38.
ReedP. G. (2014) Theory of self-transcendence. In: SmithM. J.LiehrP. R. (eds) Middle range theory for nursing, 3rd ed. New York, NY: Springer Publishing Company.
39.
StinsonC. K.KirkE. (2006) Structured reminiscence: An intervention to decrease depression and increase self-transcendence in older women. Journal of Clinical Nursing15(2): 208–218.
40.
TornstamL. (2005) Gerotranscendence: A developmental theory, New York, NY: Springer Publishing.
41.
UpchurchS.MuellerW. H. (2005) Spiritual influences in ability to engage in self-care activities among older African Americans. International Journal of Aging and Human Development60(1): 77–94.
42.
VagoD. R.SilbersweigD. A. (2012) Self-awareness, self-regulation, and self-transcendence (S-ART): A framework for understanding the neurobiological mechanisms of mindfulness. Human Neuroscience6: 296. doi:10.3389/fnhum.2012.00296.
43.
WalshS. M.LametA. R.LindgrenC. L.RillstoneP.LittleD. J.SteffeyC. M.SonshineR. (2011) Art in Alzheimer’s care: Promoting well-being in people with late-stage Alzheimer’s disease. Rehabilitation Nursing36(2): 66–72.
44.
World Health Organization (1983) Health education in self-care: Possibilities and limitations, Geneva, Switzerland: WHO.
