Don’t Tell Me What to Do: Our Quest for Autonomy

One of the hallmarks of women “of a certain age” is a great need for autonomy. After a lifetime of catering to others’ needs in the realms of family and work, some women would fight to the death to preserve their autonomy when those yokes are removed. Women in decades long marriages have been known to divorce their spouses. Dieting, hair coloring, relentless social obligations, and other people-pleasing pursuits are often gleefully shed.

The Birth of Autonomy

Oddly enough, this pursuit of autonomy is the second time in life it takes center stage. The last time was between the ages of 18 months and 3 years. Erik Erikson, a venerable developmental psychologist, edited Freud’s concept of a series of psychosexual stages all humans pass through in a lifetime. Erikson’s idea was that humans pass through 8 psychosocial stages in a lifetime, because we are primarily social beings.

Young toddlers pass through Stage 2: Autonomy vs. Shame and Doubt, and if successful, develop a strong sense of self-confidence and a command of both the mind and body. If not, shame and doubt dodge the individual throughout the lifetime.

Effective parents offer their young children choices of toys, foods, and clothing, respect their opinions, and label and value feelings. As a parent, it might feel like a struggle, but it is a necessary developmental milestone.

What Is Autonomy?

Autonomy is the ability to make and carry out decisions about how, when, where and with whom to spend one’s time. Key concepts include control, freedom, personal agency and individualism.

Not surprisingly, the Age to Autonomy Hypothesis finds that people gain autonomy as they age. Older people feel less regulated by age related norms (hopefully, not comparing themselves minute by minute on Tik Tok).

Life circumstances allow elders to make their own decisions, pursue goals, and come up with their own ideas because of the freedom from so many external obligations. Unfortunately, later in life, physical impairments may greatly restrict such desired autonomy, even though personal needs are still great. Again, this is a fertile field for family struggles.

Maturity Does Not Guarantee Autonomy

Bridget Sleat writing on Helpage.org finds that elders struggle all over the world with this issue. Surveying 450 individuals in 24 countries, there were many who were denied personal decision making, including bodily and financial issues, due to the prevailing attitudes of government and family members.

Autonomy is a cross-cultural need which promotes higher levels of psychological health and social functioning. A lack of autonomy can cause tremendous suffering later in life, but lack of successful progress early in life might produce a “rebel” personality (ongoing oppositional behavior to authority) or people-pleasing behavior, a hallmark of low self-esteem.

Women and Autonomy – A Global Issue

The reversal of Roe v. Wade has thrown the spotlight on women and reproductive freedom. However, in 2017 the United Nations Human Rights Office of the High Commissioner created a resolution concerning the discrimination against women and girls in additional domains. Key ideas include bodily autonomy, legal status equal to men, freedom from violence, participation in decision making, and access to resources such as income, property, and culture, without patriarchal patterns. Unfortunately, such is not the norm globally.

The Feminist Movement Really Gets It

Another cultural institution to weigh in on autonomy is the feminist movement. Although our foremothers worked hard to educate modern western society about women’s needs to act on “motives, reasons or values that are one’s own,” the movement switched gears to accept that women are not living in a vacuum. We are not people living off the grid who can follow every whim. Rather, all humans, including women, live in a social context. We are interconnected!

Currently, the feminist movement embraces the concept of “relational autonomy.”

This is the capacity to make decisions, not as a solitary, self-sufficient person, but as an individual embedded in social relationships.” This philosophy is prevalent in the world of bioethics and end of life care. It redefines individual autonomy by considering the myriad social concerns and relationships that exist in one’s life.

A Healthy View of Autonomy for Mature Women

It is easy to be conflicted about how far one’s wishes and desires should go later in life. After all, it is a time for rediscovering one’s individuality. But, after so many years of dreams being put on hold, it doesn’t have to be a time to choose between the self and others in our orbit.

The concept of relational autonomy can promote sober judgments about respecting and honoring oneself, but legitimately honoring the people in our circle: a very healthy balance of power.

Let’s Have a Conversation:

How has your autonomy changed as you’ve gotten older? What now interferes with your autonomy that you have control over? What steps have you taken to exercise your autonomy?

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