Navigating Institutional Press: The Psychological Enterprise and Self-Transcendence of Elderly in Nursing Homes
Navigasi Tekanan Institusional: Psychological Enterprise dan Aktualisasi Diri Transenden pada Lansia di Panti Jompo
DOI:
https://doi.org/10.36526/santhet.v10i3.8703Keywords:
Psychological Enterprise, elderly, nursing homes, self-actualization, psychogenic needs, meaning in lifeAbstract
Background: The dominant discourse often positions the elderly in nursing homes as passive recipients of medical care. However, psychologically, they actively engage in Psychological Enterprise to maintain autonomy and well-being amidst institutional limitations. Objective: This study explores the psychological enterprise of the elderly in nursing homes through the integrated lens of Maslow’s self-transcendence and Murray’s psychogenic needs and press. Method: A qualitative phenomenological approach was employed. In-depth interviews were conducted with 12 elderly residents (aged 65-82) in a nursing home in Tondano, Indonesia. Data were analyzed using Braun and Clarke’s thematic analysis. Results: The findings reveal two major themes: (1) Elderly actively pursue self-transcendence (spirituality and generativity), bypassing the lower tiers of Maslow's hierarchy; (2) A constant friction exists between Murray’s psychogenic needs (affiliation, nurturance, autonomy) and negative institutional press (rigid schedules, restricted visits). To cope, the elderly develop adaptive psychological enterprises, balancing compliance with subtle assertions of independence. Conclusion: Nursing homes must shift from a purely medical-care model to a psychogenically empowering environment that accommodates the elderly's need for meaning and autonomy.
References
Baltes, M. M. (1996). The many futures of adaptive functioning into old age. In L. L. Carstensen, B. A. Edelstein, & L. Dornel (Eds.), Handbook of clinical geropsychology (pp. 103–123). Springer.
BPS. (2023). Provinsi Sulawesi Utara dalam angka 2023. Badan Pusat Statistik Provinsi Sulawesi Utara. https://sulut.bps.go.id
BPS. (2024). Statistik penduduk lanjut usia 2024. Badan Pusat Statistik Republik Indonesia. https://www.bps.go.id
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa
Braun, V., & Clarke, V. (2019). Reflecting on reflexive thematic analysis. Qualitative Research in Sport, Exercise and Health, 11(4), 589–597. https://doi.org/10.1080/2159676X.2019.1628806
Cheng, C., Cheung, M. W.-L., & Montasem, A. (2021). Explaining differences in subjective well-being across 33 nations using multilevel models: Universalism, individualism, and the role of culture. Journal of Happiness Studies, 22, 1535–1559. https://doi.org/10.1007/s10902-020-00284-w
Christopher, J. C., & Hickinbottom, S. (2008). Positive psychology, ethnocentrism, and the disguised ideology of individualism. Theory & Psychology, 18(5), 563–589. https://doi.org/10.1177/0959354308093396
Clancy, B., Breen, C., O'Connor, L., & O'Leary, E. (2020). A psychosocial model of well-being in long-term residential care. Journal of Applied Gerontology, 39(12), 1347–1367. https://doi.org/10.1177/0733464819870257
Creswell, J. W., & Poth, C. N. (2018). Qualitative inquiry and research design: Choosing among five approaches (4th ed.). SAGE Publications.
Drageset, J., Kirkevold, M., & Espenhag, B. S. (2017). Loneliness and social support among elderly living in nursing homes. Journal of Clinical Nursing, 26(11–12), 1709–1718. https://doi.org/10.1111/jocn.13472
Grenade, L., & Boldy, D. (2008). Social isolation and loneliness among older people: Issues and future challenges in health and social services. Australian Health Review, 32(3), 514–522. https://doi.org/10.1071/AH080514
Henderson, C., Thornicroft, G., & Evans-Lacko, S. (2021). Cognitive decline and depression among institutionalized older adults: A systematic review. Aging & Mental Health, 25(4), 601–612. https://doi.org/10.1080/13607863.2020.1731406
Hofstede, G. (2001). Culture's consequences: Comparing values, behaviors, institutions and organizations across nations (2nd ed.). SAGE Publications.
Hung, L., & Chaudhury, H. (2011). Exploring personhood in elderly with dementia in long-term care facilities. Qualitative Health Research, 21(11), 1495–1507. https://doi.org/10.1177/1049732311408323
Kitwood, T. (1997). Dementia reconsidered: The person comes first. Open University Press.
Koenig, H. G., King, D. E., & Carson, V. B. (2012). Handbook of religion and health (2nd ed.). Oxford University Press.
Koltko-Rivera, M. E. (2006). Rediscovering the later version of Maslow's hierarchy of needs: Self-transcendence and opportunities for theory, research, and unification. Review of General Psychology, 10(4), 302–317. https://doi.org/10.1037/1089-2680.10.4.302
Kusumawardani, N., & Rachmawati, I. (2020). Pengalaman subjektif lansia di panti werdha: Sebuah studi fenomenologi. Jurnal Psikologi UGM, 47(2), 145–158.
Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. SAGE Publications.
Maslow, A. H. (1943). A theory of human motivation. Psychological Review, 50(4), 370–396. https://doi.org/10.1037/h0054346
McAdams, D. P., & de St. Aubin, E. (1992). A theory of generativity and its assessment through self-report, behavioral acts, and narrative themes in autobiography. Journal of Personality and Social Psychology, 62(6), 1003–1015. https://doi.org/10.1037/0022-3514.62.6.1003
Murray, H. A. (1938). Explorations in personality. Oxford University Press.
Park, C. L., & Folkman, S. (1997). Meaning in the context of stress and coping. Review of General Psychology, 1(2), 115–144. https://doi.org/10.1037/1089-2680.1.2.115
Prianto, A., Widyawati, M. N., & Nugroho, H. (2023). Kualitas hidup lansia di panti werdha: Tinjauan sistematis literatur Indonesia. Jurnal Psikologi Sosial Indonesia, 8(1), 45–62.
Simanjuntak, R., Hartono, B., & Wulandari, D. (2022). Dinamika psikologis lansia dalam lingkungan institusional. Jurnal Psikologi Integratif, 10(2), 112–127.
Smith, J. A., Flowers, P., & Larkin, M. (2022). Interpretative phenomenological analysis: Theory, method and research (2nd ed.). SAGE Publications.
Street, D., Burge, S., Quadagno, J., Barrett, A., Kelloway, E. K., & McKenny, C. (2007). A multilevel analysis of resident, staff, and facility influences on quality of care in nursing homes. The Gerontologist, 47(5), 601–611. https://doi.org/10.1093/geront/47.5.601
Suryani, T., Rahmawati, I., & Puspitasari, D. (2021). Pergeseran fungsi keluarga dan implikasinya terhadap perawatan lansia di Indonesia. Jurnal Kependudukan Indonesia, 16(1), 33–48.
Tobing, D. L., Manurung, R., & Situmorang, D. (2022). Demografi lansia dan tantangan perawatan jangka panjang di Indonesia. Jurnal Demografi Indonesia, 19(2), 89–106.
Wong, P. T. P. (2019). Second wave positive psychology's (PP 2.0) contribution to counselling psychology. Australian Counselling Psychology Journal, 13(2), 1–15.
Wong, P. T. P. (2024). The positive psychology of meaning and spirituality: From Viktor Frankl to PP 2.0. Routledge. https://doi.org/10.4324/9781003378914





















