title: Suffering and Generativity: Repairing Threats to Self in Old Age.
abstract: Suffering is a powerful experience that can be difficult to articulate. Suffering differs from pain alone and includes an individual's awareness of a threat to self through death, loss of identity, or uncertaintly of the meaningfulness of one's life. In response to this threat, generative acts, especially creative expressions imbued with the self, may act as a means to repair the self in crisis. The case of Mr. A., an 85-year old man in good health, illustrates how various artistic pieces he created - a wooden dog and several poems -- helps him to restore a "fading" self. For Mr. A, the idea of "fading away" or becoming weaker and less useful until eventually disappearing is a major source of personal suffering. Through his art, he creates unique, interactive and tangible entities that can outlive his physical body and help him reclaim or repair threats to selfhood.
authors.affiliation: The Copper Ridge Institute, 710 Obrecht Road, Sykesville, MD 21784Kate de Medeiros, E-mail Address:  kdemed@comcast.net.
authors.forename: Kate
authors.initials: K
authors.lastname: de Medeiros