Ego Integrity of Older People with Physical Disability and Therapeutic Recreation

Ego integrity, the last developmental task in Erikson's psychological theory, develops naturally among older people. However, the presence of loss–like physical disability–can considerably affect the quality of life, interactions, and well being of older adults. Hence, older people with physical disabilities need more assistance in accomplishing tasks of ego integrity. This study aimed to utilize traditional Filipino art to capture the essence of the lived experiences of a select group of older people with physical disabilities in relation to their ego integrity. Four Filipino elderly with physical disabilities were purposely selected for this study. Picture prompting and doodling sessions were held as pretest and posttest to ascertain the effectiveness of puni-making in facilitating ego integrity of participants. A series of interviews were pursued to elicit experiences and feelings of participants regarding their disability and old age. From the analysis of the triangulated set of data, two findings emerged. First, four activators of ego integrity, namely: work, family, belief in self and belief in God, were identified as essentials in the formation of the participants' ego-integrity. Second, shifts related to the activators were identified indicating ego integrity's source, meaning and connection elements have become more grounded, certain and integrated. The influence of puni-making in understanding the ego integrity of older people with disabilities was found to be a sound and novel recreational therapy. It can stimulate a select group of Filipino elderly for openness to share their subjective and yet illuminating life experiences.