Indeed, are not old age, sickness, and death psychological concepts?
Well firstly, they are all constructs of the mind. Take for instance a man of 70 years. The man looks upon himself and says “I am not old”. This body is not old. I feel young, therefore I am young says the man. When the man feels weak, he still says I am not old. What is old age, the man says, I have no concept of it.
Another man, say of 40 years, looks upon himself and says I am old. This body is old. I feel old, therefore I am old.
The matter of old age is truly all relative, an opinion lacking objectivity, dependent on the mind. The birth of “old age” occurs in the mind of the man who generates the concept, the notion, the idea “old age”. For one man, this concept may arise at age 40, while for others, at age 40 this concept may not arise at all. Some look upon phenomena and merely regard it as phenomena, while others look upon phenomena and crave to characterize it, analyze it, name it, identify it, separate, crave it, reject it. These processes are a source of dukkha.
Sickness is another. Illnesses are socially and mentally constructed. In ancient babylonian times, you could be diagnosed with a disease known as “Hand of Ghost”. There were other diseases and sicknesses that were diagnosed that no longer exist because people no longer believe in them. In the future, humans may invent new diseases, deeming this state of the body/mind or that state of the body/mind a disease. Sickness is a construct birthed from the idea that there is something wrong with the body, a deviation from some hypothetical permanent ideal state.
In reality, sickness is a mentally constructed sankhara. There are human beings who do not and cannot feel pain. Doctors identify their inability to feel pain as a sickness, a disorder. But among those people, some of them say it is not a sickness. They do not adhere to that concept. There are human beings who do not see or do not hear. Doctors say their inability to see or hear is an illness. But those people, some of them say it is not illness. It merely is how it is, without any act of labeling. There are human beings who feel depressed. Doctors identify their depression, their suffering as a sickness, a disorder. But there are those who say depression and suffering is the natural state of affairs, dukkha is a natural part of existence, inherent in all phenomena. Some say those without will or craving are ill, while others say those without or craving are sublime.
One bone in my body has been deemed too big, when compared to other bones. The doctors say it is a disorder because the bone rubs against another bone, sometimes causing physical pain and impaction. If I wish I could say this is an illness. I could say it is abnormal. I could say something is wrong with “me” and that it needs surgical treatment. But then I would be engaging in me-making. I could say something is wrong with this body, but that too is but an opinion, a constructed one. I don’t have to say something is “right” or “healthy” with my body either. I need not let either concept arise.
When a cell splits in two, some see death, others see birth. Death too is a psychological concept. Where some see death, others see no death. The concept or notion of death simply does not arise in their minds. We humans are rather unlucky… capable of abstraction, we abstract death. We see phenomena, dhammas, we give it a name. We abstract and create the concept of body. And when that phenomena comes apart and decays, we create the concept of physical death. Even in medicine today, doctors disagree what the “true” definition of death is. For some death is the cessation of some of the brain’s activities. For others, death is the cessation of all, not merely some of the brain’s activities. For others, all the activities of the brain may cease, but death does not occur until the activities of the other cells ceases.
Who knew death would be so controversial? But like other concepts, be it beauty, morality, justice, the arising of the construct of death can be observed in the mind.
One other example. Once there was a man who suffered a severe accident where the brain was damaged. When that person awoke from coma, the behavior, speech, and personality exhibited radically differed. His wife said that the man, the person, the self or soul she knew was dead. Whoever this new person was, this wasn’t her husband. Others disagreed, some said that this person, even if different, is still the same person and that he hadn’t truly died yet.
One other example. Viruses are believed to be alive by some scientists and doctors but not alive by other scientists & doctors. If the virus is not alive, then it is not a living thing that can experience death. But if it is alive, then it is a living thing that can experience death. Whether the virus decomposing is death or not death depends on the opinion of the one in whom the concept of death may arise or may not.
We are certainly free to look upon the change in observed material form, its impermanence, and call it death. We can create that concept. It’s certainly a useful one as it helps us crave or reject certain states of being.
Sometimes when meditating, the thought arises. My body will die.
The my goes away, since the my is a construct. This body will die.
The concept of death goes away, as death is a construct. This body will change.
The concept of body goes away. This will change.
The concept of will goes away. This change.
The concept of this goes away. Change.
The concept of change, goes away.
What’s left but peace of mind?