The relationship of human fulfillment and aging is foundational to pastoral care with older adults and dorms the core of the discussion in this volume. K. Brynolf Lyon critically probes the claims of claims of historic theological literature on older adulthood as well as contemporary theological and psychological interpretations of experience in an effort to produce a practical theological understanding of old age. This process yields, in the end, a clear and viable context for pastoral care with older adults in our time.