Psychological ageing in Africa confronts theory with life courses that dominant models were not designed to explain, where extended family reciprocity, livelihood insecurity and plural health systems shape cognition, emotion and identity together. This comparative synthesis reworks the problem by asking how psychological mechanisms sustain functioning under such conditions, what prevents psychologically informed support from taking hold, and what policy arrangements remain proportionate to institutional realities. Organising dispersed psychological, gerontological and public health scholarship into three pathways of cognitive maintenance, relational regulation and continuity of self, the article examines how selective optimisation, socioemotional selectivity and cognitive reserve operate differently when schooling is uneven, multilingualism is normative and late-life work reflects necessity rather than choice. Drawing on lifespan psychology and social epidemiological reasoning, it identifies constraints of measurement validity, workforce scarcity, changing intergenerational contracts and fragmented primary care that limit translation. The contribution is a bounded framework that links mechanisms to modifiable conditions without ranking African contexts against high-income trajectories and that specifies where low-intensity, family-complementary and community-anchored provision holds most promise.