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What is ambivalent ageism?

5 min read

According to the World Health Organization, 1 in 2 people are ageist against older people. This pervasive bias can manifest in subtle but harmful ways, including a complex phenomenon known as what is ambivalent ageism?

Quick Summary

Ambivalent ageism is a complex form of prejudice that combines both seemingly positive (benevolent) and overtly negative (hostile) attitudes towards older adults, often leading to condescending behaviors and harmful discrimination.

Key Points

  • Definition: Ambivalent ageism combines benevolent (seemingly positive but condescending) and hostile (overtly negative) attitudes toward older adults.

  • Benevolent vs. Hostile: Benevolent ageism undermines independence through patronizing acts, while hostile ageism involves open disrespect and exclusion.

  • Societal Impact: This bias affects older adults in healthcare, the workplace, and family life, contributing to inadequate care, reduced opportunities, and strained relationships.

  • Health Consequences: Experiencing ambivalent ageism is linked to poor mental health, increased stress, social isolation, and negative physical health outcomes.

  • Combating Ageism: Addressing this requires self-awareness, fostering intergenerational connections, using respectful language, and advocating for inclusive policies.

In This Article

Understanding the Complex Nature of Ambivalent Ageism

Ambivalent ageism, much like ambivalent sexism, acknowledges that prejudice against older individuals is not a simple, one-dimensional bias. Instead, it comprises a mix of attitudes that can be both outwardly positive and covertly negative. These seemingly contradictory views operate simultaneously, creating a complex and often overlooked form of discrimination. Unlike blatant hostile ageism, which is easier to identify, the benevolent side of this prejudice often masquerades as concern, making it particularly insidious and difficult to challenge.

The Two Pillars of Ambivalent Ageism

Ambivalent ageism is best understood by breaking it down into its two core components, each with its own set of stereotypes and behaviors.

Benevolent Ageism

Benevolent ageism involves patronizing and protective attitudes toward older adults, based on the stereotype that they are warm but incompetent. This form of ageism often comes from a place of perceived kindness, but it ultimately undermines an older person's independence and autonomy. It manifests as:

  • Assuming older adults need constant help or are fragile.
  • Speaking to older individuals in a condescending or overly simplistic manner, often referred to as 'elderspeak.'
  • Making decisions for an older person without their input, based on the assumption that they are incapable of making their own choices.
  • Over-accommodating or infantilizing older adults, such as insisting they take a seat when they have already declined.

Hostile Ageism

In contrast, hostile ageism consists of overtly negative and aggressive attitudes toward older adults. This is the more commonly recognized form of age discrimination, fueled by stereotypes that view older people as a burden on society. Examples include:

  • Excluding older individuals from social circles or professional opportunities.
  • Dismissing an older person's opinions or contributions as outdated or irrelevant.
  • Directly expressing anger or resentment toward older adults, such as accusing them of holding back societal progress or hogging resources.
  • Making disparaging or mocking comments about an older person's age.

The Impact of Ambivalent Ageism Across Society

Ambivalent ageism, whether benevolent or hostile, has far-reaching negative consequences for older adults' well-being, affecting them in various aspects of life.

In Healthcare

Medical settings are a prime area where ambivalent ageism can have serious consequences. Healthcare providers might unintentionally misattribute symptoms to 'old age,' leading to less aggressive or inadequate treatment. Similarly, speaking patronizingly to older patients or addressing family members instead of the patient can undermine their confidence and agency in their own health decisions. This can lead to poorer health outcomes, including slower recovery times and increased chronic stress.

In the Workplace

In the professional environment, ambivalent ageism can lead to a host of discriminatory practices. An employer exhibiting benevolent ageism might assume an older worker is not interested in a promotion or is too fragile to handle certain projects, denying them opportunities. Hostile ageism, on the other hand, might manifest as openly dismissing an older employee's ideas or unfairly laying them off in favor of younger staff. This can negatively impact an older worker's perceived employability and self-esteem.

In Family Dynamics

Within families, ambivalent ageism can strain relationships. A family caregiver might harbor a mix of respect and resentment, creating a conflicted approach to care. Benevolent ageist tendencies could lead to overprotectiveness that diminishes the older adult's independence, while underlying hostile ageist feelings can contribute to caregiver burden and burnout. It is a delicate balance that requires self-awareness and open communication.

Navigating the Harmful Effects

The effects of living under the shadow of ambivalent ageism can be profound and deeply personal for older adults. Some of these effects include:

  1. Diminished Self-Esteem: The constant exposure to patronizing attitudes, even if well-intentioned, can erode an older adult's sense of competence and self-worth.
  2. Social Isolation: Protective and exclusionary behaviors can lead to social isolation and loneliness, which have been linked to poorer mental and physical health.
  3. Increased Stress: The cumulative stress of experiencing ageism, both overt and subtle, can significantly impact mental health, increasing the risk of anxiety and depression.
  4. Health Decline: The stress from ageism has been shown to be a risk factor for cardiovascular events and cognitive decline.
  5. Reduced Independence: Benevolent ageism can lead to a loss of control and motivation, as older adults are subtly and not-so-subtly told they are no longer capable of managing their own lives.

Comparison of Benevolent and Hostile Ageism

Feature Benevolent Ageism Hostile Ageism
Motivation Perceived kindness; desire to protect Overt negativity; resentment
Stereotype Older adults are warm but incompetent Older adults are burdens; outdated
Impact on Target Undermines autonomy; reduces self-esteem Overt disrespect; active harm; social exclusion
Example Offering unwanted help with groceries Dismissing an older worker's ideas
Harmful Behavior Over-accommodating; infantilizing Verbal abuse; job discrimination

Challenging and Overcoming Ambivalent Ageism

Addressing ambivalent ageism requires a multi-pronged approach that tackles both individual biases and systemic issues. Creating a more age-inclusive society benefits everyone, fostering mutual respect and understanding.

  1. Promote Self-Awareness: Take a moment to reflect on your own biases and assumptions about older adults. Acknowledge that even well-meaning actions can reinforce stereotypes.
  2. Foster Intergenerational Connections: Creating opportunities for meaningful interaction between different age groups can break down stereotypes and build empathy.
  3. Use Empowering Language: Pay attention to how you speak about and to older adults. Avoid condescending terms like 'deary' or 'sweetie,' and address them with respect.
  4. Advocate for Inclusive Policies: Support initiatives that combat age bias in all settings, from the workplace to healthcare.
  5. Educate Yourself and Others: Learn about the aging process and challenge common misconceptions. Providing education is a key strategy for reducing negative attitudes.
  6. Speak Out Against Ageism: When you witness ageist behavior, whether benevolent or hostile, politely but firmly address it.

Conclusion

Ambivalent ageism is a complex prejudice that combines both positive-seeming and overtly negative attitudes towards older adults. While benevolent ageism may be disguised as care, it can be just as damaging as hostile ageism, eroding an individual's autonomy and self-worth. By understanding the nature of ambivalent ageism and taking conscious steps to address our own biases, we can foster a more inclusive and respectful society for all ages. It is vital to move beyond mere tolerance and actively work towards celebrating the wisdom, experience, and individuality that older adults bring to our communities. Resources from organizations like the Gerontological Society of America offer valuable insights and strategies for creating a more age-equitable society.

Frequently Asked Questions

Regular, or hostile, ageism is overtly negative. Ambivalent ageism is more complex, including both hostile and benevolent components. Benevolent ageism involves well-intentioned but condescending attitudes, making the overall prejudice harder to recognize and challenge.

Yes. Ambivalent ageism is defined by this very combination. A person might simultaneously hold protective, patronizing views (benevolent) while also resenting older adults for perceived societal burdens (hostile), leading to conflicted behavior.

Common examples include speaking to older adults in 'elderspeak' (a simplified, high-pitched tone), automatically assuming they cannot use technology, or insisting on helping with tasks they are capable of doing themselves without their consent.

Benevolent ageism, despite its seemingly positive intent, can be very harmful. It reinforces stereotypes of incompetence, undermines an older person's sense of control and autonomy, and can lead to lower self-esteem and independence.

In senior care, ambivalent ageism can lead to providers misinterpreting treatable conditions as normal signs of aging, or communicating with the patient in a patronizing way. This can compromise the quality of care and the patient's dignity.

The Ambivalent Ageism Scale (AAS) is a research tool developed to measure both the hostile and benevolent attitudes a person holds toward older adults. It is used to better understand and research this complex prejudice.

One simple way is to practice self-reflection and increase intergenerational contact. Consciously challenge any assumptions you make about an older person's abilities or needs, and engage in meaningful conversations with people of different ages to broaden your perspective.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice. Always consult a qualified healthcare provider regarding personal health decisions.