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What is the difference between explicit and implicit ageism?

4 min read

According to a 2020 National Poll on Healthy Aging, 82% of older Americans report experiencing ageism regularly. This widespread issue manifests in two distinct but equally damaging ways: what is the difference between explicit and implicit ageism? Understanding this critical distinction is the first step toward creating a more respectful and inclusive society for all.

Quick Summary

Explicit ageism is conscious and overt discrimination or stereotyping, whereas implicit ageism involves unconscious and unintentional biases that operate outside of our awareness. This distinction is crucial because both forms have damaging consequences for older adults and affect various aspects of daily life, from healthcare decisions to workplace interactions.

Key Points

  • Explicit vs. Implicit: Explicit ageism is conscious and intentional, while implicit ageism is unconscious and unintentional.

  • Hidden Bias: Implicit ageism is subtle and can influence behavior despite a person's conscious intentions to be unbiased.

  • Widespread Impact: Both types of ageism negatively affect older adults' health, mental well-being, and opportunities in various settings.

  • Internalized Ageism: Implicit biases can be internalized by older people themselves, reinforcing negative stereotypes about aging and impacting their health.

  • Combating Ageism: Effective strategies require addressing both conscious prejudice and unconscious bias through education, awareness, and intergenerational contact.

In This Article

Understanding Explicit Ageism

Explicit ageism is openly expressed and deliberately held. It involves conscious, intentional attitudes and beliefs that lead to discriminatory actions based on age. These are biases that a person is aware of and may even defend. While more widely condemned, explicit ageism remains a persistent problem in many facets of society.

Examples of Explicit Ageism

Examples of intentional age-based discrimination are unfortunately common, especially in professional environments and in public policy debates:

  • Workplace Discrimination: A company might refuse to hire people over a certain age or pass over an experienced older employee for a promotion in favor of a younger, less experienced candidate.
  • Forced Retirement: Policies that pressure older employees into retirement or have mandatory retirement ages are a form of explicit ageism.
  • Healthcare Rationing: During resource scarcity, such as in the COVID-19 pandemic, some crisis standards of care explicitly prioritized younger patients over older adults, effectively devaluing their lives based on age.
  • Hostile Remarks: Overt and aggressive beliefs about an age group, such as stereotyping all older adults as frail or helpless, or making ageist jokes, are examples of explicit ageism.

Exploring Implicit Ageism

Implicit ageism refers to the unconscious, unintentional biases that influence our thoughts, feelings, and behaviors without our conscious awareness. These biases are ingrained by a lifetime of cultural messages and media portrayals that often depict older adults negatively or as a homogeneous group. Because they are not consciously held, they are more subtle and insidious, yet their consequences can be just as harmful.

Examples of Implicit Ageism

Implicit ageism often manifests in subtle, everyday interactions:

  • "Elderspeak": Using patronizing, simplified language, a singsong tone, or terms like "sweetie" or "honey" when speaking to older adults. This behavior, though sometimes intended to be helpful, is infantilizing and disrespectful.
  • Medical Misassumptions: A doctor may unknowingly attribute an older patient's symptoms (e.g., fatigue, dizziness) to normal aging instead of exploring a treatable condition. Alternatively, they might direct questions to a younger family member instead of the older patient, assuming cognitive impairment.
  • Social Exclusion: Excluding older adults from social activities or important conversations, assuming they won't be interested or can't keep up.
  • Dismissive Behavior: Unintentionally dismissing an older person's opinions or ideas in a meeting based on an unconscious belief that they are less knowledgeable or adaptable.

The Insidious Impact of Unconscious Bias

The true danger of implicit ageism lies in its unconscious nature. It can operate even in individuals who consciously hold positive attitudes toward older people. Research by Dr. Becca Levy and others has shown that the negative stereotypes people absorb from their culture can become internalized as they age, leading to a self-fulfilling prophecy of declining health and function.

This internalized ageism can negatively impact an older adult's mental and physical health, contributing to increased stress, anxiety, depression, and poor health outcomes. For instance, someone who internalizes the stereotype that older people are fragile may be less likely to exercise, leading to actual physical decline. This makes addressing implicit bias critical for promoting successful, healthy aging.

A Tale of Two Biases: The Key Differences

To clarify the distinction, here is a comparison of explicit and implicit ageism:

Aspect Explicit Ageism Implicit Ageism
Consciousness Aware and deliberate Unconscious and automatic
Intent Intentional prejudice or discrimination Unintentional, hidden bias
Expression Overt, can be verbal or behavioral Subtle, often non-verbal or behavioral
Measurement Self-report questionnaires Indirect measures like the Implicit Association Test (IAT)
Recognition Easier to identify and challenge directly Difficult to recognize in oneself without introspection
Example Refusing to hire an older candidate Automatically using "elderspeak" with an older person

Strategies for Combating Ageism

Fighting ageism requires a multi-pronged approach that addresses both conscious prejudices and unconscious biases. Here are some actionable steps:

  1. Increase Awareness and Education: Educate yourself and others about ageism, its impact, and its various forms. Understand the stereotypes that permeate culture.
  2. Practice Self-Reflection: Regularly challenge your own assumptions and biases about people of different ages. Be mindful of your language and interactions.
  3. Promote Intergenerational Connections: Encourage opportunities for positive interaction and collaboration between different age groups in communities, workplaces, and families.
  4. Use Inclusive Language: Avoid demeaning terms or phrases like "senior moment," "you can't teach an old dog new tricks," or condescending tones of voice.
  5. Advocate for Policy Changes: Support initiatives and policies that promote age-inclusive practices in healthcare, the workplace, and beyond.

The Path Forward: Creating a Better Future for All Ages

Both explicit and implicit ageism are harmful barriers to healthy aging and social equity. While explicit ageism is overt and easier to condemn, implicit ageism is often more prevalent and harder to address due to its unconscious nature. Combating both forms is essential. By educating ourselves, raising awareness, and fostering meaningful intergenerational connections, we can work towards a society where individuals are valued for their experience, wisdom, and unique contributions, not judged by their age.

For more resources and to learn how to help tackle this global challenge, visit the World Health Organization.

Frequently Asked Questions

Explicit ageism includes conscious actions like refusing to hire someone or denying a promotion based on age, mandatory retirement policies, or overt discriminatory comments and jokes.

In healthcare, implicit ageism can manifest as "elderspeak" (condescending language), a provider directing questions to a family member instead of the older patient, or attributing symptoms to "just old age".

Yes. Research shows that older individuals can internalize the negative age stereotypes they have absorbed throughout their lives. This self-directed ageism can then impact their own health and well-being.

Implicit ageism is more challenging because it operates outside of conscious awareness. A person may not realize their actions are rooted in bias, making self-reflection and awareness the key first steps to change.

Ageism can lead to poorer physical and mental health outcomes, including increased stress, anxiety, and depression. It can also cause someone to avoid seeking necessary medical care or engaging in healthy behaviors due to a diminished sense of self-worth.

Practical steps include educating yourself on ageism, consciously challenging negative stereotypes, seeking out positive interactions with people of different generations, and being mindful of your language.

Yes. Ageism is not exclusively directed at older adults. Younger people can also experience ageism, such as facing stereotypes that they are inexperienced or unreliable, which can lead to marginalization or being overlooked for opportunities.

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.