{"title":"年龄的无声货币——老年人在老年生活设施中反向年龄歧视角色的现象学研究","authors":"Shi Yin Chee","doi":"10.1016/j.socscimed.2025.118087","DOIUrl":null,"url":null,"abstract":"<div><div>Ageism is often viewed as a one-way street, with older adults as the primary victims. But what happens when the roles are reversed? This study explores the less examined phenomenon of reverse ageism within senior living facilities, drawing on the lived experiences of older adults to examine how age-related dynamics shape interactions, autonomy, and caregiving roles within senior living facilities. Through semi-structured interviews with 20 older adults across four senior living facilities, analyzed using Moustakas' transcendental phenomenology and the Modified Stevick-Colaizzi-Keen method, four key themes emerged: the quiet currency of age, the push-pull of care, ethical tensions in caregiving, and social fragmentation versus emotional security. Age operates as a silent channel of authority, enabling older adults to exert authority in caregiving relationships, at times influencing dynamics that may challenge the professional autonomy of younger caregivers and shift traditional power balances. Controlling small but significant choices may diminish caregivers’ role, introducing ethical complexities, emotional friction, and shifts in caregiving authority. This push and pull between authority and vulnerability shows that ageism is not a one-directional phenomenon. These findings offer actionable insights for caregivers, facility managers, and policymakers, advocating for systemic changes such as policy shifts and intergenerational training to enhance teamwork, reduce isolation, support cognitive resilience, and rebalance authority in senior living facilities.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"378 ","pages":"Article 118087"},"PeriodicalIF":4.9000,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The quiet currency of age - A phenomenological study of older adults' roles in reverse ageism in senior living facilities\",\"authors\":\"Shi Yin Chee\",\"doi\":\"10.1016/j.socscimed.2025.118087\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>Ageism is often viewed as a one-way street, with older adults as the primary victims. But what happens when the roles are reversed? This study explores the less examined phenomenon of reverse ageism within senior living facilities, drawing on the lived experiences of older adults to examine how age-related dynamics shape interactions, autonomy, and caregiving roles within senior living facilities. Through semi-structured interviews with 20 older adults across four senior living facilities, analyzed using Moustakas' transcendental phenomenology and the Modified Stevick-Colaizzi-Keen method, four key themes emerged: the quiet currency of age, the push-pull of care, ethical tensions in caregiving, and social fragmentation versus emotional security. Age operates as a silent channel of authority, enabling older adults to exert authority in caregiving relationships, at times influencing dynamics that may challenge the professional autonomy of younger caregivers and shift traditional power balances. Controlling small but significant choices may diminish caregivers’ role, introducing ethical complexities, emotional friction, and shifts in caregiving authority. This push and pull between authority and vulnerability shows that ageism is not a one-directional phenomenon. These findings offer actionable insights for caregivers, facility managers, and policymakers, advocating for systemic changes such as policy shifts and intergenerational training to enhance teamwork, reduce isolation, support cognitive resilience, and rebalance authority in senior living facilities.</div></div>\",\"PeriodicalId\":49122,\"journal\":{\"name\":\"Social Science & Medicine\",\"volume\":\"378 \",\"pages\":\"Article 118087\"},\"PeriodicalIF\":4.9000,\"publicationDate\":\"2025-04-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Social Science & Medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0277953625004174\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Social Science & Medicine","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0277953625004174","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
The quiet currency of age - A phenomenological study of older adults' roles in reverse ageism in senior living facilities
Ageism is often viewed as a one-way street, with older adults as the primary victims. But what happens when the roles are reversed? This study explores the less examined phenomenon of reverse ageism within senior living facilities, drawing on the lived experiences of older adults to examine how age-related dynamics shape interactions, autonomy, and caregiving roles within senior living facilities. Through semi-structured interviews with 20 older adults across four senior living facilities, analyzed using Moustakas' transcendental phenomenology and the Modified Stevick-Colaizzi-Keen method, four key themes emerged: the quiet currency of age, the push-pull of care, ethical tensions in caregiving, and social fragmentation versus emotional security. Age operates as a silent channel of authority, enabling older adults to exert authority in caregiving relationships, at times influencing dynamics that may challenge the professional autonomy of younger caregivers and shift traditional power balances. Controlling small but significant choices may diminish caregivers’ role, introducing ethical complexities, emotional friction, and shifts in caregiving authority. This push and pull between authority and vulnerability shows that ageism is not a one-directional phenomenon. These findings offer actionable insights for caregivers, facility managers, and policymakers, advocating for systemic changes such as policy shifts and intergenerational training to enhance teamwork, reduce isolation, support cognitive resilience, and rebalance authority in senior living facilities.
期刊介绍:
Social Science & Medicine provides an international and interdisciplinary forum for the dissemination of social science research on health. We publish original research articles (both empirical and theoretical), reviews, position papers and commentaries on health issues, to inform current research, policy and practice in all areas of common interest to social scientists, health practitioners, and policy makers. The journal publishes material relevant to any aspect of health from a wide range of social science disciplines (anthropology, economics, epidemiology, geography, policy, psychology, and sociology), and material relevant to the social sciences from any of the professions concerned with physical and mental health, health care, clinical practice, and health policy and organization. We encourage material which is of general interest to an international readership.