Elder infantilization: types and how to not do it

Elder infantilization, or treating seniors as children rather than as fully functioning adults, is a common issue in health care settings and communities across the country. Though in many cases the behavior is unconscious, it’s none the less a form of psychological mistreatment. Here’s what you should know.

Types of infantilizing behaviors
A common form of infantilization is what’s called “elderspeak.” It consists of speaking slowly, loudly and with aa simplified vocabulary. Using diminutives and first-person plural pronouns are other forms of this behavior. In addition to making seniors feel resentful, elderspeak can seriously affect their sense of self-worth and decrease their confidence.

Another common way people infantilize seniors is by ignoring their preferences and making decisions for them. In particular, needlessly opting for medications in the form of syrups and suppositories can be degrading.

In a health care setting, the use of toys, child-like decor and reprimands are all signs of infantilization. A loss of privacy, choice and adult status are also indicators.

What you should do instead
Seniors don’t regress. Overall, they retain the vocabulary and intelligence they’ve developed over the course of their lifetime and can even expand upon it. In most cases, it’s unnecessary to adapt the way you communicate with the seniors in your life.

However, if you’re talking to someone with hearing issues, it’s important to ensure they can see your lips clearly. You can also speak louder if necessary but be sure not to yell.

In the case of seniors with cognitive issues, it may be appropriate to use gestures to clarify your meaning. However, this should be done respectfully.

Most importantly, when relating to the seniors in your life, remember to treat them as autonomous beings who have intelligence, dignity and value.

If you or someone close to you is being infantilized, speak up. Confide in someone you trust.