[HN Gopher] Psychological and psychiatric terms to avoid
       ___________________________________________________________________
        
       Psychological and psychiatric terms to avoid
        
       Author : limbicsystem
       Score  : 237 points
       Date   : 2022-11-16 14:56 UTC (8 hours ago)
        
 (HTM) web link (www.frontiersin.org)
 (TXT) w3m dump (www.frontiersin.org)
        
       | leetrout wrote:
       | It seems pointless, difficult and dangerous all at the same time
       | to try to police our speech and writing.
       | 
       | Some things have benign usage that is not harming anyone or any
       | group of people and convey the intended meaning better than
       | alternative words.
        
         | ebiester wrote:
         | However, this is a list for students, teachers, and
         | researchers, and within that context, precision is important.
         | This group of terms in the article is not about policing -
         | something like "crazy" or "schizophrenic". It's about technical
         | terminology within that particular context.
         | 
         | It also was a good article about the problems behind the mental
         | model.
        
           | leetrout wrote:
           | To pick one example, I don't think expanding the use of
           | fetish to include an obsessive and fanatic interest of things
           | outside sexual desire is bad.
           | 
           | But I also do not write academic / published papers.
        
         | lofatdairy wrote:
         | Did you read the article? Because even with a cursory scroll
         | would you find that it's clearly not about policing speech. For
         | example:
         | 
         | > (22) p = 0.000. Even though this statistical expression, used
         | in over 97,000 manuscripts according to Google Scholar, makes
         | regular cameo appearances in our computer printouts, we should
         | assiduously avoid inserting it in our Results sections. This
         | expression implies erroneously that there is a zero probability
         | that the investigators have committed a Type I error
         | 
         | Oh no. Big bad PC culture is stopping us from stating
         | fallacious statistical conclusions.
         | 
         | Please don't dilute the quality of discussions on this site by
         | posting reactionary nonsense before even reading something to
         | which you're responding.
        
         | bheadmaster wrote:
         | I think there's a difference between police-ing speech, and
         | clarifying it. Language is hard, and misunderstandings are
         | surprisingly common, and many world's evils comes from pure
         | misunderstanding.
         | 
         | Most misunderstandings arise from people having different
         | understanding of same words - so approaching agreement on the
         | meaning of words is important to reduce misunderstandings. The
         | problem is the language is self-manifesting - the word gains
         | the meaning from the way people use it, even when the meaning
         | differs from the original (perhaps academic or technical)
         | meaning.
         | 
         | So one side has to stand back - either academia (in this case,
         | psychiatry), or the general population. Since academia largely
         | relies on solid, defined meanings of words, while the general
         | population relies on "how other people are currently using it",
         | it's supposed to be easier to change the usage by the general
         | population. Although it's pretty hard to do both ways.
         | 
         | Otherwise, we end up with words having two distinct meanings,
         | one professional, and other layman.
        
           | mantas wrote:
           | This is neverending wack-a-mole. With some virtue signalling
           | credits to be made in process.
        
             | harimau777 wrote:
             | Due to the second law of thermodynamics, all work is
             | neverending wack-a-mole. That in of itself doesn't mean
             | that the work is useless.
        
             | eckza wrote:
             | On some level I agree; however, this article in particular
             | is not a collection of virtue signals.
             | 
             | If I have failed to see how this is not the case, I would
             | appreciate some examples.
        
             | astrange wrote:
             | Virtue signalling is a good thing and an essential part of
             | leadership.
        
       | tboyd47 wrote:
       | > (3) Autism epidemic.
       | 
       | How breathtakingly insulting to the 100,000s of parents and
       | caregivers of autistic children over the past 30 years, who have
       | sacrificed 1,000s of hours, $MM of lost revenue, their own
       | health, their own goals, and even attention that could have been
       | paid to their other children and their community, exerting heroic
       | efforts and sparing no expense to reach into a single child's
       | mind to teach him or her basic skills and share some kind of
       | human connection, starting from zero with no answers, no
       | training, and sometimes not even family or a support network.
       | 
       | Unlike these scientists, most of these parents and caregivers
       | will not be thanked or applauded for their work by society, but
       | they only did it because it happened to be their child.
       | 
       | Let's not acknowledge that that their efforts correspond to a
       | real event-- instead, let's dismiss all of the potential links
       | uncovered and directions for future research, and wave it all
       | away, feeling self-assured that we are being skeptical and
       | rigorous while eating up taxpayer money from these same parents
       | who still have no answers.
        
         | davidscolgan wrote:
         | I have autism and only discovered it two years ago at age 33. I
         | have been intensely researching it.
         | 
         | The book Neurotribes presents a very in-depth picture of the
         | history of autism and the research and theories for the past
         | century.
         | 
         | This is not saying that autism is not real, that it is not a
         | thing to understand, or something that should not be
         | researched. It is only saying that the idea that autism is On
         | The Rise in a terrifying way, that it is something to be
         | feared, is misguided.
         | 
         | As this article says, and as the book Neurotribes explores in
         | depth, autism used to have much more strict criteria for
         | diagnosis. Connor, the leading researcher of autism for much of
         | the 20th century, was convinced autism should only cover the
         | most severe cases, and he did not like the spectrum idea. As
         | time went on and it was realized that many more persons may
         | have some aspect of autism even if it isn't extremely severe
         | led to the DSM making the criteria much looser. The authors of
         | the DSM particularly noted that this may make it seem like the
         | prevalence was increasing when in fact it was simply more
         | widely diagnosed.
         | 
         | The reason for caution of using the term "autism epidemic" is
         | that it spooked many parents into thinking there was a horrible
         | plague afoot, and that it needed to be cured.
         | 
         | My current understanding of it in myself and wider society is
         | that it has always been around, that those on the spectrum hold
         | an important place in society, and that rather than finding a
         | cure (if this is an epidemic) is more important than
         | understanding autism and advocating for services to help those
         | who have autistic children.
         | 
         | This absolutely does not seek to discredit the indeed heroic
         | efforts many parents have gone to to support their children, in
         | fact by being more precise about what is happening the hope is
         | that autistics like myself can have even better outcomes.
        
           | [deleted]
        
         | killjoywashere wrote:
         | My wife is a pediatric occupational therapist and I'm a
         | physician in government. I'm still not sure which direction
         | your comment is pointing: is it insulting that the term Autism
         | epidemic is exists, or that this paper suggests it should be
         | avoided?
        
           | tboyd47 wrote:
           | Excuse me if that wasn't clear.
           | 
           | It's insulting that the paper suggests that the epidemic is
           | not real.
        
             | llbeansandrice wrote:
             | You're misinterpreting the purpose of the article. It's not
             | saying that the epidemic wasn't real, it's arguing that
             | calling it an "epidemic" implies that there is more autism
             | than there was previously. While they posit that it's
             | simply due to better diagnosis.
             | 
             | There are not more people with autism. There are more
             | people that have been diagnosed. Those are different things
             | and calling it an "epidemic" implies that it's the former.
        
             | Kranar wrote:
             | Then you went on a very angry and incoherent rant for
             | nothing. You seem to be angry because you don't understand
             | what the word epidemic means.
             | 
             | In the spirit of this article, epidemic means something
             | specific; the rapid spread of a disease over a short period
             | of time in a specific region. The article is not saying
             | that autism isn't real or that people aren't suffering from
             | it, the article is saying that it's not an epidemic. The
             | article is saying there is no rapid increase in autism over
             | a specific region but rather there's been a change in how
             | it's diagnosed, people's awareness of the disease and that
             | if these factors had been held constant, autism rates would
             | also have been constant.
        
               | tboyd47 wrote:
               | If it was for nothing, then it was only because I chose
               | the wrong audience. Nothing about my comment indicates I
               | misunderstood the intent of the authors.
        
         | [deleted]
        
         | larve wrote:
         | The paper suggests that what looks like an epidemic is due to
         | better diagnosis, so that people previously not diagnosed now
         | are. It doesn't discredit autism.
        
           | [deleted]
        
       | vvpan wrote:
       | For the sake of the Hacker News audience I wish "introvert" was
       | its own category and not under "Personality Type". It is baseless
       | pseudo-science but comes up in tech-related circles all too
       | often.
        
       | jrm4 wrote:
       | If anything, I find this to be a, perhaps unintentional, damning
       | indictment of psychology and psychiatry in general.
       | 
       | If your discipline cannot clearly define things in a reasonably
       | concrete and provable way, such that it is readily apparent to
       | _the patients_ and the public at large, and also such that the
       | language effectively clarifies itself out of necessity, then much
       | of what you do needs to be strongly questioned -- and often not
       | taken too seriously.
       | 
       | I'm reminded of e.g. the term "neurodivergent." It's a good thing
       | to look at, but how do you _falsify_ it? Who can stand up and say
       | "I'm definitely not neurodivergent?" If you can't do that, the
       | term is not very helpful.
        
         | 2devnull wrote:
         | It's more common to hear these terms of misunderstanding in
         | main stream medicine. Psychologists know there isn't a
         | "chemical imbalance" which "causes depression." Overworked GPs
         | and others without better training are the ideal audience for
         | this piece.
        
         | c7b wrote:
         | Frankly, if your standard for a good definition is that it is
         | _readily apparent_ to _the public at large_ , then pretty much
         | every academic discipline will fail your rigour test. Even (or
         | especially) mathematics. Which should make it clear that this
         | is an unfair and useless standard to hold psychology up to.
        
           | jrm4 wrote:
           | Fair, "at large" is a bit extreme. This is a spectrum. But
           | psychology appears to be _far worse_ than the others, even
           | reading from this paper. I 'm a lawyer, and even law isn't
           | _this_ bad.  "Symptoms are unobservable?"
        
             | [deleted]
        
             | lofatdairy wrote:
             | Actually symptoms being unobservable is not only not unique
             | to psychology (the distinction is well known in medicine),
             | it's a core challenge within the practice of medicine and
             | one of its historic tensions. Yeah, a patient might be
             | complaining of chest pain, but the reason for the complaint
             | is going to be unknown to you until you start the process
             | of diagnosis. Chest pain is a symptom of many conditions,
             | and you can't even trust that there's an observable cause,
             | you can only believe what the patient tells you. This was
             | obviously even worse until modern developments of things
             | like MRIs and X-rays.
             | 
             | Compare that to signs, where you can see that a patient has
             | say, a lesion or is clearly coughing.
        
             | light_hue_1 wrote:
             | This is basically the case in much of medicine.
             | 
             | Pain is not observable. It's reported. Loss of vision or
             | hearing isn't observable, it's reported.
             | 
             | You can run tests to get an idea of whether any of these
             | are happening. But you are not observing any of these
             | symptoms. You're observing behavior and inferring what
             | kinds of symptoms the person is experiencing and what
             | degree.
        
               | rhino369 wrote:
               | But is a runny nose (observable) not a symptom of a cold?
               | Is fever not a symptom of Covid?
               | 
               | If that's how medicine actually uses the term, okay,
               | sometimes terms of art clash with the plain meaning, but
               | damn that is a pretty weird distinction, as a layman.
        
               | llbeansandrice wrote:
               | In the US those would be "signs", not symptoms. Symptoms
               | are things like pain, fatigue, etc. Signs are observable.
               | I think other countries/languages often use "subjective"
               | symptoms and "objective" symptoms.
               | 
               | It's a very useful distinction between things that only
               | the patient can tell you versus things that can be
               | observes and tested for. How do you run a test to
               | determine if a patient is "really" experiencing chest
               | pain? You cannot. You can run tests to try and determine
               | an obvious cause for that symptom, but there is no test
               | to tell you if say perhaps the patient is lying about
               | having chest pain.
        
               | rhino369 wrote:
               | It might be a useful distinction, but it's weird
               | terminology to a layman. Because in non-medical lingo,
               | those are symptoms in the USA.
        
             | c7b wrote:
             | Law, really? Aren't there a lot of legal terms (like
             | 'ownership', 'possession' 'contract',...) that have precise
             | legal definitions that may differ in crucial aspects from
             | their colloquial usage?
             | 
             | I think you're confusing a definition being _easy to
             | understand_ with it being well-defined. Mathematical
             | definitions are often hard to grasp exactly _because_ they
             | are so well-defined. If you want something to be easily
             | understandable by a lot of people (especially outside the
             | discipline), you 'll usually have to sacrifice rigor.
        
               | lazide wrote:
               | In my unfortunately extensive experience with legal
               | matters as a non lawyer, there really aren't many legal
               | terms with material _reduction_ in meanings when used
               | legally. For the most part, like in medicine, a less
               | commonly used word is used instead (often in another less
               | commonly used language, such as Latin).
               | 
               | For example, most people would consider a contract to be
               | something written down that says 'contract'. A few know
               | it can be verbal too.
               | 
               | When really, it could be verbal, video, scrawled in blood
               | on the side of a fence, or any number of other forms, and
               | really covers any agreement that meets certain criteria
               | (generally that there is some form of payment or
               | consideration, an offer, and an acceptance - think 'quid
               | pro quo' or something for something).
               | 
               | 99% of the time, the public is right. The other times,
               | something went really wrong somewhere and someone did
               | something pretty weird and dumb for it to matter.
               | 
               | In engineering, physics, math, it's not uncommon to need
               | SOME unique identifier for the thing, and there are very
               | specific technical needs for it to even have a
               | conversation on the topic - and often we've run out of
               | pronounceable or recognizable symbols, alternative
               | alphabets, etc.
               | 
               | So down spin quark it is.
        
               | jrm4 wrote:
               | Ha, contract is a _really bad example_ here, as proven by
               | the very very wrong term  "Smart Contract."
               | 
               | The thing that is called a "Smart contract" has
               | _literally no overlap_ with a legal contract; because a
               | legal contract is the  "separate human statements of
               | agreement that are associated with the action/performance
               | and usually only needed when the performance goes wrong,"
               | 
               | The "smart contract" is the actual performance.
        
             | amanaplanacanal wrote:
             | That sounds like a standard medical definition. I'm sure
             | there are technical terms used in the law which differ from
             | common usage.
        
         | bawolff wrote:
         | > I'm reminded of e.g. the term "neurodivergent." It's a good
         | thing to look at, but how do you falsify it? Who can stand up
         | and say "I'm definitely not neurodivergent?" If you can't do
         | that, the term is not very helpful.
         | 
         | I mean, that's not a diagnosis. If you mean just generally and
         | not psychology specific then you are going to have to throw out
         | most english adjectives. Like you can't falsify "im hungry",
         | "im smart", "im dumb".
        
           | unsupp0rted wrote:
           | I can easily identify whether or not I'm hungry... and
           | probably whether or not I'm smart.
           | 
           | I can't easily identify whether or not I'm neurodivergent,
           | because I'm not sure what it means or what the opposite would
           | look like. Does anybody know?
        
             | bawolff wrote:
             | > I can't easily identify whether or not I'm
             | neurodivergent, because I'm not sure what it means or what
             | the opposite would look like. Does anybody know?
             | 
             | The people who are claiming to be neruodivergent would say
             | its quite obvious to themselves (FWIW, the general
             | definition is roughly ADHD or Autism, both of which have
             | more concrete definitions). I was assuming the statement
             | was about other people verifying the veracity of the
             | statement not yourself.
             | 
             | Of course, i don't know how you can easily identify if you
             | are actually hungry, when you can't even tell if you
             | actually have a stomach or are just a brain in a
             | vat/plugged into the matrix.
        
               | unsupp0rted wrote:
               | Even if I'm a brain in a vat, I'm a brain in a vat that
               | thinks it's hungry.
               | 
               | But I'm not a brain in a vat that thinks it's
               | neurodivergent or not neurodivergent because it doesn't
               | know what that would mean in the first place, and it's
               | not sure anybody else (assuming other brains in other
               | vats exist) does either.
        
           | jrm4 wrote:
           | What are you _talking_ about? You can meaningfully falsify
           | all of those in the context of which they are said.
        
         | Booktrope wrote:
         | So, for all the many things in the world that cannot be defined
         | in "a reasonably concrete and provable way" or where a
         | statement cannot be "falsified", no study is worthwhile.
         | 
         | More or less this position: nothing worthwhile from
         | Wittgenstein beyond the Tractatus and specifically, forget
         | about the Philosophical Investigations.
         | 
         | It's not an indictment of a field that the subject matter is
         | not susceptible to description in terms that are definitely
         | falsifiable. Of course, definite terminology can be very
         | helpful where it does apply, but it can also be used to
         | oversimplify complex questions in a way that obfuscates them.
         | But there's no law that nature must always be subject to
         | description in a "concrete and provable way", especially not by
         | human languages. By not taking seriously anything but
         | disciplines that can be boiled down to true-false propositions,
         | we'd miss huge amounts of knowledge that are useful and
         | helpful.
         | 
         | Especially fields like psychology where so many important
         | observations simply cannot be broken down into concrete
         | statements or provable propositions in the way you seem to mean
         | those words.
         | 
         | On the other hand, it's also very important to be careful of
         | misuse of terms such as "true" and "false", for example, they
         | can have very different meanings when we're talking about logic
         | or observation, answers to examination questions, romance or
         | religion. In this particular exchange, by true do we mean
         | scientifically true or logically true?
         | 
         | Or, how indeed would anyone stand up and say whether something
         | is "definitely not damning" or "definitely not unintentional"
         | actually?
        
           | zwkrt wrote:
           | There's a reason that traditionally in America psychology is
           | taught in a research oriented way. This has the upside of at
           | least ideally causing psychologist and psychiatrist to have a
           | curious attitude toward their patients. In a field that is
           | dealing with something so complicated as people's brains and
           | their social interactions and their self perceptions and
           | their bodily health, it's pretty much a necessary condition
           | to begin from a standpoint of assuming that you don't
           | understand everything. I think it also has the unfortunate
           | downside of producing a lot of questionable research though.
           | 
           | The problem is that in a research paper you do have to have
           | operational definitions, P values, etc. it's not that these
           | things are bad but they are not particularly well-suited to
           | such an ambiguous problem as attempting to explore the human
           | condition.
           | 
           | To bring the point back to Wittgenstein, we are forcing
           | students to talk about "the unspeakable" in scientific
           | terminology. Bringing in his viewpoint from the
           | investigations, it feels to me like in the mental health
           | field we need to be playing a different game than the
           | scientific research game. Professionals on-the-ground are
           | doing this, but how to bring that back into the academic
           | sphere, I don't know what the best solution is.
        
         | [deleted]
        
         | runarberg wrote:
         | This is not what the article concludes at all. Every item in
         | this list is met with alternatives or justifications for
         | careful considerations and nuance. If anything it celebrates
         | psychology as a rich field while issuing a warning about
         | specific problematic terms in use. This is no different from
         | most other fields. Cosmology also has problematic terms such as
         | _Grand Unifying Theory_ , even the word _planet_ has issues
         | within the field of astronomy. This is not a damning indictment
         | of respective fields, but a sign of maturity, growth, and
         | healthy debate within the field.
         | 
         | Your example of "neyrodivergent" is a really bad example for
         | your case. This term is a laypeople term that captures the
         | notion that there is a variety in the way people think and
         | behave, and as a society we tend to accommodate only a subset
         | of this variety, leaving the rest (the neurodiverce
         | individuals) in a harder then necessary situations. You don't
         | need to falsify it because it is not a scientific term. But if
         | you wanted to disproof it, you would need to show that
         | cognitive behavior doesn't vary nearly as much as observable
         | behavior, the very fact that autism exists should be evidence
         | enough to justify this term.
         | 
         | I think you might be misunderstanding what _falsifiability_
         | means for psychology or other social science (or any science
         | that uses probability or population statistics in its theories
         | for that matter). When you have a term that distinguishes a
         | subgroup from a population, you don't try to disprove it by
         | looking at an individual, you look at the variance and compare
         | it with the greater population. If there is no difference in
         | the variance, then most likely you are using an unhelpful term.
        
         | lvass wrote:
         | The data is pretty clear that psychology and psychiatry sucks
         | at doing it's job. But it's a hell of a tough job, and using
         | more meaningful words probably doesn't hurt.
        
           | jrm4 wrote:
           | Exactly: "Meaningful."
           | 
           | Precisely, it feels like there's a lot of "activity" and
           | "named ideas" chasing things that may not meaningfully exist?
           | This is of course symptomatic of "publish or perish" et al,
           | but I suppose one of the difficulties here is that the paper
           | is like "here are some bad ideas and trends (fair) so here
           | are some more to counteract that."
           | 
           | It really just gives the impression of "wow, these people are
           | wasting time if they can't even decide on what relatively
           | accessible words even mean?"
           | 
           | E.g. The bit on "symptoms" is _crazy_ sounding.
        
         | hunter2_ wrote:
         | I think all disciplines could have a damning list like this.
         | For example, in software development, we could say "pull
         | request" is to be avoided in favor of "merge request" (some
         | progress has definitely been made toward this state, but there
         | is more to do).
        
       | zug_zug wrote:
       | > (3) Autism epidemic.
       | 
       | Uh, I'm having more and more trouble believing this is just an
       | increase in diagnosis rates. That's what we said 13 years ago
       | when I was graduating college, and yet the rates have actually
       | increased very dramatically even since 2010 (from 1/68 to 1/44) a
       | 54% increase.
       | 
       | I appreciate that it's useful to consider alternative
       | explanations of data, but presuming an alternative explanation is
       | valid for over 20 years without hard data? Really?
        
         | [deleted]
        
         | SoftAnnaLee wrote:
         | Increased understanding of autism on a societal level. 20 years
         | ago autism was just, 'weird savant kid who screams and
         | everybody can't understand why they can't <XYZ>,' disease. 10
         | years ago, we saw depictions of autism that were less
         | stereotypical in mainstream entertainment; which prompted some
         | to see themselves reflected in these characters, and self-
         | reflect if they're autistic too.
         | 
         | In the years since, autism communities on the internet and the
         | psychological community have come together to help folks
         | realize that there is a wider spectrum of how autism manifests.
         | And the increased visibility of autism, and increased societal
         | understanding of the nuances involved with autism, have led to
         | folks who previously thought of themselves as neurotypical as
         | realizing they are autistic too. Who then inform their family
         | and friends, who may come to realize that they (or their
         | friends, coworkers, or children) too might be autistic as well.
         | 
         | It's not an epidemic, it's merely language and labels being
         | more accurately used within society.
        
           | zug_zug wrote:
           | > It's not an epidemic, it's merely language and labels being
           | more accurately used within society.
           | 
           | You can't possibly know that. And shame on you for speaking
           | so authoritatively on such an important and open scientific
           | question.
        
       | MichaelCollins wrote:
       | > _Nevertheless, the attitude-change techniques used by so-called
       | "brainwashers" are no different than standard persuasive methods
       | identified by social psychologists, such as encouraging
       | commitment to goals, manufacturing source credibility, forging an
       | illusion of group consensus, and vivid testimonials_
       | 
       | The brainwashing techniques used by various cults, criminal gangs
       | and regimes go far beyond these gentle methods. Particularly, I
       | sure hope social psychologists don't use torture. (Social
       | isolation, food deprivation, and much worse.)
        
         | hobs wrote:
         | Depends on if they put you in a mental institution, because
         | then they definitely do, also physical torture if you act up
         | enough!
        
         | runarberg wrote:
         | > I sure hope social psychologists don't use torture.
         | 
         | Read up on psychologist's participation in the Guantanamo
         | prison camp torture program. Indeed many psychologists did use
         | torture, and it is something of a really dark spot in the
         | history of the American Psychology Association.
        
           | quickthrower2 wrote:
           | Did these psychologists think they were helping the greater
           | good? And who convinced them?
        
             | runarberg wrote:
             | This scandal generated a whole host of reports, it
             | collapsed the APA leadership. Books have been written about
             | it. I am not a journalist, nor a historian. And I don't
             | have enough knowledge about it to answer any detailed
             | questions about it, other then the fact that it happened.
             | I'm sure you can find information by googling e.g. "APA
             | torture" or "James Mitchell" and "Bruce Jessen" the two
             | most prominent psychologists guilty of torturing people.
        
           | marginalia_nu wrote:
           | The broader history of psychiatry has so many dark spots one
           | might confuse it for a dalmatian.
        
             | enneff wrote:
             | The broader history of almost any profession/industry is
             | similarly checkered. Engineering, farming, medicine,
             | charity/aid... humans will do bad things whatever field
             | they're in.
        
         | cbsmith wrote:
         | > I sure hope social psychologists don't use torture.
         | 
         | The phrasing was very specific: " standard persuasive methods
         | _identified_ by social psychologists ". You don't need to _use_
         | a method just because you 've identified it.
        
       | yannk wrote:
       | Not on the list: "Oh, it's just my OCD" -- Either you have been
       | diagnosed (and consequently suffer from OCD) or you have an
       | obsessive personality (sometimes a quality).
       | 
       | But OCD is a diagnosis, abusing it do describe a personality
       | trait doesn't serve the many many people impacted by the
       | disorder.
       | 
       | -- From someone with an affected loved one.
        
         | enneff wrote:
         | There's a great episode of the Australian TV series You Can't
         | Ask That which interviews a group of OCD sufferers about their
         | lived experience. It really opened my eyes to just how
         | appallingly cavalier it is to refer to one's minor neuroses as
         | "OCD". An excerpt from the show: https://youtu.be/tkrFgKW5LvY
         | (Australians can stream it on iView)
        
       | tacitusarc wrote:
       | I disagree with the "steep learning curve" point. The X axis is
       | acquired knowledge, and the Y axis is the effort required. I
       | don't know why people assume the X axis is time. Not all graphs
       | are temporal.
        
         | falseprofit wrote:
         | It's standard practice to plot independent variables on the
         | x-axis and dependent on the y. To my knowledge, this is how
         | learning curves are typically plotted as well, and the use of
         | "steep" is usually a misnomer.
         | 
         | Is there a reason you believe people have this unintuitive plot
         | in mind, rather than simply conflating with the difficulty of
         | physically scaling a steep slope?
        
           | a1369209993 wrote:
           | The independent variable is how good you're trying to get,
           | and the dependent variable is how much effort it costs.
           | 
           | > a reason you believe people have this [...] plot in mind
           | 
           | Sample size N += 1, HTH, HAND.
        
         | tsumnia wrote:
         | I disagreed at first, but realized what they were trying to
         | convey. Specifically "learning curve" is a defined term in
         | learning theory that represents the accumulation of knowledge.
         | Like the the "forgetting curve" [1], the use of "curve"
         | represents at each learning opportunity (or forgetting).
         | "Learning curve" between intervals would be more akin to
         | "learning gains".
         | 
         | So a "learning curve" that is "steep" implies that learning
         | occurs rapidly; a "forgetting curve" that is "steep" would be
         | "in one ear and out the other".
         | 
         | Super pedantic and I don't plan to change my use of steep
         | learning curve, but I get where the intention is coming from.
         | 
         | [1] https://www.psychestudy.com/cognitive/memory/ebbinghaus-
         | forg...
        
         | I_complete_me wrote:
         | Does the steepness of the curve happen earlier or later in the
         | timeline?
         | 
         | I imagine that one could spend a long time learning the
         | fundamentals before getting to a stage where the proficiency
         | escalates quickly i.e. where the steepness occurs. But the long
         | time getting there is what the term "steep learning curve" is
         | about. Like the opposite of taking a long run at jumping off a
         | cliff. I'm sure that this is easier to show with a graph.
        
       | nonrandomstring wrote:
       | The fine article begins with this rather humble aim that;
       | 
       | > The goal of this article is to promote clear thinking and clear
       | writing among students and teachers of psychological science
       | 
       | How many published papers, or even undergraduate essays contain
       | such simplifications and misunderstandings?
       | 
       | I rather think the piece is aimed elsewhere, to the press,
       | science jornalists, politicians, mid-ranking deciders, mass
       | media, and pundits whose language is awash with this stuff.
        
         | lofatdairy wrote:
         | Some of these terms are indeed likely to be aimed at
         | researchers, though I agree that journalism and politicians and
         | charlatans seem to love pulling from shoddy psychology and
         | making it even worse with their poor understandings of the
         | field. For example, they give a number of papers that cite a
         | p=0.0000 number, which is clearly absurd. p-hacking and dubious
         | misuse of statistical testing aside, it shows a clear lack of
         | understanding of what the p-value even is, and what it tells
         | you, and this is obviously more relevant to researchers than
         | reporters. I can also speak towards personal experience
         | regarding "comorbidity", for a while I knew a grad student who
         | accidentally attached a completely new, incorrect definition to
         | the term by assuming it mean risk-factor. It's certainly a
         | blend of really subtle, interesting mistakes that I can easily
         | see a researcher unfamiliar with the history and philosophy of
         | science making, and some pretty common tropes that are probably
         | more often just stereotypes from the "science" section of
         | popular magazines.
        
         | karencarits wrote:
         | It would probably be difficult publish in a scientific journal
         | if it was not aimed at other academics - and if it was not
         | published in a scientific journal, the authors would not get
         | citations
        
       | andsoitis wrote:
       | What do others here think about casual use of the word "crazy" in
       | a work setting. For instance, "that's a crazy idea" or "they're
       | crazy to think ...."
        
         | khazhoux wrote:
         | I don't have any problem with the word _per se_ (it doesn 't
         | evoke any connection with mental health, if that's where you're
         | going with it).
         | 
         | But... it's a dumb and unnecessary word, in the contexts you
         | mention. When I'm at a meeting and someone says "I'm going to
         | propose a crazy idea" I always think "Just get on with it, man,
         | no need to tamp down expectations."
        
         | LAC-Tech wrote:
         | I think I'm tired of constantly worrying if what I say
         | naturally is becoming yet another "thing I can't say among my
         | betters without them looking down on me". Is there a list I can
         | subscribe to?
        
         | poszlem wrote:
         | It's the same as with other words, including the some of the
         | "x-words" (the n-word, c-word, f-word, p-word, and whatever
         | else Americans came up with). They should all be possible to
         | write and utter as long as they are not written and uttered as
         | a slur.
         | 
         | Saying that "something is crazy" doesn't really victimize
         | anybody. Intention should matter much more than it currently
         | does. I really hope we are at the point where the pendulum
         | swings back to the place where people understand that again.
        
         | croisillon wrote:
         | i've seen "a crazy idea" replaced by "a wild idea" and i think
         | it's elegant
        
         | alexb_ wrote:
         | I think it's crazy that we spend time thinking about minor bs
         | like this instead of spending that effort trying to solve
         | actual problems. This type of stuff is great for people who
         | want to feel like they have made a positive change without
         | actually having accomplished anything of value.
        
           | eckza wrote:
           | `git pull origin main`
        
           | Barrin92 wrote:
           | being precise in your language is of great value, both when
           | it comes to thinking and communicating. Per Wittgenstein,
           | "the limits of my language mean the limits of my world". If
           | you're a software developer you should be familiar with how
           | important syntactic precision is.
           | 
           | Someone who runs around the office and complains about
           | everything being 'so crazy' is genuinely not articulating
           | anything meaningful but just ranting. And it's quite amazing
           | how many people can't tell the difference between a rant and
           | a productive argument. Perceiving this as 'policing' is just
           | an excuse to not putting an effort into what you think and
           | say.
        
             | sithadmin wrote:
             | Aside from the communicative value, there's a socio-
             | political angle to it as well. Speaking in nebulous terms
             | like calling things 'crazy' without sufficient elaboration
             | is a great way to alienate people as a new-to-the-org
             | resource or as an embedded outsider (e.g. consultant).
        
             | alexb_ wrote:
             | Okay, but sometimes things are so crazy.
        
               | DonHopkins wrote:
               | Crazy Eddie really was criminally insane!!!
               | 
               | 80s Commercial | Crazy Eddie | 1985 | 1986 | 1987
               | 
               | https://www.youtube.com/watch?v=Ml6S2yiuSWE
               | 
               | The Biggest Retail Fraud In American History -
               | Masterminds - Crazy Eddie - Eddie Antar Documentary
               | 
               | https://www.youtube.com/watch?v=Ws9PGROHZzg
        
             | raxxorraxor wrote:
             | "limits of my language mean the limits of my world".
             | 
             | The arguments to replace certain words would do the
             | opposite though.
             | 
             | On the other hand, sometimes expression is not too
             | important to transport a point.
        
           | khazhoux wrote:
           | > I think it's crazy that we spend time thinking about minor
           | bs like this instead of spending that effort trying to solve
           | actual problems.
           | 
           | False dichotomy. We all (you included) already spend plenty
           | of time thinking about "minor bs". A discussion about
           | language will probably use up less time in your week than you
           | spent deciding what to get for lunch.
           | 
           | Personally I don't have any problem with the word "crazy"...
           | but I don't mind thinking about it for a minute.
        
           | jamesrcole wrote:
           | I think it's worse than that. It makes people have to police
           | their own thought about what they're going to say, to avoid
           | stumbling over one of the linguistic trip wires. I think
           | that's antithetical to creative thought.
        
             | whythre wrote:
             | It also gives power to bad actors who can take advantage of
             | such 'linguistic tripwires' to invalidate or abuse others.
        
             | scubbo wrote:
             | Counterpoint - mindfully reviewing and examining your
             | thoughts and speech is an effective way to improve clarity
             | and to identify unexamined (and perhaps unfounded)
             | assumptions.
        
               | poszlem wrote:
               | Cool, as long as it's your thoughts and not mine. I have
               | no problem with other people policing their own speech
               | and thoughts. My problem starts when they start to
               | enforce what they found on other people.
        
         | PuppyTailWags wrote:
         | I think it's not great, especially because psychosis, bipolar,
         | personality disorders, etc. collectively make up enough of the
         | population that almost certainly one is speaking it in the
         | company of people who would be called "crazy". But also it's in
         | way more ubiquitous use than "retarded" so its a far bigger
         | hill to climb and probably not worth the teeth-pulling until we
         | can at least stop with OCD, ADHD-squirrel, and other jokes
         | first.
        
         | orangepurple wrote:
         | Contemplating this is bikeshedding
        
           | idlewords wrote:
           | Bikeshedding needs to go on the HN list of terms to avoid
        
         | raxxorraxor wrote:
         | If that is a challange to you, you might be directly affected?
         | Although English isn't my native tongue and I learned it on the
         | internet. I might be resilient...
        
         | mc32 wrote:
         | I have no issue with it. My only caveat is I would refrain from
         | using it around someone who is "unstable".
         | 
         | I don't look forward to prescriptive definitions, grammars and
         | usage. I will use those for technical writing and use "style
         | guides" but not for casual communication and conversation.
        
         | ebiester wrote:
         | Regardless of "wokism," it might stop meaning from being
         | transmitted to those who do find the term problematic.
         | 
         | Absurd or ridiculous both capture the same meaning without
         | losing precision. And at this point, we can look at it more as
         | a function of deprecated terminology - people don't listen to
         | you and think you're a bad person if you use said terminology,
         | they just think you're old.
         | 
         | However, to be clear, this is off-topic for the article at
         | hand.
        
           | yamtaddle wrote:
           | Worrying about something as mild as "crazy" is really, really
           | niche. Maybe that'll change, but for 99% or more of the not-
           | terminally-online crowd, nobody thinks a thing of it today.
           | Even more so outside the US.
           | 
           | I, for one, am overall skeptical that being very concerned
           | about people using any term relating to a human malady or
           | misfortune figuratively is a trend that will continue to
           | flourish even to the extent that it has so far.
        
         | bvirb wrote:
         | I can certainly see why someone with a history of being called
         | crazy for whatever reason might be hurt when someone at works
         | casually calls them "crazy" for something, even if they
         | understand it was meant differently in that context.
         | 
         | I think once you know something might accidentally upset
         | someone it's up to you to decide whether you want to take that
         | chance. I try to avoid taking that chance where possible, I
         | really don't like the idea of accidentally hurting someone.
         | 
         | I can also see why people are upset about their language being
         | policed. I imagine every generation feels this way as society
         | changes around them. I'm sure there are lots of examples of
         | probably silly things we've policed ourselves out of saying
         | that probably didn't amount to much, but I'm also happy we
         | mostly don't use the pervasive casual racism of the 50's, or
         | the pervasive casual homophobia of when I was kid.
        
       | 1970-01-01 wrote:
       | I'm confused about (47). Isn't "empirical data" based on
       | observation or _experiment_. Is this a typo? And non-empirical
       | data is defined as an observation that one cannot formally
       | measure, e.g.  "I love/hate it."                    (47)
       | Empirical data. "Empirical" means based on observation or
       | experience. As a consequence, with the possible exception of
       | information derived from archival sources, all psychological data
       | are empirical (what would "non-empirical" psychological data look
       | like?). Some of the confusion probably stems from the erroneous
       | equation of "empirical" with "experimental" or "quantitative."
       | Data derived from informal observations, such as non-quantified
       | impressions collected during a psychotherapy session, are also
       | empirical. If writers wish to distinguish numerical data from
       | other sources of data, they should simply call them "quantified
       | data."
        
         | travisjungroth wrote:
         | It's erroneous to _equate_ "empirical" with "experimental" or
         | "quantitative". Those terms don't have a relationship like 4 =
         | 4.0. Your example in your second sentence is an example of
         | equating empirical with quantitative.
         | 
         | Empirical makes more sense when you contrast empiricism with
         | rationalism. It's a split between things you observe and things
         | you think. If you're doing chemistry calculations, that's not
         | empirical but it is quantitative. If you're pouring stuff into
         | beakers and writing down what you see, it is empirical and
         | quantitative.
        
       | anotheraccount9 wrote:
       | Really well written article. Personally, I will still use these
       | expressions:
       | 
       | Antidepressant medication Chemical imbalance Genetically
       | determined
        
       | ispo wrote:
       | I wish there was a similar list about economics, but it will take
       | 150 years more.
        
       | light_hue_1 wrote:
       | > (47) Empirical data. "Empirical" means based on observation or
       | experience. As a consequence, with the possible exception of
       | information derived from archival sources, all psychological data
       | are empirical (what would "non-empirical" psychological data look
       | like?).
       | 
       | Nonsense. There are plenty of types of data that are not
       | empirical. For example, data from simulations is not empirical
       | data.
        
         | uxp100 wrote:
         | Can you elaborate on what type of psychological data
         | simulations you are thinking of?
        
       | zackmorris wrote:
       | Not sure if these are psych terms, but just wanted to add them to
       | be used instead of the ones on the left:
       | 
       | * Depressed -> struggling (places focus on society instead of
       | individual)
       | 
       | * Burned out -> exploited (places focus on employer instead of
       | employee)
        
       | denton-scratch wrote:
       | I enjoyed "Steep Learning Curve": if the curve is steep, that
       | means that you are learning quickly and easily.
        
         | danem wrote:
         | Many (most?) people understand "learning curve" as a hiking
         | analogy. A steep learning curve would mean a difficult climb.
         | This is understandable as most people aren't data literate, and
         | "steep" generally has negative connotations.
        
         | snapcaster wrote:
         | I always took it to mean that your personal learning curve must
         | be steep or you will fail to enjoy the activity/game
        
           | lamontcg wrote:
           | I always figured the labels were effort on the y-axis vs.
           | learning on the x-axis, not learning on the y-axis and
           | time/effort on the x-axis.
        
       | l0b0 wrote:
       | The "steep learning curve" entry is bizarre. Is it so difficult
       | to envision that it's a straightforward analogue to real life?
       | Climbing a steep mountain (that is, a steep slope or curve), if
       | you manage (since a difficult traverse is going to turn away a
       | lot of people, just like a steep learning curve), you are going
       | to end up with a good view (or understanding of the field). It
       | was never about a X=time, Y=distance mathematical curve.
        
         | cochne wrote:
         | Your disagreement with their assessment is exactly why they say
         | it should not be used. There are two equally plausible
         | interpretations, and as a technical term, theirs is correct,
         | see https://en.wikipedia.org/wiki/Learning_curve
        
           | l0b0 wrote:
           | IMO, since they're not suggesting anything better they are
           | not helping. It's like telling people "just don't do that if
           | it's causing problems". Well, what's the alternative? We
           | still have this concept we need to communicate effectively,
           | of something that's hard but possible to learn if you spend a
           | lot of energy on it, analogous to how you spend a lot of
           | energy climbing a steep hill.
           | 
           | Also, have you ever met anyone who thought "steep learning
           | curve" was ambiguous? This seems like a controversy invented
           | by some really literal-minded people who are not
           | representative of the general population.
        
       | badrabbit wrote:
       | > Furthermore, there are ample reasons to doubt whether
       | "brainwashing" permanently alters beliefs
       | 
       | This person needs to look at interviews of mk-ultra experiment
       | survivors. Brainwashing is very real and permanent.
        
         | Kranar wrote:
         | MKUltra would be an example in support of the claim that
         | brainwashing is not real.
         | 
         | No one is disputing that subjecting someone to drugs will
         | permanently alter their beliefs, anyone who has come in contact
         | with an alcoholic or a heavy drug addict knows this but that's
         | not what brainwashing is. Brainwashing is ability to control
         | someone's thoughts often with the goal of inducing specific
         | beliefs and ideas. While there is plenty of evidence that
         | MKUltra damaged people psychologically and forever changed
         | their personality, there is absolutely no evidence whatsoever
         | that it managed to change their personality in a controlled
         | manner.
        
           | mistermann wrote:
           | > there is absolutely no evidence
           | 
           | I often wonder whether the neurological algorithm that
           | underlies this got into so many minds purely organically or
           | if it was put there somehow.
        
           | snapcaster wrote:
           | How can you say "there is no evidence" using your own
           | definition people I've met many times throughout life meet
           | that criteria belonging to the military, religions of all
           | stripes, CMU students
        
             | Kranar wrote:
             | Because I said there is no evidence that MKUltra
             | brainwashed people.
             | 
             | You've met people in the military, CMU students and
             | religions of all stripes who were subject to MKUltra and
             | had their minds controlled?
        
         | blacksmith_tb wrote:
         | It also doesn't quite make sense, even if these techniques
         | aren't any more serious than other kinds of indoctrination, we
         | have abundant examples of indoctrination permanently altering
         | beliefs - religious conversions, ideological movements, etc.
        
           | Kranar wrote:
           | Indoctrination is not the same as brainwashing though. If
           | what you mean is indoctrination then use that term.
           | Brainwashing is the idea that it's possible for a specific
           | agent to forcefully gain significant control over someone's
           | mind.
           | 
           | Indoctrination is not forced on a person by a specific agent
           | but rather is the result of passive exposure over long
           | periods of time. As a social species we are all indoctrinated
           | to some degree by our culture, our parents, friends,
           | profession etc... but that is not the same as a specific
           | person having significant control over our beliefs or
           | actions.
        
             | MikePlacid wrote:
             | > Indoctrination is not forced on a person by a specific
             | agent but rather is the result of passive exposure over
             | long periods of time.
             | 
             | I do not think that indoctrination is being done by passive
             | exposure only. This 1970 book:
             | https://www.amazon.com/Canvassing-Peace-manual-volunteers-
             | pa... (and yes, this is _the_ Zimbardo of Stanford
             | experiment) describes the tactic that was successful in
             | starting the piece movement. The first step Zimbardo
             | recommends when going from home to home - is to ask to sign
             | some document that almost nobody will refuse to sign. Not
             | "Stop the war now", but more like "Investigate reports of
             | war crimes". Who will refuse to sign under such a noble
             | request? What? Do you support war crimes?? A lot of
             | signatures was collected.
             | 
             | But there was no need to send these collective signatures
             | anywhere. Zimbardo states (as a scientific fact, lol) that
             | after a person signed something in support of some (anti-
             | war in this case) position - the person's _perception
             | changes_. He will become a little bit more receptive to
             | anti-war arguments than to pro-war ones. (Other purpose of
             | this first canvassing was to find people who _already_ are
             | passionate about your cause and sign them on as
             | volunteers).
             | 
             | As I can see this tactic - not passive indoctrination, but
             | active involvement via small first steps - is used rather
             | widely on our planet these days. The most cynical variant
             | is "give some little money to our noble cause!" - those
             | being indoctrinated are financing the indoctrination
             | campaign themselves. That is, if Zimbardo is right.
        
       | stewbrew wrote:
       | How about "subconscious"? It's interesting to see how some
       | statements are based on wrong translations and misunderstanding.
        
         | runarberg wrote:
         | Can you elaborate, I always assumed subconscious to mean
         | something like blindsight, that is blind individuals that have
         | functioning eyes (i.e. their blindness is caused by brain
         | damage in the visual processing organs), are able to evade an
         | object being thrown at them despite never being able to
         | consciously see it. That is the stimuli of an approaching
         | object is indeed subconscious.
         | 
         | However maybe that is an outdated term, and a better one
         | exists. It has been a minute since I read up on the literature.
        
           | stewbrew wrote:
           | There is a more or less fine line between unconscious and
           | subconscious (its slightly hysterical cousin). The term might
           | be somewhat outdated but it's still in use and also cognitive
           | scientists make respective assertions - even though they
           | might call it differently when talking about human
           | consciousness.
        
       | testfoobar wrote:
       | This is a hilariously passive aggressive attempt at gate keeping.
       | Considering that nearly every term on this list has a range of
       | uses: from the very precise with an attending list of up to date
       | peer reviewed exceptions and footnotes to the the obviously
       | false, manipulative, and reckless. In an attempt to reduce
       | incidents of the latter, they are asking that everyone move to
       | the former: "list of 50 commonly used terms in psychology,
       | psychiatry, and allied fields that should be avoided, or at most
       | used sparingly and with explicit caveats."
       | 
       | Perhaps if this field of study did not suffer from a replication
       | crisis, the language in use might have more meaning.
        
       | excitom wrote:
       | Whelp, that's about all of them.
        
       | eimrine wrote:
       | Isn't Psychology another term to avoid if we are havind a
       | Neurophysiplogy term?
        
         | weego wrote:
         | Yes.
         | 
         | The DSM 5 provides Antisocial personality disorder (ASPD, not
         | to he confused as ASD which is autism). It's more commonly
         | referred to as Sociopathy. Psychopathy is not an 'official'
         | condition
        
       | [deleted]
        
       | raxxorraxor wrote:
       | Looks like Psychologists came up with something as complicated as
       | the human mind. I found this very strange:
       | 
       | Symptom: (under Oxymorons) (41) Observable symptom. This term,
       | which appears in nearly 700 manuscripts according to Google
       | Scholar, conflates signs with symptoms. Signs are observable
       | features of a disorder; symptoms are unobservable features of a
       | disorder that can only be reported by patients (Lilienfeld et
       | al., 2013; Kraft and Keeley, 2015). Symptoms are by definition
       | unobservable.
       | 
       | I am surprised that English medicine seems to differentiate
       | observability here since I never heard it expressed in that way.
       | Seems to make sense to differentiate though, psychologists
       | probably know best why this data maybe needs a different
       | evaluation.
        
         | tantalor wrote:
         | This has nothing to do with psychology. It's standard
         | terminology used in medicine.
         | 
         | > Symptoms cannot be seen and do not show up on medical tests.
         | Some examples of symptoms are headache, fatigue, nausea, and
         | pain.
         | 
         | https://www.cancer.gov/publications/dictionaries/cancer-term...
        
           | adrian_b wrote:
           | It is a standard terminology that is recent and only in
           | English.
           | 
           | It has nothing to do with the original meanings of the words
           | "symptom" and "sign" in English and other languages (where
           | "symptom" is any sign of a disease, while "sign" is any sign
           | of anything).
           | 
           | The standard medical terminology in other languages is
           | "subjective symptoms" and "objective symptoms".
           | 
           | In my opinion, whoever has chosen these artificial and
           | arbitrary meanings for the words "symptom" and "sign", both
           | words being widespread in many European languages, where they
           | are used with their old meanings, has made a very bad choice.
           | Someone who wants new words should invent them, not change
           | the traditional meanings of other words.
           | 
           | I wonder if this "sign" and "symptom" terminology is common
           | for British English and American English, or it is used only
           | in American English.
        
             | matheusmoreira wrote:
             | > only in English
             | 
             | > The standard medical terminology in other languages is
             | "subjective symptoms" and "objective symptoms".
             | 
             | Brazilian here. We use the term _sinais e sintomas_ ,
             | meaning signs and symptoms. Doctors learn these signs in
             | medical semiology classes and through practice in
             | hospitals.
        
             | denton-scratch wrote:
             | I don't think many ordinary British English speakers draw
             | the distinction. And yah, I guess they'd take "sign" to
             | mean any sign of anything. So in vernacular talk, all
             | medical signs AND symptoms get smooshed into "symptoms".
             | 
             | So that's fine. Medical experts can use the technical
             | meanings in expert discourse, and the vernacular meanings
             | in vernacular discourse.
        
             | twic wrote:
             | At least one NHS content editor uses "symptom" to mean
             | objective symptoms [1]:
             | 
             | > Symptoms of coronavirus (COVID-19) in adults can include:
             | 
             | > - a high temperature or shivering (chills) - a high
             | temperature means you feel hot to touch on your chest or
             | back (you do not need to measure your temperature)
             | 
             | As do, slightly implicitly, all four of the UK chief
             | medical officers [2]:
             | 
             | > The individual's households should also self-isolate for
             | 14 days as per the current guidelines and the individual
             | should stay at home for 7 days, or longer if they still
             | have symptoms other than cough or loss of sense of smell.
             | 
             | [1] https://www.nhs.uk/conditions/coronavirus-
             | covid-19/symptoms/...
             | 
             | [2] https://www.gov.uk/government/news/statement-from-the-
             | uk-chi...
        
             | tantalor wrote:
             | Kind of confused by what you mean "in other languages" and
             | then give examples in English. What are these other
             | languages and words?
             | 
             | If you say the meaning of these words are different in
             | other languages, then aren't you translating them
             | incorrectly?
             | 
             | > Someone who wants new words should invent them, not
             | change the traditional meanings of other words.
             | 
             | Language changes over time. The meaning of words can
             | change. Definitions aren't etched into stone.
        
               | Jorengarenar wrote:
               | >What are these other languages and words?
               | 
               | From what I see from quick search word "symptom" as
               | written here is also present in Czech, Danish, German,
               | Norwegian, Polish and Swedish.
               | 
               | Many other languages has variations (e.g. French's
               | "symptome" or Latvian's "simptoms").
        
           | pbhjpbhj wrote:
           | That definition doesn't comport with my experience of
           | British-English usage in UK.
           | 
           | The definition you link is interesting, I'll quote it:
           | 
           | >symptom >(SIMP-tum) >A physical or mental problem that a
           | person experiences that may indicate a disease or condition.
           | Symptoms cannot be seen and do not show up on medical tests.
           | Some examples of symptoms are headache, fatigue, nausea, and
           | pain.
           | 
           | There seems to be an internal inconsistency in defining a
           | symptom as physical if it's not objectively discernible; in
           | what way is it physical? If you know it's a physical aspect
           | of a patient then isn't it objectively observable and and so
           | not a 'symptom' under this narrow definition?
           | 
           | We're going to tie ourselves in knots here for sure.
        
           | raxxorraxor wrote:
           | Yes, I meant it in contrast to other languages and general
           | language usage.
        
             | [deleted]
        
         | denton-scratch wrote:
         | /me not a MD, and from UK, not America.
         | 
         | I have always understood symptoms to be the patient's reported
         | experience; and signs to be observable manifestations of a
         | condition. So yes, a symptom is by definition not observable,
         | and therefore "oxymoron" is correct.
        
         | matheusmoreira wrote:
         | The author is right from a medical perspective. There is a
         | technical difference between observable signs and reported
         | symptoms. Most people conflate both terms and there's nothing
         | wrong with that but people in the field should understand the
         | difference.
        
       | jefc1111 wrote:
       | Anyone have any comments about the term "highly sensitive
       | person"? tia
        
         | skim_milk wrote:
         | No respectable author uses that term so it doesn't deserve a
         | mention. It's on the same pop-psych wavelength as "supernova
         | empath" or "twin flame".
        
         | FollowingTheDao wrote:
         | Your comment made me cry.
        
           | jefc1111 wrote:
           | Shit, sorry.
        
       | lofatdairy wrote:
       | Honestly, I'm a bit disappointed by the level of discourse this
       | post has generated. I'm also an outspoken skeptic of findings in
       | the field of psychology, but the article is quite well formed and
       | well argued. If anything, accepting the nitpicking from a lot of
       | these comments would result in psychology being _less_ rigorous
       | and precise. A lot of psychology's problems comes from how
       | readily available it seems to be to everyday experience. We're
       | only 100 years from Lewis Terman and H. H. Goddard thinking they
       | could measure intelligence by having people circle a face judged
       | to be "more attractive", it's a young science and improving the
       | rigor of how things are expressed is essential to advancement.
       | Not only are a lot of these terms being used incorrectly, hence
       | why this paper was even published, but because they carry a
       | colloquial and historic baggage that don't reflect academic
       | understandings, or even philosophical understandings of the
       | epistemological concept of science. Words have definitions, and
       | if two people don't share the same definition, then communication
       | breaks down, research is misunderstood, and the field is worse
       | off. This is for people operating within the field to consolidate
       | knowledge, I don't know why people insist that lay understandings
       | of language and a field of study need to be reflected in the
       | terms of art.
       | 
       | To put it in terms that engineers are more likely to appreciate,
       | a lot of these terms would be like "man-hours". Man-hours is
       | obviously a useless term because it 1) implies that increasing
       | workers scales production linearly, 2) implies each individual
       | produces at the same rate, 3) inherits from a factory mode of
       | production that engineers typically don't believe fits their
       | situation, and 4) generally results in poor estimations of cost
       | and delivery times. Obviously if you're trying to be productive
       | as an engineer, your managers only using man-hours as a term
       | invites ambiguity and worse working conditions. Same goes for
       | things like the lay understanding of attention vs its specific
       | meaning as an implementation template within deep learning, or
       | even AI more broadly vs specific neural network techniques.
        
         | ttpphd wrote:
         | I feel the same way and I think your comment hits it right on
         | the head. We should always be curious about how our language
         | misleads us.
        
       | irrational wrote:
       | It's strange that they don't offer "recommendations for
       | preferable terms" for every term. Or, at least example sentences
       | with the terms to avoid removed and replaced with more
       | appropriate language. Clearly these terms are being used because
       | authors find them useful. Without guidance on how to replace
       | them, authors will probably keep using them.
        
         | enneff wrote:
         | A lot of the terms on this list describe things that simply
         | don't exist, so the implicit suggestion is to not make shit up.
         | To, y'know, research what you're writing about rather than just
         | repeat mistruths.
        
       | light_hue_1 wrote:
       | > (19) No difference between groups. ... Authors are instead
       | advised to write "no significant difference between groups" or
       | "no significant correlation between variables."
       | 
       | This is terrible advice. To the public, and often even to
       | experts, "significant" doesn't mean "statistically significant"
       | it means "big". We need to abolish this use of "significant" not
       | promote it. Way too many papers show "significant" (statistically
       | significant) results that are not significant (so minor as to be
       | irrelevant). This is the #1 source of misleading headlines.
        
         | dredmorbius wrote:
         | There's been strong pushback against the term "statistical
         | significance", though I don't seem to find a widely-accepted
         | alternative. See e.g.,
         | 
         | "Moving to a World Beyond "p < 0.05"" Ronald L. Wasserstein,
         | Allen L. Schirm, & Nicole A. Lazar. Pages 1-19 | Published
         | online: 20 Mar 2019
         | 
         | https://www.tandfonline.com/doi/full/10.1080/00031305.2019.1...
         | 
         | "Statistically measurable" or "statistically determinable" come
         | to mind though I can't find a cite.
         | 
         | The originally intended ... significance ... of the term was
         | that a difference was _capable of being shown using statistical
         | methods_. Not that its _size_ or _context_ was itself
         | significant in some semantic, practical, or other sense.
        
       | BrainVirus wrote:
       | _> Nevertheless, the attitude-change techniques used by so-called
       | "brainwashers" are no different than standard persuasive methods
       | identified by social psychologists, such as encouraging
       | commitment to goals, manufacturing source credibility, forging an
       | illusion of group consensus, and vivid testimonials_
       | 
       | Ok, let me get this straight. You openly admit that brainwashing
       | techniques are now routinely and knowingly used in "casual"
       | settings, but you want me to stop using the term, _because_ it 's
       | so routine and because it never was never long-term effective.
       | Faulty reasoning at best, manipulative bullshit at worst.
        
         | raxxorraxor wrote:
         | I think in most cases the argument of precision is warranted,
         | but this might indeed be a bit much. Especially since
         | psychology and clinical psychology needs accountability and the
         | author used the weakest meaning of brain washing, a term quite
         | precise for the worst deeds of the profession.
        
         | chairhairair wrote:
         | In my experience if someone uses the term "brainwashing" they
         | are not trying to have a real conversation, they are trying to
         | avoid any nuanced conversation actually.
        
       | ndr wrote:
       | > (27) The scientific method. Many science textbooks, including
       | those in psychology, present science as a monolithic "method."
       | [...] Contrary to what most scientists themselves appear to
       | believe, science is not a method; it is an approach to knowledge
       | (Stanovich, 2012). Specifically, it is an approach that strives
       | to better approximate the state of nature by reducing errors in
       | inferences.
       | 
       | Mmmh is this Psychology opting out of the scientific method?
        
         | halpmeh wrote:
        
         | dmerks wrote:
         | Probably refers to epistemology, a branch of philosophy related
         | to theories of knowledge
        
         | eckza wrote:
         | What about the rest of this, that you didn't quote, do you take
         | issue with?
        
           | malfist wrote:
           | What about it?
        
         | typon wrote:
         | See absolutely nothing wrong with this quote. The "scientific
         | method" is almost a meaningless term because it means different
         | things to different branches of study - discouraging its use
         | for more accurate terminology makes perfect sense.
        
           | some_random wrote:
           | The trouble is that Psychology as a field has had serious
           | problems with reproducibility since it's inception.
        
         | mcBesse wrote:
         | The article doesn't suggest that at all, as far as I can tell.
         | None of what you quoted indicates that is.
        
         | bt4u wrote:
        
       | [deleted]
        
       | nilslindemann wrote:
       | This was an amazing read.
       | 
       | Bookmarked it to have it available the next time someone talks
       | about 'cults' who 'brainwash' their members.
       | 
       | Have a nice day, dear members of this cult :-)
        
         | marton78 wrote:
         | Please also make them watch this:
         | 
         | https://youtu.be/lp2vGAD-BGw
        
       | kbos87 wrote:
       | This isn't used in medical circles anymore but I'm shocked that
       | it's still acceptable to label something or someone as
       | "hysterical", which I believe implies erratic behavior that ties
       | back to having a uterus.
        
         | Tenoke wrote:
         | Why wouldn't it be? Clearly people don't mean anything sexist
         | by it, given that most don't know about it, and nobody as far
         | as I know is offended. Who do you want to ban the word for?
        
           | [deleted]
        
           | kbos87 wrote:
           | To be clear I think intent matters more than anything else,
           | and I'm not an advocate for "banning" terms or shunning
           | people for unknowingly using a term like this - but the
           | history and what it implies is questionable to the point
           | where it's probably best not to use it personally
        
         | herghost wrote:
         | I've heard 'testerical' used as a synonym. Possibly in a
         | tongue-in-cheek way.
        
         | marton78 wrote:
         | Isn't "person with uterus" the new politically correct way of
         | women? /sarkasm off
        
         | babypuncher wrote:
         | I would wager that 99% of people using the word "hysterical"
         | have no clue about that history.
         | 
         | I'm in my 30s and this is a little fact I just learned today.
        
         | bluescrn wrote:
         | Are there any really good synonyms for 'hysteria' though, to
         | describe a sort of crazed panic around a certain subject?
        
           | kmoser wrote:
           | If only we had a means of searching for such synonyms in an
           | online reference book.
        
             | bluescrn wrote:
             | I had a quick search, but nothing stood out as a
             | particularly great replacement, hence the question
        
               | colinwilyb wrote:
               | Rave, Riot, Hullabaloo
        
         | a1369209993 wrote:
         | To be fair, compaining about that makes about as much sense as
         | compaining about the racist implications of the term "good
         | Samaritan", although I agree that, in retrospect, it's
         | pleasantly surprising that social justice warriors haven't
         | tried to ram though a de facto ban anyway.
        
           | at_a_remove wrote:
           | It's on the list. Don't worry.
        
           | _manifold wrote:
           | If I understand correctly, Samaritans have the same ethnic
           | roots as Jews. The differences were more religious and
           | ideological than racial. So with that in mind, saying the
           | term "good Samaritan" is specifically racist doesn't really
           | hold water. Xenophobic, maybe. The lines kind of blur when
           | you're talking about groups that are divided by some odd
           | combination of ethnicity, religion, and nationality.
           | 
           | Regardless, if you look at the actual context, the Parable of
           | the Good Samaritan is arguably meant as a message _against_
           | racism and preconceived notions about people from other
           | ethnic groups or countries.
        
         | golemiprague wrote:
        
       | mistrial9 wrote:
       | there are three pillars of communication in action at once here,
       | it seems.. one is the accepted technical language of the trained,
       | credentialed specialist; second is the common language used daily
       | to navigate our personal lives; third might be the language used
       | in public discourse, in the media, and in a classroom to non-
       | specialists..
       | 
       | The high-effort piece of writing adds citation-based examples of
       | semi-specialist wording.. like someone that is a credentialed
       | school counselor, but is not in the health professions per-se.
       | Well guess what, you now have religious schools and also splinter
       | educational environments to deal with as your audience.. good
       | luck with that, Science is not going to settle cultural
       | commitments in all cases. nor should it, I will argue.
       | 
       | Psychology has always been seen as a pseudo-science in some
       | corners, unlike hard sciences backed by math. This well-
       | intentioned and somewhat urgent writing tries to corral the
       | "three pillars of communication" listed above, and as usual, will
       | only get so far IMHO ..
        
         | photochemsyn wrote:
         | I wouldn't call psychology a 'pseudo-science', more that it's
         | at a level of development comparable to 19th century medicine,
         | when the concept of infectious disease being due to
         | transmittable microbes or viruses was not understood.
         | 
         | Most 'psychological disorders' today are not diagnosed based on
         | specific physical-chemical tests, i.e. one can say with high
         | certainty that a patient has drug-resistant tuberculosis using
         | a PCR test. In contrast, there are no definitive tests for
         | everything from ADHD to schizophrenia to bipolar disorder to
         | depression, although more diagnoses lead to more pharma drug
         | sales...
        
           | JamesianP wrote:
           | Perhaps the pseudoscience label is used too sparingly. When
           | people treat something that is not science as science, that
           | is pseudoscience. Modern society is awash with it, as was
           | 19th century medicine.
           | 
           | I'm not sure how much real science they have in psychology in
           | particular. I'm sure there's some, like I've heard they can
           | use fMRI to analyze the language region of the brain to
           | identify what kind of speech disorder you have. But certainly
           | a lot of publications cross the line.
           | 
           | We can still be fair and say they do help a lot of people
           | with therapy, even if they don't really understand why.
           | Historically craftsmen were ahead of scientists in making
           | working technologies. They weren't necessarily peddling in
           | scams and nonsense, they were just not backed by real
           | science.
        
           | jrm4 wrote:
           | Interesting. This implies that psychology is strongly likely
           | to "get better," like out of it's 19th century phase? I see
           | no reason to believe that?
        
             | P_I_Staker wrote:
             | They're not trying to get better. It's a religion (cult?).
        
             | mcBesse wrote:
             | I doubt psychology will ever change like alchemy into
             | chemistry, but perhaps advancements in our understanding of
             | the mind will take a different form?
        
       | kensai wrote:
       | I am surprised there is no mention of the word "histrionic" which
       | is completely out-of-date and insulting to women.
        
         | FeteCommuniste wrote:
         | How so? "Histrionic" has no relation to "hysterical."
        
           | astrange wrote:
           | If two words aren't related it can still be a problem if
           | people think they are, and language evolution will start
           | treating them as if they are (backformation).
        
         | Veen wrote:
         | 'Histrionic' originates in the Latin 'histrionica,' which
         | refers to actors and acting, supposedly because actors first
         | came from the Greek colony of Histria on the Black Sea. I'm not
         | sure why any of that is insulting to women.
        
           | matheusmoreira wrote:
           | He probably means _hysterical_ , that which is plagued by
           | _hysteria_ , excessive emotion. The word originates from
           | _hystera_ , greek for uterus. No longer in clinical use but
           | certainly in popular usage despite its unfortunate history.
        
       | pipeline_peak wrote:
       | Surprised I didn't see gaslight or projecting mentioned
        
       | Slava_Propanei wrote:
        
       | thinkmcfly wrote:
       | I wonder if we could make some useful generalizations about hn
       | populations by looking at what kind of psych articles they push
       | to the top.
        
       | apienx wrote:
       | "Passive aggressive" is another very often misused term IMHO.
        
         | dredmorbius wrote:
         | That would seem to fall into the pop-psych exclusion mentioned
         | at the start of the article.
        
         | yamazakiwi wrote:
         | Is the misuse because often people use that descriptor for
         | someone who is aware they're expressing negative feelings
         | indirectly?
        
       | ironmagma wrote:
       | A few of these seem like they are somewhere between harmless and
       | inevitable... what's supposed to replace "the scientific method"
       | or "steep learning curve"?
        
         | denton-scratch wrote:
         | Shallow Learning Curve?
        
           | ironmagma wrote:
           | Except everyone currently understands that to mean the
           | opposite of what it means.
        
       | FollowingTheDao wrote:
       | (2) Antidepressant medication.
       | 
       | "Moreover, some authors argue that these medications are
       | considerably less efficacious than commonly claimed, and are
       | beneficial for only severe, but not mild or moderate, depression,
       | rendering the label of "antidepressant" potentially misleading"
       | 
       | Love it!
       | 
       | (7) Chemical imbalance.
       | 
       | Hate it!
       | 
       | Of course there is such a thing as a chemical imbalance. I would
       | say serotonin syndrome is a good example. That is way too much
       | serotonin. And when I am manic, I am sure I have a chemical
       | imbalance (glutamate).
        
       | photochemsyn wrote:
       | Looking at the headline, one might think this is another tedious
       | guide to what (arguably) constitutes politically correct language
       | in modern society (case example: "use 'unhoused' in favor of
       | 'homeless'"), but it's actually a collection of well-researched
       | and documented examples of misuse of technical terms.
       | 
       | For example:
       | 
       | > " _Chemical imbalance_. Thanks in part to the success of
       | direct-to-consumer marketing campaigns by drug companies, the
       | notion that major depression and allied disorders are caused by a
       | 'chemical imbalance' of neurotransmitters, such as serotonin and
       | norepinephrine, has become a virtual truism in the eyes of the
       | public... There is no known 'optimal' level of neurotransmitters
       | in the brain, so it is unclear what would constitute an
       | 'imbalance.' Nor is there evidence for an optimal ratio among
       | different neurotransmitter levels."
       | 
       | They also discourage the use of the term 'brainwashing'
       | (introduced in the 1950s during the Korean War by the US
       | government), although I'd argue that 'operant conditioning' is an
       | acceptable and well-researched concept, particularly when it is
       | applied steadily from a young age through to adulthood:
       | 
       | https://www.thoughtco.com/operant-conditioning-definition-ex...
        
         | lvass wrote:
         | Agreed. I despise political correctness yet appreciate this
         | list, using precise language is always a good idea. I clicked
         | in ready to see "shell shock" being renamed for the third time
         | in less than a century, but that type of shenanigan is not what
         | this article is about.
        
           | runarberg wrote:
           | > I clicked in ready to see "shell shock" being renamed for
           | the third time in less than a century
           | 
           | It's interesting you'd say that because I always understood
           | the term _Shell Shock_ to have been abandoned in favor of a
           | more accurate and descriptive term. So I think if it was
           | still in use by psychologists today (for some reason), I
           | would have expected to see that on this list, and see the
           | authors argue for the far more accurate term _Post Traumatic
           | Stress Disorder_.
           | 
           | As a case in point, this list does include _Multiple
           | personality disorder_ and argues we should instead use the
           | more accurate term _dissociative identity disorder_.
        
           | csours wrote:
           | "Shell Shock" of course being the feeling when you discover
           | that you are not using bash 4+
           | 
           | === End joke section ===
           | 
           | Shell shock has a genuinely complex and interesting history.
           | It has described different conditions, had different
           | connotations and value judgements, and had different supposed
           | causes over time.
           | 
           | As I understand it, shell shock has at least two very real
           | components: Traumatic brain injury and Post traumatic stress
           | disorder - they are often found together, and they act
           | together to make things much worse than either by themselves.
           | Mainstream understanding of the harm of repeated mild
           | traumatic brain injury is very recent, relatively speaking.
        
         | LordDragonfang wrote:
         | Some of these are practically tautological in their reasoning
         | for why the terms are "misused", though.
         | 
         | For example, they criticize calling drugs "antidepressants"
         | solely because it's not their "primary effect". But the term is
         | used to describe drugs which _do_ treat  "mood disorders"
         | (depression), and _do_ have effects in many cases. I don 't see
         | how that's any different from how the term "anxiolytic" is
         | used, even though that's one of the examples they contrasted it
         | with.
         | 
         | Likewise, the section on "hypnotic trance" talks about how
         | hypnosis doesn't induce a sufficiently different brain state to
         | warrant the term, but the term was _coined_ to describe the
         | state the hypnosis induces, which _is_ subjectively distinct
         | from normal waking consciousness. And from what I 've heard
         | from those who've experienced it, it's characterized by a
         | reduced awareness of the self, which is the defining feature of
         | a trance, if the term can even be said to have any definition
         | outside its uses to describe hypnosis.
        
           | csours wrote:
           | How would I find the modern, generally accepted understanding
           | of hypnosis?
        
         | bubblesort wrote:
         | I agree. I'm going to refer back to this article when debunking
         | pseudo-scientific BS from now on.
        
         | [deleted]
        
         | lupire wrote:
         | I don't see the difference. Both "Politically Correct" and
         | "Psychiatrically Correct" are addressing the same concern of
         | misconceptions due to inaccurate or misleading language.
         | 
         | You can be houseless but not homeless, and still need help with
         | your housing.
        
           | MichaelCollins wrote:
           | Huh? If you live in a condo, you have no house but you are
           | not homeless. A house is only one kind of shelter that can be
           | a home, of many.
        
             | Cthulhu_ wrote:
             | It could also refer to the difference between living in
             | someone's spare room, couch surfing, or living in a camper
             | van vs having a home (rented or bought).
        
               | MichaelCollins wrote:
               | > living in someone's spare room
               | 
               | Children living with their parents don't own houses, but
               | they aren't homeless either. Or adults for that matter.
               | For a few years in college I lived in a spare room in my
               | grandparent's house. I had no house of my own, but I
               | certainly felt welcome and wasn't homeless by any means.
        
               | rad88 wrote:
               | There is no meaning of "housed" that implies "owns a
               | house".
        
           | raxxorraxor wrote:
           | No, political correct is most often the opposite. It tries to
           | obfuscate. Certainly not gain precision.
        
             | LAC-Tech wrote:
             | You're looking at it too literally.
             | 
             | Enforcing others to change their language is mostly about
             | power. Any feel good explanations of why it needs to change
             | is justification for executing that power.
        
           | feet wrote:
           | It sounds like there are some misconceptions about "political
           | correctness"
        
           | AnonCoward42 wrote:
           | Unhoused vs homeless looks like a good example of a euphemism
           | treatmill (in progress). Their state is not being altered by
           | the "finer" wording instead it sounds pretentious and
           | condescending.
           | 
           | There are a lot of these political correct terms that are
           | being used more cynically by now, however I'd prefer to not
           | open that can of worms.
        
             | MichaelCollins wrote:
             | Good example of this from the article: _" alcohol use
             | disorder (formerly called alcoholism)"_
        
               | mattficke wrote:
               | That's just a straightforward description of changes in
               | the DSM. "Alcoholism" was split into "alcohol abuse" and
               | "alcohol dependence" back in the 80's, but in the
               | intervening years the consensus view settled on treating
               | these as separate symptoms of a single disorder. This is
               | reflected in the DSM-5, which uses the term "alcohol use
               | disorder". The purpose of the linked article is to ensure
               | practitioners are using consistent terms when
               | communicating in a professional context.
               | 
               | Further context:
               | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2701140/
        
               | altruios wrote:
               | pedantically, I find alcohol use disorder more accurate
               | to my internal definition of condition and disease.
               | 
               | What we call things matter: as even slight changes in
               | wording affect how people perceive things - so great care
               | should be use when deciding what vernacular we should
               | adopt generally.
        
               | [deleted]
        
               | hirvi74 wrote:
               | In my mind, an alcoholic is someone that has a dependency
               | on alcohol, but not all people with AUD have a dependency
               | on alcohol. For example, I think binge-drinking
               | consistently (college students on weekends, for example)
               | can be considered to have a mild AUD, but that person is
               | not necessarily an "alcoholic" -- at least not what the
               | average person considers to be an an alcoholic.
               | 
               | (If anyone knows more, feel free to correct me)
        
           | ltbarcly3 wrote:
           | This is not the case. Often the "politically correct" version
           | is not actually more correct, but is replacing some common
           | phrase that is declared obnoxious by some very small
           | unrepresentative minority of people who coincidentally make
           | their living as activists.
           | 
           | Yes you can be houseless but not homeless, but you can also
           | be homeless and not houseless. It's an utterly stupid
           | distinction predicated on an intentionally incorrect, close,
           | and literal minded reading of the term, done for political
           | reasons.
        
             | cnity wrote:
             | You're downvoted by not far off to be honest. See also: the
             | Euphemism Treadmill[0]
             | 
             | https://en.wikipedia.org/wiki/Euphemism#Lifespan
        
             | mc32 wrote:
             | Some iconic precursors to PC speech was the redefinition of
             | role titles. Janitor which everyone was familiar with would
             | be replaced with "sanitation engineer" or something similar
             | which conveyed less what the person did do.
        
               | Gordonjcp wrote:
               | Right, but that's a fictional example. No-one has
               | actually unironically called a janitor a "sanitation
               | engineer".
        
               | mc32 wrote:
               | Not so fast:
               | 
               | Brand Evangelist (Marketing)
               | 
               | Outplacement consultant (someone who comes in to fire
               | people)
               | 
               | Flueologist (Chimneysweep)
               | 
               | Loss prevention officer (Security guard)
               | 
               | Waste removal engineer (trashman/trashwoman)
               | 
               | https://www.businessinsider.com/recruiting-firm-shares-
               | the-5...
        
               | Lio wrote:
               | I think it's worse than that because it actually devalues
               | the role of engineer, and the role of janitor by
               | presenting it as something it's not.
               | 
               | A sanitation engineer sounds like someone that knows how
               | to safely build sewers or run a sewage processing plant.
               | i.e. something you'd have a formal education and be
               | accredited for.
               | 
               | With respect for honest hardworking janitors everywhere,
               | that's not the same thing as minor plumbing or ensuring
               | that places are properly cleaned. Neither task is
               | engineering.
               | 
               | -
               | 
               |  _"I understand that you're a neurosurgeon."_
               | 
               |  _(Bert grins.) "...No; I'm a barber. But a lot of people
               | make that mistake."_
        
               | Cthulhu_ wrote:
               | It kinda sounds like classism or wage related; "janitor"
               | or "cleaner" sounds common, a "sanitation engineer" or
               | "chief housekeeping manager" sounds like they would earn
               | more.
        
               | mc32 wrote:
               | Would I prefer to be a Janitor earning $20/hr or would I
               | prefer being a sanitation engineer earning $15/hr. Sounds
               | like I'm trading title for less money. There is probably
               | some relationship with the now passe "rock star" "ninja".
        
             | Karawebnetwork wrote:
             | "first, do no harm" includes psychological safety.
             | 
             | To use a bold example, there's a difference between telling
             | your client they are "overweight" and telling them they are
             | a "fat ass".
        
               | raxxorraxor wrote:
               | Psychological safety is utterly subjective. There cannot
               | be a general ruleset. Although of course most doctors
               | will not call you a fat ass. Maybe if he knows you more
               | closely...
        
               | kergonath wrote:
               | I think I agree with the sentiment, but being overweight
               | is a characteristic of someone's body. A fat arse is a
               | part of a body. You can be overweight without a fat arse
               | and vice versa, those are not identical.
               | 
               | I would naively think that "fat arse" is vulgar or
               | insulting enough (or at the very least way too informal)
               | not to use it with someone you're not familiar with. This
               | has nothing to do with political correctness.
               | 
               | You can ruin some people's day by calling them ginger. I
               | would expect a psychologist to be sensitive to this sort
               | of things (do no harm, indeed), but that's not a good
               | reason to make everyone stop using that word.
        
               | arise wrote:
               | Sometimes the brutal truth is the best anecdote. Does it
               | hurt? Yes, but so do needles and countless other medical
               | procedures. Pain != harm.
        
         | waprin wrote:
         | I had the same reaction.
         | 
         | The phrase "chemical imbalance" can't die soon enough. I've met
         | some very smart people who were misled into thinking there's
         | much more scientific evidence than exists that there's some
         | innate brain chemistry that's linked to mental illness. In
         | general, people overestimate how much of psychiatry is first-
         | principles instead of black box statistical conjecture. The
         | first huge hint that there's no simplistic chemical imbalance
         | explanation is they don't measure any brain chemicals when they
         | do psychiatric diagnosis.
         | 
         | Furthermore, when people discuss "chemical imbalance" they're
         | almost always talking about something innate and unchanging
         | e.g. I'm depressed because of a chemical imbalance, not my
         | lifestyle. When there's actually a ton of evidence that to the
         | extent there's chemistry in your brain, your lifestyle and
         | things like your food diet and information diet play a massive
         | role.
         | 
         | I will recommend this guy in way too many comments here but if
         | you haven't heard of Andrew Huberman, please listen to his
         | podcast, it's been life-changing. He gives tons of lifestyle
         | tips and backs up all his arguments with his decades of
         | experience in neuroscience.
        
           | hirvi74 wrote:
           | > they don't measure any brain chemicals when they do
           | psychiatric diagnosis
           | 
           | They do not measure _anything_ in my experience.
           | 
           | They just take an educated guess at what will fix your issues
           | based on heuristics, and then just wait to see if you
           | love/hate whatever they gave you. If what they give you did
           | not work, then on to the next option until something works or
           | all options are exhausted (which they usually just send you
           | off to a different professional).
           | 
           | As I grow older, I am more convinced that psychiatry is more
           | of an art than a science.
           | 
           | Tangential: I used to listen to Huberman, but over time I
           | started to dislike his podcast more and more. I think he is a
           | phenominal researcher, and I think his intentions with his
           | podcast are good, but it seems like he just reads off various
           | cherry-picked studies without actually linking them (that I
           | could find) and without any mention of important details in
           | the studies e.g. sample sizes, methodology flaws,
           | implicit/explicit biases, etc..
           | 
           | He claimed 14% of pregnant mothers use cannabis in the US,
           | but from what I have read of others' ventures into this
           | claim, no one can find any information to support this claim.
           | 
           | I also remember his episode on ADHD, and how effective fish
           | oil can be for treating some of the symptoms in ADHD.
           | However, in my own reading of various research articles, I
           | have found that there is quite a lot conflicting information
           | pertaining to the purported benefits of fish oil (in regards
           | to ADHD). But of course, he did not mention anything about
           | the research that did not fit the supplement narrative... But
           | don't forget to use the code "HubermanLabs" for a discount on
           | your purchase of Athletic Greens though.
        
       | strogonoff wrote:
       | It is good to see awareness being raised of accidental
       | philosophical positions, sometimes unwittingly assumed through
       | word choice.
       | 
       | For example, I was starting to doubt whether anyone realizes that
       | they make a leap whenever they imply physiology/biology is the
       | cause of what happens in our consciousness (or indeed causes
       | consciousness to happen), but entry 29 reassured me not all hope
       | is lost (emphasis mine):
       | 
       | > Nevertheless, conceptualizing biological functioning as
       | inherently more "fundamental" than (that is, causally prior to)
       | psychological functioning, such as cognitive and emotional
       | functioning, is misleading (Miller, 1996). The relation between
       | biological variables and other variables is virtually always
       | bidirectional. For example, although the magnitude of the P300
       | event-related potential tends to be diminished among individuals
       | with antisocial personality disorder (ASPD) compared with other
       | individuals (Costa et al., 2000), this finding does not
       | necessarily mean that the P300 deficit precedes, let alone plays
       | a causal role in, ASPD. _It is at least equally plausible_ that
       | the personality dispositions associated with ASPD, such as
       | inattention, low motivation, and poor impulse control, contribute
       | to smaller P300 magnitudes (Lilienfeld, 2014).
       | 
       | I believe the equal likelihood of such reverse causality and its
       | implications are severely underexplored in modern medicine.
       | 
       | Similarly appreciated the warning against accidentally assuming
       | mind-body dualism (entry 40) and a fundamental point about
       | natural sciences--that there is never definitive proof, only
       | limited to various degrees models (entry 45).
        
         | matheusmoreira wrote:
         | This uncertainty stems from the lack of rigorous proof.
         | Medicine these days is all about statistics and correlation.
         | It's "we gave drug A to people with B and we observed effects C
         | occurring D% of the time". In way too many cases there is no
         | exact model or understanding of how things actually work, just
         | inferences from observed effects.
        
           | wwtrv wrote:
           | That might still be preferable to coming up with theories
           | explaining mechanisms we don't fully understand and then
           | looking for data which might prove it. That might become
           | especially problematic when scientists stake their entire
           | careers on it. We might end up with situations similar the
           | amyloid hypothesis which likely tuned out to be a dead end a
           | huge waste time & resources.
        
             | matheusmoreira wrote:
             | > coming up with theories explaining mechanisms we don't
             | fully understand and then looking for data which might
             | prove it
             | 
             | Also known as the scientific method.
        
       | lisper wrote:
       | Another term to avoid IMHO: "jingle jangle fallacy". It's catchy,
       | but both the word "jingle" and the word "jangle" have established
       | meanings in English neither of which has anything to do with what
       | is being referred to here. To say nothing of the fact that the
       | "jingle jangle fallacy" is not a fallacy, it's just bad choice of
       | terminology.
       | 
       | Much better words than "jingle jangle fallacy" are "ambiguous"
       | (for one word that has multiple meanings) and "redundant" (for
       | multiple words that have the same meaning) terminology.
       | 
       | (I find it supremely ironic that this needs to be pointed out in
       | an article whose central thesis is that wise choice of
       | terminology is important.)
        
         | scubbo wrote:
         | This is the first time I've heard of the word "jangle" existing
         | independently of the onomatopoeiac phrase "jingle jangle"! That
         | said, I definitely agree that this is an ironically-poor choice
         | of name due the lack of relation between the name and the
         | referent.
        
         | runarberg wrote:
         | The authors seem to use the term them selfs in this very
         | article, they apparently don't see it as a problem.
         | 
         | > Psychology has long struggled with problems of terminology
         | (Stanovich, 2012). For example, numerous scholars have warned
         | of the jingle and jangle fallacies, the former being the error
         | of referring to different constructs by the same name and the
         | latter the error of referring to the same construct by
         | different names (Kelley, 1927; Block, 1995; Markon, 2009).
        
       | yafbum wrote:
       | Comes across as unnecessary judgemental. Opportunity here: figure
       | out how to be helpful rather than sanctimonious. Talk about what
       | to use instead, rather than just about what to avoid.
        
       | NickM wrote:
       | Glad to see "chemical imbalance" make the list. It is very common
       | to see people use terms like "dopamine hit", "endorphin rush",
       | "low serotonin", etc. in ways that don't make scientific sense.
       | 
       | I assume people do it to sound knowledgeable or to make it sound
       | like their ideas are backed by science, but neurotransmitters are
       | vastly more complicated and subtle in their effects than is
       | implied by these kinds of usages, and emotions and behaviors are
       | tremendously more complex than the "my neurotransmitters made me
       | do it/feel it" narrative would suggest.
        
         | quickthrower2 wrote:
         | At the same time we have a need to make sense of things. And
         | having a rough relatable framework can be part of the therapy.
         | I can also see why it might be dangerous "e.g. dopamine hit
         | good, what foods/drugs will give me that"
        
           | avgcorrection wrote:
           | What becomes clearer by labeling things with
           | neurotransmitters? Did you just not _know_ your own habitual
           | motivations? In that case some technical jargon won't make
           | you wiser or smarter.
        
         | matheusmoreira wrote:
         | I don't see anything wrong with the term "dopamine hit". It's
         | the main neurotransmitter involved in the brain's reward
         | system. Rewarding stimulus is exactly what is meant by popular
         | use of the term.
         | 
         | I really don't understand attempts to problematize the use of
         | this term. Sure, there are other neurotransmitters involved and
         | dopamine is also present in other systems and even in the rest
         | of the body. Nobody denies that.
        
           | enduser wrote:
           | Despite what we have been taught--and what is still commonly
           | stated--dopamine is what _motivates_ behavior (motivational
           | salience), not what makes us feel good after the behavior.
           | Plenty of citations on Wikipedia if you want to dig.
        
           | runarberg wrote:
           | > The goal of this article is to promote clear thinking and
           | clear writing among students and teachers of psychological
           | science by curbing terminological misinformation and
           | confusion.
           | 
           | > We also do not address problematic terms that are
           | restricted primarily to popular ("pop") psychology, such as
           | "codependency," "dysfunctional," "toxic," "inner child," and
           | "boundaries," as our principal focus is on questionable
           | terminology in the academic literature. Nevertheless, we
           | touch on a handful of pop psychology terms (e.g., closure,
           | splitting) that have migrated into at least some academic
           | domains.
           | 
           | I'm not aware that "dopamine hit" has migrated into some
           | academic domains as it is kind of a slang among laypeople
           | with the meaning of indulging in an activity they like. So I
           | think "dopamine hit" specifically is out of scope for this
           | article. "Chemical imbalance" on the other hand is a
           | problematic term that has been used historically to promote
           | inaccurate--and thoroughly disproved--models of mental
           | illness. I guess the term is--somewhat worryingly--still
           | being used among academics in the literature, and that's why
           | it was granted a place on this list.
        
           | colechristensen wrote:
           | The problem is the dumbing down of complex mechanisms into
           | sound bites. Both dopamine and rewards systems are a lot more
           | complicated than they're presented and not very well
           | understood. But you can buy self-help/popsci books that give
           | you very incorrect simplistic pictures of how these things
           | work.
           | 
           | Maybe the term "dopamine hit" is fine when it's just that,
           | but people base their whole understanding of their brain
           | based on dopamine does this, seratonin does that, etc.
        
             | matheusmoreira wrote:
             | Yes, I agree that it's dumbed down but not everything has
             | to be a scientifically accurate discussion. I think it's a
             | useful term to easily communicate complex concepts.
             | Dopamine hit for any pleasurable addicting stimulus.
             | Dopamine dripfeed for social media's endless stream of
             | tailored content. The word dopamine is in there to
             | associate the idea with addictive drugs and the way they
             | take over the brain's reward center.
        
         | [deleted]
        
         | avgcorrection wrote:
         | Using inappropriately technical jargon (especially "dopamine")
         | is one of my pet peeves (which I just get more of the older I
         | get).
         | 
         | Why, say, describe fond feelings or affection as "oxytocin"? Do
         | you _know_ anything about this neurotransmitter? Or are you
         | just using it as a fancy synonym for love and affection? Is the
         | vernacular English language--but I guess pop-neurotransmitters
         | are vernacular now--too impoverished to talk about love and
         | affection?
         | 
         | Same thing goes for "dopamine". Did reading a factually wrong
         | comment make you angry, or did you get a "dopamine hit" that
         | motivated you to reply to it? Were you validated by the
         | upvotes, or did you get a "dopamine hit"? Why describe
         | pleasure, anger, comfort, etc. etc. as just "dopamine"?
         | 
         | It seems to me that fetishizing things by pinning pleasure on
         | something ostensibly tangible like _dopamine_ is just too
         | irresistible. Now we can pretend that we actually know
         | ourselves in the ancient Greek self by talking about our
         | indulgent and sinful behavior as just "dopamine".
         | 
         | For similar reasons I don't like when people in meditation
         | circles obsess over "the ego". Every little mind-wandering and
         | slip-up becomes the fault of the fetish that is "the ego".
         | 
         | Edit: Of course this is how laypeople relate to
         | neurotransmitters while the submission is about psychologists.
         | So this is a side-topic.
        
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