Frontiers in Psychology has just published an article on ‘Fifty psychological and psychiatric terms to avoid’. These sorts of “here’s how to talk about” articles are popular but themselves can often be misleading, and the same applies to this one.
The article supposedly contains 50 “inaccurate, misleading, misused, ambiguous, and logically confused words and phrases”.
The first thing to say is that by recommending that people avoid certain words or phrases, the article is violating its own recommendations. That may seem like a trivial point but it isn’t when you’re giving advice about how to use language in scientific discussion.
It’s fine to use even plainly wrong terms to discuss how they’re used, the multiple meanings and misconceptions behind them. In fact, a lot of scientific writing does exactly this. When there are misconceptions that may cloud people’s understanding, it’s best to address them head on rather than avoid them.
Sometimes following the recommendations for ‘phrases to avoid’ would actually hinder this process.
For example, the piece recommends you avoid the term ‘autism epidemic’ as there is no good evidence that there is an actual epidemic. But this is not advice about language, it’s just an empirical point. According to this list, all the research that has used the term, to discuss the actual evidence in contrary to the popular idea, should have avoided the term and presumably referred to it as ‘the concept that shall not be named’.
The article also recommends against using ‘ambiguous’ words but this recommendation would basically kill the English language as many words have multiple meanings – like the word ‘meaning’ for example – but that doesn’t mean you should avoid them.
If you’re a fan of pedantry you may want to go through the article and highlight where the authors have used other ambiguous psychological phrases (starter for 10, “memory”) and post it to some obscure corner of the internet.
Many of the recommendations also rely on you agreeing with the narrow definition and limits of use that the authors premise their argument on. Do you agree that “antidepressant medication” means that the medication has a selective and specific effect on depression and no other conditions – as the authors suggest? Or do you think this just describes a property of the medication? This is exactly how medication description works throughout medicine. Aspirin is an analgesic medication and an anti-inflammatory medication, as well as having other properties. No banning needed here.
And in fact, this sort of naming is just a property of language. If you talk about an ‘off-road vehicle’, and someone pipes up to tell you “actually, off-road vehicles can also go on-road so I recommend you avoid that description” I recommend you ignore them.
The same applies to many of the definitions in this list. The ‘chemical imbalance’ theory of depression is not empirically supported, so don’t claim it is, but feel free to use the phrase if you want to discuss this misconception. Some conditions genuinely do involve a chemical imbalance though – like the accumulation of copper in Wilson’s disease, so you can use the phrase accurately in this case, being aware of how its misused in other contexts. Don’t avoid it, just use it clearly.
With ‘Lie detector test’ no accurate test has ever been devised to detect lies. But you may be writing about research which is trying to develop one or research that has tested the idea. ‘No difference between groups’ is fine if there is genuinely no difference in your measure between the groups (i.e. they both score exactly the same).
Some of the recommendations are essentially based on the premise that you ‘shouldn’t use the term except for how it was first defined or defined where we think is the authoritative source’. This is just daft advice. Terms evolve over time. Definitions shift and change. The article recommends against using ‘Fetish’ except for in its DSM-5 definition, despite the fact this is different to how it’s used commonly and how it’s widely used in other academic literature. ‘Splitting’ is widely used in a form to mean ‘team splitting’ which the article says is ‘wrong’. It isn’t wrong – the term has just evolved.
I think philosophers would be surprised to hear ‘reductionism’ is a term to be avoided – given the massive literature on reductionism. Similarly, sociologists might be a bit baffled by ‘medical model’ being a banned phrase, given the debates over it and, unsurprisingly, its meaning.
Some of the advice is just plain wrong. Don’t use “Prevalence of trait X” says the article because apparently prevalence only applies to things that are either present or absent and “not dimensionally distributed in the population, such as personality traits and intelligence”. Many traits are defined by cut-off scores along dimensionally defined constructs, making them categorical. If you couldn’t talk about the prevalence in this way, we’d be unable to talk about prevalence of intellectual disability (widely defined as involving an IQ of less than 70) or dementia – which is diagnosed by a cut-off score on dimensionally varying neuropsychological test performance.
Some of the recommended terms to avoid are probably best avoided in most contexts (“hard-wired”, “love molecule”) and some are inherently self-contradictory (“Observable symptom”, “Hierarchical stepwise regression”) but again, use them if you want to discuss how they’re used.
I have to say, the piece reminds me of Stephen Pinker’s criticism of ‘language mavens’ who have come up with rules for their particular version of English which they decide others must follow.
To be honest, I think the Frontiers in Psychology article is well-worth reading. It’s a great guide to how some concepts are used in different ways, but it’s not good advice for things to avoid.
The best advice is probably: communicate clearly, bearing in mind that terms and concepts can have multiple meanings and your audience may not be aware of which you want to communicate, so make an effort to clarify where needed.
Link to Frontiers in Psychology article.