{"id":1594,"date":"2022-02-07T10:20:31","date_gmt":"2022-02-07T18:20:31","guid":{"rendered":"http:\/\/blog.stevenreidbordmd.com\/?p=1594"},"modified":"2022-04-04T20:43:18","modified_gmt":"2022-04-05T03:43:18","slug":"psychiatric-jargon-as-hype","status":"publish","type":"post","link":"http:\/\/blog.stevenreidbordmd.com\/?p=1594","title":{"rendered":"Psych jargon as media hype"},"content":{"rendered":"\n<div class=\"wp-block-image\"><figure class=\"alignleft size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"205\" height=\"275\" src=\"http:\/\/blog.stevenreidbordmd.com\/wp-content\/uploads\/2022\/02\/verena-yunita-yapi-NrtC3y108Ys-unsplash.jpg\" alt=\"\" class=\"wp-image-1596\" srcset=\"http:\/\/blog.stevenreidbordmd.com\/wp-content\/uploads\/2022\/02\/verena-yunita-yapi-NrtC3y108Ys-unsplash.jpg 205w, http:\/\/blog.stevenreidbordmd.com\/wp-content\/uploads\/2022\/02\/verena-yunita-yapi-NrtC3y108Ys-unsplash-112x150.jpg 112w\" sizes=\"auto, (max-width: 205px) 100vw, 205px\" \/><\/figure><\/div>\n\n\n\n<p>To be heard over today\u2019s cacophony of voices, one needs a hook: a meme, a viral photo, a catchy phrase, a juicy zinger, a sound bite.&nbsp; Speakers soon learn that overstimulated, desensitized attention spans require more and more goosing.&nbsp; Some call this the <a href=\"https:\/\/memory.ai\/timely-blog\/the-attention-economy\">attention economy<\/a> feeding our <a href=\"https:\/\/www.psychologytoday.com\/us\/blog\/sacramento-street-psychiatry\/202002\/debunking-dopamine-fasting\">dopamine addiction<\/a>.&nbsp; To others it has a simpler name: hype.<\/p>\n\n\n\n<p>Jessica Bennett presents the problem very cogently in a recent <em>New York Times<\/em> <a href=\"https:\/\/www.nytimes.com\/2022\/02\/04\/opinion\/caleb-love-bombing-gaslighting-trauma.html?smid=url-share\">guest essay<\/a>.&nbsp; She focuses on a particular strategy: hyping all setbacks or frustrations as \u201ctrauma,\u201d and hyping every offense as \u201cabuse\u201d or \u201cgaslighting.\u201d<\/p>\n\n\n\n<p>It\u2019s an excellent essay and certainly worth reading.&nbsp; But the phenomenon goes well beyond Bennett\u2019s many examples of clinical terms that pathologize the actions of others.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Poisoning the well<\/h3>\n\n\n\n<p>Pathologizing the others themselves has an even longer history.&nbsp; For one thing, it led to the 1973 <a href=\"https:\/\/www.psychiatry.org\/newsroom\/goldwater-rule\">Goldwater Rule<\/a>, which (still) forbids members of the American Psychiatric Association from offering psychiatric opinions about public figures.&nbsp; The APA created this rule because in 1964 a provocateur magazine publisher persuaded nearly 1200 American psychiatrists to wield psychiatric concepts as weapons to attack presidential candidate Barry Goldwater.<\/p>\n\n\n\n<p>According to these doctors, Senator Goldwater didn\u2019t merely hold offensive political views.&nbsp; He was \u201cschizophrenic,\u201d a \u201cmegalomaniac,\u201d and plenty of other bad names casually borrowed from the professional literature.&nbsp; Since this flood of pseudoscience reflected more poorly on the psychiatrists than on Goldwater himself \u2014 Goldwater won a defamation lawsuit against the publisher \u2014 the APA established the rule to save its members from further embarrassing themselves and their profession.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">A tool (that seemed) too handy to set aside<\/h3>\n\n\n\n<p>Few challenged this prohibition in the 42 years before Donald Trump\u2019s presidential run.&nbsp; Then it suddenly <a href=\"https:\/\/www.psychologytoday.com\/us\/blog\/sacramento-street-psychiatry\/201702\/diagnosing-donald-trump\">became<\/a> <a href=\"http:\/\/blog.stevenreidbordmd.com\/?p=1545\">important<\/a> among certain mental health professionals not merely to slam Trump\u2019s politics, values, and attitudes, but to declare them the product of a sick mind.<\/p>\n\n\n\n<p>Alleging psychopathology, especially by credentialed experts, often proves a more powerful weapon than simple disagreement.\u00a0 In this case, however, it wasn\u2019t powerful at all.\u00a0 Preaching to the choir about Trump\u2019s mental ills merely invited counter-pathologizing of Trump\u2019s opponents \u2014 clearly not what these authors had in mind.<\/p>\n\n\n\n<p>Of course, amplifying disapproval by adding psych jargon doesn\u2019t require a mental health professional.&nbsp; (Nor is such jargon always, or mainly, critical.&nbsp; Therapy-speak is <a href=\"https:\/\/www.newyorker.com\/culture\/cultural-comment\/the-rise-of-therapy-speakhttps:\/\/www.newyorker.com\/culture\/cultural-comment\/the-rise-of-therapy-speak\">rampant<\/a> for all kinds of reasons.)&nbsp; Historically, evildoers have been \u201cmonsters\u201d \u2014 the word <a href=\"https:\/\/www.etymonline.com\/word\/Monster\">originally meant<\/a> an infant born with birth defects, believe it or not \u2014 or \u201cmadmen.\u201d&nbsp; Now reprehensible people are \u201cnarcissists\u201d or \u201csociopaths,\u201d especially on social media.&nbsp; They \u201cgaslight,\u201d \u201cabuse,\u201d and \u201clove-bomb\u201d the innocent.&nbsp; As Bennett writes, it\u2019s a lot more powerful to call someone an abuser than to admit they hurt your feelings.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Winning by losing<\/h3>\n\n\n\n<p>A few years ago I wrote about \u201c<a href=\"https:\/\/www.psychologytoday.com\/us\/blog\/sacramento-street-psychiatry\/201603\/one-downmanship\">onedownmanship<\/a>\u201d \u2014 oneupmanship in reverse \u2014 as a method to win arguments by positioning oneself as the more victimized party.&nbsp; Just as social media algorithms guide users to more and more extreme content, our victimization \u201crace to the bottom\u201d rewards greater hurt with greater attention and legitimacy.<\/p>\n\n\n\n<p>Saying this risks blaming the victim.&nbsp; Indeed, many commenters assailed my <a href=\"https:\/\/www.psychologytoday.com\/us\/blog\/sacramento-street-psychiatry\/201301\/narcissists-psychopaths-and-other-bad-guys\">post<\/a> where I held that \u201cpsychopath\u201d often serves as a vague epithet of disapproval.&nbsp; They said my view was \u201cgaslighting,\u201d and at least one suggested I might be a psychopath myself.&nbsp; (<em>Psychology Today<\/em> has since removed comments from all posts.)&nbsp; In other words, unhappy commenters employed popular pathologizing terms to discredit me for failing to honor the terms of their victimhood.<\/p>\n\n\n\n<p>I do not mean to blame victims.&nbsp; Nor do I believe rhetorical misuse of psych jargon is premeditated or intentionally manipulative.&nbsp; I\u2019m sure it feels self-justifying.&nbsp; And it simply works as a way to get one\u2019s point across, to be heard above the din.&nbsp; That\u2019s why people use it.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Why not use psych jargon as hype?<\/h3>\n\n\n\n<p>Nonetheless, drawbacks abound.&nbsp; Pathologizing others in public discourse is essentially an <em>ad hominem<\/em> argument, a logical fallacy.&nbsp; Popular terms such as \u201cabuser\u201d (and \u201cracist\u201d and \u201csnowflake\u201d) are personal putdowns, not valid arguments.<\/p>\n\n\n\n<p>Psychiatric labels compound the problem by linking destructive stereotypes to named disorders.&nbsp; Whether Donald Trump is a malignant narcissist matters less than continual cultural reminders that narcissists are dangerous, \u201ctoxic&#8221; people we need to beware and avoid.<\/p>\n\n\n\n<p>Using psych jargon as hype also cheapens these otherwise useful terms (see \u201c<a href=\"https:\/\/muse.jhu.edu\/article\/773952\">trauma creep<\/a>\u201d).&nbsp; If everyone who feels down or disappointed is \u201cdepressed,\u201d how do we describe those who ponder suicide all day and haven\u2019t showered in weeks?&nbsp; If a bad date is \u201ctraumatic,\u201d what term do we use when someone is critically injured in a terrorist attack?<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Don\u2019t hate the player, hate the game<\/h3>\n\n\n\n<p>In a noisy restaurant (remember those?) everyone speaks louder to be heard.&nbsp; Yet this adds to the noise that all must speak over \u2014 a vicious cycle.&nbsp; The cacophony is no one\u2019s fault, but everyone\u2019s doing.&nbsp; Likewise, if it takes psych jargon and similar hype to attract an empathic public, can we blame those who use it?&nbsp; We can\u2019t.&nbsp; The hype is no one\u2019s fault, but everyone\u2019s doing.<\/p>\n\n\n\n<p>Fortunately, both situations eventually self-correct.&nbsp; Diners learn that a noisy restaurant is not a good place for serious conversation.&nbsp; They go elsewhere for earnest talk, and as a side-effect they stop feeding the vicious cycle.&nbsp; In like fashion, eventually we\u2019ll realize that overstated language conveys less information, not more.<\/p>\n\n\n\n<p>Hype, of the psych-speak variety and otherwise, will one day strike us as florid, perhaps foppish, and in any case less compelling.&nbsp; It will self-correct.&nbsp; We can hasten that day by noting when rhetoric is inflated for effect.&nbsp; Is frustration or disappointment really \u201ctrauma?\u201d&nbsp; Is an isolated act of disrespect \u201cabuse?\u201d Does all misbehavior reflect a psychiatric condition?&nbsp; Only if we say so.<\/p>\n\n\n\n<p><em>Photo by&nbsp;<a href=\"https:\/\/unsplash.com\/@verenayunita?utm_source=unsplash&amp;utm_medium=referral&amp;utm_content=creditCopyText\">Verena Yunita Yapi<\/a>&nbsp;on&nbsp;<a href=\"https:\/\/unsplash.com\/s\/photos\/hype?utm_source=unsplash&amp;utm_medium=referral&amp;utm_content=creditCopyText\">Unsplash<\/a><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Hype cuts through the noise to reach a jaded public. It&#8217;s common to use psychological terms, especially related to trauma and abuse. What are the pitfalls? [&#8230;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[4,7],"tags":[84,86,85],"class_list":["post-1594","post","type-post","status-publish","format-standard","hentry","category-current-events","category-psychiatric-diagnosis","tag-language","tag-social-media","tag-trauma","odd"],"aioseo_notices":[],"_links":{"self":[{"href":"http:\/\/blog.stevenreidbordmd.com\/index.php?rest_route=\/wp\/v2\/posts\/1594","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/blog.stevenreidbordmd.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/blog.stevenreidbordmd.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/blog.stevenreidbordmd.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/blog.stevenreidbordmd.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1594"}],"version-history":[{"count":10,"href":"http:\/\/blog.stevenreidbordmd.com\/index.php?rest_route=\/wp\/v2\/posts\/1594\/revisions"}],"predecessor-version":[{"id":1612,"href":"http:\/\/blog.stevenreidbordmd.com\/index.php?rest_route=\/wp\/v2\/posts\/1594\/revisions\/1612"}],"wp:attachment":[{"href":"http:\/\/blog.stevenreidbordmd.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1594"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/blog.stevenreidbordmd.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1594"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/blog.stevenreidbordmd.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1594"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}