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Fifty psychological and psychiatric terms(6)

标题:Fifty psychological and psychiatric terms to avoid: a list of inaccurate, misleading, misused, ambiguous, and logically confused words and phrases

source:journal.frontiersin.org | by Scott O. Lilienfeld, Katheryn C. Sauvigné, Steven Jay Lynn, Robin L. Cautin, Robert D. Latzman and Irwin D. Waldman

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Frequently Misused Terms

(30) Acting out. Numerous articles use this term as a synonym for any kind of externalizing or antisocial behavior, including delinquency (e.g., Weinberger and Gomes, 1995). In fact, the term “acting out” carries a specific psychoanalytic meaning that refers to the behavioral enactment of unconscious drives that are ostensibly forbidden by the superego (Fenichel, 1945). Hence, this term should not be used interchangeably with disruptive behavior of all kinds and attribu to all causes.

(31) Closure. The term “closure” was introduced by Gestalt psychologists (Koffka, 1922) to refer to the tendency to perceive incomplete figures as wholes. This term has since been misappropriated by popular psychologists (Howard, 2011) and social scientists of various stripes (e.g., Skitka et al., 2004) to describe the purported experience of emotional resolution experienced by victims of trauma following an event of symbolic importance. For example, many advocates of the “closure movement” contend that the execution of a murderer assists the loved ones of victims to put an end to their grieving process. Nevertheless, this use of the term “closure” is hopelessly vague, as it is rarely if ever clear when trauma victims have achieved the desired emotional end-state (Radford, 2003; Weinstein, 2011). Nor is there research support for the proposition that many or most victims experience this end-state after events of symbolic significance, such as executions or funerals (Berns, 2011).

(32) Denial. Denial, a psychodynamic defense mechanism popularized by Freud (1937), is an ostensibly unconscious refusal to acknowledge obvious facts of reality, such as the death of a loved one in an automobile accident (Vaillant, 1977). Nevertheless, thanks largely to the popular psychology industry, this term has been widely misappropriated to refer to the tendency of individuals with a psychological condition, such as alcohol use disorder (formerly called alcoholism), to minimize the extent of their pathology (e.g., Wing, 1995).

(33) Fetish. A fetish, formally referred to as “Fetishistic Disorder” in the current version of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5; American Psychiatric Association, 2013, p. 700), is a psychiatric condition marked by persistent, intense, and psychologically impairing sexual arousal derived from inanimate objects (e.g., shoes) or non-genital body parts (e.g., legs). This term, which is technically a paraphilia, should not be used to refer to generic preferences for specific objects, ideas, or people. One writer, for example, described the national fascination of the Japanese with smartphones as a “feature phone fetish” (Smith, 2015).

(34) Splitting. “Splitting” similarly refers to a psychodynamic defense mechanism, ostensibly ubiquitous in BPD, that forces individuals to see people as all good or all bad rather than in shades of gray, warts and all (Muller, 1992). By engaging in splitting, people with BPD and similar conditions are hypothesized to avoid the anxiety of perceiving those they love as the hopelessly flawed creatures that they are. Nevertheless, this term is consistently misused to refer to the propensity of people with BPD to “pit” staff members on a psychiatric unit (or other caregivers) against one another. This disruptive behavior, sometimes termed “staff splitting” (Linehan, 1989), should not be confused with the formal meaning of splitting.

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