The Language of Stigma and Addiction
- 516 Downloads
Language can be used intentionally or unintentionally to communicate a message about a person or group of people as being “other” and to perpetuate stigma. Historical examples, such as with HIV or many psychiatric illnesses, show how language has been used to ostracize and also how changing language can help reduce stigma toward people suffering from these diseases. The language used toward people who use drugs or alcohol and people with addiction includes many stigmatizing terms, which have been shown to increase negative attitudes among the public and clinicians. Examples include words like “abuse,” “abuser,” “addict,” and “dirty.” There are also more subtle ways that language can be used to frame issues related to addiction or substance use, which can enhance stigma. Nationally there has been growing awareness around the importance of language and the need to use medically appropriate, person-first terminology. Changing our language is a crucial component of reducing stigma to improve the lives and health of people who use drugs or alcohol and people with addiction.
KeywordsSubstance use disorders Addiction Stigma Language Terminology
- 1.AVERT. Homophobia and HIV. https://www.avert.org/professionals/hiv-social-issues/homophobia. Accessed on 4 Apr 2018.
- 5.Goodnough A. Injecting Drugs can ruin a heart how many second chances should a user get?. The New York Times. 2018. Available online at https://www.nytimes.com/2018/04/29/health/drugs-opioids-addiction-heart-endocarditis.html. Accessed on 7 May 2018.
- 7.Harm Reduction Coalition. Enabling health. http://harmreduction.org/enablinghealth/
- 8.Harper J. Price’s remarks on opioid treatment were unscientific And damaging, Experts Say. 2017. NPR. Available online at https://www.npr.org/sections/health-shots/2017/05/16/528614422/prices-remarks-on-opioid-treatment-were-unscientific-and-damaging-experts-say. Accessed on 7 May 2018.
- 13.Office of National Drug Control Policy (ONDCP). Changing federal terminology regarding substance use and substance use disorders. 2017. Available online at https://www.whitehouse.gov/sites/whitehouse.gov/files/images/Memo%20-%20Changing%20Federal%20Terminology%20Regrading%20Substance%20Use%20and%20Substance%20Use%20Disorders.pdf. Accessed on 7 May 2018.
- 15.Room R, Rehm J, Trotter RT II, Paglia A, Üstün TB. Cross-cultural views on stigma valuation parity and societal attitudes towards disability. In: Üstün TB, Chatterji S, Bickenbach JE, Trotter II RT, Room R, Rehm J, et al., editors. Disability and culture: Universalism and diversity. Seattle: Hofgrebe & Huber; 2001. p. 247–91.Google Scholar
- 20.Szalavitz M. Why we should say someone is a ‘Person With An Addiction,’ Not An Addict. NPR. 2017. https://www.npr.org/sections/health-shots/2017/06/11/531931490/change-from-addict-to-person-with-an-addiction-is-long-overdue. Accessed on 7 May 2018.