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432 pages, Paperback
First published April 15, 1994
Language that was invented to be simply descriptive—in fact, invented to replace previous value-laden words—develops an evaluative cast and is applied, especially by lay people, in ways that pathologize. Certain topics seem inherently unsettling to human beings, and however carefully we try to talk about them in nonjudgmental language, the words we use to do so attain a pejorative tone over the years.
Today’s “antisocial personality disorder,” as a case in point, was in 1835 termed “moral insanity.” Later it became “psychopathy,” then “sociopathy.” Each change was intended to give a descriptive, noncensorious label to a disturbing phenomenon. Yet the power of that phenomenon to disturb eventually contaminated each word that was invented to keep the concept out of the realm of moralization. Something similar occurred in the successive transformations of “inversion” to “deviation” to “homosexuality” to being “gay” to being “queer,” and yet people who are bothered by same-sex erotics still use the terms “gay” and “queer” to devalue. It will probably happen with the shift from “retarded” to “developmentally challenged.” Any phenomenon that tends to trouble people, for whatever reason, seems to instigate this futile chasing after nonstigmatizing language.
[...] One outcome of this doomed project to sanitize language is that the older a psychological tradition is, the more negative, judgmental, and quaint its terminology sounds. The swift consumption, distortion, and prejudicial application of psychoanalytic terms, within the mental health professions and outside them, have been a bane of the psychodynamic tradition.
McWilliams, Nancy. Psychoanalytic Diagnosis, Second Edition (p. 2). Guilford Publications. Kindle Edition.
My own understanding of dissociation is still developing, and I suspect that much of what I say here will eventually be revised. It is less important to decide which experts to believe than to try to comprehend what patients experience.
McWilliams, Nancy. Psychoanalytic Diagnosis, Second Edition (p. 338). Guilford Publications. Kindle Edition.
As I seem to be constitutionally incapable of taking good advice until I make the mistake that illuminates its wisdom, I disregarded his warning [...]
McWilliams, Nancy. Psychoanalytic Diagnosis, Second Edition (p. 282). Guilford Publications. Kindle Edition.