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EDITORIAL

Confronting Inadvertent Stigma and Pejorative Language in Addiction Scholarship: A Recognition and Response

, PhD, RN, , MD, MPH, , MPH, , DNS, PMHNP, , MD, MPH, , PhD, , MSW & , MD, MPH show all
Pages 217-221
Accepted author version posted online: 09 Jun 2014
Published online:08 Aug 2014
 

ABSTRACT. Appropriate use of language in the field of addiction is important. Inappropriate use of language can negatively impact the way society perceives substance use and the people who are affected by it. Language frames what the public thinks about substance use and recovery, and it can also affect how individuals think about themselves and their own ability to change. But most importantly, language intentionally and unintentionally propagates stigma: the mark of dishonor, disgrace, and difference that depersonalizes people, depriving them of individual or personal qualities and personal identity. Stigma is harmful, distressing, and marginalizing to the individuals, groups, and populations who bear it. For these reasons, the Editorial Team of Substance Abuse seeks to formally operationalize respect for personhood in our mission, our public relations, and our instructions to authors. We ask authors, reviewers, and readers to carefully and intentionally consider the language used to describe alcohol and other drug use and disorders, the individuals affected by these conditions, and their related behaviors, comorbidities, treatment, and recovery in our publication. Specifically, we make an appeal for the use of language that (1) respects the worth and dignity of all persons (“people-first language”); (2) focuses on the medical nature of substance use disorders and treatment; (3) promotes the recovery process; and (4) avoids perpetuating negative stereotypes and biases through the use of slang and idioms. In this paper, we provide a brief overview of each of the above principles, along with examples, as well as some of the nuances and tensions that inherently arise as we give greater attention to the issue of how we talk and write about substance use and addiction.

ACKNOWLEDGMENTS

The authors would like to thank Audrey Begun, PhD, Ohio State University, College of Social Work, as well as the two anonymous peer reviews, for their critical feedback and suggestions on preliminary versions of the manuscript.

Additional information

Funding

Dr. Broyles is currently supported by a Career Development Award (CDA 10-014) from the Health Services Research & Development service of the US Department of Veterans Affairs. The material is the result of work supported with resources and the use of facilities at the VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania. The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the Department of Veterans Affairs or the United States Government. Marianne Pugatch is funded through a predoctoral training grant awarded to Brandeis University from the National Institute of Alcohol Abuse and Alcoholism (T32 AA007567; Principal Investigator: C. M. Horgan).
 

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