Using certain types
of language when talking to addicts can both aid and hinder recovery. Learn how
to help an addict with these language tips.
Addiction has such a long history, and has
affected every group of persons, that there is an abundance of language to talk
about it. Portrayals and discussions of substance abuse and other
addictions have spread far into mainstream culture, and are not simply the
purview of those affected by addiction. It is little wonder that most people,
whether or not they have been acquainted with addiction, have some knowledge of
how to talk about it. The question is what language will best support those
going through the recovery process.
Sometimes, unintentionally, words can actually
get in the way of recovery.
To begin with, the language we use should be
“people-first language.” In the past, language for people who suffer from
addictions has often not reflected that they are individuals. Instead, it has
referred to people based on their group membership. For example, “addicts,” or
“alcoholics.” Person-first language is language that recognises that whatever
their condition, people are individuals. Appropriate language from this
perspective includes “persons with addiction” or “a person with an alcohol
addiction.”
In addition to putting people first, language
should reflect the medical nature of addiction. There are many colloquial or
everyday terms that can be used in connection with substance abuse, such as
“junkie,” “habit.” Such terms obscure the medical nature of addiction as a
disease, and in some cases hide the harm that results from addiction.
Therefore, using terms that characterise addiction as a health issue are
preferred. Such language includes terms such as “substance use disorder” and
“alcohol addiction.”
Another consideration for language is that it
should promote recovery. Whether we are aware of it or not, language can subtly
reinforce the notion that recovery is a difficult process. For example, terms
such as “resistant” and “unmotivated” used in relation to people in recovery
treatment classify people in a negative light and can undermine their recovery.
It is preferred to use terms such as “has not begun” or “experiencing
ambivalence to change” which focus on choices those in recovery are making.
Finally, slang and idioms are to be avoided.
When we use these, we often perpetuate negative stereotypes and biases about
addiction.
Several caveats are in order. First, when
communicating with clients, it may be necessary to use language that is most
appropriate and can be understood. So, sometimes a client may use terms that
are not the best choices, and we may consciously use the same terms to
facilitate rapport. Nevertheless, we can model more appropriate terms.
Secondly, language is fluid and changing.
Words that were used in the past are no longer the best choices, and what we
use today may in turn fall out of use. As language itself evolves, it is
important to be aware of how new meanings potentially affect best practice.
In the end, these guidelines are meant to
support people in their recovery, and that purpose should be the primary
consideration, rather than the right-ness or wrong-ness of a particular word.
(These articles are the sole property of “The Cabin Chiang Mai”, they are its original
authors.)
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