smh.com.au
Dementia's Stigmatizing Label: A Call for Alternative Terminology
A speaker at a retirement village prompted a discussion about replacing the stigmatizing term "dementia" with less judgmental medical terms like "major neurocognitive disorder" or the newly proposed "acquired neurocognitive divergency", which mirrors the neurodiversity movement's inclusive language.
- What is the primary argument presented regarding the term "dementia" and its impact on individuals?
- Dementia" is a stigmatizing term for cognitive decline; the medical field now uses "major neurocognitive disorder" and "mild cognitive disorder" instead. This change reflects a shift towards less emotionally charged language, aiming to reduce the stigma associated with cognitive impairment.
- How does the author suggest reframing the understanding of cognitive decline using alternative terminology?
- The author proposes "acquired neurocognitive divergency (high and low levels)", drawing parallels to the neurodiversity movement's acceptance of neurological differences. This suggests reframing cognitive decline as a variation in brain processing, rather than a purely negative condition.
- What are the potential implications of adopting a less stigmatizing terminology for cognitive decline on public perception and societal attitudes towards individuals affected by these conditions?
- Adopting a new terminology like "acquired neurocognitive divergency" could positively impact public perception and reduce the stigma surrounding cognitive decline, similar to how the neurodiversity movement has reshaped discussions about neurological variations. This shift could foster greater empathy and support for individuals experiencing these conditions.
Cognitive Concepts
Framing Bias
The narrative is framed around the negative emotional impact of the term "dementia", highlighting personal anecdotes and the author's emotional response. This framing emphasizes the need for a name change, potentially overshadowing other important aspects of dementia care and research.
Language Bias
The author uses emotionally charged language to describe the negative connotations of "dementia", such as "depressing bunch", "miserable synonyms", and "demeaning". While this effectively conveys the author's point, it also contributes to the negative framing of the term. More neutral language could have been used to describe the search for alternative terminology.
Bias by Omission
The article focuses heavily on the negative connotations of the word "dementia" and the search for a more positive alternative, but it omits discussion of potential drawbacks or unintended consequences of changing the established medical terminology. It doesn't explore the potential confusion this might cause among medical professionals or the public, or the challenges in implementing such a change.
False Dichotomy
The article presents a false dichotomy by framing the choice as solely between the stigmatizing term "dementia" and the proposed alternatives like "acquired neurocognitive divergency". It overlooks the complexities involved in changing established medical terminology and the possibility of other, less disruptive solutions.
Sustainable Development Goals
The article discusses the negative impact of the term "dementia" and suggests alternative, less stigmatizing terminology. This directly relates to SDG 3, Good Health and Well-being, by highlighting the importance of reducing the stigma associated with cognitive decline and promoting mental well-being. Improving the language used around dementia can contribute to better mental health outcomes for those affected and reduce discrimination.