{"id":394,"date":"2022-02-18T17:26:46","date_gmt":"2022-02-18T17:26:46","guid":{"rendered":"https:\/\/niaaa.peachpuff-wolverine-566518.hostingersite.com\/?p=394"},"modified":"2022-02-18T17:26:46","modified_gmt":"2022-02-18T17:26:46","slug":"words-matter-when-discussing-alcohol-issues-a-new-stigma-free-vocabulary-for-better-aud-outcomes","status":"publish","type":"post","link":"https:\/\/scienceblog.com\/niaaa\/394\/words-matter-when-discussing-alcohol-issues-a-new-stigma-free-vocabulary-for-better-aud-outcomes\/","title":{"rendered":"Words Matter When Discussing Alcohol Issues: A New Stigma-Free Vocabulary for Better AUD Outcomes"},"content":{"rendered":"<p class=\"intro\">Word choice may seem out of place among the myriad factors that can influence outcomes for a complex condition like alcohol use disorder (AUD). In fact, the stigma created by the language that is used to describe alcohol problems can decrease many people\u2019s willingness to seek help for alcohol problems. It also can affect how people with AUD are treated in all aspects of life.<\/p>\n<p>\u201cStigmas are the negative attitudes toward people that are based on certain distinguishing characteristics,\u201d says National Institute on Alcohol Abuse and Alcoholism (NIAAA) Director George F. Koob, Ph.D. \u201cMore than a decade of research has shown that stigma contributes significantly to negative health outcomes and can pose a barrier to seeking treatment for mental illness or substance use disorders.\u201d<\/p>\n<p>In the United States, nearly 90 percent of people with substance use disorders and 35 percent of people with serious mental illness do not receive treatment. In a recent article published in\u00a0<a id=\"anch_31\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/34276051\/\"><em>Neuropsychopharmacology<\/em><\/a>, National Institute on Drug Abuse Director Nora D. Volkow, M.D.; National Institute of Mental Health Director Joshua Gordon, M.D., Ph.D.; and Dr. Koob discuss how people with a mental illness or substance use disorder who experience stigma may begin to internalize it, leading to lower self-esteem, decreased interest in seeking help, and worsening of their symptoms. The researchers also point to\u00a0<a id=\"anch_32\" href=\"https:\/\/www.cambridge.org\/core\/journals\/advances-in-psychiatric-treatment\/article\/discrimination-against-people-with-mental-illness-what-can-psychiatrists-do\/05104E6003AD84B992DE863CF863583A\">evidence that stigma-related bias among clinicians<\/a>\u00a0can contribute to a treatment-averse mindset and to flawed clinical care, including failure to implement proven methods of treatment. Studies have shown that using scientifically accurate language and terms that centralize the experience of patients with mental illness and substance use disorders is one key component to reducing stigma. Such efforts can improve how people with these conditions are treated in healthcare settings as well as throughout society.<\/p>\n<p>\u201cAlthough more\u00a0<a id=\"anch_33\" href=\"https:\/\/alcoholtreatment.niaaa.nih.gov\/\">evidence-based treatment options for AUD<\/a>\u00a0are available today than ever before, stigma is a factor that prevents some people from reaching out for help and from being treated with dignity,\u201d says Dr. Koob. \u201cUnderstanding that AUD is a medical condition and choosing our words carefully when discussing alcohol-related problems are important steps toward changing the conversation and reducing stigma around AUD.\u201d<\/p>\n<p>Dr. Koob explains that we can help alleviate the stigma associated with alcohol-related conditions by consistently using non-pejorative, non-stigmatizing, person-first language to describe these conditions and the people who are affected by them. Some words that are commonly used in society, such as \u201calcoholic\u201d and \u201calcohol abuse,\u201d can be stigmatizing.<\/p>\n<h2 class=\"article-title\">Some Recommended Language for Reducing Alcohol-Related Stigma<\/h2>\n<p>When discussing alcohol-related issues, use these terms to help reduce stigma:<\/p>\n<ul>\n<li><strong>Alcohol use disorder<\/strong>\u00a0instead of\u00a0<em>alcohol abuse<\/em>,\u00a0<em>alcohol dependence<\/em>, and\u00a0<em>alcoholism<\/em>. In their recent article in\u00a0<em>Neuropsychopharmacology<\/em>, Dr. Koob and his co-authors noted that the term \u201cabuse\u201d remains in the names of National Institutes of Health (NIH) Institutes that study addiction. They added that there is increased interest\u2014both in the scientific community as well as among the affected patient populations\u2014in seeing those names changed to reflect current understandings of addiction as a treatable disorder.<\/li>\n<li><strong>Alcohol misuse<\/strong>\u00a0instead of\u00a0<em>alcohol abuse<\/em>\u00a0when referring broadly to drinking in a manner, situation, amount, or frequency that could cause harm to the person who is engaging in drinking or to those around that person. For some individuals, any alcohol use constitutes alcohol misuse.<\/li>\n<li><strong>Person-first language<\/strong>\u00a0to describe people with alcohol-related problems such as:\n<ul>\n<li><strong>Person with alcohol use disorder<\/strong>\u00a0instead of\u00a0<em>alcoholic<\/em>\u00a0or\u00a0<em>addict<\/em><\/li>\n<li><strong>Person in recovery<\/strong>\u00a0or\u00a0<strong>person in recovery from alcohol use disorder<\/strong>\u00a0instead of\u00a0<em>recovering alcoholic<\/em><\/li>\n<li><strong>Person who misuses alcohol<\/strong>\u00a0or\u00a0<strong>person who engages in alcohol misuse<\/strong>\u00a0instead of\u00a0<em>alcohol abuser<\/em>\u00a0and\u00a0<em>drunk<\/em><\/li>\n<\/ul>\n<\/li>\n<li><strong>Alcohol-associated liver disease<\/strong>\u00a0instead of\u00a0<em>alcoholic liver disease<\/em>. The use of \u201calcoholic\u201d as an adjective may perpetuate stigma for people with alcohol-associated liver disease and other alcohol-related health conditions.<\/li>\n<li><strong>Alcohol-associated hepatitis<\/strong>,\u00a0<strong>alcohol-associated cirrhosis<\/strong>, and\u00a0<strong>alcohol-associated pancreatitis<\/strong>\u00a0instead of\u00a0<em>alcoholic hepatitis<\/em>,\u00a0<em>alcoholic cirrhosis<\/em>, and\u00a0<em>alcoholic pancreatitis<\/em>.<\/li>\n<\/ul>\n<p>To learn more about how the language we choose can help reduce alcohol-related stigma, please visit NIAAA\u2019s\u00a0<a id=\"anch_34\" href=\"https:\/\/www.niaaa.nih.gov\/alcohols-effects-health\/reducing-alcohol-related-stigma\">Words Matter web page<\/a>. And while all NIAAA materials reflect the \u201cWords Matter\u201d concepts, the\u00a0<a id=\"anch_35\" href=\"https:\/\/alcoholtreatment.niaaa.nih.gov\/\">NIAAA Alcohol Treatment Navigator<\/a>\u00a0provides a one-stop resource for learning about AUD and its treatment. The Navigator also shows people how to recognize high-quality treatment providers and how to search several national directories of treatment programs and specialists.<\/p>\n<p><strong>References:<\/strong><br \/>\nKelly, J.F.; Saitz, R.D.; and Wakeman, S. Language, substance use disorders, and policy: The need to reach consensus on an \u201caddiction-ary.\u201d\u00a0<em>Alcoholism Treatment Quarterly<\/em>\u00a034(1): 116\u2013123, 2016.\u00a0<a id=\"anch_36\" href=\"https:\/\/doi.org\/10.1080\/07347324.2016.1113103\">https:\/\/doi.org\/10.1080\/07347324.2016.1113103<\/a><\/p>\n<p>Kelly, J.F.; and Westerhoff, C.M. Does it matter how we refer to individuals with substance-related conditions? A randomized study of two commonly used terms.\u00a0<em>International Journal of Drug Policy<\/em>\u00a021(3):202\u2013207, 2010.\u00a0<a id=\"anch_37\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/20005692\/\">PMID: 20005692<\/a><\/p>\n<p>Volkow, N.D.; Gordon, J.A.; and Koob, G.F. Choosing appropriate language to reduce the stigma around mental illness and substance use disorders.\u00a0<em>Neuropsychopharmacology<\/em>\u00a046(13):2230\u20132232, 2021.\u00a0<a id=\"anch_38\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/34276051\/\">PMID: 34276051<\/a><\/p>\n<p>Han, B. Key Substance Use and Mental Health Indicators in the United States: Results From the 2019 National Survey on Drug Use and Health (HHS Publication No. PEP20-07-01-001, NSDUH Series H-55). Rockville, MD: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration; 2020.\u00a0<a id=\"anch_39\" href=\"https:\/\/www.samhsa.gov\/data\/sites\/default\/files\/reports\/rpt29393\/2019NSDUHFFRPDFWHTML\/2019NSDUHFFR090120.htm\">https:\/\/www.samhsa.gov\/data\/sites\/default\/files\/reports\/rpt29393\/2019NSDUHFFRPDFWHTML\/2019NSDUHFFR090120.htm<\/a>. Accessed January 13, 2022.<\/p>\n<p>Thornicroft, G.; Rose, D.; and Mehta, N. (2010). Discrimination against people with mental illness: What can psychiatrists do?\u00a0<em>Advances in Psychiatric Treatment<\/em>\u00a016:53\u201359, 2010.\u00a0<a id=\"anch_40\" href=\"https:\/\/doi.org\/10.1192\/apt.bp.107.004481\">https:\/\/doi.org\/10.1192\/apt.bp.107.004481<\/a><\/p>\n<p>&nbsp;<\/p>\n<p><em>This article first appeared in\u00a0<a href=\"https:\/\/www.spectrum.niaaa.nih.gov\/\">NIAAA Spectrum<\/a>.<\/em><\/p>\n<p><em>To receive email alerts from NIAAA, sign up at\u00a0<a href=\"https:\/\/public.govdelivery.com\/accounts\/USNIAAA\/subscriber\/new\">https:\/\/public.govdelivery.com\/accounts\/USNIAAA\/subscriber\/new<\/a>.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Word choice may seem out of place among the myriad factors that can influence outcomes for a complex condition like alcohol use disorder (AUD). In fact, the stigma created by the language that is used to describe alcohol problems can decrease many people\u2019s willingness to seek help for alcohol problems. It also can affect how &#8230; <a title=\"Words Matter When Discussing Alcohol Issues: A New Stigma-Free Vocabulary for Better AUD Outcomes\" class=\"read-more\" href=\"https:\/\/scienceblog.com\/niaaa\/394\/words-matter-when-discussing-alcohol-issues-a-new-stigma-free-vocabulary-for-better-aud-outcomes\/\" aria-label=\"Read more about Words Matter When Discussing Alcohol Issues: A New Stigma-Free Vocabulary for Better AUD Outcomes\">Read more<\/a><\/p>\n","protected":false},"author":336,"featured_media":395,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"generate_page_header":"","jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[3],"tags":[27,6,29,28],"class_list":["post-394","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-features","tag-alcohol","tag-alcohol-use-disorder","tag-national-institute-on-alcohol-abuse-and-alcoholism","tag-niaaa"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Words Matter When Discussing Alcohol Issues: A New Stigma-Free Vocabulary for Better AUD Outcomes - News from the National Institute on Alcohol Abuse and Alcoholism<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/scienceblog.com\/niaaa\/394\/words-matter-when-discussing-alcohol-issues-a-new-stigma-free-vocabulary-for-better-aud-outcomes\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Words Matter When Discussing Alcohol Issues: A New Stigma-Free Vocabulary for Better AUD Outcomes\" \/>\n<meta property=\"og:description\" content=\"Word choice may seem out of place among the myriad factors that can influence outcomes for a complex condition like alcohol use disorder (AUD). 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In fact, the stigma created by the language that is used to describe alcohol problems can decrease many people\u2019s willingness to seek help for alcohol problems. It also can affect how ... 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