The Power of Language: Shaping Perception and Fostering Respect

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The Power
of
Language
 
Thinking About
How We Speak
 
By Christina Lindsey, QMHA, PSS
and Dee Conley, QMHA, PSS
Being Mindful of How We Speak
 
Our words carry weight.
Amongst ourselves as clinicians.
Amongst participants.
The things we say and how we say them,
can have an effect on how we perceive
participants and influence the care that
they receive.
Some language may seem innocuous but
can be hurtful, or even harmful, to those
around us.
It’s Not Just Being “Politically Correct”
 
The words we use have the power
   to show respect and
   make us feel
   respected.
It can change how
   we think about things
   and helps to shape
   the way we view the world.
Consider this: when Trans youth are addressed
by their identified gender and name, their risk
of suicide drops BY HALF (Russell et al. 2018).
Person-First Language
 
Person-First Language removes the label
and focuses on the person.
It recognizes that people are
multifaceted and hard to label.
Sometimes, staying in a Person-First space
can be difficult, since part of our job is
using labels to identify behaviors and
symptoms!
 
(People First Language, n.d.)
 
 
Person-First Language does have its
limitations, so use it as it feels right to you and
with your participants.
Ask people how they identify and what terms
they prefer.
“What would you call that?”
“Can I ask you for your name and pronouns?”
If you make a mistake – it’s okay!
Apologize and correct yourself going forward.
No need to “fall on your sword”. This moves the
focus onto you and your feelings and away
from the other person.
What matters most is an atmosphere of
respect!
Ableist Language
 
Some commonly used language has ableist
(as well as racist, xenophobic, classist,
homophobic, and transphobic) roots.
Some of these words have been called out
and are slowly fading from use.
Other words continue to be used and
contribute to the overall oppression of
marginalized groups.
It may feel unnecessary, silly, or over the top
to remove these words from your everyday
use but doing so can have a profound effect.
(Weird, K., 2015)
undefined
 
Examples
 
When We Don’t Feel Comfortable
 
“Participant is
nasty/creepy/bad/good/scary/weird/
foul.”
These words are 
very
 judgmental.
Words like these DIRECTLY AFFECT how we
may interact with someone.
Everyone deserve compassion and to not feel
as if they are being judged by staff.
In addition, other participants may overhear
this kind of language and it may damage
their rapport with staff or their willingness to
work with us on their recovery.
What About When Safety is at Risk?
 
If there is a concern that someone may not
be acting in a safe manner, it should be
communicated in a clinically appropriate
way.
This can be done by putting the emphasis
back on us as staff and how we are feeling.
Person-First example,
   “Participant has not been
    doing well lately.  Their
    symptoms have increased
    and I do not feel safe visiting
    them alone.”
Possessives
 
“My/Ours/Theirs/Yours” or ANY possessive
when referring to participants.
This places participants on the same level of
things, even if it is not intended.
Possessive thinking can also deteriorate team
cohesiveness and encourage “Us vs. Them”
thinking.
Person- First examples:
“I will/will not be seeing that person today.”
“Jane usually meets with that participant and I
do not. Is there something that I can do to
help?”
What Can We Do?
vs
What Can They Do?
 
Many times, when a participant is in crisis, the
immediate question is:
“How do we get through this?”
“What do we do about this?”
“How do we help them do this?”
It is 
NOT
 our role to “fix” things for our participants!
Let’s try and change the focus to “How can we
help support the participant through this issue?”
Using Shorthand or Jargon
undefined
 
Addressing
Problematic
Language
 
Why Say Anything?
 
Some people might honestly not realize that
what they are saying is hurtful or harmful.
It makes spaces safer for those who are not
able (or not comfortable) to speak up.
It changes the cultural norms and moves
towards making that language no longer
acceptable.
No one is ever under any obligation to
   call out problematic language!
How to Address Problematic
Language
 
Make sure that you are in a safe space and
that you feel comfortable calling out the
language.
Stay calm and focus on the behavior – the
problematic language – and not the
surrounding emotions.
Keep your language collaborative
    and cooperative.
This is something that you are all
    working on together!
How to Address Problematic
Language
 
Option One:
 Talk to the person at a later
time, in private.
“I don’t know if you realize but when you
said 
thing they said
, that kind of thing is not
okay. Using those words is really
problematic for these reasons
. I think we
can find a better way to describe those
behaviors going forward.”
Example:
 
I don’t know if you realize this but when
you said earlier that A.B. is too lazy to do
anything, that is not okay. Using those
words is really ableist and makes it seem
like we should all just give up. I think we
can find a better way to describe what
A.B. is doing that addresses their
behaviors and can keep us all moving
forward.”
How to Address Problematic
Language
 
Option Two: 
Call it out in the moment.
“That is not okay.”
“That is really hurtful.”
“I think our participants deserve better than
that.”
“That is really ableist/racist/homophobic/
transphobic/classist/etc.”
“I’m not okay with our participants being
talked about that way.”
How to Address Problematic
Language
 
Option Three:
 Bring your concerns to your
supervisor.
Discuss with your supervisor what you are seeing
and why you are concerned.
Be prepared with specific examples.
Have a plan for how the team can address
problematic language.
The team should be able to
    work together to find its own
    threshold of what language
    is okay and what is not okay.
Above All . . .
 
. . . Be kind to each other!
Working on an ACT team is a difficult job
and frustrations can overwhelm all of us.
The goal is not to become “the word
police” but to set the expectation that
kind, person-first, thoughtful language will
be used.
Summary
 
The language we use is important for a
number of reasons.
Person-first language is a good start to
changing how we speak.
Tips for changing ableist language.
Examples of how to use more person-
centered language.
How to address problematic language.
 
References
 
People First Language. (n.d.). Retrieved July 21, 2015,
 
from https://tcdd.texas.gov/resources/people-
 
first-language/
Russell, S.T. et al. (2018). Chosen Name Use is
 
Linked to Reduced Depressive Symptoms,
 
Suicidal Ideation, and Suicidal Behavior Amon
 
Transgender Youth. 
Journal of Adolescent
 
Health, 63 
(4), 503-505.
 
doi:10.1016/j.jadohealth.2018.02.003
Weird, K. (2015, June 10). How I Stopped 
 
Worrying
and Learned to Remove  Ableist Language from My
 
Vocabulary[Web log post]. Retrieved 
 
May 2,
 
2019, from
 
https://valprehension.com/2015/06/10/how-i-
 
stopped-worrying-and-learned-to-remove-
 
ableist-language-from-my-vocabulary/
undefined
 
Questions?
 
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Our choice of language holds great influence in how we interact with others, particularly in professional settings like healthcare. Being mindful of our words can impact how we perceive individuals and the care they receive. Person-first language, respectful addressing of identities, and understanding the implications of our speech are crucial in creating an atmosphere of respect and acceptance.

  • Language Power
  • Perception
  • Respect
  • Person-First Language
  • Healthcare Communication

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  1. The Power of Language Thinking About How We Speak By Christina Lindsey, QMHA, PSS and Dee Conley, QMHA, PSS

  2. Being Mindful of How We Speak Our words carry weight. Amongst ourselves as clinicians. Amongst participants. The things we say and how we say them, can have an effect on how we perceive participants and influence the care that they receive. Some language may seem innocuous but can be hurtful, or even harmful, to those around us.

  3. Its Not Just Being Politically Correct The words we use have the power to show respect and make us feel respected. It can change how we think about things and helps to shape the way we view the world. Consider this: when Trans youth are addressed by their identified gender and name, their risk of suicide drops BY HALF (Russell et al. 2018).

  4. Person-First Language Person-First Language removes the label and focuses on the person. It recognizes that people are multifaceted and hard to label. Sometimes, staying in a Person-First space can be difficult, since part of our job is using labels to identify behaviors and symptoms!

  5. Label People-First Language Crazy/Psycho Insane/Lunatic ____ has a mental health condition/diagnosis. ____ has a lived experience of a mental health condition. Normal/Sane ____ doesn t have a mental health condition. Paranoid schizophrenic Anorexic Depressed Obsessive-compulsive ____ has paranoid schizophrenia. ____ has anorexia nervosa. ____ has major depression. ____ has obsessive-compulsive disorder. Emotionally disturbed ____ has a serious emotional disturbance. Special education student ____ is a student receiving special education services. Addict/Substance Abuser ____ has a substance abuse disorder. ____ has a lived experience of substance abuse. Mentally ill ____ has a mental health condition (or diagnosis). ____ has a lived experience of a mental health condition. (People First Language, n.d.)

  6. Person-First Language does have its limitations, so use it as it feels right to you and with your participants. Ask people how they identify and what terms they prefer. What would you call that? Can I ask you for your name and pronouns? If you make a mistake it s okay! Apologize and correct yourself going forward. No need to fall on your sword . This moves the focus onto you and your feelings and away from the other person. What matters most is an atmosphere of respect!

  7. Ableist Language Some commonly used language has ableist (as well as racist, xenophobic, classist, homophobic, and transphobic) roots. Some of these words have been called out and are slowly fading from use. Other words continue to be used and contribute to the overall oppression of marginalized groups. It may feel unnecessary, silly, or over the top to remove these words from your everyday use but doing so can have a profound effect.

  8. Ableist Try This Instead Crazy, Insane Unreal, Unbelievable Psycho Jerk Dumb, Stupid Awful, Illogical, Bad Bipolar Moody, Fluctuating Retarded Ridiculous, Embarrassing Mental Case Eccentric Crippled Dismantled, Disabled/Disability Mad House Unruly, Unpredictable (Weird, K., 2015)

  9. Examples

  10. When We Dont Feel Comfortable Participant is nasty/creepy/bad/good/scary/weird/ foul. These words are very judgmental. Words like these DIRECTLY AFFECT how we may interact with someone. Everyone deserve compassion and to not feel as if they are being judged by staff. In addition, other participants may overhear this kind of language and it may damage their rapport with staff or their willingness to work with us on their recovery.

  11. What About When Safety is at Risk? If there is a concern that someone may not be acting in a safe manner, it should be communicated in a clinically appropriate way. This can be done by putting the emphasis back on us as staff and how we are feeling. Person-First example, Participant has not been doing well lately. Their symptoms have increased and I do not feel safe visiting them alone.

  12. Possessives My/Ours/Theirs/Yours or ANY possessive when referring to participants. This places participants on the same level of things, even if it is not intended. Possessive thinking can also deteriorate team cohesiveness and encourage Us vs. Them thinking. Person- First examples: I will/will not be seeing that person today. Jane usually meets with that participant and I do not. Is there something that I can do to help?

  13. What Can We Do? vs What Can They Do? Many times, when a participant is in crisis, the immediate question is: How do we get through this? What do we do about this? How do we help them do this? It is NOTour role to fix things for our participants! Let s try and change the focus to How can we help support the participant through this issue?

  14. Using Shorthand or Jargon It s a fact of the business, we all use shorthand. It can be an effective way of communicating amongst staff. However, it can sound very impersonal and even hurtful to those who are not familiar with our shorthand. A Person-First solution would to simply be mindful of who is in the room when using shorthand and make sure that all present are familiar with what is actually being said.

  15. Addressing Problematic Language

  16. Why Say Anything? Some people might honestly not realize that what they are saying is hurtful or harmful. It makes spaces safer for those who are not able (or not comfortable) to speak up. It changes the cultural norms and moves towards making that language no longer acceptable. No one is ever under any obligation to call out problematic language!

  17. How to Address Problematic Language Make sure that you are in a safe space and that you feel comfortable calling out the language. Stay calm and focus on the behavior the problematic language and not the surrounding emotions. Keep your language collaborative and cooperative. This is something that you are all working on together!

  18. How to Address Problematic Language Option One: Talk to the person at a later time, in private. I don t know if you realize but when you said thing they said, that kind of thing is not okay. Using those words is really problematic for these reasons. I think we can find a better way to describe those behaviors going forward.

  19. Example: I don t know if you realize this but when you said earlier that A.B. is too lazy to do anything, that is not okay. Using those words is really ableist and makes it seem like we should all just give up. I think we can find a better way to describe what A.B. is doing that addresses their behaviors and can keep us all moving forward.

  20. How to Address Problematic Language Option Two: Call it out in the moment. That is not okay. That is really hurtful. I think our participants deserve better than that. That is really ableist/racist/homophobic/ transphobic/classist/etc. I m not okay with our participants being talked about that way.

  21. How to Address Problematic Language Option Three: Bring your concerns to your supervisor. Discuss with your supervisor what you are seeing and why you are concerned. Be prepared with specific examples. Have a plan for how the team can address problematic language. The team should be able to work together to find its own threshold of what language is okay and what is not okay.

  22. Above All . . . . . . Be kind to each other! Working on an ACT team is a difficult job and frustrations can overwhelm all of us. The goal is not to become the word police but to set the expectation that kind, person-first, thoughtful language will be used.

  23. Summary The language we use is important for a number of reasons. Person-first language is a good start to changing how we speak. Tips for changing ableist language. Examples of how to use more person- centered language. How to address problematic language.

  24. References People First Language. (n.d.). Retrieved July 21, 2015, from https://tcdd.texas.gov/resources/people- first-language/ Russell, S.T. et al. (2018). Chosen Name Use is Linked to Reduced Depressive Symptoms, Suicidal Ideation, and Suicidal Behavior Amon Transgender Youth. Journal of Adolescent Health, 63 (4), 503-505. doi:10.1016/j.jadohealth.2018.02.003 Weird, K. (2015, June 10). How I Stopped and Learned to Remove Ableist Language from My Vocabulary[Web log post]. Retrieved May 2, 2019, from https://valprehension.com/2015/06/10/how-i- stopped-worrying-and-learned-to-remove- ableist-language-from-my-vocabulary/ Worrying

  25. Questions?

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