In recent years, therapeutic terms like “manipulation,” “gaslighting,” and various diagnostic labels have become part of everyday conversation. While raising awareness about mental health is important, the casual misuse of these terms can dilute their meaning and, more worryingly, endanger others.
The Problem with Mislabeling
When terms like “narcissist” or “gaslighting” are used loosely, they can lose their clinical significance. For example, calling someone a narcissist because they exhibit selfish behavior ignores the complex criteria required for a diagnosis of Narcissistic Personality Disorder. Similarly, labeling disagreements or misunderstandings as “gaslighting” can trivialize the serious psychological abuse the term originally described.
This overuse can harm relationships, stigmatize individuals, and prevent people from getting the professional help they need. When diagnostic terms are thrown around carelessly, those truly suffering from mental health issues may feel invalidated or misunderstood. It can also lead to false accusations, damaging trust and communication between people.
How It Endangers Others
Misusing these terms doesn’t just dilute their meaning; it can also endanger others. For example, accusing someone of being manipulative or gaslighting without fully understanding the context can escalate conflicts and create unnecessary hostility. This can result in serious social consequences, from strained relationships to workplace discrimination.
Additionally, the use of terms based in incorrect information can lead to mismanagement of mental health concerns. It is important that the meaning behind words continue to carry their weight and effectively communicate the severity of an experience or situation. This dilution or twisting of terms can prevent someone from accessing the appropriate treatment or support they need.
A Call for Caution and Compassion
As therapists, we advocate for increased awareness and understanding of mental health. Instead of jumping to conclusions or labeling behaviors with clinical terms, let’s promote open, honest communication and encourage people to seek professional guidance when they’re struggling.
By being mindful of our language, we can help preserve the integrity of these important concepts and protect the mental health and well-being of ourselves and others.
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For readers seeking more information or guidance on mental health topics, consider scheduling an appointment with one of our therapists who can provide professional insight tailored to your individual needs. You can book an appointment by calling (352) 363- 1998.
Misusing clinical terms doesn’t just dilute their meaning; it can also endanger others. For example, accusing someone of being manipulative or gaslighting without fully understanding the context can escalate conflicts and create unnecessary hostility. This can result in serious social consequences, from strained relationships to workplace discrimination.
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As you may know, October is Domestic Violence Awareness Month.
Did you know 1 in 4 women will experience relationship violence in their lifetime? One in four! (Why aren’t we talking about this more? I’m out to change that.)
But first:
What are we actually talking about when we talk about violent relationships?
I have an issue with the term “Domestic Violence.”
The word “Domestic” makes many of us think of a married, hetero-normative couple. (We even have a name for the kind of undershirt worn by the husband — a “wife beater.”) Yet most domestic violence episodes happen between partners who do not, or no longer, live together. (See Evan Stark, Coercive Control, How Men Entrap Women in Personal Life, Oxford Press, 2007)
The word “Violence” focuses our minds, pocketbooks, and legal resources on physical aggression: assault, battery, beating, strangling, use of weapons, and sometimes murder (or murder/suicide). This kind of violence is actually a small part of relationship abuse. It’s the extreme outcome of power and control dynamics. It’s the tip of the iceberg. Most of the iceberg, as we know, is out of sight.
The physical violence part of “domestic violence” is only a fraction of what we’re really talking about when we talk about domestic violence.
So what makes up the bulk of relationship abuse? What lays the groundwork for the physical violence? Coercive Control.
Coercive control is a pattern of intimidation, isolation and control. It is the systematic human rights abuse of taking away a person’s freedom. Coercive control relies heavily on enforced gender norms. It is a form of mental torment, intimidation and physical limitation that is often so effective that physical violence becomes unnecessary. Researchers sometimes call this kind of abuse “intimate terrorism” and “entrapment.”
Many countries (but not the United States court system — yet) recognize that coercive control is the biggest relationship abuse problem, and their laws reflect it. So if our legal system here in the US primarily recognizes and punishes only the episodes of physical battering, yet the bulk of abuse doesn’t include battering — what are we missing here?
We’re missing verbal and emotional abuse, intimidation, stalking, monitoring, financial abuse, isolation, manipulation, harassment, slut shaming, and gender shaming and other forms of bullying designed to maintain the upper hand. We’re missing gaslighting. We’re missing a lot of what makes relationships toxic and dangerous. We’re missing what always, always precedes the violence.
Let’s take a look at how coercive control works and what it accomplishes. Coercive control is the means by which men control and dominate women in their personal lives. Coercive control has replaced publicly sanctioned male dominance with private oppression.
This looks like isolating you from your friends and family: deleting your contacts, encouraging you to spend all your time together, disparaging your friends/family/roommates/relatives. It looks like economic abuse: monitoring or curtailing your access to money, making you use all your money. It uses technology: demanding passwords, texting or calling incessantly, tracking your whereabouts through home systems, GPS or spyware. It looks like threats: threatening to commit suicide if you leave, threatening to publish texts or photographs that would embarrass or harm you, threatening to leave, forcing you to participate in illegal activities. It looks like using gender privilege: enforcing rigid gender norms, treating you like an inferior, making all the ‘big’ decisions. It looks like minimizing, blaming and denying: blaming you for the abuse (I wouldn’t have done X if you hadn’t done Y), denying and minimizing abuse (I never hit you…yelling is not abuse). It looks like emotional abuse: yelling, sarcasm, withholding kindness, putting you down, instilling guilt.
What does coercive control accomplish? Coercive control tears down self esteem. Coercive control gaslights, until reality is warped. Coercive control entraps women in an ever-shrinking radius — physically and socially — but even more damaging, in their own imaginations. And because our legal system and our vocabulary focuses on physical violence, battery and similar crimes, it misses the biggest aspect of abuse: coercive control.
How many times have you heard (or yourself said) a variation of the following:
“But he’s never hit me. If he hit me, I’d leave!”
You know the story of the frog in a pot of water, slowly heating up? So slowly, it never jumps out of the pot, because by the time the water was boiling it was too late?
Let’s help each other see and name abuse as it’s happening. Let’s see it, name it, and support each other in leaving before it’s too late.
Until we can identify and see — really see — coercive control, we’ll continue to have 1 in 4 women experience violent abuse by a partner in their lifetime. And the longer we focus on just the violence part, the farther away we are from solutions that will actually impact the issue of domestic, dating, and intimate partner abuse.
How about we change that 1 in 4 statistic in our generation?
