[i88y6]

That's not far from "dumb it down". If science has proven a link between all forms of trauma such as accidents or rape, then its worth reflecting that in the name. His skit was a slap in the face to psychology that is actively researching how to help vets and other PTSD sufferers. Hes redirecting the frustrations caused by the disease back at the very community trying to fight it

[derefr]

Words don’t just have textual meaning (where a term can be “inaccurate” or “imprecise”); they also have emotive force.

Carlin’s point was that “shell shock” is more visceral and evocative than “PTSD”, in a way that would be helpful as a rhetorical shield in the hands of its sufferers.

Saying that a rape or accident survivor has “shell shock” communicates by analogy the problem they’re facing, even to laymen who have never experienced such trauma—everyone has seen a war movie where artillery shells are landing all around someone, and most can (if prompted) easily picture what chronic exposure to such a traumatic stressor would do to them. This creates empathy in the minds of laymen who may not understand what was so traumatic about the particular trauma the PTSD suffered encountered.

Whereas saying “they have PTSD” does the opposite—it communicates the symptom without painting a picture of the cause, inviting a layman to minimize the imagined cause.

It’s like saying that someone is a “battered spouse”, vs. “a victim of domestic violence.” The former could have been taken to just mean the latter—non-physical forms of violence and all—but instead, in pursuit of accuracy and precision, an umbrella term that does not evoke a central example is used, and has settled into, more often than not, being mentally interpreted by the listener as implying the least-bad thing that still merits the name.

To put this another way: this is the reason that security vulnerabilities have started getting names like “Heartbleed.” That is an evocative name. CVE-2014-0160? Not so much. More useful to researchers! But less useful as a rhetorical device to communicate the impact of the problem. It’s a PR campaign in support of solving the problem!

Going from “shell shock” to “PTSD” is like going from the named vulnerability to the numerical designation. You’re doing anti-PR, making a buzzword on the tongues of the public into something that’s too much effort to buzz about at all.

Sure, the term might have more diagnostic “clarity.” When in medicine has that ever mattered? Do we name bones or tendons for what they do? No, we just give them ridiculous “legacy” names inherited from some conversation someone had once in 400BCE. Because those names are catchy, in a way that systematic names wouldn’t be.

[dvlsg]

I completely agree, but I would also point out that being manipulative by using an evocative name isn't always great by default. Personally, I think it would be beneficial in those cases (shell shock, battered spouse), since dehumanizing suffering is awful at best.

But then names like the "patriot act" also come to mind. Or for something a little closer to home, "anemic domain models".

I suppose appreciating emotive language would depend on whether or not you agree with the purpose behind it.

[derefr]

Definitely.

In this case, I imagine that psychiatrists, as a kind of medical doctors, would generally want to do whatever gets their patients the help and consideration they need. Thus, when they consider naming (or re-naming) a diagnosis, they should probably have that purpose in mind.

PR in general is neither good nor evil. But when people are seeking to do good, they should really make sure that their usage of PR (accidental or otherwise) aligns with their goals.

[StrictDabbler]

Carlin's routine is meant to draw attention to the ways that authorities and systems fuck around with words and how, even with the best intentions, these changes gradually benefit the institutions instead of the downtrodden.

Most of Carlin's routines involve ironic hyperbole. He had a bit about how everybody on the road driving faster than you is a maniac and everybody driving slower than you is an idiot.

It's an extremely important bit for understanding his work. Carlin believed that everybody should express their opinion loudly from their own point of view, be aware that a lot of the time those opinions will be wrong, but know that when we do not express those opinions the fuckers always win.

When he shouts that the transition from "shellshock" to "PTSD" has been a tool used for government control he's absolutely right. It was. By making a disease name for it and creating PTSD treatment programs the military could look like it was addressing the problem, where the actual problem was the military using human suffering as a tool to reinforce American political power for economic reasons.

If you told George Carlin "yeah, but rape victims have the same experience, don't we need to include them" he'd probably have told you to call that cock-shock. You'd say "that's gross" and he'd say "rape is gross, the name for what happens after it should be horrible, not clinical".

By saying things like this, Carlin highlights hypocrisies and illusions in our lives and thought processes. Carlin wants to make sure you see what you've forgotten by moving to the new words.

I'm reminded of when Vonnegut pointed out how dangerous it was to move from Armistice Day to Veteran's Day.

"It was during that minute in nineteen hundred and eighteen, that millions upon millions of human beings stopped butchering one another. I have talked to old men who were on battlefields during that minute. They have told me in one way or another that the sudden silence was the Voice of God. So we still have among us some men who can remember when God spoke clearly to mankind.

Armistice Day has become Veterans’ Day. Armistice Day was sacred. Veterans’ Day is not."

Vonnegut doesn't mean that later veterans didn't suffer, that their service is worthless or that their pain shouldn't be noted. He's saying that by including new individuals, the message of the day - that it is horrific to murder millions of people for any reason - has been erased for the good of the military system.

People like Vonnegut and Carlin aren't trying to say things that are correct. They're trying to say things that expose truth. It's very different.

[darkerside]

Thanks for an incredible comment. I'm inspired to listen to a ton more Carlin, and go back and re-read some Vonnegut.

[i88y6]

Thank you for this reply. I do agree that euphemism creep is a thing. My position is just that his skit on this particular topic seemed very anti-intellectual. It's the same kind of bogus logic used when people who say "just get over it" to someone with serious depression: "back in my day, we just kept a stiff upper lip (meanwhile ignoring all those between now and then who blew their brains out because their lip strategy failed) ".

I do agree that in most cases the language can be contorted to conceal or smooth the direct adjective. I.e African American, minority, margininalized, etc

[romwell]

>My position is just that his skit on this particular topic seemed very anti-intellectual. It's the same kind of bogus logic ...

It really is not; just like others here, I would urge you to go back and re-watch that skit, having in mind that others do not perceive it the way you do. There's nothing more to add to the parent post.

[i88y6]

The downvote is not a "disagree button". Grow up

[dang]

Could you please not post uncivil and/or unsubstantive comments to Hacker News? We ban accounts that do that, because we're trying to keep this site a bit better than default level.

Also, downvoting for disagreement has always been ok on HN: https://news.ycombinator.com/item?id=16131314.