Sep 30, 2026 · 23 min · 8 segments
Episode 800. Over fifteen years and eight hundred episodes, one of the consistent choices on this show has been to stay away from clinical diagnostic language — words like coercion, narcissism…
Well, and, and 'cause here's, here's what happens a lot of times, is there's, there's clients I'll have that'll come in or we'll have an episode on something that, uh, gets down a thread that has characteristics that can easily have a clinical diagnostic label associated with it.
Sure.
And by those words, um, I, I would be meaning where it could actually literally be talking about abuse or there's trauma-
Uh-huh
Mm-hmm
Mm-hmm
All of these are labels that have a specific diagnostic language associated with it within a c- certain context.
Mm-hmm.
And that's how they're born out, because if you go, I'm gonna get geek out for just a second, with the field in which I'm in as a mental health professional-
Mm-hmm
... um, the DSM, the Diagnostic Statistical Manual, is what is the framework for how our field operates.
Yeah.
And that's where there are clinical diagnostic criteria that have to be met for a label to then be attached to a situation.
Which I'm assuming is, it, those labels come because then that gives you a way to start dealing with it, right?
Okay
Yeah.
Gotcha.
"Now I get it." And that's where when it crosses the boundary of a, of a specific setting and it starts being used outside of that context, it doesn't have the same meaning and characteristics associated as easily.
'Cause it's not creating a framework to work within?
Well, and, and 'cause here's, here's what happens a lot of times, is there's, there's clients I'll have that'll come in or we'll have an episode on something that, uh, gets down a thread that has characteristics that can easily have a clinical diagnostic label associated with it.
Sure.
And by those words, um, I, I would be meaning where it could actually literally be talking about abuse or there's trauma-
Uh-huh
Mm-hmm
Mm-hmm
All of these are labels that have a specific diagnostic language associated with it within a c- certain context.
Mm-hmm.
And that's how they're born out, because if you go, I'm gonna get geek out for just a second, with the field in which I'm in as a mental health professional-
Mm-hmm
... um, the DSM, the Diagnostic Statistical Manual, is what is the framework for how our field operates.
Yeah.
And that's where there are clinical diagnostic criteria that have to be met for a label to then be attached to a situation.
Which I'm assuming is, it, those labels come because then that gives you a way to start dealing with it, right?
Okay
Yeah.
Gotcha.
"Now I get it." And that's where when it crosses the boundary of a, of a specific setting and it starts being used outside of that context, it doesn't have the same meaning and characteristics associated as easily.
'Cause it's not creating a framework to work within?
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