Results Indicate the Terms Abnormal Psychology and Psychopathology Are Outdated and Inaccurate
Kimberly Glazier Leonte, Natalie Grierson, Andrew Karp, Jacquelin Gouniai.
Abstract
Background:
Data suggests mental health conditions are common. However, language used to
depict conditions can be inaccurate and stigmatizing. This study examined
mental health professionals’ perspectives regarding specific terminology and
their relationship to stigma-inducing beliefs.
Methods:
Participants were randomly selected from the APA and State Psychological
Association websites, and Psychology Today. Fifty providers were selected per
state and the District of Columbia. Participants completed a 26-item survey
assessing their beliefs about mental health terminology and the prevalence of
conditions. Data collection occurred between September - December 2022; data analyses
were conducted in 2023.
Results:
542 participants completed the survey. The majority of participants (76.4%) believed
people will have a mental health condition at some point in their lives.
Additionally, the majority reported Abnormal Psychology does not accurately
describe mental health conditions (81.5%) and the term increases mental
health-related stigma (88.9%). Similar trends were found regarding the term
Psychopathology. Most participants supported changing the terms Abnormal
Psychology (86.2%) and Psychopathology (67.7%) to less stigmatizing terms, such
as Mental Health and Human Experiences or Mental Health Conditions.
Conclusion:
The findings have implications within therapeutic settings, in regards to
specific language and word choices the psychologists believed are not accurate
and are stigma inducing (e.g., “abnormal”; “psychopathology”) and provide clinical
implications for therapists to refrain from using the stigma-inducing terms
when speaking with clients, colleagues and within their internal case
conceptualizations. Furthermore, the results have academic implications, as the
majority of psychologists supported programs adopting a new course title
instead of Abnormal Psychology or Psychopathology for courses that teach about
mental health conditions.