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July 16, 2025 21 mins

We’re talking about concept creep: how words like “trauma,” “anxiety,” and “bullying” have taken on new meanings way beyond their original clinical roots. We get into self-diagnosed ADHD, workplace “bullying,” parenting trends, and whether labels help, hinder, or just let us off the hook.  

 

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The Double A Chattery podcast is for general informational purposes only and does not constitute professional health care services, including the giving of medical advice. No doctor/patient relationship is formed and this podcast is no substitute for professional psychological or other medical advice, diagnosis or treatment.  The use of information in this podcast is at the listener’s own risk.  Listeners should seek the help of their health care professionals for any medical conditions.

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Speaker 1 (00:00):
This podcast is for general information only and should not
be taken as psychological advice. Listeners should consult with their
healthcare professionals for specific medical advice.

Speaker 2 (00:26):
Well.

Speaker 3 (00:26):
Hello, I'm Amanda Kella and I'm Anita mcgreenor, and welcome
to Double a Chattery. Anita, you said today you wanted
to talk about I wasn't really paying attention obviously about creeps.

Speaker 2 (00:37):
Oh, I'm happy to talk about crepes. I want to
talk about creeps. Who are who are the creeps? The
creep is the idea in many ways about the neurological,
the psychological conversations that we seem to be having that
I used to only have with colleagues. So it used

(00:59):
to be like a lot of the terminology, you know,
this is an anxious person, this is a you know,
all those kinds of the terminal. I've got PTSD, I've
got this are things that I would have thirty years
ago when I first started. Most laymen would never have
used the words, nor would have they understood really from
a psychological point, what they meant. And there's this idea

(01:24):
that's called concept creep. And this is where the creep
comes in, Amanda, And it is no crepes. We're going
We're just going creeps, okay, sugar free creeps, sugar free creeps.
And basically it's that how there are some phrases, some ideas,
some concepts in our that we're using in society today

(01:47):
that has made some things almost meaningless. And give me
let me give you the example that if you know,
if somebody comes to you and they say, oh, Amanda,
I've just I've been traumatized. My bus was late and
I you know, it was late for an appointment. Now,

(02:08):
that's not as we would understand it as psychologists what
trauma means. It may have been upsetting, it may have
been frustrating, it may have been a whole bunch of things.
But we seem to be almost so easily kind of
sliding these terms that have quite specific meaning into our conversations.

Speaker 3 (02:31):
And what's the harm? Are we diluting the language so
that when we really mean it, it's gone.

Speaker 1 (02:38):
Yes, I think that yes. And and you know, I
I often have people come in and you know, clients
who will say something like you know, I've I've got
I've got adhd or I've you know, I've got trauma,
And I'll say, well, how do you know, were you
diagnosed with with you know, ADHD or whatever, And they'll say, oh, no,

(03:01):
I saw a show on it, or my mom told
me I did you know she saw a show on it?
Or she read something about it, and and I you know,
from a psychological point of view, it it makes me
wonder about when people say I am I have like
does it make them more or less like? Does it

(03:24):
make them more fragile in having that, you know, in
self diagnosing or in saying I have this?

Speaker 3 (03:32):
Do you think that more of us have this stuff?
Anxiety depression ADHD? Or is the diagnostic tools better? I
think that.

Speaker 1 (03:45):
It can be one or the other. It could be
that we're just getting better at diagnosing people and recognizing
the kind of hidden sectors of populations that have particular symptoms,
and or it could be that there is this idea
of concept creep and the researchers you're talking about how

(04:08):
this pathologizing of behavior has come in two ways. So
the first way is this vertical expansion. So trauma is
a good example where the criteria for inclusion for PTSD
for the post traumatic stress disorder, which is kind of

(04:29):
the label, the diagnostic label we put on people who've
experienced like a really serious significant trauma where the person
must have been exposed to death or threatened death or
serious injury or sexual violence through direct experiencing or witnessing

(04:51):
or learning about how it happened with a close friend
or relative, or repeated exposure to distressing details. So when
PTSD was first identified that it was it had very
very strict criteria, and then the it expanded vertically so

(05:13):
that there are vertically vertically is up. So there was
just more and more things. Yeah. So and it's kind
of like, what do we call PTSD now? And every
time that there's a new book called the DSM Diagnostic
and Statistical Manual, it's made by is published by the

(05:36):
American Psychological Association, that there is conversations about what should
be included. And some of the ideas about what should
be included now are things like childbirth, sexual harassment, infidelity,
or even things like having to move suddenly.

Speaker 3 (05:55):
Wow, so they are now diagnostically included PTSD.

Speaker 1 (06:00):
Man But there are calls to say, let's consider this
as part of the inclusionary criteria for saying that you've
got PTSD. And so there's more and more people who
are kind of saying I've had like I, you know,
my partner cheated on me, and I'm traumatized now and

(06:24):
and I don't you know, and I think that no
one would want to go and say, well, that's not
a difficult situation and that you may have you know
that there may be really significant consequences to that emotional
and you know, resource wise about you know, if somebody
is cheated on you and you have to think about it,

(06:44):
Am I going to divorce this person? And you know
what's going to what's going to happen? But it doesn't
meet the criteria for what we currently say is PTSD.

Speaker 3 (06:55):
What's the harm in including it?

Speaker 1 (06:57):
Well, you know, again, it dilutes it. You know, there
could be like there's also something that's called an adjustment disorder,
which is like that brief you know, we've all had
this where something terrible happens and there's a period of
a few months where we really struggle to get our
feedback under ourselves, but then we move on. The difference

(07:20):
between that kind of normal reaction to an abnormal situation
and PTSD is that PTSD is long term. It lasts
for over six months, It involves many areas of your life.
And it is really a term that is historically reserved
for kind of those abnormal situations that carry like significant

(07:49):
psychological burden with it. And it's and I also get
why people would say, it feels really terrible that this
happened to me, and it feels like it's it's going
to go on forever. And so it's it's it's interesting
that there is this push towards this vertical expansion of

(08:09):
these concepts. The other piece is that there are ideas
that are horizontally expanding. So bullying used to happen in
a schoolyard, right, That's that was you know, as I
was growing up, That's the only place that I would
hear about bullying. Now bullying happens in the in the workforce,

(08:31):
you know, like you can have you know, work site bullying.

Speaker 3 (08:35):
But it's also.

Speaker 1 (08:36):
Happening in on social media as well, and so the
concept of bullying has expanded horizontally as well that it
it includes quantity, like qualitatively different things, because online bullying

(08:56):
looks in some ways the same, but in some ways
quite different. It's often it's the anonymous nature of social
media that is different than the school yard bullying you
often know who your bully is, right, and there's often
the other piece is that on school yards there's the bully,
the bullier, and then there's the bystander, right. And in social.

Speaker 3 (09:18):
Media there's no bystanding.

Speaker 1 (09:20):
There's no bystander who's who can look at the bully
and say stop that. You know, that's terrible. I mean
you can do that get I guess in reactions and
comments and that kind of stuff, but it's not exactly
that that immediate reaction that is available.

Speaker 3 (09:34):
And so what are the implications of bullying expanding, because
it's hard to know too when your kids a little
as to whether you're being razzed at school, not bullied. Yeah,
you know, someone's poking fun at you. It's going to happen.
That's not bullying.

Speaker 1 (09:48):
And this is what this is what you were talking
about before saying, are we just getting better at including,
you know, diagnosing and including and doing that kind of stuff.
Is that if we continue to expand the definitions of
how we're looking at things like bullying or you know,

(10:10):
some of the other concepts that seem to have really
expanded in the last even twenty or thirty years, ADHD anxiety,
those kinds of things. Are we getting better at dinognosing
or are we just is there this concept creed?

Speaker 3 (10:36):
Are the implications in all of this for the person
who is told you do have ADHD or you have
been bullied, you do have post traumatic stress? Does that
make you feel better or worse to be recognized as such?

Speaker 1 (10:51):
Well? So, the potential advantage when I think about this,
is that it means that more, you know, if you
can get diagnosed with you know something that then often
it it triggers a you know, resources that can be used,
which is awesome. It means that destigmatization can actually happen that,

(11:17):
you know, if you kind of say, you know, I've
i've I've lived all my life, uh, you know, and
I was just called weird and now I've I've you know,
been diagnosed with you know, whether it's you know, anxiety
or autism spectrum disorder or something, and it destigmatizes, you know,

(11:38):
if you can have that label and you can say
I love that I am this person now and then
I don't feel that the label identifies me. I think
that that can be fantastic. It also means that that
we can be potentially more aware and sensitive to the

(11:59):
suffering of that if we have more awareness about some
of those different diagnoses you know, trauma related and otherwhen
you know, neurodevelopmental and all that, that we can actually
be more sensitive. On the other hand, though, what is
the other hand? This is the other hand, if we
are over pathologizing, if we are if this concept creep

(12:22):
is actually happening, it can encourage victimhood. You know, I
can't do anything because I've had a trauma. I can't
do anything like I can't you.

Speaker 3 (12:32):
Know, I'm not good at this part of my job
because I've got ADHD.

Speaker 1 (12:35):
Yeah, And it also creates a culture of fragility and
excuse making, and you know, potentially creates a situation where
people aren't or won't take responsibility for their predicament for
their situation. And while it can be empowering to have

(12:56):
the diagnosis, it can also be seen as a reason
for pessimism and less autonomy around self change how to
useful as a psychologist. I you know, I really struggle
in you know, in looking at you know, the mental
health diagnosis has just burgeoned since I've become a psychologist.

(13:21):
And as I say, I mean, there's this part of
me that says, maybe education is working. Maybe that's fantastic,
and it is great to go and see that ability
to go in front confront stigma and all those kinds
of things, and I really I just struggled with it.
And I watch sometimes the the movement by well meaning

(13:45):
people into situations where situations just get more and more ambiguous,
and I think that the example that I would use
is where you know, you know, HR departments of many
companies are writing in you know, kind of ambiguous language,
like you know that somehow you could consider it bullying

(14:06):
or harassment if it you know, you were felt, if
you felt that you were limited in your ability to
express an opinion, or or that somehow that your boss
made unreasonable work demands. And it's and you know, it's
maybe if there's evidence to say, yes, you know, my
boss asked me to work you know, through seventeen weekends.

Speaker 3 (14:29):
You know, that's.

Speaker 1 (14:31):
That would be that would be unreasonable amount it. But
but at what point do we you know there's there's
there's sometimes you need quantification of things. And as much
as I really struggle with our diagnostic and statistical manual
that we use for diagnosis, I really struggle in general
with the whole idea of diagnosis. I mean, I my

(14:51):
sense is that I tend to go and shy away
from making diagnosis although I can as a psychologist, I
tend to go and and step away from it when
I can, because I just find that that labeling can
really have an impact.

Speaker 3 (15:08):
Was it you telling me the story about in Japan
they didn't have a word for depression. Yeah, until they
wanted to market a drug at it. Yeah.

Speaker 1 (15:15):
Absolutely, the pharmaceutical companies went into Japan and trained psychiatrists
to diagnose and label people with depression so that they
could give them antidepressants. Now there was in Japan a
word for like what we would have considered like like
ultra depression, but there wasn't kind of that you know,

(15:38):
what we see as maybe melancholia or or like mild
depression or you know that, you know, the adjustment disorder
that I mentioned, And so it wouldn't have been there
wouldn't have been the market in Japan for.

Speaker 3 (15:56):
They had to tell people what they had so they
could create a market. Yeah.

Speaker 1 (15:59):
Yeah, and it's it's like the pharmaceutical companies, you know,
have a lot to answer for. But you know, they
also kind of said you know, the whole idea, they've
got social anxiety, which historically was shyness, and just kind
of a you.

Speaker 3 (16:11):
Know, is that a concept creep shyness has become social anxiety.

Speaker 1 (16:15):
Yeah, that would be a good example of concept creep.

Speaker 3 (16:18):
Wow.

Speaker 1 (16:18):
Yeah. And there's a drug for it now, Amanda, Is
there a drug.

Speaker 3 (16:21):
For social anxiety? Yeah, it's it called alcohol.

Speaker 1 (16:26):
We have we have done a lot of research in that.

Speaker 3 (16:33):
Maybe fun as anxious. On my own, I thought that
was very interesting. Thank you, Anita for being the brains
in the room.

Speaker 1 (16:40):
Mm, you're welcome.

Speaker 3 (16:54):
Should we get to our glimmers.

Speaker 1 (16:55):
Let's I've got I've got one that I've we recently,
we a bunch of women came together over a period
about three days, Amanda, and you were part of this,
and you know, I was thinking about this amazing recipe
of really cool chicks who over a period of days,

(17:19):
because it's part of the recipe is time. Is that
we were able to have these like conversations where we
are able to go and dive really deep into some
of the stuff that was going on some of us,
for some of us individually, but for you know, a
lot of the conversations we were having were things that

(17:40):
all of us were experiencing, and I was just I
was so grateful for the time that we were able
to spend just feeling supported, validated, loved.

Speaker 3 (17:55):
And being allowed to be vulnerable. I felt many times
an emotional storm come through and I just let it,
and then someone else could have one and we'd talk
about what was coming up for them. I've discovered I'm
a person that doesn't very often let my guard down,
and I felt that too on that weekend of safe

(18:18):
space to do all of that and to let the
storm roll through. When you come out the other side,
and then five minutes later you're laughing about something. To
the light, the shade, all the nuances, as you say,
of everything all of us were going through, some of
it universal, some of it highly specific friends who've known
each other a long time. It was filling up the cup,

(18:41):
wasn't it.

Speaker 1 (18:41):
It really was best kind of self care ever with
chips included. Yeah, absolutely, Yeah, and a couple of drinks
and one or two drinks, perfect perfect combination. Then what's yours?

Speaker 3 (18:53):
I've just seen this. I saw this story. It's about
an American father who he said he's been a single
dad since his daughter was one shes popa with mouse
seven or so. And I don't know what the single
dad means, he shares custody or not, but he has
set up classes to help other men in similar circumstances
learn how to do their daughter's hair. This is so sweet.

(19:17):
It was so sweet. And he said he's helped three
hundred dads so far. And he said, just to keep
the connection there, whether it's divorce or whatever, what circumstances
you find yourself in. And he said, and beautiful footage
of these men combing their daughter's hair, braiding it. He said,
it's all about the effort. Even a messy bun is

(19:39):
time spent together. He said, it's not about the braid,
it's about the bond. Just beautiful. And he said it's
also giving these young girls a role model, because sometimes
in these split families or whatever the situation is, these
girls don't get that. He said, these gender roles are revolving,
are revolving. The gender ross, gender roles are evolving. And

(20:04):
he said, to be a father, it's no longer just
about bringing home the bacon. It's this connection that you
want with your kids. And what a wonderful way to
do it. So you're getting your daughter ready for school
or whatever it is. She's happy because her hair looks great,
her dad's done her hair. And there are these classes
where like minded men are doing this with their daughters.

Speaker 1 (20:26):
It would be so like just giving permission for men
to do that. And can you imagine the memories that
are developing for these young girls when they grow up
and they say, Dad used to the used to do
the best French breed in my hair.

Speaker 3 (20:41):
Absolutely, and the knock on effect of the confidence you
get that you're going to school in a week where
dad's looking after and you still look great. But the
time you've spent with your dad doing it, and for
the dad to feel absolutely contributing in a different kind
of way to his daughter's life. It's a Greek It's
a great one. Yeah. All right, well, love you, Love

(21:03):
you too. Anything we've spoken about, Please feel free to
comment on our socials. We love hearing what you think
and we'll see you next time.

Speaker 1 (21:11):
See you,
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