In a world where the language we use can shape perceptions and attitudes, the words we choose to describe individuals struggling with addiction have never been more critical. A groundbreaking study conducted by Sundaram, Sato, Socrates, and their colleagues delves into the language surrounding people who use drugs, examining both clinician and patient perspectives. Their findings highlight a significant juxtaposition between the clinical terminology often used to describe addiction and the preferred language of those directly affected by it.
Language plays a pivotal role in shaping societal perceptions, especially regarding sensitive topics like drug addiction. The term “junkie,” often used casually in both medical and social contexts, is criticized for its negative connotations. Many individuals in recovery or those still battling addiction express discomfort with this label, arguing that it dehumanizes them and reduces their complex experiences to a single term. Clinicians must navigate these nuanced interactions to ensure they communicate with empathy and respect.
In their research, the authors gathered insights from a diverse group of participants, including healthcare professionals and people who use drugs. The results revealed a clear discrepancy between the terminology preferred by patients versus that used by clinicians. While healthcare providers may rely on terms that reflect clinical frameworks, these terms often lack the compassion and understanding sought by those with lived experiences. Patients overwhelmingly indicated a desire for language that acknowledges their humanity rather than defining them by their struggles.
Furthermore, words have the power to either perpetuate stigma or promote understanding. This research underscores how specific descriptors can significantly influence public perception and treatment outcomes. By using language that resonates positively with individuals suffering from addiction, clinicians can foster a sense of belonging and reduce feelings of shame or alienation. Effective communication can serve as a foundation for building trust and collaborative relationships between clinicians and patients.
Another critical aspect explored in the study is the emotional impact of labels. Participants shared stories of how being called a “junkie” altered their self-image and contributed to internalized stigma. Many recounted experiences where derogatory language from medical professionals led to feelings of inadequacy and hopelessness. The implications of such language extend beyond immediate interactions, influencing how individuals perceive themselves and their potential for recovery.
The researchers also highlighted the importance of using person-first language. This linguistic approach places the individual before the condition, emphasizing their identity beyond addiction. For instance, referring to someone as a “person with a substance use disorder” instead of a “drug addict” fosters dignity and respect. Such terminology aligns with the therapeutic goal of promoting recovery while combating the stigma often associated with addiction.
One of the significant findings from the study is the growing recognition within the medical community of the need to shift towards more inclusive language. As mental health professionals become increasingly aware of the power dynamics inherent in their role, they strive to adopt language practices that reflect sensitivity and understanding. Clinicians must be trained to recognize their biases and the historical context of the terms they use, acknowledging that language is a living, evolving entity that reflects society’s changing values.
Interestingly, the study also uncovered cultural differences in how language around addiction is perceived across various communities. Many participants reported that their cultural backgrounds significantly influenced their comfort levels with specific terms. For instance, some cultural groups may prefer more community-oriented descriptors that highlight collective struggles rather than focusing on the individual. This finding emphasizes the importance of individualized care and cultural competence in treating substance use disorders.
As addiction continues to be a pressing public health issue, the insights from this research hold profound implications for policymakers and advocates. By fostering a dialogue around language, stakeholders can galvanize collective efforts to reshape narratives surrounding addiction. Awareness campaigns that challenge stigmatizing language could play a crucial role in diminishing the barriers that prevent individuals from seeking help.
Moreover, public health messaging about addiction must be sensitive to the language used. Campaigns should utilize terms that promote understanding and compassion, rather than perpetuating harmful stereotypes. Engaging individuals with lived experiences in crafting these messages can ensure authenticity and relevance, ultimately promoting a culture of acceptance rather than judgment.
The researchers also argue that addressing the stigma associated with terminology can aid in broader societal change. When the language used in clinical settings reflects dignity and respect, it can contribute to changing societal attitudes toward addiction as a whole. As clinicians embrace this shift in language, they can serve as catalysts for a more compassionate and informed public discourse on substance use disorders.
In conclusion, as the findings of Sundaram et al. indicate, the words we choose to describe addiction matter profoundly. Shifting the narrative to one of empathy, understanding, and respect can transform not only individual lives but also societal perceptions. As we move forward, it is imperative for healthcare professionals, policymakers, and communities to engage in meaningful conversations about the language of addiction, ensuring that those affected are at the center of these discussions. Only then can we foster an environment conducive to healing, recovery, and ultimately, a more compassionate society.
The study’s implications resonate well beyond the clinical environment, suggesting a need for broader discussions about addiction, stigma, and recovery. Through collective awareness and communication, we can challenge the harmful narratives that have long persisted and move toward a future where language acts as a bridge rather than a barrier.
Subject of Research: Language used to describe people who use drugs and its impact
Article Title: “There’s a lot of people who love them, so why call ‘em junkies?”: clinician and patient perspectives about words used to describe people who use drugs.
Article References:
Sundaram, G., Sato, T., Socrates, B. et al. “There’s a lot of people who love them, so why call ‘em junkies?”: clinician and patient perspectives about words used to describe people who use drugs.
Addict Sci Clin Pract 20, 71 (2025). https://doi.org/10.1186/s13722-025-00591-w
Image Credits: AI Generated
DOI: https://doi.org/10.1186/s13722-025-00591-w
Keywords: Language, Addiction, Stigma, Person-first language, Recovery, Clinician perspectives, Patient perspectives.
