opinion

OPINION: The problem with describing every challenging situation as trauma.

Trauma is such a heavy word. A powerful word.

It gives people a way to describe the impact an event has had on their life and makes people stop, take notice, and offer compassion.

Well, it did. Sadly, over the years I have noticed the power ebbing away from the word, due to overuse. 

Because trauma is now trendy.

Everyone has trauma.

It has become an epidemic.

Watch: Clinical psychologist Dr. Ramani explains why the term 'trauma' is being overused. Story continues after video.

Trauma, post-traumatic stress disorder, triggers – all these words are now used daily and used everywhere. I remember seeing an ad for the television show A Current Affair advertising a story where the person speaks of their trauma caused by Australia Post no longer recognising their address. 

In researching this article, I also heard an example where a person was traumatised because they grew up in a humid city where they had frizzy hair, students saying they could not do exams because of trauma around the elections occurring in the United States, and someone traumatised by their car breaking down.

People can now experience what they deem to be trauma through a variety of mediums. It can be through seeing a photo of a stillborn baby on Instagram, watching the news, or experiencing road rage. The potential for 'trauma' is now everywhere.

But if everything is trauma, then is anything? 

Why this increase? Are there more traumatic experiences around? Or is the meaning of the word changing? 

In a research paper titled 'The Creeping Concept of Trauma' by Nick Haslam and Melanie McGrath from the University of Melbourne, they use a term called 'concept creep'. This is when the meaning of a word changes over time, where it can now refer to a much broader range of experiences, actions, or people than it did before. They provided examples of clinical terms that over time had broadened in meaning and become more widely adopted into our vernacular – words such as abuse, bullying, and addiction.

Trauma is following this same pattern – we now have 'trauma creep'.

There is also talk in the paper about how the creep can be horizontal or vertical. Horizontal creep is where the term expands to encompass similar situations; which feels more legitimate. Whereas vertical creep, which is what I believe is happening with the word trauma, is when the term can start being used for less extreme situations. 

I don’t think anyone would argue that there are some horrible things occurring in the world that deserve the powerful language words such as trauma provide. Trauma is very real. But I do not think that life is suddenly more traumatic now than it has been in the past. So much so that now everyone states they have some sort of trauma.

It can be argued that there is a positive to the creep in this terminology, such as society becoming more comfortable in discussing emotions or mental health. As well as more assistance being available to people who previously didn’t fit into a category that could receive help. However, the overuse and misuse of the word trauma and of mental health conditions like PTSD can have worrying implications.

Firstly, for people to hijack the word means those who have legitimately suffered a trauma and/or are experiencing PTSD may feel their experience is invalidated. While trauma is not a competition, it can be extremely triggering for someone with a legitimate trauma to hear someone use the term for a challenging situation simply because it has slid into their vernacular.

It may also result in those who really do need help not to receive the appropriate support from friends and family who feel burn out from their own 'trauma' or others around them also claiming trauma. Support services could become overwhelmed with people needing assistance, pushing those who truly need it to the back of the queue or leaving them without help at all.

This dramatisation of our language could also lead to more depression. If everyone begins to feel that a situation they have experienced is traumatic because that is the wording society uses more, it has the ability for more people to feel that the world is filled with nothing but pain and sadness, making life feel overwhelming. It will lead to a lack of resilience and the lack of capacity to understand that often things in life are uncomfortable. Experiences do not have to be extreme - neither amazing nor traumatic. They can simply be good, bad, hard, okay, or disappointing. We need to re-learn what it is like to simply sit in our discomfort.

As for the overuse of the term PTSD in society, it is problematic. Even if you experience a legitimately traumatic event or series of events, it is not enough to lead to a PTSD diagnosis. PTSD is so much more than a term to use when you are reminded of a challenging time. It is when long-term symptoms interfere in a person’s life. Symptoms can include flashbacks, hypervigilance, severe anxiety, changes in perspectives on life, extreme physiological reactivity, avoidance of stimuli and situations, and increased physiological arousal. 

In some instances, people use these powerful words because they have simply become part of our everyday vernacular. However, I believe we need to be aware and pull back on this because where to next? We will have no more words to describe legitimate pain.

It is hard to write on this topic with generalised statements because everyone’s experiences are their own and are nuanced. I am not the guardian of trauma, nor am I here telling people what counts as trauma and what does not. Each experience and event is individual. If you genuinely have the symptoms of trauma, then you are likely to have experienced trauma.

What this article aims to do is to start or add to a conversation that as a society we need to have. To bring life into perspective and to encourage others to try to be less hyperbolic with their language.

Mackenzie’s Mission by Rachael Casella, Allen and Unwin, RRP: $29.99, is available now. For more from Rachel, visit her blog or follow her on Instagram @ mylifeof_love.

Feature Image: Instagram @mylifeof_love.

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Top Comments

bearlikecher 2 years ago 1 upvotes
Thanks for opening up the conversation. Long comment, in coming! If you make it to the end there'll be a joke for ya.

I talk to young people about mental health for a living and I'm also studying Psychology and have been taught by Nick Haslam, I always appreciate his expertise on these issues. In my work and studies about mental health stigma reduction (which is still a fairly new field) I learn about how stigma can grow and change, and how important it is to have professionals in the field guiding the general public to correct misinformation and to explain language and concepts to everyday folk. Easy access to plain language information is more important than ever.

I hadn't heard of "concept creep" before this article, but in the literature I came across the idea of "trivialisation", basically stigma's cousin, and is quite similar to what you've already discussed in this article. The mis/overuse of words that trivialise a legitimate mental health experience. And it seeps into daily life before we know it sometimes, and sometimes it's because mental health is becoming less of a taboo in certain ways which means people are having conversations about their mental health, which is great!

Unfortunately, however, recent studies have shown that although our personal "echo chambers" may not be as prevalent in discussing certain mental health issues amongst the public on social media as we may have thought (Instagram and Twitter, in the case of the studies), there is evidence of a significant echo chamber when it comes to mental health professionals. It appears that professionals may be ending up (whether intentionally or algorithmically) talking amongst themselves.

Basically, the word isn't getting out about what terms like "trauma" and even "anxiety", "trigger" or "depression" even mean, because they are clinical words and remained so until recently. Researchers also think that this could be a factor contributing to a decrease in help-seeking behaviour, because people of all ages are getting their information from people with their own individual experience, from unreliable sources or from people who they believe to be professionals, but are not.

It's so important that we all gain understanding that every single person is unique. People go through years and years of study and then research to attempt to understand the unique biological, social and environmental ingredients that contribute to each of our individual risk and protective factors when it comes to developing mental ill health or a disorder. That's why watching TikTok therapists talk so generally about these issues can actually cause someone who is suffering in silence to feel worse and more alone. Working with a therapist one on one to recover or manage symptoms means that our treatment can be exactly tailored for us - that's how it works! 

We know that about 1/3 of people who go through a traumatic event (which in itself is a complicated clinical definition, see the revision of the DSM-5 if you're interested) then go on to develop PTSD. Top people in psychology around the world are still all arguing about the specifics of C-PTSD. These concepts are living and breathing and change slightly with every new issue of any diagnostic criteria.

So for me, it feels less about telling people not to use clinical language, but informing people of the actual clinical use of the word, and giving new language to try out. For example, instead of "trauma" to describe, say, our car breaking down, we could just say we had a really terrible experience, or to acknowledge that we were affected by it, or I always tell high schoolers that I say "having a roughie" or "devo" - even make up words! Use slang! Make it fun! (lol)

I'll be eagerly awaiting ideas that people much wiser than me (and maybe some of my own, one day) come up with and implement to help curb this issue. Would love to hear others' thoughts, feelings etc.

Joke time, make sure u say the answer aloud: Did u hear about the beans that travelled around Australia?

They ended up in Cairns 

laura__palmer 2 years ago 2 upvotes
I feel the word trauma, when it is used the way it above, is used by people who don’t want to build any resilience to cope. If you can’t handle your car breaking down without describing it as trauma, you really need to take a step back and look at why you are refusing to deal with everyday, regular problems and situations. 
mamamia-user-482898552 2 years ago 1 upvotes
@laura__palmer Agree. However, it's now often not acceptable in society to suggest people become resilient - it's considered preferable to have situations altered to accommodate a lack of resilience. 
laura__palmer 2 years ago 1 upvotes
@mamamia-user-482898552 It's getting a bit ridiculous, to be honest. As are the trigger warnings. Useful words and tools that are supposed to help or describe people with real trauma and issues, and they are being abused by people who don't want to have to deal with anything they find unpleasant, like their car breaking down or people talking about their feet. 
cat 2 years ago
@laura__palmer It's just hyperbolic use of language. No one would seriously think your car breaking down is a trauma, the same way no one would think living somewhere humid is trauma. 
mamamia-user-482898552 2 years ago 1 upvotes
Yes, I think there's a general avoidance of dealing with negatives and accepting accountability these days. It extends to the hijacking of terms like "bullying" and "trolling" too. It's difficult to give constructive negative feedback in the workplace now, because now anything short of glowing praise is seen by many as "bullying". This completely undermines people who have been genuinely bullied. Similarly, online celebrities and influencers cry "troll" at any hint of negative comments, even when they're justifiably being called out for something (eg endangering their children, giving factually incorrect advice outside of their expertise etc).