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Article published In:
Terminology, Ideology and Discourse
Edited by Katia Peruzzo and Paola Catenaccio
[Terminology 30:1] 2024
► pp. 81–106

Variation in psychopathological terminology

A case study on Body Dysmorphic Disorder

 | Università degli Studi di Padova
 | Universidade NOVA de Lisboa
Representing specialized knowledge in the medical domain implies considering the dynamism of scientific and technological progress. The advancement of knowledge on diseases goes hand in hand with the reconceptualization processes undertaken by experts with consequent conceptual evolutions and possible variations of the terms used to designate medical concepts. Sometimes term variation is the result of a desire to avoid or overcome negative connotations anchored in medical terms, and leads to the creation of less evaluatively charged terms that carry a diminished ideological load.
This study illustrates the case of Body Dysmorphic Disorder (BDD), a relatively under-/misdiagnosed medical condition which has been the object of multiple reconceptualizations by experts. We focus on the analysis of the conceptual evolution of BDD and the consequent variation occurring at the linguistic level. We adopt the theoretical assumption that terminology has a double dimension – conceptual and linguistic. Following on this assumption, the terminologist must examine both the experts’ conceptualizations of a given domain and the discourses produced by them in order to effectively represent the specialized knowledge of a specific subject field. To complete the analysis, we present how information about BDD is disseminated to non-experts through the analysis of a corpus of mass-media articles.
Keywords: body dysmorphic disorder, conceptual evolution, connotation, medical terminology, term variation
Article outline
  • 1.Introduction
  • 2.Background
    • 2.1The conceptual dimension of variation
    • 2.2The linguistic dimension of variation
    • 2.3Connotation in medical terminology
  • 3.Conceptual evolution and linguistic variation of Body Dysmorphic Disorder
    • 3.1Theoretical background and definition of the object of analysis
    • 3.2The case of Body Dysmorphic Disorder
      • 3.2.1<Dysmorphophobia>
      • 3.2.2<Body dysmorphic disorder>
  • 4.Dissemination of BDD
  • 5.Conclusions and perspectives
  • Notes
  • References
Published online: 18 July 2024
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https://doi.org/10.1075/term.00078.vez
References (84)
References
Alarcón-Navío, Esperanza, Clara Inés López-Rodríguez, and Maribel Tercedor-Sánchez. 2016. “Variation dénominative et familiarité en tant que source d’incertitude en traduction médicale.” Meta: Journal des traducteurs/Meta: Translators’ Journal 61 (1): 117–144. DOI logoGoogle Scholar
American Psychiatric Association. 1980. Diagnostic and Statistical Manual of Mental Disorders. 3rd ed. Arlington, VA: American Psychiatric Publishing.Google Scholar
. 2013. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington, VA: American Psychiatric Publishing.Google Scholar
Angelakis, Ioannis, Patricia A. Gooding, and Maria Panagioti. 2016. “Suicidality in Body Dysmorphic Disorder (BDD): a Systematic Review with Meta-analysis.” Clinical Psychology Review 491: 55–66. DOI logoGoogle Scholar
Arlin, Nathalie, Amélie Depierre, Susanne Lervad, and Claire Rougemont. 2006. “Réflexions sur la variation: étude de cas dans le domaine medical.” LSP and Professional Communication 6 (2): 75–88.Google Scholar
Balliu, Christian. 2005. “La didactique de la traduction médicale, deux ou trois choses que je sais d’elle.” Meta: Journal des traducteurs/Meta: Translators’ Journal 50 (1): 67–77. DOI logoGoogle Scholar
Bloomfield, Leonard. 1933. Language. London: George Allen & Unwin.Google Scholar
Bowker, Lynne, and Shane Hawkins. 2006. “Variation in the Organization of Medical Terms: Exploring Some Motivations for Term Choice.” Terminology 12 (1): 79–110. DOI logoGoogle Scholar
Bowker, Lynne. 2022. “Multidimensionality.” In Theoretical Perspectives on Terminology: Explaining Terms, Concepts, and Specialized Knowledge, ed. by Pamela Faber, and Marie-Claude L’Homme, 127–147. Amsterdam: John Benjamins. DOI logoGoogle Scholar
Carvalho, Sara, Rute Costa, and Christophe Roche. 2016. “Ontoterminology meets Lexicography: the Multimodal Online Dictionary of Endometriosis (MODE).” In Globalex 2016: Lexicographic Resources for Human Language Technology, ed. by Ilan Kernerman, Iztok Kosem, Simon Krek, and Lars Trap-Jensen, 8–15. Language Resources and Evaluation (LREC), Portorož, Slovenia.Google Scholar
Cororve, Michelle B., and David H. Gleaves. 2001. “Body Dysmorphic Disorder: A Review of Conceptualizations, Assessment, and Treatment Strategies.” Clinical Psychology Review 21 (6): 949–970. DOI logoGoogle Scholar
Costa, Rute. 2013. “Terminology and Specialised Lexicography: Two Complementary Domains.” Lexicographica 291: 29–42. DOI logoGoogle Scholar
Daille, Béatrice, Benoît Habert, Christian Jacquemin, and Jean Royauté. 1996. “Empirical Observation of Term Variations and Principles for their Description.” Terminology 3 (2): 197–257. DOI logoGoogle Scholar
Delavigne, Valérie, Julien Carretier, Sylvie Brusco, Line Leichtnam-Dugarin, Marie Déchelette, and Thierry Philip. 2007. “Comprendre les mots du cancer: LexOnco, dictionnaire d’oncologie pour les personnes malades et leurs proches. Aspects méthodologiques.” Bulletin du cancer 94 (4): 405–410.Google Scholar
Delavigne, Valérie. 2012. “Peut-on “traduire” les mots des experts? un dictionnaire pour les patients atteints de cancer.” In Dictionnaires et traductions, ed. by Michaela Heinz, 233–263. Berlin: Franck & Timme GmbH.Google Scholar
. 2017. “Term Usage and Socioterminological Variation.” In Multiple Perspectives on Terminological Variation, ed. by Patrick Drouin, Aline Francœur, John Humbley, and Aurélie Picton, 31–55. Amsterdam: John Benjamins. DOI logoGoogle Scholar
Dury, Pascaline. 2012. “Le sentiment d’un besoin néologique chez l’expert pour remplacer un terme à connotation pejorative. Quelques exemples tirés du domaine médical.” Neologica 61: 81–93.Google Scholar
. 2013. “Que montre l’étude de la variation d’une terminologie dans le temps. Quelques pistes de réflexion appliquées au domaine médical.” Debate Terminológico 91: 2–10.Google Scholar
. 2022. “Diachronic Variation.” In Theoretical Perspectives on Terminology: Explaining Terms, Concepts, and Specialized Knowledge, ed. by Pamela Faber, and Marie-Claude L’Homme, 421–434. Amsterdam: John Benjamins. DOI logoGoogle Scholar
Estopà, Rosa, and M. Amor Montané. 2020. “Terminology in Medical Reports: Textual Parameters and their Lexical Indicators that Hinder Patient Understanding.” Terminology 26 (2): 213–236. DOI logoGoogle Scholar
Eysenbach, Gunther. 2001. “What is e-Health?” Journal of Medical Internet Research 3 (2): e20. DOI logoGoogle Scholar
Faber, Pamela (ed.). 2012. A Cognitive Linguistics View of Terminology and Specialized Language. Berlin: Mouton de Gruyter. DOI logoGoogle Scholar
Fernández-Silva, Sabela, Judit Freixa, and M. Teresa Cabré Castellví. 2011. “A Proposed Method for Analysing the Dynamics of Cognition Through Term Variation.” Terminology 17 (1): 49–74.Google Scholar
. 2022. “Cognitive Approaches to the Study of Term Variation.” In Theoretical Perspectives on Terminology: Explaining Terms, Concepts, and Specialized Knowledge, ed. by Faber Pamela, and Marie-Claude L’Homme, 435–455. Amsterdam: John Benjamins. DOI logoGoogle Scholar
Fillmore, Charles J. 1985. “Frames and the Semantics of Understanding.” Quaderni di Semantica 6 (2): 222–254.Google Scholar
Freixa, Judit. 2006. “Causes of Denominative Variation in Terminology: a Typology Proposal.” Terminology. International Journal of Theoretical and Applied Issues in Specialized Communication 12 (1): 51–77. DOI logoGoogle Scholar
Freixa, Judit, Sabela Fernández Silva, and M. Teresa Cabré Castellví. 2008. “La multiplicité des chemins dénominatifs.” Meta: Journal des traducteurs/Meta: Translators’ Journal 53 (4): 731–747.Google Scholar
Freixa, Judit, and Sabela Fernández-Silva. 2017. “Terminological Variation and the Unsaturability of Concepts.” In Multiple Perspectives on Terminological Variation, ed. by Patrick Drouin, Aline Francœur, John Humbley, and Aurélie Picton, 155–180. Amsterdam: John Benjamins. DOI logoGoogle Scholar
Freixa, Judit. 2022. “Causes of Terminological Variation.” In Theoretical Perspectives on Terminology: Explaining Terms, Concepts, and Specialized Knowledge, ed. by Pamela Faber, and Marie-Claude L’Homme, 399–420. Amsterdam: John Benjamins. DOI logoGoogle Scholar
Gary-Prieur, Marie-Noëlle. 1971. “La notion de connotation(s).” Littérature 41: 96–107. DOI logoGoogle Scholar
Grôn, Leonie, and Ann Bertels. 2018. “Clinical Sublanguages: Vocabulary Structure and its Impact on Term Weighting.” Terminology 24 (1): 41–65.Google Scholar
Herbst, Isabella, and Gregor B. E. Jemec. 2020. “Body Dysmorphic Disorder in Dermatology: A Systematic Review.” Psychiatric Quarterly 91 (4): 1003–1010. DOI logoGoogle Scholar
Hommel, Bernhard, and Christian Beste. 2021. “Towards an ideology-free, truly mechanistic health psychology.” International Journal of Environmental Research and Public Health 18 (21): 11126; DOI logoGoogle Scholar
Igboanusi, Herbert, Clement Odoje, and Garba Ibrahim. 2017. “The Modernisation of HIV and AIDS’ Nomenclatures in Nigeria’s Major Languages.” Terminology 23 (2): 238–260. DOI logoGoogle Scholar
ISO 1087. 2019. Terminology Work and Terminology Science – Vocabulary. Geneva: International Organization for Standardization.Google Scholar
ISO 17115. 2020. Health Informatics – Representation of Categorial Structures of Terminology (CatStructure). Geneva: International Organization for Standardization.Google Scholar
ISO 704. 2022. Terminology Work – Principles and Methods. Geneva: International Organization for Standardization.Google Scholar
Kerbrat-Orecchioni, Catherine. 1977. La connotation. Lyon: Presses universitaires de Lyon.Google Scholar
Kilgarriff, Adam, Vít Baisa, Jan Bušta, Miloš Jakubíček, Vojtěch Kovář, Jan Michelfeit, Pavel Rychlý, and Vít Suchomel. 2014. “The Sketch Engine: Ten Years On.” Lexicography 1 (1): 7–36. DOI logoGoogle Scholar
Kristiansen, Marita. 2011. “Domain Dynamics in Scholarly Areas: How External Pressure May Cause Concept and Term Changes.” Terminology 17 (1): 30–48.Google Scholar
Kurtulmuş, Faik. 2023. “The Democratization of Science.” In Global Epistemologies and Philosophies of Science, ed. by Ludwig David, Inkeri Koskinen, Zinhle Mncube, Luana Poliseli, and Luis Reyes-Galindo, 145–154. London: Routledge.Google Scholar
Ladee, George Aloysius. 1966. Hypochondriacal Syndromes. Amsterdam: Elsevier.Google Scholar
Lakoff, George, and Mark Johnson. 1980. Metaphors We Live by. Chicago, London: University of Chicago Press.Google Scholar
León-Araúz, Pilar, and Arianne Reimerink. 2014. “From Term Dynamics to Concept Dynamics: Term Variation and Multidimensionality in the Psychiatric Domain.” In Proceedings of the XVI EURALEX International Congress, ed. by C. V. Andrea Abel and Natascia Ralli, 657–667. Bolzano.Google Scholar
León-Araúz, Pilar. 2015. “Term Variation in the Psychiatric Domain: Transparency and Multidimensionality.” In Word Formation and Transparency in Medical English, ed. by Pius ten Hacken and Renáta Panocová, 33–54. Newcastle-upon-Tyne: Cambridge Scholars Publishing.Google Scholar
León-Araúz, Pilar, and Arianne Reimerink. 2015. “Signs and Symptoms in the Psychiatric Domain: A Corpus Analysis.” Procedia-Social and Behavioral Sciences 1731: 285–292. DOI logoGoogle Scholar
León-Araúz, Pilar. 2017. “Term and Concept Variation in Specialized Knowledge Dynamics.” In Multiple Perspectives on Terminological Variation, ed. by Patrick Drouin, Aline Francœur, John Humbley, and Aurélie Picton, 213–258. Amsterdam: John Benjamins. DOI logoGoogle Scholar
Löckinger, Georg, Hendrik J. Kockaert, and Gerhard Budin. 2015. “Intensional Definitions.” In Handbook of Terminology, ed. by Hendrik J. Kockaert, and Frieda Steurs, 60–81. Amsterdam: John Benjamins. DOI logoGoogle Scholar
Martinet, André. 1969. La linguistique. Guide alphabétique. Paris: Denoël.Google Scholar
Molino, Jean. 1971. “La connotation.” La linguistique 7 (1): 5–30.Google Scholar
Morselli, Enrico. 1886. “Sulla dismorfofobia e sulla tafefobia”. Bollettino Accademia delle Scienze Mediche di Genova 61: 110–119.Google Scholar
Mufaddel, Amir, Ossama T. Osman, Fadwa Almugaddam, and Mohammad Jafferany. 2013. “A Review of Body Dysmorphic Disorder and its Presentation in Different Clinical Settings.” The Primary Care Companion for CNS Disorders 15 (4): PCC.12r01464. DOI logoGoogle Scholar
Munro, Alistair, and Mary Stewart. 1991. “Body Dysmorphic Disorder and the DSM-IV: The Demise of Dysmorphophobia.” The Canadian Journal of Psychiatry 36 (2): 91–96. DOI logoGoogle Scholar
Oosthuizen, Piet, and David Castle. 1998. “Body Dysmorphic Disorder – a Distinct Entity?” South African Medical Journal 881: 766–769.Google Scholar
Ordóñez-López, Pilar, and Edo-Marzá Nuria. 2016. Medical Discourse in Professional, Academic and Popular Settings, Bristol, Blue Ridge Summit: Multilingual Matters. DOI logoGoogle Scholar
Osman, Ossama T., Amir Mufaddel, Fadwa Almugaddam, and Eugene F. Augusterfer. 2011. “The Psychiatric Aspects of Skin Disorders.” Expert Review of Dermatology 6 (2): 195–209. DOI logoGoogle Scholar
Phillips, Katharine A. 1991. “Body Dysmorphic Disorder: The Distress of Imagined Ugliness.” Am J Psychiatry 148 (9): 1138–1149. DOI logoGoogle Scholar
Phillips, Katharine A., Elizabeth R. Didie, William Menard, Maria E. Pagano, Christina Fay, and Risa B. Weisberg. 2006a. “Clinical Features of Body Dysmorphic Disorder in Adolescents and Adults.” Psychiatry research 141 (3): 305–314. DOI logoGoogle Scholar
Phillips, Katharine A., William Menard, Maria E. Pagano, Christina Fay, and Robert I. Stout. 2006b. “Delusional Versus Nondelusional Body Dysmorphic Disorder: Clinical Features and Course of Illness.” Journal of Psychiatric Research 40 (2): 95–104. DOI logoGoogle Scholar
Piccini, Silvia, Federica Vezzani, and Andrea Bellandi. 2023. “TBX and Lemon: What Perspectives in Terminology?” Digital Scholarship in the Humanities 38 (Supplement_1): i61–i72. DOI logoGoogle Scholar
Picton, Aurélie, and Pascaline Dury. 2017. “Diastratic Variation in Language for Specific Purposes.” In Multiple Perspectives on Terminological Variation, ed. by Patrick Drouin, Aline Francœur, John Humbley, and Aurélie Picton, 57–79. Amsterdam: John Benjamins. DOI logoGoogle Scholar
Quittkat, Hannah L., Rainer Düsing, Friederike-Johanna Holtmann, Ulrike Buhlmann, Jennifer Svaldi, and Silja Vocks. 2020. “Perceived Impact of COVID-19 Across Different Mental Disorders: A Study on Disorder-Specific Symptoms.” Frontiers in Psychology 111: 586246. DOI logoGoogle Scholar
Ramphul, Kamleshun, and Stephanie G. Mejias. 2018. “Is ‘Snapchat Dysmorphia’ a Real Issue?” The Cureus Journal of Medical Science 10 (3): e2263. DOI logoGoogle Scholar
Ribeiro, Rafael Vilela Eiras. 2017. “Prevalence of Body Dysmorphic Disorder in Plastic Surgery and Dermatology Patients: A Systematic Review with Meta-analysis.” Aesthetic Plastic Surgery 411: 964–970. DOI logoGoogle Scholar
Rice, Shauna M., Julia A. Siegel, Tiffany Libby, Emmy Graber, and Arianne Shadi Kourosh. 2021. “Zooming into Cosmetic Procedures During the COVID-19 Pandemic: The Provider’s Perspective.” International Journal of Women’s Dermatology 7 (2): 213–216. DOI logoGoogle Scholar
Rosch, Eleanor. 1978. “Principles of Categorization.” In Cognition and Categorization, ed. by Eleanor Rosch, and Barbara Lloyd, 27–48. Hillsdale, NJ: Lawrence Erlbaum Associates.Google Scholar
Rosen, James C. 1995. “The Nature of Body Dysmorphic Disorder and Treatment with Cognitive Behavior Therapy.” Cognitive and Behavioral Practice 2 (1): 143–166. DOI logoGoogle Scholar
Ryding, Francesca C., and Daria J. Kuss. 2019. “The Use of Social Networking Sites, Body Image Dissatisfaction, and Body Dysmorphic Disorder: A Systematic Review of Psychological Research.” Psychology of Popular Media 9 (4): 412–435. DOI logoGoogle Scholar
Santos, Claudia, and Rute Costa. 2015. “Domain Specificity: Semasiological and Onomasiological Knowledge Representation.” In Handbook of Terminology, ed. by Hendrik J. Kockaert, and Frieda Steurs, 153–179. Amsterdam: John Benjamins. DOI logoGoogle Scholar
Schermer, Maartje H. N., and Edo Richard. 2019. “On the Reconceptualization of Alzheimer’s Disease.” Bioethics 33 (1): 138–145. DOI logoGoogle Scholar
Silva, Raquel. 2014. Gestão de terminologia pela qualidade: processos de validação. PhD thesis, Universidade Nova de Lisboa, Portugal.
Stein, Dan J., Cary S. Kogan, Murad Atmaca, Naomi Anne Fineberg, Leonardo F. Fontenelle, John E. Grant, Hisato Matsunaga, Yemmigannur Chandrashekhar Janardhan Reddy, Helen Blair Simpson, Per Hove Ove Thomsen, Odile A. Van Den Heuvel, David M. W. Veale, D. W. Woods, and Geoffrey M. Reed. 2016. “The Classification of Obsessive-Compulsive and Related Disorders in the ICD-11.” Journal of affective disorders 1901: 663–674. DOI logoGoogle Scholar
Temmerman, Rita. 2000. Towards New Ways of Terminology Description: The Sociocognitive Approach. Amsterdam: John Benjamins. DOI logoGoogle Scholar
Tercedor Sánchez, Maribel, Clara Inés López Rodríguez, and Juan Antonio Prieto Velasco. 2014. “También los pacientes hacen terminología: retos del proyecto VariMed.” Panace@: Revista de Medicina, Lenguaje y Traducción 15 (39): 95–102.Google Scholar
Thoiron, Philippe, and Béjoint Henri. 2010. “La terminologie, une question de termes ?” Meta: Journal des traducteurs/Meta: Translators’ Journal 55 (1): 105–118. DOI logoGoogle Scholar
Veale, David, and Hisato Matsunaga. 2014. “Body Dysmorphic Disorder and Olfactory Reference Disorder: Proposals for ICD-11.” Brazilian Journal of Psychiatry 361: 14–20. DOI logoGoogle Scholar
Vezzani, Federica. 2022. Terminologie numérique : conception, représentation et gestion. Bern: Peter Lang International Academic Publishers. DOI logoGoogle Scholar
. 2023. “La connotation du vocabulaire somatique : une étude de cas comparative bilingue en oncologie”. Meta: Journal des traducteurs/Meta: Translators’ Journal 68 (1): 97–118. DOI logoGoogle Scholar
Vezzani, Federica, and Giorgio Maria Di Nunzio. 2020. “Methodology for the Standardization of Terminological Resources: Design of TriMED Database to Support Multi-register Medical Communication.” Terminology 26 (2): 265–297. DOI logoGoogle Scholar
Wakefield, Melanie A., Barbara Loken, and Robert C. Hornik. 2010. “Use of Mass Media Campaigns to Change Health Behaviour.” The Lancet 376 (9748): 1261–1271. DOI logoGoogle Scholar
World Health Organization. 2004. Promoting mental health: concepts, emerging evidence, practice (Summary Report). Geneva: World Health Organization.Google Scholar
Zaidens, Sadie H. 1950. “Dermatologic Hypochondriasis: a Form of Schizophrenia”. Psychosom Med 121: 250–253. DOI logoGoogle Scholar