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A word salad?

One of the things I really like about the name of this blog is that I first came across this term in a psychiatry lecture. As you may know “loosening of associations” is a sign in schizophrenia, which is actually a professional term used to describe someone with a thought disorder where associations of ideas become shortened and fragmented, commonly used in medical reports. Other signs in schizophrenia include “word salad” or “tangentially”. What I particularly find interesting is how descriptive such terms are, and in a way, they could be understood by a layman as well. For example, “word salad” could be metaphorical of having a lot of individual components jumbled up together: e.g. a few slices of cucumbers, a bit of lettuce, several pieces of roasted bacon, and some grated cheese all mashed up together. When this is used to describe someone’s speech, it is not difficult to get an impression that the content of speech is probably some sort of big mixture, that does not coherently stick together. This was when I began more curious about the origin of the terms “word salad” and “loosening of associations”.

With a bit of googling, I found that word salad was initially used in psychiatry “to describe the “nonsensical syntax of the mentally ill” (Word, 2019). It was first used by French psychiatrists. However, more interestingly, the phrase word salad was used by film critics in 1996 to describe Geoffrey Rush’s performance as the pianist in Shine, in which the character struggled with mental illness (Word, 2019). More recently, the term has been used in newspaper and magazines to describe lyrics, speeches and movie plots that appear as “nonsense”. Hence, now the term “word salad” is not only confined to describe a clinical sign by psychiatrists or doctors. Instead, it is becoming a more encompassing term in wider society. In a way, to some, my passage here could be perceived as a “word salad”. Such use allows these terminologies to be embedded in a more daily conversational manner. Will this have any implication on people’s perception of mental illnesses? Does it hence normalise psychiatric signs and symptoms? If so, what does such normalisation mean to psychiatric patients?

A different example of the use of medical terminologies on a day to day basis is the word “psycho”. “psycho” is sometimes casually used to describe someone who does bizarre, unusual, or unexpected things that may deviate from the social norm. I believe that to some extent, this forms part of people’s perception of people with “psychosis”, in which people probably have their own perception of what “psycho” means, and “sis” is a suffix that can denote an action, process, state or condition.

“Word salad” and “psycho” are only two examples that are particularly memorable to me, there are probably a lot more out there. I guess this is where the study of etymology comes in, in which the origin of words and how they have changed throughout history could be tied in with medicine. How interesting!

References

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Hi there! :)

Loosening of associations in psychiatry, a disorder of thinking in which associations of ideas become shortened and fragmented.

(Medical, 2012)

Am I satisfied with medical school? To be very honest, I didn’t even give myself the time to consider whether or not I was happy in medical school in the first two years (or also known as the “pre-clinical years”). As far as I remember, for most days I would head home after class and write notes for that day’s lecture, read over previous notes as revision, and leave some time for extra-curricular activities. Indeed, my university life was quote and quote “balanced” in that I joined a society that I really was passionate about, played some sort of sport regularly, and occasionally went out for drinks with a few friends. I mean from my parent’s perspective, and probably the majority of the classmates that knew me, I was already doing “more” than an average medical student. Perhaps it was my ignorance, but even I thought my life was pretty “well-rounded” and “balanced” then.

This changed last year. For my medical school, our third year of studies is a gap year and students could choose to pursue their own interests – whether it was studying a masters at our home university, go on exchange programs abroad, intern at NGOs, etc. For me, having had a keen interest in Humanities since high school, I decided to study Human Sciences for a year. A course which uses an interdisciplinary approach to study the biological, social and cultural aspects of life.

To answer the question I asked in the beginning, the biggest takeaway during this one year break from my medical school routine was that I was in fact extremely unsatisfied with medical school. Yes, I was ticking off boxes in terms of school, sports, volunteering, friends, and family. But, how about time for myself? I felt lost in a constant cycle of memorising, repeating, regurgitating. I mean do I know what being “found” feels like? No. Do I want my life to be only composed of a memorising, repeating, regurgitating cycle? No.

Hence, I created Loosened associations as a platform to document my random thoughts and reflections whilst I am enjoying, struggling, and living within the cycle of learning in medicine. I hope that what I come across in textbooks, lectures, bedside teachings can stimulate some loosening of associations. Let’s see!

P.S. As a full time quack, these posts can get quite wack!

-Lorem

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