Trivializing Mental Illness - "That Makes Me Crazy"!

"Does that make me crazy?" Thus asks CeeLo Green in the crescendo of soul duo Gnarls Barkley's pop hit, "Crazy". It's a groovy tune, but a responsible psychiatrist - maybe after showing off a few dance moves - should retort: "No, it doesn't. And by asking the question, you're trivializing mental illness." And yet the song goes on:

… I remember when
I remember, I remember when I lost my mind
There was something so pleasant about that place
Even your emotions have an echo in so much space
… And when you're out there without care
Yeah, I was out of touch
But it wasn't because I didn't know enough
I just knew too much
… Does that make me crazy?
Does that make me crazy?
Does that make me crazy?
Possibly!

​Such lyrical over-reach trivializes mental illness by minimizing its consequences. In the song, CeeLo Green rhetorically asks whether he is "crazy" because he "knew too much" and was "out of touch". This seemingly innocent misuse of the word "crazy" is perpetuated in casual language, where it can refer to anything that deviates from middle-of-the-road conventionality. Such definition creep - the origin of the word crazy is in something diseased, sickly, or broken - risks trivializing genuine mental illness.

Similar trivializations of mental illness in casual language are rife. Here are a few more examples that crop up in day-to-day speech: 

• "That's so OCD" - said upon enthusiastically reorganizing books in alphabetical order
• "I must have ADHD" - after restlessly scurrying around the house in search of stuff to do
• "I'm bipolar" - after a bout of moodiness

Having OCD, ADHD or bipolar disorder can be highly disruptive to one's life - in a way that these trivial behaviors are surely not. While similar phrases exist for other health problems - you might have heard a jogger flippantly remark "I'm having a heart attack" after a vigorous outing - they are most pernicious in the case of mental illness because the baseline popular understanding of these afflictions is so poor. Everyone understands that heart attacks are serious, but not everyone has a similar understanding regarding, say, OCD.

Mindfulness about the appropriate choice of words is not a form of censorship. Freedom of speech is essential to a well-functioning society and should be protected, as indeed it is in the US Constitution. But any freedom comes with responsibility. We are not entering some Orwellian dystopia by being more aware of how language shapes impressions of mental illness. Instead, the hope is that - with greater mindfulness in our choice of words - maladies of the brain will eventually come to be treated in society with the same level of seriousness as maladies afflicting other organs. Once we've achieved that level of collective enlightenment, we can reward ourselves with a celebratory dance to Gnarls Barkley's groovy tune. Just be mindful of the lyrics!
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