Maybe that’s your point, that properly understanding the genesis of some term can undermine your desire to use it? And you’re right. Cretinism, the disease, makes me really sad, as does the fact that assholes chose to turn it into a pejorative. So maybe that has something to do with my unwillingness to ever use the word. In my mind, “retard” was more of a vague diagnosis of mental slowness, so it makes it less real as an actual medical condition.

For me, the vagueness of the diagnosis is what makes me sad. To think of how many vulnerable people were left struggling for answers with very little help from that word and plenty of hurt from it for so long. Perhaps this makes it less concrete in the mind than a word with a more specific target, but no less sad to me. Cretinism makes me sad as well, and more so when I think about how many people could have easily avoided it if they just knew more about thyroids.

So yes, precisely! If people change how they feel and think, they change how they speak. Not just their internal dictionary, but the way they use their words too.

I appreciate your time, understanding, and well-reasoned discussion. Thank you!