for example, we use the term abuse, generically, but also it's a diagnostic label, it's actually a, a dsm diagnostic label, which creates a lot of confusion when you see it written. are they referring to the more generic issue, you know, regarding the whole range of problems versus a particular diagnosis, that has specific meaning? so it's imprecisely used and this is a problem, of course, in communication. so one of the things that i think we need to, we need to have a term that describes these problems generically... and the institute of medicine has tried to deal with that, have they not? yes and the world health organization too, so in the 1970's they were advocating against using the term abuse, even though the american psychiatric association adopted that term which is unfortunate because then that gives rise to the term abuser, naturally. and that was the warning actually, back in the '70's that was saying, this is what's going to happen is that you're going to you're going to generate this term by using that term. so what do we replace that with? so there are, there are a couple o