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Culture War Roundup for the week of December 16, 2024

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The word "disease" developed its meaning long before we'd figured out which ones were caused by infectious organisms. Congenital defects like osteogenesis imperfecta ("brittle bone disease") or deficiency syndromes like scurvy are central members of the term. Complaining that there is no microorganism that causes leukemia isn't going to stop people putting it in that group.

More to the point, comparing one single symptom to, as you already noted, a cluster of commonly co-occuring behaviors is a bad analogy. Coughing is one thing, but are you coughing alongside a runny nose, a sore throat, and a headache? (Probably just a cold.) Or are you coughing along with bloody sputum, chest pain, and weight loss? (Very concerning, might be lung cancer.) Similarly, a number of people exhibit a stereotypy - a repetitive movement or utterance - of some sort or another. But is it happening in a young child along with disinterest in social activities, extreme distress about particular sensory experiences, and an inflexible of routine? (Classic autism.) Or is it an older person, who has recently started losing control of their emotions and seems to have some trouble with speech? (Worrying signs of fronto-temporal dementia.)