The Borrowed Lab Coat

The Borrowed Lab Coat

Article written by: Cobus Pienaar PhD
Article

Why people weaponise psychological language in the workplace — and what it costs us

There is a particular confidence that comes with using the right word. In organisations today, two words have acquired an almost talismanic power:narcissistandpsychological safety. Drop either of them into a meeting, a performance review, or a corridor conversation, and watch the room change. Voices lower. Defenses rise. The person who deployed the term leans back, just slightly, with the quiet authority of someone who has named a thing that others had only felt.

The problem is that most people using these words do not understand them. Not in any technical sense. Not in the way that would allow them to distinguish a clinical presentation from a bad Tuesday, or a genuinely unsafe team culture from one that simply requires something of its members. They understand enough — a podcast episode, a LinkedIn post, a half-read article — to feel that the word fits. And in organisations, feeling that a word fits is often sufficient to make it land.

This is not a minor semantic complaint. When psychological language is stripped of its precision and repurposed as social leverage, real things are lost: the credibility of legitimate clinical concepts, the ability to have honest conversations, and — most importantly — the actual people who needed those concepts to describe what was genuinely happening to them.

Concept Capture: When Science Becomes Currency

The phenomenon has a name worth knowing: concept capture. It describes the process by which a clinical or theoretical construct gets lifted from its original context, absorbed into popular culture, and repurposed for ends that have nothing to do with its original intention. The construct retains the authority of its scientific origin while shedding the precision that gave it meaning in the first place.

Concept capture is not new. Trauma, gaslighting, triggers, and boundaries — all have undergone versions of this transformation. What is particular about narcissism and psychological safety is that both have been captured at a moment when organisational life is especially charged, and both have been weaponised in ways that are structurally opposite but psychologically equivalent.

The word retains the authority of science without its precision. That is exactly what makes it so effective as a weapon.

Narcissus is a weapon aimed upward or sideways. It pathologises a person, removes their legitimacy, and bypasses the need to engage with their actual behaviour or argument. You do not have to prove someone wrong if you can prove they are disordered.

Psychological safety is a weapon aimed inward or downward. It reframes personal discomfort as an organisational failure, shifting accountability away from the individual and toward the environment. It makes the speaker untouchable: any challenge to their position becomes evidence of the unsafe culture they are already in the process of naming.

Both moves share a common architecture. Both use the language of care and science to foreclose the possibility of honest engagement.

The Pseudo-Expert Posture

What makes this pattern interesting — and worth examining carefully — is that the people who do this are not, for the most part, cynical actors who have made a calculated decision to deceive. Most of them believe what they are saying. They have encountered a concept that seemed to explain something they experienced, and they have reached for it repeatedly ever since, with increasing confidence and decreasing precision.

This is not quite the classic Dunning-Kruger effect, which describes unconscious incompetence — the person who does not know what they do not know. What happens in organisations is more deliberate, if not always more conscious. It is the performance of expertise as a substitute for its substance. The goal is not accuracy. The goal is positioning. And in organisational life, positioning often matters more than accuracy in the short run.

Real expertise tends to arrive with humility. Borrowed expertise tends to arrive with volume.

The pseudo-expert posture works for a specific structural reason: asymmetric knowledge in the room. Most people in a meeting do not know what Amy Edmondson's psychological safety framework actually requires, or what the DSM criteria for Narcissistic Personality Disorder specify. The person deploying the term does not need to be right.They need only to be more confident than anyone else is willing to challenge.

The bluff holds because the room allows it to hold. And the room allows it to hold because challenging it is socially costly. If you push back on someone claiming psychological safety violations, you now appear to be the person who does not care about psychological safety. If you question a narcissism diagnosis, you risk looking as though you are defending bad behaviour. The language is engineered — even when accidentally so — to make its own interrogation dangerous.

There is a useful diagnostic signal here that practitioners and leaders would do well to notice: the louder and more certain the clinical label, the more likely it is to mask an absence. People who genuinely understand a construct tend to use it carefully — with caveats, with context, with an acknowledgment of complexity. People who have just enough of a concept to feel it supports their position tend to use it as a verdict, not as an observation.

What Psychology Actually Tells Us About Why People Do This

None of this happens in a vacuum. There are coherent psychological reasons why people reach for borrowed clinical language, and understanding them is more useful than simply condemning the behaviour.

The first is borrowed authority.Clinical language carries the implicit weight of science, research, and professional expertise. When someone says that is a narcissistic pattern, they are not merely describing behaviour — they are positioning themselves as the person in the room who understands what is really going on beneath the surface. This is a status move dressed as an observation. It is also, in many organisational cultures, a remarkably low-risk one.

The second is emotional displacement.People often reach for these terms when they are in genuine distress — but have not done the harder work of naming what actually hurt them, and why, and what their own role in the situation might be. Narcissist frequently lands on someone after a failed working relationship or a power conflict in which the person using the term could not — or would not — account for their own part. Psychological safety often names real anxiety but mislocates the source. The discomfort is genuine. The diagnosis is not.

The third is identity protection.Both terms serve a self-protective function. Calling someone a narcissist keeps the speaker in the role of victim. It preserves a coherent, innocent self-narrative. Claiming psychological safety violations protects the speaker from having to confront whether the discomfort they feel might be developmental friction — the ordinary difficulty of being asked to grow — rather than actual harm.

The fourth is social contagion and in-group signalling.Using the right language demonstrates membership in a particular professional or ideological community. It signals that the speaker is literate in the values of the group. The more a term circulates, the more social reward attaches to deploying it correctly — or at least convincingly. In organisations with strong progressive cultures, psychological safety has become almost a liturgical term: invoking it correctly marks you as one of the enlightened ones.

The fifth, and perhaps the most important from an organisational psychology perspective, is self-justification.Both of these patterns are, at root, expressions of what the Arbinger Institute would recognise as being in the box — the deep human tendency to see other people not as full human beings with their own legitimate perspectives, but as objects or obstacles whose function is to justify our own existing position. Borrowed psychological language is exceptionally efficient box-building. It gives you the language of insight while performing the opposite of it.

What Gets Lost

This is the part of the conversation that tends to get skipped, because the conceptual critique is more entertaining than the human cost. But the cost is real, and it runs in two directions.

Narcissistic Personality Disorder is a genuinely devastating condition — for the person who has it, whose capacity for authentic connection and self-reflection is profoundly compromised, and for those around them, who often experience sustained psychological harm over years before they understand what they are dealing with. When the term is applied casually to anyone who is difficult, self-interested, or aggressive in a meeting, it trivialises that reality. It also, crucially, obscures actual NPD. The clinical presentation is far more subtle, more consistent, and more damaging than the caricature that circulates in workplace conversation. The person who uses the word loosely is not just being imprecise. They are making it harder for the people who actually need the concept to be seen.

Psychological safety as a research construct is equally specific and equally important. Amy Edmondson developed it to describe a team-level belief that interpersonal risk-taking — speaking up, admitting errors, challenging ideas — would not result in punishment or humiliation. It is a framework designed to enable honest challenge and learning. It is, at its core, a concept that asks more of people, not less. When it is repurposed to mean I should not have to experience discomfort, it becomes the precise opposite of what it was built to do. It transforms a tool for organisational courage into a shield for organisational avoidance.

Psychological safety was designed to enable honest challenge. When it is used to silence a challenge, it has been turned against itself.

What to Do Instead

The alternative to borrowed clinical language is not silence. It is specificity. The discipline of naming what actually happened, rather than what the person is.

In practice, this means replacing diagnostic verdicts with behavioural observations. Not he is a narcissist but in that meeting, he talked over three people and dismissed two concerns without engaging with them. Not this team lacks psychological safety, but I said something I was uncertain about last week and was publicly ridiculed for it. I have been less willing to speak up since. These sentences are harder to say. They require the speaker to have been paying attention, to be willing to be specific, and to risk being wrong about the detail rather than being sheltered by a clinical label that cannot be verified or challenged.

For leaders and practitioners, the more important intervention is building the culture in which specificity is rewarded, and diagnostic labeling is gently interrogated. This does not mean dismissing concerns. It means asking: what specifically happened, and when? What did you observe? What did you feel? What do you need? These questions do not invalidate the experience. They take it seriously enough to actually engage with it.

There is also something worth saying about genuine expertise. People who work in psychology, psychiatry, coaching, and organisational development have spent years learning to be careful with these concepts precisely because they know how much is at stake when they are misapplied. The appropriate response to encountering someone using clinical language loosely is not to attack them, but to be curious. To ask where they encountered that idea. To explore what they actually observed.

Often, underneath the borrowed label, there is a legitimate experience waiting to be named more accurately. That is the real work.

Subscribe to our newsletter

Get practical tools for a lighter mind, delivered weekly. No noise, just signal.