Definitional invisibility: when institutional language reframes identity as choice.

Mozid, Nusrat E · Br J Psychiatry · 2026

editorial · Level V

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Abstract

Definitional invisibility is the systematic reframing of stable aspects of identity as temporary 'choices'. This Editorial explains how choice-framing distorts formulation, weakens the therapeutic alliance and sustains institutional inequities, and recommends concrete clinical, documentation and organisational strategies to reduce harm and improve person-centred care.