{"id":40252,"date":"2017-09-29T16:34:16","date_gmt":"2017-09-29T15:34:16","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=40252"},"modified":"2017-10-03T21:41:49","modified_gmt":"2017-10-03T20:41:49","slug":"jeffrey-aronson-when-i-use-a-word-language-that-counts","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2017\/09\/29\/jeffrey-aronson-when-i-use-a-word-language-that-counts\/","title":{"rendered":"Jeffrey Aronson: When I use a word . . . Language that counts"},"content":{"rendered":"<p><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2014\/12\/jeffrey_aronson.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-32935\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2014\/12\/jeffrey_aronson-223x300.jpg\" alt=\"jeffrey_aronson\" width=\"112\" height=\"151\" srcset=\"https:\/\/blogs.bmj.com\/bmj\/files\/2014\/12\/jeffrey_aronson-223x300.jpg 223w, https:\/\/blogs.bmj.com\/bmj\/files\/2014\/12\/jeffrey_aronson.jpg 446w\" sizes=\"auto, (max-width: 112px) 100vw, 112px\" \/><\/a><span style=\"font-weight: 400\">Last week <a href=\"https:\/\/blogs.bmj.com\/bmj\/2017\/09\/22\/jeffrey-aronson-when-i-use-a-word-competence\/\">I referred to<\/a> \u201c\u2018competence\u2019 and the more recent \u2018competency\u2019&#8221;. But both of these words first appeared in English, as cited in the <\/span><i><span style=\"font-weight: 400\">OED<\/span><\/i><span style=\"font-weight: 400\">, in 1594. So in what sense is \u201ccompetency\u201d more recent than \u201ccompetence\u201d? The answer lies in the countability of nouns.<\/span><\/p>\n<figure id=\"attachment_40262\" aria-describedby=\"caption-attachment-40262\" style=\"width: 114px\" class=\"wp-caption alignright\"><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/09\/aronson_jens.png\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-40262\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/09\/aronson_jens.png\" alt=\"\" width=\"114\" height=\"163\" srcset=\"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/09\/aronson_jens.png 231w, https:\/\/blogs.bmj.com\/bmj\/files\/2017\/09\/aronson_jens-210x300.png 210w\" sizes=\"auto, (max-width: 114px) 100vw, 114px\" \/><\/a><figcaption id=\"caption-attachment-40262\" class=\"wp-caption-text\">Jens Otto Harry Jespersen (1860\u20131943)<\/figcaption><\/figure>\n<p><span style=\"font-weight: 400\">The Danish philologist Otto Jespersen expounded the concept of count and non-count nouns in an unpublished lecture to the Copenhagen Academy of Sciences in 1911. As he explained, you can form plurals if you can collect two things alike. For example, two bananas (two of the same things). Or two fruits, an apple and an orange (two of the same kind). But we have no plural word for a magazine plus a stethoscope, except to call them two objects, and certainly no plural word for a magazine plus healthcare. The test of a count noun is that it cannot be used without a determiner or possessive (a book, that book, one book, my book). Music, traffic, and tact cannot be counted and do not need determiners; eyes and ears can\u2014at least in English; in Hungarian the words for pairs of body parts are singular; one eye is referred to as a half eye.<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-40258 \" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/09\/aronson_languagecounts3.png\" alt=\"\" width=\"651\" height=\"494\" srcset=\"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/09\/aronson_languagecounts3.png 751w, https:\/\/blogs.bmj.com\/bmj\/files\/2017\/09\/aronson_languagecounts3-300x228.png 300w\" sizes=\"auto, (max-width: 651px) 100vw, 651px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-40282\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/09\/aronson_countingreplace.png\" alt=\"\" width=\"651\" height=\"508\" srcset=\"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/09\/aronson_countingreplace.png 881w, https:\/\/blogs.bmj.com\/bmj\/files\/2017\/09\/aronson_countingreplace-300x234.png 300w, https:\/\/blogs.bmj.com\/bmj\/files\/2017\/09\/aronson_countingreplace-768x599.png 768w\" sizes=\"auto, (max-width: 651px) 100vw, 651px\" \/><\/p>\n<p><span style=\"font-weight: 400\">These are the first instances given in the <\/span><i><span style=\"font-weight: 400\">Oxford English Dictionary<\/span><\/i><span style=\"font-weight: 400\"> of these uses of the words \u201ccountable\u201d and \u201cuncountable\u201d, both from works by Jespersen.<\/span><\/p>\n<p><b><i>Top panel:<\/i><\/b><span style=\"font-weight: 400\"> \u201c\u2018[C]ountables\u2019 are either material things like houses, horses, portraits, flowers, etc., or immaterial things of various orders, like days, miles. \u2026 Names of countable immaterial objects may be thus used as mass-names.&#8221; (<\/span><i><span style=\"font-weight: 400\">Modern English Grammar<\/span><\/i><span style=\"font-weight: 400\">,<\/span><i><span style=\"font-weight: 400\"> Volume 2<\/span><\/i><span style=\"font-weight: 400\">, George Allen &amp; Unwin Ltd, 1914)<\/span><\/p>\n<p><b><i>Bottom panel:<\/i><\/b><span style=\"font-weight: 400\"> \u201cThere is a class of \u2018things\u2019 to which words like one, two are inapplicable; we may call them uncountables, though dictionaries do not recognise this use of the word <\/span><i><span style=\"font-weight: 400\">uncountable<\/span><\/i><span style=\"font-weight: 400\">, which is known to them only in the relative sense \u2018too numerous to be (easily) counted\u2019.\u201d (<\/span><i><span style=\"font-weight: 400\">The Philosophy of Grammar<\/span><\/i><span style=\"font-weight: 400\">, George Allen &amp; Unwin Ltd, 1924)<\/span><\/p>\n<p><span style=\"font-weight: 400\">Some nouns have it both ways, depending on meaning. Chocolates in a box are countable\u2014two chocolates, a few chocolates, many chocolates (but who&#8217;s counting?). Chocolate in a bar is not countable\u2014much chocolate, little chocolate, less chocolate. Morbidity (sickness) is not countable, but comorbidities means diseases. This duality arises, for example, when a noun can mean both a countable object (a medication that you give or a prescription that you write) and an uncountable process (e.g. medication or prescription, acts of medicating or prescribing).<\/span><\/p>\n<p><span style=\"font-weight: 400\">However, plurals of non-count nouns are often used, as in the examples given in the Table, and eventually they may become count nouns with new meanings. Here are some b\u00eate noires:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">methodologies (generally use \u201cmethods\u201d);<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">safeties (use \u201charms\u201d);<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">surgeries (use \u201coperations\u201d, when it doesn\u2019t mean doctors\u2019 places of work);<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">symptomatologies or symptomologies (use \u201csymptoms\u201d);<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">toxicities (use <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/23417506\"><span style=\"font-weight: 400\">\u201cadverse effects\u201d or \u201cadverse reactions\u201d<\/span><\/a><span style=\"font-weight: 400\">, since <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/14630763\"><span style=\"font-weight: 400\">toxic effects<\/span><\/a><span style=\"font-weight: 400\"> form only a subset of all adverse outcomes).<\/span><\/li>\n<\/ul>\n<p><b>Table.<\/b><span style=\"font-weight: 400\"> Examples of plural uses of non-count nouns, chosen at random, mostly from the first page of 20 hits in PubMed in each case<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-40261 size-full\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/09\/aronson_languagecounts_final.png\" alt=\"\" width=\"731\" height=\"930\" srcset=\"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/09\/aronson_languagecounts_final.png 731w, https:\/\/blogs.bmj.com\/bmj\/files\/2017\/09\/aronson_languagecounts_final-236x300.png 236w, https:\/\/blogs.bmj.com\/bmj\/files\/2017\/09\/aronson_languagecounts_final-300x382.png 300w\" sizes=\"auto, (max-width: 731px) 100vw, 731px\" \/><\/p>\n<p><span style=\"font-weight: 400\">Nevertheless, some nouns that are properly non-count (also called mass nouns) can still have plural forms. This happens if there are different types of the thing, such as chemistries (organic, inorganic, physical, analytical) and musics (classical, country, electronic, indie, &#8230;). The names of chemical elements, which are strictly speaking non-count nouns, can be used in their plural forms to describe a range of different compounds in which the element occurs (e.g. \u201cparenteral irons\u201d for \u201cparenteral iron salts\u201d) or, for example, when the name of the element is used as shorthand for its concentration (e.g. sodiums of 140, 145, and 150 mmol\/L).<\/span><\/p>\n<p><span style=\"font-weight: 400\">Parallelling two meanings of \u201ccompete\u201d, to be suitable or applicable and to rival, competency originally meant both an adequate supply of something and rivalry or competition. Both of these meanings soon became obsolete, but the idea of sufficiency persisted in later meanings: a sufficiency of means for living comfortably or having those means; sufficiency of qualification; and therefore the capacity to deal adequately with a subject, which is the main meaning that it has today. It also gained some technical meanings, which it shares with \u201ccompetence\u201d: in law the quality or position of being legally competent; in geophysics the ability of a stream or current to carry fragments of a certain size; in biology the ability of embryonic cells to develop in response to a stimulus. In linguistics, competence is what the speaker of a language knows rather than what he does (performance), a distinction, <\/span><a href=\"https:\/\/blogs.bmj.com\/bmj\/%202017\/09\/08\/jeffrey-aronson-when-i-use-a-word-art-and-science-medical-skills-and-knowledge\"><span style=\"font-weight: 400\">knowledge versus skill<\/span><\/a><span style=\"font-weight: 400\">, that Noam Chomsky <\/span><a href=\"https:\/\/faculty.georgetown.edu\/irvinem\/theory\/Chomsky-Aspects-excerpt.pdf\"><span style=\"font-weight: 400\">propounded<\/span><\/a><span style=\"font-weight: 400\">; \u201ccompetency\u201d does not share this meaning.<\/span><\/p>\n<p><span style=\"font-weight: 400\">However, for some years, and particularly latterly, \u201ccompetency\u201d has become a count noun, meaning an important skill that is needed to do a job, as in &#8220;key competencies&#8221; or &#8220;core competencies&#8221;. Despite being something of a buzzword, it is surprisingly old. The earliest example that I have found comes from <\/span><a href=\"https:\/\/archive.org\/stream\/antislaveryrepor005soci\/antislaveryrepor005soci_djvu.txt\"><i><span style=\"font-weight: 400\">The Anti-Slavery Reporter<\/span><\/i><\/a> <span style=\"font-weight: 400\">in 1832: \u201cmany have competencies which enable them to live well with economy in this country.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400\">One thing is for sure, competency certainly counts.<\/span><\/p>\n<p><em><strong>Jeffrey Aronson<\/strong>\u00a0is a clinical pharmacologist, working in the Centre for Evidence Based Medicine in Oxford&#8217;s Nuffield Department of Primary Care Health Sciences. He is also president emeritus of the British Pharmacological Society.<\/em><\/p>\n<p><strong>Competing interests:<\/strong>\u00a0None declared.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Last week I referred to \u201c\u2018competence\u2019 and the more recent \u2018competency\u2019&#8221;. But both of these words first appeared in English, as cited in the OED, in 1594. So in what [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2017\/09\/29\/jeffrey-aronson-when-i-use-a-word-language-that-counts\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5762],"tags":[],"class_list":["post-40252","post","type-post","status-publish","format-standard","hentry","category-jeff-aronsons-words"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Jeffrey Aronson: When I use a word . . . 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