Alicorn comments on Phoenix Less Wrong Meetup- Saturday, 5-7-11, 5pm - Less Wrong
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I'm mostly working by accepting what amounts to received wisdom from bloggers, who say that "idiot" and "moron" (and for that matter "retarded") are not okay. I don't desperately want any of these words, and the above alternatives exist without (as far as I can tell) offending the bloggers or the people they speak for, so I invest a minor effort in the vocab shift. I'm less willing to do this sort of thing when there is no viable alternative word with the right features.
I use "crazy" and "insane" sometimes, but I have been encouraging the preexisting shift in their meanings towards a not-necessarily-negative meaning of "extreme" (e.g. "this ice cream is insanely yummy!")