The push for "person-first language" came from the 1983 Denver principles published by the organization "People with AIDS".
We condemn attempts to label us as "victims," a term which implies defeat, and we are only occasionally "patients," a term which implies passivity, helplessness, and dependence upon the care of others. We are "People With AIDS."
This makes sense to me, and it's mostly because the formation "AIDS people" is, instinctively, ludicrous. But this is because "AIDS" isn't an adjective, and there's not a great adjective that we can use in its place, and because there's not a great general term for "people with AIDS" or other formation. Some of this is also just "if the condition is stigmatized, then any term that refers to it will grow stigma".
But then "person-first language" started to spread.
I think it's defensible to have people write "an alcoholic man" rather than "an alcoholic", and I do accept the argument that writing "an alcoholic" in some way essentializes the condition of alcoholism. I don't think that this is some massive improvement, and there are definitely some very untested Sapir-Whorf theories that we'd need to be true for this to be best practices (and the replication crisis should give even more pause than normal), but sure, "homeless people" rather than "the homeless", this is not egregious in my opinion, I can go along with it.
But what a lot of person-first language prescribes is different. It's "a person who is blind" rather than "a blind person". And this runs into the problem that in English, we put adjectives in front of nouns as a matter of course. We say "the cute black cat" rather than "the cat who is cute and black", just as a default.
So there are, naturally, a lot of arguments about this, and a lot of them are premised on shaky sociological studies and linguistic arguments about what goes on in someone's head when they say a thing.
When you say "blind person" are you putting the blindness before the person? When you say "person who is blind" are you making an awkward, ungainly sentence that sticks out and others? Which construction is more alienating? Which one is inclusive? Which more closely aligns with the fundamental reality of the adjectival trait?
And of course some people feel the urge to try to cut the Gordian knot and say "ah ha, let's ask people what they prefer", but I think in practice this doesn't really work, because different people prefer different things, and there isn't always a consensus, and also ... do we really want to have to memorize what every different group prefers, if there were consensus?
I had a section here where I listed out every major American organization and their preferences (if they had one), but it wasn't very funny or interesting, just sort of monotonous, but it would suffice to say that there's a lot of disagreement and/or mixed preferences, and if you're not talking to or about some specific person, it's a crapshoot. The National Federation of the Blind is pretty insistent on "blind people" or "the blind", with a number of articles having come out in strict opposition to person-first language. The Deaf community likewise seems to have a fair amount of opposition to person-first language, for most the same reasons.
So one-on-one, if you're talking with a friend or coworker, you let them lead the way, but if you're writing a letter to the editor, or a blog post, or talking to or with the general public, there are two standards to use and a complex morass of discussion about what's "preferred".
Personally, I loathe the language police, but as I hope I've made clear, I do like playing language detective.
















