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Re:I'm Wil Wheaton. I Live with Chronic Depression and Anxie... by dragonwriter on Friday August 24, 2018 @07:08PM (#17838482)
> In most other contexts we encounter, stuffing an adjective in there means "NOT".

No, in most contexts in English, modifying a noun with an adjective doesn't invert the meaning of the noun.

A “respiratory infection” is a real infection.

A “premeditated homicide” is a real homicide.

Or, from your post:

A “big part” is a real part.

A “better word” is a real word.

The “scientific method” is a real method.

“Real study” is real study and “real treatment” is real treatment.

Re:I'm Wil Wheaton. I Live with Chronic Depression and Anxie... by xanthopan on Friday August 24, 2018 @07:31PM (#17838602)
> In most other contexts we encounter, stuffing an adjective in there means "NOT".

I think that's less a comment on grammar and more about how there's a tendency to name stuff that is similar to other stuff, yet markedly different, in oxymoronic ways. For example:

"virtual reality", "business ethics", "educational television", "military intelligence", "magic realism"

Re:I'm Wil Wheaton. I Live with Chronic Depression and Anxie... by mc32 on Friday August 24, 2018 @09:33PM (#17839058)
To me, none of those on their own, without context are oxymoronic. Yes, their meaning is often stretched without that being realized by the speaker, but at the same time they have a useful baseline meaning.