The existence of taboo words is universal, but ironically the words themselves are very culturally specific. Someone swearing in Britain may elicit a very slight response from someone listening in America and vice versa. But every language and culture has these words, these tools that serve many purposes, from conveying emphasis, to anger, to horror.
I myself, gentleman to the end, have blurted out a spontaneous vulgarity (or 10) in the heat of the moment, or in terror. It seems we swear in a variety of situations and my advice is to never deny the words, but rather explain the emotion.
Did you use a taboo word that had no other reason to be in a sentence than to offend? No, you told the subject to get on the "f—king ground" not because the ground was actually doing anything but lying there, but rather because your pucker factor was climbing into the high nineties and you wanted to give a sense of sincerity and intensity to your sentence. If the good doctor is right, the greater your anxiety and stress the more intense the taboo word might be for you. Granted, intensity is in the eye of the beholder, just as it is between cultures.
In the calm tranquility of an office, a report of an officer telling a fellow to copulate with himself as he struggled for the officer's gun might not capture the true emotion of a crisis, while those at the scene might not have registered any words at all, just the intense emotions of the conflict, the emotion the words both triggered and reflected.
In fact, imagine a scene where two officers have suddenly been confronted by a knife-wielding fellow in a bar. "You brigand, drop thy blade!" will not be found in the report or memories of those present since no one would say it. It carries no weight, no intensity, no emotion, in what is a remarkably intense moment. This is a situation where language gives you the tools to have your lizard brain talk to his lizard brain in a way that makes it plain that he doesn't get to stab anyone, or even keep his friggin' knife. See, I added "friggin'" and look how much more intense the sentence was.