The term "cousin twice removed" refers to a person who is a cousin, but the relationship is not as close as a first or second cousin. This can be confusing and lead to miscommunication or misunderstandings. Some synonyms for this term include "second cousin once removed," "third cousin," or "cousin of a cousin." While each of these phrases describes a slightly different relationship, they are all ways to refer to a distant relative. It is important to clarify the specific relationship when discussing family connections, as misunderstanding can cause confusion and embarrassment.