Null hypothesis

Your question starts out as if the statistical null and alternative hypotheses are what you are interested in, but the penultimate sentence makes me think that you might be more interested in the difference between scientific and statistical hypotheses.

Statistical hypotheses can only be those that are expressible within a statistical model. They typically concern values of parameters within the statistical model. Scientific hypotheses almost invariably concern the real world, and they often do not directly translate into the much more limited universe of the chosen statistical model. Few introductory stats books spend any real time considering what constitutes a statistical model (it can be very complicated) and the trivial examples used have scientific hypotheses so simple that the distinction between model and real-world hypotheses is blurry.

I have written an extensive account of hypothesis and significance testing that includes several sections dealing with the distinction between scientific and statistical hypotheses, as well as the dangers that might come from assuming a match between the statistical model and the real-world scientific concerns: A Reckless Guide to P-values

So, to answer your explicit questions:

• No, statisticians do not always use null and alternative hypotheses. Many statistical methods do not require them.

• It is common practice in some disciplines (and maybe some schools of statistics) to specify the null and alternative hypothesis when a hypothesis test is being used. However, you should note that a hypotheses test requires an explicit alternative for the planning stage (e.g. for sample size determination) but once the data are in hand that alternative is no longer relevant. Many times the post-data alternative can be no more than 'not the null'.

• I'm not sure of the mental heuristic thing, but it does seem possible to me that the beginner courses omit so much detail in the service of simplicity that the word 'hypothesis' loses its already vague meaning.