Towards a sociological understanding of medical gaslighting in western health care (2021, Sebring)

[SNT Gatchaman]

Towards a sociological understanding of medical gaslighting in western health care
Jennifer C. H. Sebring

In recent years, the term ‘medical gaslighting’ and accompanying accounts of self-identified women experiencing invalidation, dismissal and inadequate care have proliferated in the media.

Gaslighting has primarily been conceptualized in the field of psychology as a phenomenon within interpersonal relationships.

Following the work of Paige Sweet (American Sociological Review, 84, 2019, 851), I argue that a sociological explanation is necessary. Such an explanation illustrates how medical gaslighting is not simply an interpersonal exchange, but the result of deeply embedded and largely unchallenged ideologies underpinning health-care services.

Through an intersectional feminist and Foucauldian analysis, I illuminate the ideological structures of western medicine that allow for medical gaslighting to be commonplace in the lives of women, transgender, intersex, queer and racialized individuals seeking health care. Importantly, these are not mutually exclusive groups, and I use the term bio-Others to highlight and connect how those with embodied differences are treated in medicine.

This article indicates the importance of opening a robust discussion about the sociology of medical gaslighting, so that we might better understand what structural barriers people of marginalized social locations face in accessing quality health care and develop creative solutions to challenge health-care inequities.

https://onlinelibrary.wiley.com/doi/10.1111/1467-9566.13367

 

[SNT Gatchaman]

(Abstract split for ease of reading)

 

[DokaGirl]

Thank you @SNT Gatchaman for this.

When I start to look for gaslighting, it's everywhere. Denying one's feelings and reality. Of course it's deeply embedded in society.

ETA: And, the article looks like it would be interesting to read.

 

[SNT Gatchaman]

And, the article looks like it would be interesting to read.

Through an intersectional feminist and Foucauldian analysis
[...]
the lives of women, transgender, intersex, queer and racialized individuals

Yes, and then when I've read it I'm going to post it on Twitter, with #woke and sit back with my popcorn.

 

[Mithriel]

Straight white men suffer from medical gaslighting too. We have all seen it with ME. Groups may have problems but it is the culture of BPS ideology running through medicine which is the root of the gaslighting problem. It gives a justification for not believing patients because patients are seen as being in denial about the real psychological cause of their physical disease.

 

[rvallee]

Straight white men suffer from medical gaslighting too. We have all seen it with ME. Groups may have problems but it is the culture of BPS ideology running through medicine which is the root of the gaslighting problem. It gives a justification for not believing patients because patients are seen as being in denial about the real psychological cause of their physical disease.

Oh, definitely. It's more subtle and less woo but the end result is the same: GTFO.

 

[Arnie Pye]

Such an explanation illustrates how medical gaslighting is not simply an interpersonal exchange, but the result of deeply embedded and largely unchallenged ideologies underpinning health-care services.

Female patients have tried challenging gaslighting, but in a relationship where the doctor has all the power what can women do?

 

[Trish]

I don't think it's just a gender issue. After all, there are a lot of female doctors and therapists who treat pwME. Some of the worst offenders in the UK are women - Crawley, Chalder, Moss-Morris ....
And there are a lot of men with ME being gaslighted.

 

[Arnie Pye]

Link : https://www.theguardian.com/educati...ed-does-medical-science-have-a-gender-problem
Title : 'Women have been woefully neglected': does medical science have a gender problem?

My emphasis...

When Lynn Enright had a hysteroscopy to examine the inside of the womb, her searing pain was dismissed by medical professionals. She finally understood why when she started working on her book on female anatomy, Vagina: A Re-education. She was looking for research on pain and women’s health, only to be shocked by how little data she found.

It wasn’t just the topic of pain that was poorly researched. The lack of evidence was a problem she encountered time and time again, which is no surprise when you look at the research gap: less than 2.5% of publicly funded research is dedicated solely to reproductive health, despite the fact that one in three women in the UK will suffer from a reproductive or gynaecological health problem. There is five times more research into erectile dysfunction, which affects 19% of men, than into premenstrual syndrome, which affects 90% of women.
“Women have been woefully neglected in studies on pain. Most of our understanding of ailments comes from the perspective of men; it is overwhelmingly based on studies of men, carried out by men,” Enright says.

I realise that people with ME, both male and female, are gaslighted. But when it comes to reproductive health it is clear that women are the poor relations.

 

[Peter T]

I don't think it's just a gender issue. After all, there are a lot of female doctors and therapists who treat pwME. Some of the worst offenders in the UK are women - Crawley, Chalder, Moss-Morris ....
And there are a lot of men with ME being gaslighted.

Though men with ME may be gaslighted, I suspect that on average we are better treated than women with ME, and also had ME not been a condition that predominantly effected woman would men with ME be better treated than they are.

Also the fact there are woman clinicians does not guarantee they have not been taught the prejudices of their professions.

 

[SNT Gatchaman]

Agree with @Peter Trewhitt. I think of our men (including myself) as secondary victims / collateral damage of the historical and still pervasive medical misogyny. While I have experienced a little of this (and of course the stalled research and treatments affecting us all) I am in no doubt that the women have it worse. I've observed the default social response given female colleagues with ME who should have received the sympathy and care that I experienced.

Also as he and @Trish point out, internalised misogyny appears a real factor. It must be doubly painful to be a female patient experiencing this – I imagine it feels like an even worse betrayal.

 

[Mithriel]

Misogyny is important to ME because it was hijacked by the theory of mass hysteria. Women as creatures with fragile psychology was so embedded in the culture that putting forth the idea that "being a woman" was a valid risk factor for hysteria and all its many children.

Move on and many repetitions had added a scientific gloss to the idea, it was considered fact so that an epidemic among mostly female nurses and doctors was easily seen as mass hysteria. I am sure this coincided with the cultural notion that women should stay at home not venture into the world of work where their brains would be overheated and neurotic.

The true fact that women are more susceptible to autoimmune diseases has left us with being a woman as a risk factor and vice versa - a disease where more women get ill is more likely to be neurotic.

I don't believe there is the same misogyny at work today. It got us where we are but it has continued because it is presented in a different form as a proven medical fact that illness without disease exists and patients with that have to be gently led to understand the truth so they can be brought back to health.

If you accused a doctor nowadays of believing women should stay at home as their brains were not capable of taking the stimulation of the outside world they would be offended.

 

[Mithriel]

This article indicates the importance of opening a robust discussion about the sociology of medical gaslighting, so that we might better understand what structural barriers people of marginalized social locations face in accessing quality health care and develop creative solutions to challenge health-care inequities.

The pervasive belief that our thoughts control our health with positive thinking, mindfulness and such like being a form of medicine means that there is no thought given to how baseless the BPS theory that the doctor has more insight into the patent than the patient does actually is.

If marginalized groups get equal access to health care they will still face the relentless onslaught of FND and the IAPT. There is no benefit to being able to get the same care if that care is useless.

 

[TiredSam]

Through an intersectional feminist and Foucauldian analysis

Stopped reading right here. Medical gaslighting is an important issue, and I'm sure on average it's a bigger problem for women than for men. But I simply can't bear to see it hijacked as a vehicle for Foucauldian nonsense. This article is so full of buzzwords one of my students could have written it in an attempt to get maximum points from their cultural studies lecturer.

I use the term bio-Others

You do that.

EDIT: She's a master's student. I wasn't far off.

EDIT 2: Damn I can spot these cultural studies students a mile off. Here's one of her other papers:

A feminist/queer/crip close textual reading of Disney’s The Little Mermaid, and its straight-to-DVD sequel, The Little Mermaid II: Return to the Sea, uncovers contrasting cultural narratives of disability. The first film, and mermaid Ariel’s storyline, represent conservative ideologies of compulsory able-bodiedness and the need for overcoming disability, as well as a strongly reinforced binary of merfolk versus humans. Conversely, the sequel, and (Ariel’s and Prince Eric’s daughter) Melody’s narrative, imagine more progressive desirably disabled futurities and welcome hybrid embodiments through the process of shifting societal perspectives and deconstructing binaries that work to Other those with non-normative bodies.

https://www.researchgate.net/public..._The_Little_Mermaid_and_The_Little_Mermaid_II