Article: The hidden harms of medical gaslighting — APA

Chandelier

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2500-word article.


COVER STORY

The hidden harms of medical gaslighting​

Researchers are leading efforts to better support patients with difficult-to-diagnose conditions
By Heather Stringer
Date created: October 1, 2026


Key points​

  • Patients with chronic, diagnostically challenging conditions such as endometriosis, long COVID, and postural orthostatic tachycardia syndrome frequently report that their symptoms are minimized, misattributed, or otherwise invalidated by health care providers.
  • Studies link symptom invalidation to psychological distress, reduced trust in health care, and delays in receiving appropriate treatment.
  • Psychologists are developing strategies for both patients and providers to reduce stigma related to these illnesses and to better support people who experience medical gaslighting.

 
Reaction from Bluesky.

Machine translation:


Mirja Nicolas @privilegienschreck.bsky.social
Though this type of medical trauma does not currently meet the diagnostic criteria for a traumatic event, she hopes that the criteria will be revised in the future to help patients access mental health treatment.
Now they’re demanding that the PTSD criteria be changed so that medical trauma can be recognized as a mental illness??? WTF—how about simply showing some restraint and SHUTTING UP. NO ONE wants medical gaslighting to qualify for PTSD; everyone wants doctors to learn how to behave themselves.

Your constant referral of people to “mental health” treatment is the fucking problem. When are you going to get that?
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I could not even read the whole article.
Just because the doctor could not find something by just doing a few standard tests, psychiatrists and psychologists made up a whole bunch of nonsense we were supposed to suffer from. They were the reason the gaslighting came into existence and the docs embrased that wholeheartedly. All sitting on their A** even making distasteful jokes about the patients.

Maybe all so called professionals could try to really listen to the patients, without prejudice.
That will stop adding more harm.
 
Didn't someone say something like "psychologist, heal thyself"?

How is it that experts on human nature haven't the first clue about human nature?
I once did a psychotherapy training course and several fellow students could easily have qualified as patients too, though they were all professionals.
One of the teachers was excellent though. The things he could hear and see were sublime.
Knowledge incorporated through experience, a real expert in human nature.
 
While it is difficult to immediately shift away from deeply ingrained societal beliefs that lead to medical gaslighting, psychologists are at the forefront of efforts to prevent these harmful interactions and support patients who have been invalidated.

If someone has a referral to a psychologist or psychiatrist on their medical records doesn't that create stigma? After all [sarcasm] if they weren't mentally ill they wouldn't need such a referral [/sarcasm]

...

Many doctors think that if they tell a patient that "all your tests are normal" this should be reassuring and the patient should go away and live their lives and be happy that they are healthy. When in fact from the patient's point of view they still have the original complaint they went to the doctor with in the first place. So the doctor thinks they've done their job, and the patient knows they have been dismissed.
 
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Psychologists are developing strategies for both patients and providers to reduce stigma related to these illnesses and to better support people who experience medical gaslighting.
Unfortunately, psychologists and physicians are developing strategies to perpetuate or increase it, under the pretense of working to reduce it, in larger number, and with far more effectiveness, due to its inexplicable, and frankly very ugly, popularity. So the net effect is still in the wrong direction.

Not that they do anything different from the last half-century, in fact it's just keeping the same pace but with the increasing popularity of healing mind magic, both with the public and the health care industry, it's basically like scooping out the ocean with a bucket to reduce rising sea level.

Until this popularity is addressed head on, and the truly ugly nature of this evil system, is addressed, with consequences for those who persist, nothing will change as long as humans are the whole system. None of this is accidental. It has a long tradition and history, the reasons are not even subtle or hidden, and it's also never going to be fixed as long as psychosomatic ideology is not massively reined in, basically reduced at least 99% as a starting point, because the whole thing is just a bunch of barbarian horseshit. Being overworked excuses nothing here. Not even close.

AI will change that, because gaslighting is mostly a reactionary strategy to deal with a huge mismatch between supply and demand, there is simply too much demand for health care, and not enough clinicians to do the work.

"When you hear hoofbeats, think horses, not zebras"
In fact, conditions that are not easily designated for a particular illness accounted for the largest share of medical services spending in the United States in 2021
Turns out there are about 5,000 sub-species of zebras and together they add up to more than there are horses. Or whatever, not quite but double whatever. Funny how that works.

Also the idea of having therapists working to address medical "PTSD" (the term clearly doesn't apply here, come on) while the problem is not actually being addressed upstream, medical gaslighting is more common and popular than ever, is in the same category as selling weapons to both sides in a war. Not helping. Not even close to the right thing to do.

It's also something that the article focuses so heavily on the resulting shame and self-doubt, when from what I have seen over the years is that it's not common, because the vast majority of patients see right through the gaslighting. But they can make therapies for the shame and self-doubt, so as is tradition, they focus only on themselves.
“People who have a negative interaction with one provider often stop trusting other providers who did not gaslight them, and this can morph into a pervasive lack of trust,” said Jackson. “Providers can stop this cycle by partnering with patients to seek healing when conditions do not fit inside the traditional categories for diagnosis and treatment.”
Again: not helping. Not helping at all. Medicine is a heavily regulated system and extremely standardized, to provide a baseline of quality where most physicians are as capable as the next, but with this approach comes the inevitable fact that the flaws are copy-pasted almost universally. It's normal to stop trusting all physicians after even a single encounter with medical gaslighting because it's a system, and the problem with systemic flaws is that they are everywhere, and most people are smart enough at human dynamics to see through this.
 
While it is difficult to immediately shift away from deeply ingrained societal beliefs that lead to medical gaslighting, psychologists are at the forefront of efforts to prevent these harmful interactions and support patients who have been invalidated.
The beliefs literally originate from the medical profession, and they use many of the tools and language of psychology. All of this is a choice, society has those beliefs because they are what the medical profession has been saying for the last century. Either this is denial and avoidance, or lack of self-awareness, and both reflect very poorly on everyone involved in this dynamic except us.

We have called it out the whole time. It's documented. It's even used it against us! All of this is a choice and the responsibility is 100% on the medical profession, in exactly the same way as a way of aggression ends when the aggressor goes back home and stops its war of aggression. There are no two sides here. This is as one-sided as anything can be.
 
Psychologists are developing strategies for both patients and providers to reduce stigma related to these illnesses and to better support people who experience medical gaslighting.​
NO ONE wants medical gaslighting to qualify for PTSD; everyone wants doctors to learn how to behave themselves.
Exactly.

The real solution is for doctors to, you know, just not gaslight in the first place.

Seems a much more efficient and effective solution. Not to mention obvious.

Unfortunately, psychologists and physicians are developing strategies to perpetuate or increase it, under the pretense of working to reduce it, in larger number, and with far more effectiveness, due to its inexplicable, and frankly very ugly, popularity.
A particularly disturbing example of mission creep, empire building, and a 'solution' in search of a problem, all rolled into one.
 
The article isn't so bad. The problem is mainly that the focus is, as usual, on the victims and individuals rather than the perpetrators and the system.

A focus on psychology (feelings of patients) rather than on causes (false models, bad training, lack of biological understanding).
 
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