Excellent analysis and summary from Long Covid Advocacy. I hope it's ok to share a long quite:
Wessely, Mendenhall and the Reproduction of Medical Power
quote:
It is important to note that
Invisible Illness has an admirable aim: to challenge the ways medicine dismisses, marginalises, and gaslights people with chronic, poorly understood conditions. Mendenhall positions herself as an ally and has been open to critique and dialogue - which is inherently valuable.
So to conclude, Mendenhall falls into three main traps:
The first is the unfalsifiable threshold framing, widening the scope through biological, psychological, and social entanglements. The book would have been an excellent addition to Long Covid literature without this framing.
Instead, she created an asymmetry: the authority of the theorist over the patient. Her interpretive narratives of a marginalised group moved into epistemic overreach. Patients became illustrations of theory rather than subjects whose accounts do not need premature closure. This is where her allyship falters.
The second is a category error as Mendenhall grouped a fluid, poorly delineated and wide range of conditions under a single holistic umbrella. Proceeding to speculate that:
there might not be one pathway that can or should explain every case. The concept of thresholds enables us to sit within the grey areas of health and disease. (Mendenhall).
Patients will argue that it is precisely this
grey area of medicine where we do not want to be located. In fact, it is the proclaimed favourite area of Sir Simon Wessely, which leads us to the third trap.
Mendenhall holds a position of false balance when narrating the PACE trial. Placing each side as equally valid is a false equivalence and is damaging for the ME community. Yet, we know now that this was because of the silencing technique of legal threat that Professor Simon Wessely used.
There is a way forward, though; we would encourage Mendenhall to see this as a reflexive moment, where the analyst becomes part of the study, and the power dynamics can be narrated.
How Invisible Illness Missteps on Holism, Psychologisation and Epistemic Capture
longcovidadvocacy.substack.com