Very strong reply by Long Covid Advocacy on
BlueSky:
Long Covid Advocacy
June 2 2026
OF KEY CONCERNS
We've now read Alan Levinovitz's WIRED piece on Long Covid.
Our concern isn't that it discusses psychological theories.
Our concern is that it repeatedly conflates criticism of evidence with creating a "climate of fear".Those are not the same thing. /1
Six years since the height of the pandemic, the scientific community remains baffled by long Covid.
But there might finally be a way forward for long Covid treatment—if only you were allowed to talk about it.
The Painful Truth About Long Covid

CONFUSING VALIDATION WITH EVIDENCE
The article repeatedly blurs two separate claims:
Patients are genuinely ill and deserve to be believed
A specific treatment is effective.
These are different questions requiring different standards of evidence. /2
Believing patients is not the same thing as endorsing treatment claims.
And demanding evidence for treatment claims is not the same thing as denying illness. Conflating stigma helps no one in the community. /3

ANECDOTES ARE NOT EFFICACY DATA Recovery stories matter.
They generate hypotheses.
But anecdotes are not proof that an intervention works.
That's why medicine uses controls, comparison groups, replication and rigorous trials. /4
The question isn't whether people improved.
The question is whether a specific intervention caused the improvement.
Those are not the same thing.
Science exists precisely to remove the bias of anecdotes.
It isn't based on opinion for GOOD REASON! /5

REWRITING THE HISTORY OF PATIENT SCEPTICISM
AL suggests that resistance to psychogenic or mind-body explanations is driven by fear, stigma, or ideology
But many patients became sceptical because of decades of disputed research, dismissal, psychologisation and poor outcomes /6
Criticism of PACE was not primarily: "We refuse to consider psychology.
"It was:"We dispute the methodology, outcome measures and conclusions.
"That is an evidence debate not an anecdote or fear debate.
Portraying 'both sides" does not justify the stance taken by AL. /7

FRAMING PATIENT ADVOCACY AS A CLIMATE OF FEAR
The article repeatedly suggests that advocates and patient communities have created a climate in which psychological explanations cannot be discussed.
This framing ignores a basic reality. /8
Behavioural and psychosocial models dominated ME research, policy and clinical guidance for decades
Patients were not resisting a marginalised idea
They were challenging an influential one!
Long Covid research has also been dominated by cheap, lifestyle, behavioural methods /9A
major feature in WIRED is not evidence that discussion is impossible.
It is evidence that discussion is happening.
There is no shortage of articles, platforms & opinion about brain training.
The question is whether the arguments withstand scrutiny. /10
There is a certain irony in framing the discussion like the right-wing does for cancel culture on a platform of millions.
This isn't the tofu-eating wokerati this is people desperately ill, who have been harmed and are looking for effective treatment for many. /11

TURNING CRITICISM INTO PROOF
We are seeing a troubling pattern: Criticism of claims about brain retraining is reframed as evidence that people are afraid to discuss brain retraining. /12
But disagreement is not suppression!
Scientific debate requires criticism.
If criticism itself becomes proof of the thesis, the thesis becomes impossible to challenge. Handy! /13

GASLIGHTING IS NOT THE SAME AS SCIENTIFIC DISAGREEMENT
Patients have spent years describing experiences of dismissal, psychologisation, disbelief and institutional harm.
That history should not be repackaged as a fear of discussing psychology. /14
Raising concerns about evidence is not gaslighting.
We are deeply concerned at AL claiming patients are gaslighting other patients if they disagree.
Questioning efficacy claims is not abuse.
Requiring rigorous evidence is not censorship. /15

A FALSE CHOICE
The article creates a false choice: Accept brain retraining as a plausible path forward, or be portrayed as ideological, fearful, or anti-science.
The point is that we need research to determine an effective treatment. /16
If we look at ME there were 100's of behavioural studies for DECADES.
Most of the research was behavioural!
None of it worked.
We saw this in the NICE evidence review.
ALL the evidence was low/very low in quality.
The point is this mistake should not be repeated for Long Covid /17

THE FALSE DUALISM
A major problem in the article is the framing of a false binary: “biological absolutism” versus “psychological explanations.
”This is not the real divide.
Medicine does not operate on a choice between mind and body narratives.
It operates on EVIDENCE ffs. /18
The article finishes using a social services case to support a much broader claim about “climate of fear” shaping science and forcing biological framing.
That’s a major inferential leap & a betrayal of the trauma families have experienced. /19
They shouldn't be used to justify the article's thesis of fear & that advocates are "forced to insist on exclusively biological origin" & that no one will get better if this happens.
It's a low blow.
What we need is funding for effective research for treatments that work /20
There's more but we also note that claims about exercise and CBT are presented with relatively little engagement with the methodological critiques of that evidence base, particularly in relation to outcome measures and post-exertional malaise.

/21
Non paywalled article is here. /22
smry.ai
Article from wired.com
In light of this article that is creating more trauma for the community we recommend cultural feminist historian & ally Dr Elinor Cleghorn's words:
Full video:
longcovidadvoc.com