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Long covid and medical gaslighting: Dismissal, delayed diagnosis, and deferred treatment

While we know a lot more about Long Covid today, patients who were infected with Covid-19 early on in the pandemic and developed Long Covid had to contend with medical professionals who lacked awareness of the potential for extended complications from Covid-19. Long Covid patients have responded by...

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Autores principales: Au, Larry, Capotescu, Cristian, Eyal, Gil, Finestone, Gabrielle
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Authors. Published by Elsevier Ltd. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9448633/
https://www.ncbi.nlm.nih.gov/pubmed/36092770
http://dx.doi.org/10.1016/j.ssmqr.2022.100167
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author Au, Larry
Capotescu, Cristian
Eyal, Gil
Finestone, Gabrielle
author_facet Au, Larry
Capotescu, Cristian
Eyal, Gil
Finestone, Gabrielle
author_sort Au, Larry
collection PubMed
description While we know a lot more about Long Covid today, patients who were infected with Covid-19 early on in the pandemic and developed Long Covid had to contend with medical professionals who lacked awareness of the potential for extended complications from Covid-19. Long Covid patients have responded by labeling their contentious interactions with medical professionals, organizations, and the broader medical system as “gaslighting.” We argue that the charge of medical gaslighting can be understood as a form of ontological politics. Not only do patients demand that their version of reality be recognized, but they also blame the experts who hold gatekeeping power over their medical care for producing a distorted version of said reality. By analyzing results from an online survey of Long Covid patients active on social media in the United States (n ​= ​334), we find that experiences of contention and their reframing as “gaslighting” were common amongst our respondents. In short answer responses about their experience obtaining medical care for Long Covid, our respondents described encountering medical professionals who dismissed their experience, leading to lengthy diagnostic odysseys and lack of treatment options for Long Covid. Even though we are limited by characteristics of our sample, there is good reason to believe that these experiences and their contentious reframing as medical gaslighting are exacerbated by gender, class, and racial inequalities.
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spelling pubmed-94486332022-09-07 Long covid and medical gaslighting: Dismissal, delayed diagnosis, and deferred treatment Au, Larry Capotescu, Cristian Eyal, Gil Finestone, Gabrielle SSM Qual Res Health Article While we know a lot more about Long Covid today, patients who were infected with Covid-19 early on in the pandemic and developed Long Covid had to contend with medical professionals who lacked awareness of the potential for extended complications from Covid-19. Long Covid patients have responded by labeling their contentious interactions with medical professionals, organizations, and the broader medical system as “gaslighting.” We argue that the charge of medical gaslighting can be understood as a form of ontological politics. Not only do patients demand that their version of reality be recognized, but they also blame the experts who hold gatekeeping power over their medical care for producing a distorted version of said reality. By analyzing results from an online survey of Long Covid patients active on social media in the United States (n ​= ​334), we find that experiences of contention and their reframing as “gaslighting” were common amongst our respondents. In short answer responses about their experience obtaining medical care for Long Covid, our respondents described encountering medical professionals who dismissed their experience, leading to lengthy diagnostic odysseys and lack of treatment options for Long Covid. Even though we are limited by characteristics of our sample, there is good reason to believe that these experiences and their contentious reframing as medical gaslighting are exacerbated by gender, class, and racial inequalities. The Authors. Published by Elsevier Ltd. 2022-12 2022-09-07 /pmc/articles/PMC9448633/ /pubmed/36092770 http://dx.doi.org/10.1016/j.ssmqr.2022.100167 Text en © 2022 The Authors Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Au, Larry
Capotescu, Cristian
Eyal, Gil
Finestone, Gabrielle
Long covid and medical gaslighting: Dismissal, delayed diagnosis, and deferred treatment
title Long covid and medical gaslighting: Dismissal, delayed diagnosis, and deferred treatment
title_full Long covid and medical gaslighting: Dismissal, delayed diagnosis, and deferred treatment
title_fullStr Long covid and medical gaslighting: Dismissal, delayed diagnosis, and deferred treatment
title_full_unstemmed Long covid and medical gaslighting: Dismissal, delayed diagnosis, and deferred treatment
title_short Long covid and medical gaslighting: Dismissal, delayed diagnosis, and deferred treatment
title_sort long covid and medical gaslighting: dismissal, delayed diagnosis, and deferred treatment
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9448633/
https://www.ncbi.nlm.nih.gov/pubmed/36092770
http://dx.doi.org/10.1016/j.ssmqr.2022.100167
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