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Long covid and medical gaslighting: Dismissal, delayed diagnosis, and deferred treatment
Larry Au1, Cristian Capotescu2, Gil Eyal3
1Department of Sociology, The City College of New York, NAC 6/135, 160 Convent Ave, New York, NY, 10031, USA.
Insights
Long Covid patients often experience medical gaslighting, where healthcare providers dismiss their symptoms, leading to delayed diagnoses and treatment. This study highlights how these experiences are common and potentially worsened by social inequalities.
Area of Science:
- Medical Sociology
- Public Health
- Patient Experience Research
Background:
- Early Long Covid patients faced healthcare providers unaware of prolonged post-COVID-19 complications.
- Patients experiencing persistent symptoms after COVID-19 infection have labeled their interactions with the medical system as "gaslighting."
Purpose of the Study:
- To investigate the prevalence and nature of "medical gaslighting" experienced by Long Covid patients.
- To understand how patients perceive and label their interactions with healthcare professionals regarding Long Covid symptoms.
Main Methods:
- Analysis of an online survey data from 334 Long Covid patients active on social media in the United States.
- Qualitative analysis of short answer responses detailing experiences with medical care.
Main Results:
- A significant proportion of respondents reported experiences of contention and "gaslighting" in their medical care for Long Covid.
- Patients described encounters with medical professionals who dismissed their symptoms, resulting in prolonged diagnostic delays and limited treatment options.
Conclusions:
- The concept of "medical gaslighting" offers a framework for understanding Long Covid patients' struggles for recognition and validation.
- Experiences of medical gaslighting may be intensified by intersecting factors of gender, class, and race, underscoring systemic inequalities in healthcare access and delivery.
Abstract:
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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