Defining Medical Gaslighting—To Extinguish It - Scorecard - MDSpire
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Understanding Medical Gaslighting—Aiming to Eliminate It

  • By

  • Connie M. S. Janiszewski

  • Danielle Mosterd

  • Catherine Emerson

  • Antonina Mikocka-Walus

  • Lisa B. Grech

  • September 14, 2026

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Clinical Scorecard: Understanding Medical Gaslighting—Aiming to Eliminate It

At a Glance

CategoryDetail
ConditionMedical Gaslighting
Key MechanismsDismissal, invalidation, and inadequate medical care, particularly affecting marginalized populations.
Target PopulationIndividuals experiencing chronic or contested illnesses, especially marginalized groups.
Care SettingClinical practice and public discourse

Key Highlights

  • Medical gaslighting is rooted in historical patterns of dismissal and pathologisation, particularly affecting women.
  • The term gained prominence in 2020 through accounts of patients with long COVID.
  • Marginalized populations face disproportionate experiences of medical gaslighting.
  • Intersectionality plays a critical role in how medical gaslighting is experienced across different demographics.
  • The phenomenon is often conflated with communication failures and unmet patient expectations.

Guideline-Based Recommendations

Diagnosis

  • Recognize the signs of medical gaslighting in patient interactions.

Management

  • Address systemic inequities and biases in clinical practice.

Monitoring & Follow-up

  • Continuously assess patient experiences to identify instances of dismissal or invalidation.

Risks

  • Failure to acknowledge medical gaslighting can lead to ongoing patient distress and inadequate care.

Patient & Prescribing Data

Patients with chronic or contested illnesses, particularly those from marginalized backgrounds.

Empower patients to advocate for their symptoms and experiences within the healthcare system.

Clinical Best Practices

  • Adopt a sociological perspective to understand the systemic nature of medical gaslighting.
  • Engage in active listening to validate patient concerns.
  • Foster an environment that encourages open communication between patients and healthcare providers.

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