For centuries, when a physical illness had no clear medical explanation, psychology filled the gap with psychogenic theories, suggesting the cause was mental. For example, stomach ulcers were long attributed to stress until the H. pylori bacterium was discovered. Similarly, Multiple Sclerosis (MS) and migraines, which disproportionately affect women, were often dismissed as malingering or rooted in personality flaws and emotional frailty. This victim-blaming approach has led to misdiagnoses, delayed care, and immense suffering for countless patients, reinforcing ableist and sexist stereotypes that align with a conservative worldview. The continued inclusion of ‘unexplained symptoms’ as a sign of mental illness in modern diagnostic manuals perpetuates this harmful practice.

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The Psychologising of the Sick

  • Brian M. Hughes

摘要

For centuries, when a physical illness had no clear medical explanation, psychology filled the gap with psychogenic theories, suggesting the cause was mental. For example, stomach ulcers were long attributed to stress until the H. pylori bacterium was discovered. Similarly, Multiple Sclerosis (MS) and migraines, which disproportionately affect women, were often dismissed as malingering or rooted in personality flaws and emotional frailty. This victim-blaming approach has led to misdiagnoses, delayed care, and immense suffering for countless patients, reinforcing ableist and sexist stereotypes that align with a conservative worldview. The continued inclusion of ‘unexplained symptoms’ as a sign of mental illness in modern diagnostic manuals perpetuates this harmful practice.