The rise of invalidation in medicine
DOI:
https://doi.org/10.7196/SAMJ.2026.v116i1.4249Keywords:
Invalidation, Medical Gaslighting, Validation in medicine, patient dignityAbstract
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References
1. Chochinov HM. Dignity and the essence of medicine: The A, B, C, and D of dignity conserving care. BMJ 2007;335(7612):184-187. https://doi.org/10.1136/bmj.39244.650926.47
2. Nicola M, Correia H, Ditchburn G, Drummond PD. Defining pain-validation: The importance of validation in reducing the stresses of chronic pain. Front Pain Res 2022;3:884335. https://doi.org/10.3389/ fpain.2022.884335
3. Chochinov HM. Fractured personhood, suicide, and lessons from those nearing death. J Palliat Med 2023;26(8):1037-1039. https://doi.org/10.1089/jpm.2023.0299
4. Sebring JCH. Towards a sociological understanding of medical gaslighting in western health care. Sociol Health Illness 2021;43(9):1951-1964. https://doi.org/10.1111/1467-9566.13367
5. Sim J, Madden S. Illness experience in fibromyalgia syndrome: A metasynthesis of qualitative studies. Soc Sci Med 2008;67(1):57-67. https://doi.org/10.1016/j.socscimed.2008.03.003
6. Larun L, Malterud K. Identity and coping experiences in chronic fatigue syndrome: A synthesis of qualitative studies. Patient Educ Couns 2008;69(1-3):20-28. https://doi.org/10.1016/j.pec.2007.06.008
7. Penner LA, Dovidio JF, Edmondson D, et al. The experience of discrimination and Black-White health
disparities in medical care. J Black Psychol 2009;35(2):180-203. https://doi.org/10.1177/0095798409333585
8. Pettersson A, Berterö CM. How women with endometriosis experience health care encounters. Womens Health Rep 2020;1(1):529-542. https://doi.org/10.1089/whr.2020.0028
9. Opland C, Torrico TJ. Psychotherapy and therapeutic relationship. Treasure Island: StatPearls Publishing; 2024. https://www.ncbi.nlm.nih.gov/books/NBK564368/ (accessed 9 June 2025).
10. LightbourneA,FoleyS,DempseyM,CroninM.Livingwithendometriosis:Areflexivethematicanalysis examining women’s experiences with the Irish healthcare services. Qual Health Res 2024;34(4):311-322. https://doi.org/10.1177/10497323231214114
11. Desta R, Blumrosen C, Laferriere HE, et al. Interventions incorporating therapeutic alliance to improve medication adherence in black patients with diabetes, hypertension and kidney disease: A systematic review. Patient Prefer Adherence 2022;16:3095-3110. https://doi.org/10.2147/PPA.S371162
12. Chang JG, Roh D, Kim CH. Association between therapeutic alliance and adherence in outpatient schizophrenia patients. Clin Psychopharmacol Neurosci 2020;18(1):113-121. https://doi.org/10.9758/ cpn.2020.18.1.113
13. Zolnierek KB, DiMatteo MR. Physician communication and patient adherence to treatment: A meta- analysis. Med Care 2009;47(8):826-834. https://doi.org/10.1097/MLR.0b013e31819a5acc
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