Historically, medical conditions that disproportionally affect women have falsely been attributed to psychological causes, often referred to with euphemism such as "biopsychological". Yet I am shocked to read this about #longcovid in 2020! 1/

link.springer.com/article/10.100…
In addition to reflecting implicit sexism and being unwarranted by the data, such conclusions
- gaslight patients to believe it is "all in their head"
- direct research away from the search for treatable biological causes
- bias medical practitioners in their assessment
2/
Finally, they propagate circular and unfalsifiable "biopsychological" disease models. (a) If no evidence for biological abnormalities can be observed with currently available techniques, a disease is attributed to psychological causes. 3/
(b) When new studies are published that do show biological abnormalities, these are disregarded as unsurprising as they are likely caused by psychological factors.

Needless to say, such theories are unfalsifiable and thus non-scientific. 4/
Luckily, medicine has shifted rapidly away from this perspective over the past years, potentiated by the pandemic and the millions of C-19 long haulers. As Marley put it, "You can fool some people some times, but you cant fool all the people all the time." Let's move on. /5
Thanks for @AnilvanderZee for posting this first. @ErinSandersNP @MECFSNews
And of course I meant 2021, time flies 😅

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More from @KunstJonas

12 Jul 20
Scientific understandings of diseases have never been static but always subject to change and revision. Often, big scientific leaps take place in times of crisis. My prediction is that the wave of #LongCovid-19 will fundamentally change how we view post-viral conditions. 1/
I believe that the “cognitive era” of post-viral conditions will find its end rather soon. That is not to say that CBT won’t have its place in the treatment of patients. It can be crucial in helping them cope with their illness. But it cannot solve its physical causes. 2/
Evidence for the biological basis of diseases such as #MECFS is mounting and promising early developments of diagnostic blood tests have been recently published in world-leading journals such as PNAS. pnas.org/content/116/21… 3/
Read 6 tweets
6 Jul 20
For decades, post-viral physical symptoms have been trivialized as psychological. Based on shaky empirical grounds, people have been left with CBT as their only treatment option. Now it is COVID19 long haulers’ time to be told “it’s all in their heads.” #LongCovid #covid1in20 1/
Many of those infected by COVID19 don’t fully recover and physicians call for research into the causes, which we currently know very little about. However, some psychotherapists have already attributed it to long haulers being “more prone to distress” shorturl.at/wLSYZ 2/
The solution? Cognitive Behavioral Therapy! Don’t get me wrong. As a psychologist, I have no doubt that many people (ill and not ill) can profit from CBT. But it’s stunning that some already assume it can cure medical conditions that we still know very little about. 3/
Read 8 tweets

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