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'''Psychologization''' or '''psychologisation''' or '''psychiatrization''' is the overemphasis or exaggeration of the role of psychological factors in illness when there is "little or no evidence to justify it".<ref name="Spandler2017" /> Psychologization is also known as the [[Martha Mitchell effect]]. {{Quote frame|"Psychologisation is a common practice but one which can put patients' lives at risk and undermine the general population's confidence in medicine and those who practise it".<ref name="Goudsmit1991">{{Cite journal | last = Goudsmit | first=EM | authorlink = Ellen Goudsmit | last2 = Gadd | first2 = R | authorlink2 = | date = 1991| title = All in the mind? The Psychologisation of Illness | url = |journal=The Psychologist|volume=4|issue= | pages = 449-453|doi=|pmc=|pmid=|access-date=|quote=is the overemphasls and exaggeration of the role of psychological factors in illnesses which are generally considered to have a physiological and/or blochemical aetiology|via=}}</ref> | author = Goudsmit and Gadd (1981)}} ==Evidence == The best known example of psychologization can be found in the treatment of stomach ulcers, where were assumed to always have a psychological cause until the discovery of the bacteria responsible.<ref name="mpkb">{{Cite web|url=https://mpkb.org/home/alternate/psychosomatic| title = Psychosomatic explanations for disease (MPKB) | last = | first = | authorlink = | date = |website=The Marshall Protocol Knowledge Base|archive-url=|archive-date=|url-status=|access-date=2019-08-19}}</ref> In 1956 [[George Engel|Engel]], creator of the [[biopsychosocial model]] of illness, according to historian [[Edward Shorter]], Engel "asked why patients with ulcerative colitis often seemed to develop headaches when the bowel illness was quiescent. His theory was that when headaches appeared in these patients, 'there was evidence of strong conscious or unconscious aggressive or sadistic impulses. When bleeding occurred, 'the patient was feeling to varying degrees helpless, hopeless, or despairing. The bottom line, not entirely convincing to all gastro-enterologists, was 'Bleeding... characteristically occurs in the setting of a real, threatened, or fantasized loss, leading to psychic helplessness.'13"<ref>{{Cite book | last=Shorter | first=Edward | authorlink = Edward Shorter | date = 2005 | editor-last=White | editor-first = Peter|editor-link=Peter White| title = Biopsychosocial medicine: An integrated approach to understanding illness|url=https://books.google.co.uk/books?id=chwtWAt76JoC&pg=PA4&lpg=PA4&source=bl&hl=en#v=onepage&q&f=false|volume=|pages=1-19|quote=|via=}}</ref> "[[Niall McLaren|McLaren]] notes that some psychiatrists repeatedly invoke Engel's [[Biopsychosocial model|biopsychosocial "model"]] and that they accept without demur (or references) that it is a reality, when nothing could be further from the truth." <ref name="McLaren">{{Cite journal | date = 2002-01-01| title = The myth of the biopsychosocial model|url=https://www.tandfonline.com/doi/abs/10.1046/j.1440-1614.2002.01076.x|journal=Australian and New Zealand Journal of Psychiatry|volume=36|issue=5 | pages = 701–701|doi=10.1046/j.1440-1614.2002.01076.x|issn=0004-8674}}</ref> ==Psychologization in ME/CFS == Patients with [[ME/CFS]] have reported that clinicians often trivialize their symptoms and psychologize too much, and that this can lead to long term [[medical neglect and abuse]].<ref name="obstruction" /> {{Quote frame|text=Lupus, multiple sclerosis, AIDS, and Lyme disease suffered similar fates before “tissue evidence” was available. Patients were belittled by armchair speculators masquerading as scientists. Who among us believes this was helpful? A simple “I don’t know” would have been better than specious speculation.<br >The authors confuse absence of evidence with evidence of absence. They are not the same. Absence of evidence may reflect insufficient research, inadequate technology, poor methods, flawed paradigms, closed minds, or lack of clinical experience; for example, in 1980, there was no clear evidence that AIDS was viral—blood products were considered “safe.”<ref name="English2000"/>| author=Thomas English|source=Annals of Internal Medicine (2000)}} ==Notable studies == *1993, All in her mind! Stereotypic views and the psychologisation of women's illness<ref name="Goudsmit1993">{{Cite journal | journal = Health Psychology Update|url=https://books.google.co.uk/books?hl=en&lr=&id=E1afUMVG0VEC&oi=fnd&pg=PA7| title = All in her mind! Stereotypic views and the psychologisation of women's illness | last = Goudsmit | first=Ellen M | last2 = | first2 = | date = 1993|publisher=|isbn=|editor-link=|volume=12|location=|pages=28-32|language=en|chapter=|quote= | author-link = Ellen Goudsmit|editor-last2=|editor-link2=}}</ref> [https://books.google.co.uk/books?hl=en&lr=&id=E1afUMVG0VEC&oi=fnd&pg=PA7 (Full text)] *2002, Bio-psycho-social reasoning in GPs' case narratives: The discursive construction of ME patients' identities<ref name="Horton2002">{{Cite journal | last = Horton-Salway | first = Mary | authorlink = Mary Horton-Salway | date = 2002-10-01| title = Bio-Psycho-Social Reasoning in GPs’ Case Narratives: The Discursive Construction of ME Patients’ Identities|url=https://doi.org/10.1177/136345930200600401|journal=Health|language=en|volume=6|issue=4 | pages = 401–421|doi=10.1177/136345930200600401|issn=1363-4593|pmc=|pmid=|access-date=|quote=|via=}}</ref> [http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.940.9969&rep=rep1&type=pdf (Full text)] *2002, The myth of the biopsychosocial model<ref name="McLaren" /> [https://doi.org/10.1046%2Fj.1440-1614.2002.01076.x (Abstract)] *2008, Obstructions for quality care experienced by patients with chronic fatigue syndrome (CFS)—A case study<ref name="obstruction">{{Cite journal | last = Gilje | first = Ann Marit | authorlink = Ann Marit Gilje | last2 = Söderlund | first2 = Atle | authorlink2 = Atle Söderlund | last3 = Malterud | first3 = Kirsti | authorlink3 = Kirsti Malterud | author-link4 = | authorlink5 = | date = Oct 2008| title = Obstructions for quality care experienced by patients with chronic fatigue syndrome (CFS)—A case study|url=https://linkinghub.elsevier.com/retrieve/pii/S0738399108001936|journal=[[Patient Education and Counseling]]|language=en|volume=73|issue=1|pages=36–41|doi=10.1016/j.pec.2008.04.001|quote=|via=}}</ref> [https://linkinghub.elsevier.com/retrieve/pii/S0738399108001936 (Abstract)] *2017, Contesting the psychiatric framing of ME/CFS<ref name="Spandler2017">{{Cite journal | last = Spandler | first=Helen | authorlink = Helen Spandler | last2 = Allen | first2 = Meg | authorlink2 = Meg Allen | date = 2017-08-16| title = Contesting the psychiatric framing of ME/CFS|url=https://www.researchgate.net/profile/Helen_Spandler/publication/319157873_Contesting_the_psychiatric_framing_of_MECFS/links/599b082545851574f4ac5ba0/Contesting-the-psychiatric-framing-of-ME-CFS.pdf|journal=Social Theory & Health|language=en|volume=16|issue=2|pages=127–141|doi=10.1057/s41285-017-0047-0|issn=1477-8211|quote=|via=}}</ref> [https://www.researchgate.net/profile/Helen_Spandler/publication/319157873_Contesting_the_psychiatric_framing_of_MECFS/links/599b082545851574f4ac5ba0/Contesting-the-psychiatric-framing-of-ME-CFS.pdf (Full text)] == Book chapters == * 2005, [https://books.google.co.uk/books?id=chwtWAt76JoC&pg=PA4&lpg=PA4&source=bl&hl=en#v=onepage&q&f=false The biopsychosocial approach in medicine: before and after Engel.] ==Letters, articles and talks == * 2000, Functional somatic syndromes<ref name="English2000">{{Cite journal | last = English | first = T.L. | authorlink = Thomas English | date = Feb 15, 2000| title = Functional somatic syndromes|url=https://www.ncbi.nlm.nih.gov/pubmed/10681297|journal=Annals of Internal Medicine|volume=132|issue=4|pages=329|issn=0003-4819|pmid=10681297|quote=Lupus, multiple sclerosis, AIDS, and Lyme disease suffered similar fates before “tissue evidence” was available. Patients were belittled by armchair speculators masquerading as scientists. Who among us believes this was helpful? A simple “I don’t know” would have been better than specious speculation.<br >The authors confuse absence of evidence with evidence of absence. They are not the same. Absence of evidence may reflect insufficient research, inadequate technology, poor methods, flawed paradigms, closed minds, or lack of clinical experience; for example, in 1980, there was no clear evidence that AIDS was viral—blood products were considered “safe.”|via=}}</ref> * 2013, Disease-modifying therapies for nonrelapsing multiple sclerosis: Absence of evidence does not constitute evidence of absence<ref name="Dunn2013">{{Cite journal | last = Dunn | first = J. | author-link = Jeffrey Dunn | date = 2013-10-31| title = Disease-modifying therapies for nonrelapsing multiple sclerosis: Absence of evidence does not constitute evidence of absence|url=http://dx.doi.org/10.1212/01.cpj.0000436215.95884.89|journal=Neurology: Clinical Practice|volume=3|issue=6|pages=515–518|doi=10.1212/01.cpj.0000436215.95884.89|issn=2163-0402|quote=|via=}}</ref> == See also == * [[Psychosomatic illness]] *[[Hypochondriasis]] (hypochondria or illness anxiety disorder) * [[Contested illness]] * [[Biopsychosocial model]] * [[Martha Mitchell Effect]] * [[Medically unexplained physical symptoms]] * [[Functional neurological symptom disorder|Functional Neurological Symptom Disorder]] (FND) * [[Bodily distress disorder]] * [[Wessely school]] ==Learn more == * [http://margaretwilliams.me/2006/model-of-the-myth.pdf The Model of the Myth] * [http://margaretwilliams.me/2006/more-on-the-myth.pdf More on the Myth?] == References == {{Reflist}} [[Category:Psychology]] [[Category:Psychological paradigm]]
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