Chronic Illness and Gaslighting
(Just going to start with a big ol’ disclaimer that this piece considers the concept of gaslighting in a very abstract sense, and takes the dynamic outside of the realm of purposeful abuse. Psych majors, please be nice.)
A few weeks ago, I made a very big life decision. I had thought about it for a good long time, and only took action when I was 100% sure of myself. I approached my doctor for assistance… only for him to misunderstand my intent, despite multiple explanations and rephrasing. Not only that, but he consistently encouraged me to do the exact opposite of what I’d planned. He brought up the fact that I should consider cognitive behavioral therapy, despite the fact that my concerns were physical, not mental.
You know how this story ends. I doubted myself. I wondered if I was truly making the right decision, even though I had thought about it for ages, even though I had just been feeling incredibly self-assured… I believed in myself, and it only took one person to shut that down. Now, my plans are on hold as I search for a doctor who will take me seriously, and I am constantly thinking things like “maybe I was just being a wuss, maybe he’s right, maybe I’m going about it all wrong, maybe I’m imagining it, maybe I’m just being dramatic.“
Like I said, this is probably very, very familiar to you.
True story: after about two years of chronic illness, I no longer trust myself and my judgement. And it’s not because my judgement has turned out to be wrong–in fact, my judgement has been proven correct 99% of the time. But with the constant contradictory input I receive from others, that confidence just collapses.
Enter the concept of gaslighting. Wikipedia describes gaslighting as:
a form of mental abuse in which information is twisted/spun, selectively omitted to favor the abuser, or false information is presented with the intent of making victims doubt their own memory, perception and sanity. Instances may range simply from the denial by an abuser that previous abusive incidents ever occurred, up to the staging of bizarre events by the abuser with the intention of disorienting the victim.
Now, as much as I’d like to believe it, there is no conspiracy, no underground group of people committed to messing with you. In most cases, there isn’t even a plan or an intent to abuse. Nonetheless, the dynamic described here is spot-on: spoonies are incredibly likely to experience the emotional effects of gaslighting throughout their medical journey.
Think about all the times a few words from a doctor or a loved one have left you wondering if you were just imagining your symptoms. Think about all the times when you’ve pushed yourself to do something you know you can’t do, because someone else told you you could and should. Think about the state of your self-confidence when it comes to your health. It may stand tall, but it topples at the slightest of breezes.
You are being gaslighted. By doctors, by society, by friends and family, even by yourself. Every day, the small contradictions chip away at your confidence, your belief in your ability to determine what’s best for you.
So remember this the next time you don’t trust your own judgement. Remember that your judgement is digging through layers upon layers of self-doubt to get to you. Respect all that it’s overcome to give you whatever signal you’re getting, and listen to yourself above all others.