Upon reading Chloe Saunders and colleagues’ Comment,1 it is striking how this new
paradigm is essentially the old paradigm for medically unexplained symptoms and contested
illnesses.2 The authors advance an alleged philosophical problem they call “taboos
based on a dualistic understanding of physical versus mental illness”. They assert
such “Poorly integrated explanatory models contribute to poor care and stigma for
people who are ill in these specific ways.”