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Effective interview. I agree. It is important to keep the focus of criticism on the psychosomatic wing of the psych professions. Our argument is not with psych in general, and never has been. It is with the psychosomatic wing and their methodologically and ethically bankrupt claims. (Of...

I regard terms like multi-disciplinary, multi-organ, multi-modal, complex, etc, as red flags about the profession's ignorance and lack of interest in admitting it.

This.

That is interesting.

That is my view of what they are doing, and it is appalling beyond words. To the extent they can be called experts at anything it is at exploiting popular prejudices and bigotries, and the myriad flaws within governance and quality control processes. And they really are some of the very best...

Was it clinically significant? Or neither? 40/51 is at least most studies, if not the overwhelming majority.

In other words, it is not 'functional'.

Peer-review in psychosomatics is clearly fundamentally broken, and is clearly not going to be fixed by the current generation in that field. It is going to require an external intervention imposing adequate standards on them, and monitoring them for some time to ensure they comply.

Exactly. Very pleased and grateful you chose to stay here and keep contributing your invaluable insight and experience. :thumbsup: I would call that realistic, based on very hard earned lessons. The persistent failure to account for (actual) context by the psychosomatic club, including their...

@bobbler Prof. Ian Hickie is one of the mental health gurus here in Australia, and is most definitely not a friend to the ME/CFS community, and anything he is involved with is automatically suspect.

Uh-oh. I tick those boxes, some of them very long term too. The reflux has been an issue since my teens, and only got progressively worse as I got older, resulting in being on PPIs for about 20 years now. Also probably resulted in developing Barret's esophagus, which is something you really...

All form and no content.

Yeah, I have not seen much from him, at any level of research, clinical, policy, or medico-legal, that I would call useful.

Maybe. They are proving very resilient and resistant to substantive reform, and the rest of the power structure is not doing a good job yet at removing them and their shit theories from practical application.

The lack of self-awareness in some people never ceases to astound me. It is either that or he knows what he is doing and just doesn't give a shit about the harm it causes. Clinician, heal thyself.

Thank you Trish, and Sonya for listening and acting promptly. :thumbsup: Yep, BACME are a complete waste of our time and lives. Sooner they are left in the dust of history, the better.

Integrated care is recommended when treating persistent somatic symptoms in later life, regardless of the (un)explained origin of the symptoms. BPS for everything.

+1 It's ridiculous, isn't it. The actual outcomes seem to make no difference at all to their 'reasoning', the explanation/conclusion they come up with is always 'more BPS'.

This is the bit that the powerful are scared of and trying to bury.

And that increase in risk was for severe childhood trauma. If they are only getting a weak generic effect for the severe end of the abuse spectrum, there is unlikely to be a stronger effect for the more moderate-mild end of that spectrum. At the population level none of this is of much...