Search results

  1. Woolie

    Acceptance and Commitment Therapy for MuScle Disease (ACTMuS): Protocol for a two-arm randomised controlled trial of a brief guided self-help ACT prog

    Yes, of course, its totally silly. People with aphasia are in fact more prone to depression than those who've had strokes that did not affect their language - and by quite a bit too. My sense is that people with aphasia are often unaware of the extent to which their stroke has affected their...
  2. Woolie

    Acceptance and Commitment Therapy for MuScle Disease (ACTMuS): Protocol for a two-arm randomised controlled trial of a brief guided self-help ACT prog

    Whoa, that's a huge question! I think the short answer is probably "yes", your thoughts do involve language. But its complicated, and there's probably a massive network of representations that become activated during active "thought", including visual, linguistic, conceptual and spatial (I mean...
  3. Woolie

    Acceptance and Commitment Therapy for MuScle Disease (ACTMuS): Protocol for a two-arm randomised controlled trial of a brief guided self-help ACT prog

    To me, your quote is straight out the CBT rulebook. Let me explain my thoughts here (they are my own, others may have a different perspective). To me, CBT is founded on a very specific theoretical framework, whose core ideas are usually attributed to Beck. This framework places a person's...
  4. Woolie

    Who is Simon Wessely?

    :rofl::rofl::rofl::rofl:!!
  5. Woolie

    Acceptance and Commitment Therapy for MuScle Disease (ACTMuS): Protocol for a two-arm randomised controlled trial of a brief guided self-help ACT prog

    Yes. I have no problem with ACT. Good techniques to help people cope with grief and severe life events. But it isn't ACT, though is it? How do you stop this sort of co-opting of the latest buzzwords? It seems an unsolveable problem with behavioural interventions.
  6. Woolie

    BMJ: Pressure grows on Lancet to review “flawed” PACE trial

    I know, I know! "If the results go the way we planned, we win. If they don't we still win".
  7. Woolie

    BMJ: Pressure grows on Lancet to review “flawed” PACE trial

    I'm very worried about this little side-step into psychologisation that we see in Kerr's letter. We actually don't know if psychological stress can cause reactivation of herpes viruses, but we know for damned sure that immunological stress can (e.g. a serious new infection). It really worries...
  8. Woolie

    BMJ: Pressure grows on Lancet to review “flawed” PACE trial

    What they mean is that patients will always carry with them the psychological weaknesses that make them prone to "unexplained" illnesses. So next time they get themselves into a tizzy, there's no guaranteeing they won't go off again. Its sometimes hard to understand their logic until you view...
  9. Woolie

    BMJ: Pressure grows on Lancet to review “flawed” PACE trial

    The trouble with the LTFU is that there are ways of arguing away the absence of treatment effects. Because a good number of the SMC group went on to receive GET or CBT after the 52 weeks of the trial were up. I know, I know, in the Rethinking paper, they looked at this, and couldn't find any...
  10. Woolie

    Simon Wessely: ‘ECT is in my own advance directive’

    Yes, you've got a good point there. When you look at it retrospectively, all sort things can appear to be triggers or play a causal role in depression. But its always hard to tease apart cause and effect. My ex partner suffered from a mix of anxiety and depression, sometimes severe, and when...
  11. Woolie

    Reports from participants in GET and CBT trials

    This reads as though the person might have been in the APT/Adaptive Pacing Therapy arm (bolding mine).
  12. Woolie

    Patient–physician gender concordance and increased mortality among female heart attack patients, 2018, Brad N. Greenwood et al.

    I wonder whether the women are, on average, younger than the men, and their training therefore more up-to-date? That would be likely, because the numbers of females doctors graduating is much higher now than, say, 30 years ago - so most doctors over 50 will be men.
  13. Woolie

    Who was it that said being in support groups leads to poor outcome?

    I just remember a few "patient vignettes" that members of that group created to train doctors, and in those, patients were often portrayed as unpredictable and highly impulsive - feeling too "sick" to go out a few days, and then going out for a two-hour walk followed by a late night at the pub...
  14. Woolie

    Who was it that said being in support groups leads to poor outcome?

    I wanted to add that the PACE authors tried to hint that their long-term follow-up failed because a large proportion of the people who responded to the follow-up were members of patient organisations - proportionately more than in the entire cohort: White et al. are clearly hinting that those in...
  15. Woolie

    Who was it that said being in support groups leads to poor outcome?

    Clearly, they included the item on alcohol consumption hoping that they could pin any non-recovery on bad behaviours like drinking too much. Inconveniently for them, it had the opposite effect.
  16. Woolie

    'Denialism: what drives people to reject the truth' by Keith Kahn-Harris

    I don't think that was my point at all. The lines I quoted weren't about this person's disease experience. Those lines hinted at a possible view about MECFS causation which might not be helpful to us from an advocacy point of view. That was the concern here, and I mentioned it when I did because...
  17. Woolie

    'Denialism: what drives people to reject the truth' by Keith Kahn-Harris

    I don't want to be overly nit-picky, but a couple of phrases from Kahn-Harris' piece - the one Kalliope shared - leave me a little unsettled These phrases hint at a "stress" model of ME - that it is a symptom of the stresses of modern life. So maybe just worth tempering that eagerness till we...
  18. Woolie

    Association between cytokines and psychiatric symptoms in chronic fatigue syndrome and healthy controls (2018), Groven et al

    The number of participants are so small that there was probably insufficient power to detect anything in the first place. And indeed, there's a good chance that even the positive findings might turn out to be spurious. Notice too that one of the "psychiatric" measures was "somatisation", but...
  19. Woolie

    NHS demands legal costs from failed homeopathy challenge

    We don't really have a section for news - but should have one!
Back
Top Bottom