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I think its historical. So historically, "nerve" diseases were things like Parkinson's disease (early 1800s), and hemiplegia from strokes. So things that looked sort of "physical". Things that didn't have any physically detectable signs were "madness". I think it just went on from there, with...

That makes it sound like you were doing something inappropriate. Of course you weren't, its extremely difficult to get that balance exactly right. Better to say "I was still not managing my activity optimally".

The PACE CBT also incorporates "practical exercises" which involve gradually increasing activity levels.

Oh, woops, that idiot psychiatrist quoted some of his own work in that review. I guess his identity is now formally outed!

Perhaps I should clarify. I was commenting on what words are most effective to use when critiquing these ideas. And 'psychosomatic' isn't an effective word, because it is commonly used nowadays to refer to the role that a person's mental state plays in any illness. Using it therefore diverts...

"Psychosomatic" is a word that should be avoided, as advocates of this approach have rebranded it so that it merely refers to the psychological component of any disease. "Dysfunctional Beliefs and Behaviours Model" is good. And gets around that whole psychology vs/ physical thing.

Yea: The powerful placebo HK Beecher - Journal of the American Medical Association, 1955 - jamanetwork.com Cited by 2257 I can't think of any other medical ones, but there's this from Psychology: The Stanford Prison experiment: Interpersonal dynamics in a simulated prison C Haney, C Banks, P...

I think this is a variant of "You haven't read the paper"

What a nasty, nasty little man. He's not even pretending he has any real concern for patients now, is he? His contempt is out there for all to see.

It seems better than most, I like the way they had a "clinical" control, that was designed to incorporate all the nonspecific effects you might get alongside CBT, such as support, validation, etc. Good find! But there are no manuals or details given, you just have to trust the authors that they...

This piece talks about a state of scientific "equipoise" between antidepressants and psychotherapeutic interventions. Whether or not that's correct - that there is genuinely equal evidence for the efficacy of both treatments - I don't know. But people so quickly forget that there's a huge...

Yes, of course it was. How they have tried to distance the trial from the appalling ideas that inspired it!

Great question, @strategist. Could you ever disprove those ideas? I can't imagine any finding that would enable us to say for sure these ideas were wrong. We can cite studies that suggest exercise has a negative effect on PwMEs' physiology. So that shows there's may be some basis for our fear...

I rolled about the floor laughing at this one (the tweet at the top). Sweet man, he truly believes Wessely is interested hearing views on this issue that conflict with his own! Absolutely priceless!

:rofl::rofl::rofl::rofl::rofl:!!!! No Dunning-Kruger is different. That's about how you think you know a lot about a subject when you're starting out (because you're unaware of all the complexities), but then as you start to get more familiar with the subject, you appreciate there's huge gaps n...

Some of Shape's tweets to patients in the early stages were quite patronising. Using capitals to explain to patients who were much cleverer and well-informed than him that a clinical trial is all about the "DIFFERENCE between arms" (the capitalisation is his!). This is a fascinating ocurrence...

No. In one sense, Sharpe is correct. A null result would not have demonstrated that their underlying behavioural model was wrong. It still could have been right, but patients' beliefs were simply unshakeable, and therefore they simply didn't respond to the intervention. But a null result...

Yes, I have the same problem as @Daisybell. To me, malevolent intentions are part of the definition of evil. You can't inadvertantly do evil, while all the time believing what you're serving a wider, worthwhile purpose. Then its acting abhorrently, not evil. When it comes to causing human...

Now there's a real example of Godwin's Law! As you can see, Bentall rejects the biological view, even when it comes to serious mental illnesses like psychosis and advocates for a social-psychological model.I spent a while looking through his group's recent manifesto on psychology (remember...

He would no doubt be entirely on board with PACE, from what I've seen of him so far.