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Hmm. Is this heading for a "we are all a bit mentally ill" and even further stretching of depression labels and a wider net being cast. What about anxiety disorder, who decides what the definition of that is when people are working more and more hours for less pay and may suddenly think this is...

I agree with all of that and would like to add....Is it even potentially worse when people and their families are being "assessed" potentially even without their knowledge or consent. The potential for a good outcome is their but where's the transparency in such issues if things are being said...

Why do I have to be a nurse to ask you to challenge your own statements on what authority nurses have to do such "assessments" sans request from patients and their families? I am sorry I just don't buy the good BPS versus bad BPS model. These are not my words these are the words of a nurse...

Do nurses just give themselves the right to do such assessing and who decides "they are doing it correctly"? I didn't say otherwise I was making the point that common sense connected services should not be claimed to be part of the claimed disease process and how dangerous it is to assume...

Personally I am of the persuasion that any service that claims to have expertise in assessing how someone is coping or uses within its model the belief that they have the right to ask about family members coping or just give themselves the right to "assess" them from the perspective that the...

The whole aspect of a person belongs to that person, they seek medical objective treatment in something like cancer not state appointed assumed authority making presumptions that they need anything else from you unless they ask for services. I think the notion of good BPS and bad BPS is people...

There's only correct medical advice or incorrect medical advice. Biopsychosocial is just a bollocks word, it allows any claim to be made without that claim needing to be falsified. The other favourite word from this kind of nonsense is "multidisciplinary". Which just means referring on...

So if you diagnose people wrongly with anxiety or depression then they get a later diagnosis of MS or Cancer does that mean the first claim was wrong?

Yep, just as people who are non anaphylaxis can eat nuts and non diabetics can eat sugar etc. The mechanism of the disease is not the trigger and the triggers are not the cause.

No they don't. Unless the patient specifically requests it. Even then the things on offer should be based on informed consent and should be objectively evidenced based. The problem with state employees in certain capacities is that they use appeal to authority and even assume a authority over...

Go ahead then, argue it.......... Evidence? What a provably falsifiable statement, "I WOULD ARGUE...." then go on to say its two different variables. I would argue we both went to the moon and we didn't go to the moon. There was an actual rocket and lunar lander that changed our ability to...

Keep doing what you are doing because this will eventually break even if it takes many more years. The main thing you are doing is keeping a public record of how ludicrous the whole ONGOING situation is. It IS ongoing by virtue of the fact that you are giving people chance after chance but they...

There's a big difference between acute and then going on to suffer the consequences of the initial viral issue for the rest of ones life. I get the feeling that the "mild" described here would be like describing someone who had a motorbike accident with multiple breaks including spinal cord...

How can there be a symptom of a symptom?

The PACE trial design and the changing of the protocols halfway through would fail a year 5 science test. Where does the expertise come into it, its laughable. This sounds like a defence of the Volkswagen emissions test scandal by claiming expertise inside Volkswagen.

.....corrected for terminology in popular culture I have to point out the need to change fat to Phat.

They wrote the PACE trial.

So its the questioning people who are wrong not the unquestioning. Line up the congregation. Those who have the blind faith and follow the self appointed priests are the ones who are patients, the others are activists. However when people follow the priests in blind faith and see them getting...

My opinion is that CFS has become a brand and as a consequence it has become easy for doctors to dump everything under it so there are many underinvestigated and unkown diseases under it including ME. When it comes to "CFS/ME" trials they just select people they think have the most potential...

They are only different when you make up your own definition.