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  1. Jonathan Edwards

    GAS (Goal Attainment Scaling in Rehabilitation), GAS-light, and gaslighting.

    The Wikipedia entry makes it look pretty plausible, with Judy Garland fans calling themselves Friends of Dorothy in the 1950s. The intriguing thing is that the original book seems to have some gay and Bi double entendre: 'some queer friends' 'some people go both ways', but the article remains...
  2. Jonathan Edwards

    GAS (Goal Attainment Scaling in Rehabilitation), GAS-light, and gaslighting.

    Once source suggests that before Trump the term was mostly used by psychologists and sociologists :nailbiting:
  3. Jonathan Edwards

    GAS (Goal Attainment Scaling in Rehabilitation), GAS-light, and gaslighting.

    I doubt the film had anyone talking about gaslighting. The Wizard of Oz was 1939 but 'Friends of Dorothy' appeared in the 1950s it seems.
  4. Jonathan Edwards

    GAS (Goal Attainment Scaling in Rehabilitation), GAS-light, and gaslighting.

    Indeed. She is a physician who specialised in rheumatology but was attracted to the rehabilitation side (in those days we had dual training in 'R & R') having decided that research into lymphocytes (her PhD) was a waste of time. She was a trainee in out department, probably 1986-92. I suspect...
  5. Jonathan Edwards

    GAS (Goal Attainment Scaling in Rehabilitation), GAS-light, and gaslighting.

    The New York Times first used the common gerund form, gaslighting, in 1995, in a Maureen Dowdcolumn. However there were only nine additional uses in the 20 years to follow.[5] The American Dialect Society (ADS) recognized the word "gaslight" as the "Most Useful" new word of the year in 2016.[6]...
  6. Jonathan Edwards

    GAS (Goal Attainment Scaling in Rehabilitation), GAS-light, and gaslighting.

    That is the epistemological term of art usage, argued about by Hume, Leibniz, Kant and Quine. I was brought up as a scientist understanding a priori to be usable to mean decided or known in advance of some event (first) in a more general sense. https://ludwig.guru/s/a-priori+stipulation...
  7. Jonathan Edwards

    GAS (Goal Attainment Scaling in Rehabilitation), GAS-light, and gaslighting.

    But that is OK. You can do all sorts of things like that as long as you do it in a way that cannot be tinkered with later. GAS-light allows tinkering so that really is useless for gathering reliable information.
  8. Jonathan Edwards

    GAS (Goal Attainment Scaling in Rehabilitation), GAS-light, and gaslighting.

    I had never heard of gaslighting before joining this forum.
  9. Jonathan Edwards

    GAS (Goal Attainment Scaling in Rehabilitation), GAS-light, and gaslighting.

    To the treatment. A priori just means first in Latin. It is a term of art in epistemology, as you say, but it is perfectly obvious what it means in this context if you know Latin.
  10. Jonathan Edwards

    GAS (Goal Attainment Scaling in Rehabilitation), GAS-light, and gaslighting.

    Yes, and the bolded words are the devil in the detail. All that can be assessed in an uncontrolled case observation is improvement - or the success of the patient. The whole piece is written with the assumption that all improvement is due to the rehabilitation. I wonder what this GAS-light...
  11. Jonathan Edwards

    GAS (Goal Attainment Scaling in Rehabilitation), GAS-light, and gaslighting.

    Think you may be misunderstanding what is being done here @chrisb. This is a perfectly legitimate and very intelligent approach to genuinely complicated and heterogeneous clinical problems. I published a trial of steroid infusion in lupus using this approach in the 1980s. The 'a priori' is...
  12. Jonathan Edwards

    A general thread on the PACE trial!

    It seems to me more like something said by the caterpillar or the March Hare in Alice in Wonderland.
  13. Jonathan Edwards

    A general thread on the PACE trial!

    but it seems they changed the outcome thresholds because the results weren't consistent with their previous experience! Assuming course we are talking of experience of outcomes rather than experience of having your trials come out the way you want.
  14. Jonathan Edwards

    NICE and Cochrane sign collaborative agreement to deliver ‘living’ guideline recommendations

    I suspect to cut costs. A NICE review will be very expensive. And I think if I were the Department of Health I would wonder quite why four years have to be spent creating vast spreadsheets of a body of evidence that turns out to say nothing useful. Maybe a systematic review is needed but if...
  15. Jonathan Edwards

    A general thread on the PACE trial!

    These figures are interesting in that they may illustrate just how prevalent it may be for physicians like Andrew Goddard to 'see the efficacy of the treatments', and how wrong this impression actually is. It looks as if these figures were derived from previous trials but we know that the...
  16. Jonathan Edwards

    Guardian Article on NICE pause

    This bit I think is wrong and unhelpful. People had tried quite hard in the 1980s to measure everything they thought might be relevant and found nothing. Not knowing where to start, having screened for all the obvious things, had nothing to do with not having looked or a vicious cycle. I think...
  17. Jonathan Edwards

    Informed Consent

    Scanning on Google is interesting. Information packs seem to give no indication of the grounds for GET or risks. One says: You may be worried that any increase in exercise or physical activity could make your condition worse. Be reassured - research has shown that a guided, gradual exercise...
  18. Jonathan Edwards

    Informed Consent

    I am not sure what 'operating proactively' means but perhaps Valerie can clarify. At least when I practiced most medicines were given without any formal consent process. The patient should have been informed of the reasons for taking the treatment but they did to sign a form to say they had...
  19. Jonathan Edwards

    Editorial: Lancet: "Understanding long COVID: a modern medical challenge", 2021

    Yes. This just looks like another rehab marketing pitch.
  20. Jonathan Edwards

    Petition: #MEAction: Publish the NICE ME/CFS Guideline Now

    I am not surprised. The great majority of people's understanding of things like NICE guidelines will come from tabloid press or social media or nothing much. Considering the inability of the press to grasp the basics it would be quite surprising if the general public did. I strongly suspect...
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