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i.e. How to more effectively lie to patients, entirely to avoid the liar facing up to the stark appalling fact that they actually have no explanation and no treatment to offer. This should be a formal crime, and a very serious one.

Always within normal for me, including annual routine bloods. (Occasionally get a borderline number, but always settles back to within range by the following year's sample.) Only consistent significant result I get is persistently high ALP, since at least my mid-20s, typically in the 130-160...

Yes, some Americans, not all.

So why not say it that way? It isn't a big deal, and might just be translation or second language issues. But it reads oddly to me.

A tip from an Australian to the fund seekers: We don't do hustle culture here. We hate it, actually. Selling yourself so overtly and in such gushing language, as Americans tend to do, just turns us off. We might superficially share the same basic language, but we use it very differently at times.

I am with those who have very deep concerns about any service provided or informed by the old guard. They simply need to be completely and permanently removed from the entire process. My trust levels in the current medical system on handling ME/CFS are also at rock bottom, effectively zero. I...

A rigorous symptom classification was performed by physicians via clinical consensus. Not sure those two ideas fit together well.

If the brain (and mother nature) does not respect diagnostic boundaries, neither should our treatments. Sounds awfully transdiagnostic. Which is a concern.

Odd way to phrase it.

The two groups differed significantly at baseline on fatigue-perpetuating factors, but not on fatigue severity. So what is the relevance of the 'perpetuating factors'?

Oh, it's evidence. They have just got the interpretation of the evidence completely wrong.

Talk about giving the game away. Their project is entirely about forcing us to submit, independent of any justification, and conning the rest of the world into believing that they should be allowed to do so, and that any failure of their project is entirely our fault. Psychosomatics blew clean...

If ever. Must be nice to be able to deal yourself the perfect get-out-of-jail-free card whenever reality gets a little too close for comfort.

We also mapped some exemplar DSM-5 disorders onto our hierarchy; some formed coherent syndromes, whereas others were notably heterogeneous. Maybe I am an idiot, but I completely fail to see how a mere consistent grouping of symptoms establishes a unique discrete entity with underlying...

Propaganda, pure and simple. ----------- Two can play that game: Etc.

and high healthcare costs. Guess who their real target audience is in these studies. As always.

I think studies like this are inherently scientifically meaningless. They are rigged from the start by the underlying assumptions about 'personality' and its causal role. The whole field is dangerous junk.

Absolutely this. I think the main motivator for the stubborn denial and delay in properly dealing with this problem is that it is so horrific and obvious and comprehensive a systemic failure, that most simply cannot believe it is true, cannot face what it says about medicine and broader...

And then also attribute the consequences of imposing that additional burden and insult to their underlying 'psychological and moral pathology'. Above all else, it is never the expert's fault.

Many physicians still misinterpret symptoms as psychosomatic, fueling stigma. And harm.