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Few places hide bigotry behind a veneer of respectability more than psychiatry and psychology.

+1 I am increasingly of the view that the whole formalised rehab approach, with few exceptions, has been a disaster. It has metastasised out of control way beyond any benefit to the vast majority of all patients. Important distinction. Rehab basically doesn't work for ongoing active disease...

Yep. He is giving the people in political and economic power something they desperately want: pseudo-scientific, pseudo-medical, pseudo-compassionate excuses for their shitty policies and decisions.

Arse covering. Follow the 'protocol' and you will be safe from having to face the consequences of doing so.

This is the line the PACE crowd push about any bad outcomes from GET. They claim it is all just inappropriate implementation by inadequately trained therapists, not anything wrong with the therapy itself. I wouldn't even describe it as a model. More like a lurid fantasy they cannot let go of.

:banghead:

Whatever hold this guy has over the political establishment must be powerful indeed to be allowed to endlessly fail upwards. What next? Sainthood?

Dec 2023, according to who.is

The gold standard for perverse incentives. Par excellence, one might even say. It's from The Big Short, about the corruption in the US housing market and its eventual collapse in 2008, and how little accountability there was for it. There are two other movies about that human-made disaster...

The next meeting of the ME/CFS GDC is planned for late October 2025 and will focus on gaining a shared understanding of the GRADE (Grading of Recommendations Assessment, Development and Evaluation) methods approach. Uh-oh. :grumpy:

:emoji_clap::emoji_clap::emoji_clap: It is impossible to overstate how much long-term damage is being done.

Without decisive action, the long-term societal cost of long COVID will continue to rise. FFS, when are governments and the general community going to accept that improving indoor air quality, and basic masking, are two of the best and most sustainable protections we have against all air-borne...

Shutting up?

Fun fades, but irritation is infinite. IIRC, Claude Shannon, one of the greats of 20th century science, said he was not motivated by any grand noble principles or ideals, like the search for truth, or wanting to do good for humanity, etc. No, it was simply being irritated by the flaws and...

Don't expect any help from the RACGP.

They are just telling bald-faced defamatory lies about what patients think, as they always have. This has been going on unchecked since I first started finding out about the situation in the mid-2000s, and it is not improving.

By some perverse anti-logic it somehow just keeps getting worse, doesn't it. This cruel drivel just metastasizes unchecked throughout the whole health system. Exactly. At this stage, that should be the entire message for patients. Followed by a grovelling apology for allowing matters to...

Some functional somatic disorders (FSDs) originate as acute nocebo somatic effects and can become 30–50% of chronic somatic presentations to primary care physicians. A claim for which there is not a shred of evidence.

Or at least easier to point out. Getting it taken into account and acted on is another matter entirely. As we have learned the hard way. And data.

highlighting the importance of expectation management. The real question that needs answering here being whose expectation is it that needs 'managing'?