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  1. Sean

    UK:ME Association funds research for a new clinical assessment toolkit in NHS ME/CFS specialist services, 2023

    This is nuts. Yep. Nothing fundamental has changed. Just the marketing. They are doing exactly what they have always done. This. It is one of the most potent and frequently employed tactics from the BPS – shamelessly making the same claims again and again, flooding the journals, clinical...
  2. Sean

    DecodeME in the media

    Grifters gonna grift.
  3. Sean

    News from Aotearoa/New Zealand and the Pacific Islands

    ...significant abuse and online threats directed at Mel Abbott, as well as the negative treatment of some of her clients, after sharing their recovery stories or promoting The Switch programme. That claim that needs very robust scrutiny indeed. Evidence, please, and it had better be good. And...
  4. Sean

    UK:ME Association funds research for a new clinical assessment toolkit in NHS ME/CFS specialist services, 2023

    While it remains predicated on the rehab notion of' establishing a baseline' it will fail. If they started with the concept of a ceiling, and how to avoid running into it, they might get further.
  5. Sean

    How would a deficit in processing of physiological signals lead to ME/CFS?

    DecodeME results aside, I agree that almost everything we see or know about ME/CFS, especially clinical presentations, is the downstream consequences.
  6. Sean

    Sweden: Have the ME and CFS clinic in Gothenburg found a loophole to avoid the diagnosis ME?

    They are trying to eradicate the ME and ME/CFS diagnoses, and turn them back into 'fatigue' syndromes, and hence 'functional'. This general trend and desire has long history, starting with the introduction of the CFS name in 1988. Wessely tried to unilaterally change the UK's WHO...
  7. Sean

    “Overdiagnosis is a danger to our patients and the health system” (article in Irish Examiner newspaper by a GP)

    Inappropriate diagnosis is far more of a concern to me. Disease mongering by big Pharma... What about psycho-social pathology mongering by the psych lobby? that is a far more insidious problem, in no small part because it is orders of magnitude more difficult to measure accurately. Which is...
  8. Sean

    Preprint Initial findings from the DecodeME genome-wide association study of myalgic encephalomyelitis/chronic fatigue syndrome, 2025, DecodeMe Collaboration

    That certainly holds true for me. I have never stopped wanting to have a life, to be active and do stuff, from mundane practical daily tasks through to lofty life goals. If we were just depressed we could not have got anywhere near as much done as we have via forums like this and other means...
  9. Sean

    What the concept of psychosomatic disorders really is

    Yes, I am very much of the view that psychosomatics, certainly in its current form, is just a giant and cruel excuse generating machine for both medicine and broader society. All because they simply cannot say: 'We don't know.'
  10. Sean

    Stable cortical body maps before and after arm amputation, 2025, Schone et al.

    Yep. To the point of not just absurdity, but cruel false hope. It is like how athletic records might continue to be broken, but they are being so by ever smaller margins. They are already down to hundredths of a second (2 decimal places) in most sports, which is already practically meaningless...
  11. Sean

    What advocacy use should be made of DecodeME results?

    Seems to me that our best option at this point is to concentrate on pushing hard for a full sequencing study. Which mostly means getting the funding for it. Sooner rather than later, so we don't lose the current momentum. Maybe that should be the focus of our donation drives now.
  12. Sean

    PEM discussion thread - post-exertional malaise

    If the whole shitty ME/CFS saga proves anything, it is that a lack of direct experience of a disease process/state is all too often a major barrier to understanding its nature and consequences, and to finding solutions to it. Indeed, it can be highly misleading.
  13. Sean

    Opinion Can the pain field learn from the functional somatic disorder field? 2025 Gormsen, Fink et al

    Can the pain field learn anything from the functional somatic disorder field? Sure they can. But that is the wrong question. The right question is what will they learn, and will it benefit patients? To which the indisputable answer is: how to get it even more wrong, and no.
  14. Sean

    The biopsychosocial model

    I remain deeply sceptical that those reporting recovery are actually fully recovered, and not simply lucky enough to be among the minority who get sustained remissions.
  15. Sean

    News from Germany

    When a typo is both hilarious and depressing. :) :(
  16. Sean

    Mind, body and ME

    I have never really understood what is meant by 'self', beyond the obvious and rather mundane point that all of us have unique combinations of major and minor genetically and environmentally driven variables. Even identical twins turn out at least somewhat differently.
  17. Sean

    UK ME Association 2025: Prognosis, Permanency and Quality of Life in ME/CFS

    ADHD, being one of the poster children for that definitional issue.
  18. Sean

    Stable cortical body maps before and after arm amputation, 2025, Schone et al.

    Count me among those unconvinced that the adult brain can reorganise to any major degree.
  19. Sean

    Preprint Excess primary healthcare consultations in Norway in 2024 compared to pre-COVID-19-pandemic baseline trends, White et al, 2025

    Unfortunately for many diseases the first symptoms the patient experiences are often vague generic stuff, like fatigue or aches or cognitive-sensory issues, which are too easily and frequently misinterpreted by clinicians as being of psycho-social origin. A friend of mine had gastrointestinal...
  20. Sean

    The symptom signaling theory of ME/CFS involving neurons and their synapses

    I have had a number of assessments by various clinicians, including physios, over the years and more than one has noted that I do not lack core strength or muscle mass, plus basic reflexes, coordination, etc. How does this fit into the critical deconditioning part of the psycho-behavioural...
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