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"Psychological disorders are just as real as physical disorders you guys." Good thing nobody is arguing otherwise, and never have. The argument has always been about misdiagnosing, and hence mistreating, conditions as psychogenic when they are in fact biogenic. But apparently that is too...

Certainly not suggesting it is all cases, or even most. But I don't think we should rule it out at this stage. If anything, the evidence so far suggests to me that it is quite likely to happen in a significant number of cases. Which would also include some people who stay in that prodromal...

From the study abstract: "Public transfers started increasing several years before diagnosis and stabilized at a high level after." Now that is interesting. It suggests two non-exclusive, and maybe synergistic, possibilities: First is that the diagnostic process is inadequate and so is...

I agree. We have to point out both internal inconsistencies in their model itself, and external inconsistencies with the evidence/data. Not in order to persuade the psychosomatic club to change their position – they have made it very clear that they are a completely lost cause, and are going to...

Banning masks. :facepalm:

I can picture the article titles: Terminal diagnosis as self-fulfilling prophecy. Immortality through denial. Acceptance of death: Psychosomatosis par excellence?

Not sure we can say that for certain. It is possible – I think actually quite likely – that there is a more subtle pattern going on in pre-onset health status for many patients that actually shows sub-par/optimal performance which is being masked by other factors, including lifestyle...

I am strongly of the view that a huge chunk of back pain (and probably some other chronic symptoms) can be managed, and sometimes eliminated, by better mattresses, chairs, and footwear. In particular customised ones. All the engineering & materials tech exists to do it, but it hasn't made it...

-Failure to account for placebo effects Failure to account for heterogeneity in different confounders being lumped together under the placebo banner. Plus some repetition. But otherwise a useful list.

Did they test if the correlations are with being online, and willing to take part in online health surveys?

Proof: Death comes to us all. With no exceptions. Cue some twit trying to argue it is only because of culturally ingrained expectations of death.

It does. Thanks.

Arbitrary causal attribution is arbitrary.

And intra-personal? i.e. dynamic/transient but still significant & relevant changes in the body? Could that be a confounding variable? Appreciate your feedback and engagement here. You will not find a more motivated group to find the correct explanation and best therapies (or at least...

The cause of your pain is your pain. So just stop doing the pain and your pain will go away. Also effective on cancer, poverty, sexual harassment, flat feet, and acne.

Fraudulent revisionist drivel. This.

it would be of clinical importance to seek to understand the resistance towards psychology that appears to exist within members of this patient group. Failure to understand and overcome this resistance could create barriers in reaching the patient group and implementing psychologically informed...

To support clinical leadership in this area, NHS England has worked in partnership with the British Society of Physical and Rehabilitation Medicine What could possibly go wrong?

Sweat, and stools, are possible sample sources too.

Indeed. A general lowering of methodological standards, in particular inadequate control, is the broader picture.