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Good question, @Turtle.

It's all about the narrative, init. Spin a seductive enough of a story about an explanation of and solution to life's ills, and you will be rewarded with wealth, power, adulation, and invitations onto morning TV programs for fawning self-promoting chats about your Very Important Work. Pretty...

Indeed. Depends which criteria you judge it by. It's purported or its actual purpose.

It is a mom and apple pie kind of label. Medicine's God-of-the-gaps explanation, to be hauled out whenever they run into the limits of their actual knowledge and skill. It 'explains' everything that is not yet explained, which really means it explains nothing. The problem is that in the...

Excellent comment, @Utsikt. That is exactly what is happening, and has been for decades. The psycho-behavioural club have been comprehensively unable to deliver solid meaningful results using robust methodological standards, so they simply lower standards until they can claim a result...

IIRC, the journal that published the Anomalies' critique by the usual suspects has left that as free access, but made the complete shredding of it by the NICE team's response paid access. There are too many examples, from too many sources, over the years of subtle and not so subtle...

And then claim they are the noble saviours trying to help us against the bigotry of the profession & world. Something Wessely was doing from very early on. The levels of narcissism and callousness that requires is just breath-taking. This pair are a stark warning to the world about the dangers...

If they did not name those doing the 'advising' (and I suspect it was a lot more direct and forceful than mere 'advice'), then they have not helped resolve the situation.

Or take the glory for it.

"Ascribing illness attributions to a psychological etiology and recommending a course of treatment based upon these assumptions could have negative effects upon the doctor-patient relationship." Not could have. Is guaranteed to have. On both the doctor-patient relationship, and more...

:emoji_clap::emoji_clap::emoji_clap: Totally deserved, Tom. Thank you for all you have done for patients. :hug:

Indeed. I do not know if the pain is from the bones, or soft tissues adjacent to them, or the interface between them, or some combination.

Interesting to see comments about the pain being prominent in the lower legs. I get that too. Phase changes in biological structures is a very interesting question. How it affects the dynamic management of mechanical forces within the body, and what happens if that finely balanced system goes...

Which is one of the more important reasons why I, being in my early 60s, do everything I reasonably can to avoid catching it. Successfully so far. Fingers crossed.

Dengue fever is also known as Break-bone fever, as it feels like all your bones are broken. Be interesting if it, or any other disease with a similar symptom, have any genetic commonalities with ME/CFS.

Interesting. General musculoskeletal pain, often very serious, has always been a major and almost constant feature for me. It has what feels like a very deep component, like it is underneath the muscle, and the bones themselves are hurting. Would bone marrow experiencing altered pressure...

It's bizarre accusation to make, isn't it. All professions & professionals are 'self-declared'. WTF are the various medical colleges if not self-declared (and self-regulating, very poorly at times)? ---------- This study could provide a template for assessing how other stigmatized conditions...

Hard to get somebody to understand something when their income, reputation, status, ego, etc, depend on them not understanding it. Yes, because the one thing it cannot possibly be is true. So let's make sure that very real possibility is never allowed on the table for serious discussion. And...

John Gerrard, for those unacquainted with his views. (1, 2, 3). :emoji_zipper_mouth:

He is good. :laugh: Check out his take on the word 'ass', and its complications.