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I read over forty years ago, a research paper that attempted to compare different types of psychotherapy. It was dated then and I can’t remember if it was any good as science, but I rather liked the conclusion, which I am now probably grossly misrepresenting, but basically it was that there were...

What we can say is that such trauma is neither necessary nor sufficient for FM: not everyone who has FM has experienced such trauma, and not everyone who experiences such trauma will develop FM. So any plausible model linking trauma to subsequent FM will have to involve multiple causes...

Each section would then have sub sections eg 3 getting sufficient/appropriate food/nutrition when any physical activity severely limited, including chewing and swallowing (Note these are not meant to be fixed groupings as most people will be dealing with mixed needs depending on current energy...

It is so frustrating that virtually no one is developing a cumulative expertise or examples of good practice, in relation to the various aspects of ME. Food and diet are good examples of this failure. Certainly in relation to nutrition and diet, no one here in the UK is systematically looking...

At least it is good that we are seeing testing for orthostatic intolerance as default in some contexts. This can only help people better understanding the biomedical basis of long Covid and of ME.

Here in the UK my GP did refer me to an NHS community based dietician, who saw me at my doctor’s surgery. This was only after I had myself identified my gluten intolerance. We had just one session with general advice on achieving a gluten free diet. However I would argue that everyone with ME...

A very useful article, let’s hope it gets widely read.

@Michiel Tack, thank you another excellent read. Are you considering the possibility of publishing the whole series together in book form?

Thank you for pointing this out. I have got stuck in focusing on what the new guidelines may fail to achieve, and forgotten how big a step forward the draft represents.

I don’t know the thinking behind this specific survey, but my understanding is that surveys are useful to get general ideas and possibilities, which are then along with other evidence sources used to inform further structured research that gives hopefully more reliable answers.

Ignoring the theory element of the graphic, do people see it as a useful way of classifying symptoms? I have for sometime been trying to work out how to produce an exhaustive check list of possible ME symptoms, that in the first instance could serve as a self monitoring tool to record variation...

They are not that hot on the Social component either other than their unevidenced claims of ‘secondary gains’ such as claiming benefits and supposedly harmful medical attention in the form of over using diagnostic assessments. Missing completely that for example with ME, we are seriously failed...

It would certainly be a positive approach and promote mental wellness for millions. It might help reduce by 10% the NHS costs, or at least I definitely could misquote research to support that, and by the rule of a third see some 30% of psychologists and psychiatrists actually turn their...

Good to see Prof Chalder has really got her head around the concept of PEM and is so open to listening to the patient experience. (sarcasm alert) How on earth can someone with years of working in this field have so little respect for the people she is working with, and with no relevant evidence...

I was briefly confusing BSP (British Psychological Society) with BPS (bio psycho social), before realising the latter made no sense in this context.

I suppose there could be a trial with two CBT conditions, with one based on ‘BPS’ false beliefs model and one based on supporting people to adapt to a real disabling biomedical condition, though I doubt any of the BPS advocates would go along with this because of their own false beliefs and...

An excellent article that should be compulsory reading for all professionals likely to work with people with ME and/or Long Covid.

I wonder if a reason for this is that as parents and families become more aware of concerns about Crawly’s research that it is harder for them to recruit subjects without the opportunities offered by the Bath clinic to pre train (groom) future subjects.

This is particularly relevant given the Bristol researchers seem to be increasingly basing their research on child subjects who have had a year or more input from the associated Bath clinic, as in this study.

Sorry a bit of a tangent, but .... It seems to me that there is enormous problems in defining what CBT is in practice. My understanding, at least from the origins of CBT, was not that it had specific content, but that it involved objectives agreed between the client and the practitioner. For...