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C. Mix of both. D. Don't know. I choose D.

According to the current state of research, psychotherapy and psychosomatic rehabilitation have no curative effect in the treatment of ME/CFS. Nevertheless, we see numerous patients in practices and outpatient clinics who suffer severely as a result of their illness and whose mental well-being...

My first thought too. They could argue that the psycho-social influences become less influential over time with general public exposure and awareness. But that might be a difficult one to run. Could just as easily argue that it gets worse. Even that an essential feature of 'functional'...

It is the arbitrary assigning of causal direction, without adequate testing, that is the rotten heart of psychosomatics.

Only some actors. Some of us have always known there is no causal explanation (thus far).

They do. And yet they persist. :confused:

Nearly four decades after getting sick it is still genuinely extraordinary to me just how unyielding and ferocious the medical profession's resistance is to dealing with this issue.

Yep. Follow the money.

So far this year, Luque has published 58 studies at a rate of one every 37 hours. That kind of rate makes me suspicious. Maybe he is Superman. Or maybe there is another explanation.

We are way past merely unprofessional, and well into questions of basic morality and human decency.

Poor widdle doctor-poos. It must be so stressful having to sell snake-oil to your patients day after day, and being confronted with the inevitable lack of results and pissed off patients. Let's give them all medals for being so brave in the face of hard reality.

Psychosomatic advocates promote correlation when it supports their case. And ignore it when it doesn't. How often do you hear them mentioning this study (on ME/CFS) that reported no correlation between actimeter results and self-report fatigue (for CBT)? Psychological Medicine (2010), 40...

No sure banking on AI to fix this is a safe bet.

"inconvenience"

Did those 'personality traits' exist before getting Covid? IOW, how do they know they are not the consequences of Covid?

Long term pain is also a feature of many poorly understood, complex, chronic conditions, such as myalgic encephalomyelitis (ME) or chronic fatigue syndrome (CFS). You keep saying that, but still acting like you do understand it. IOW, they got nothing. All this time and money and endless Very...

10 Easy Ways To Reduce Your Fatigue. You won't believe number 6! Or any of the others.

Despite the history of serious misuse of safeguarding in ME, I am not unsympathetic to child protection workers. It is one of the most difficult and stressful jobs of all, with hopelessly inadequate resources, and they are damned if they do and damned if they don't.

I agree. OTOH, we know where Fukuda leads, especially in the hands of the already convinced.

IIRC, his first degree was in art history. If you could convince him to stick with that for his career we would all be very grateful. :thumbup: