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I have literally not seen this in any illness, there is no such thing. There is no need to pretend like this is the case, it clearly isn't. The rest of the comment is pretty good, although I don't like the framing of distress, as contrary to its disabling nature, which is the main problem...

Psychology provides the tools, but at the core of this is making up narratives about sick people that make sense to the people inventing the narratives. It's the old way of doing things, before science, and it has nothing to do with helping the sick. Those stories are by them, for them. They...

Chewing on this, the most bizarre thing is actually this: This is their clinic. With their patients, which they 'treated' the whole time, or whatever, for a long time. They admit, using their flawed instruments but still, that there was no improvement to this dimension in their own...

This is truly one of the most bizarre things I've ever seen. Very little of this actually has to do with stigma, it's pretty much all about perception. Asking about "illness attribution" and "beliefs in illness" has nothing to do with stigma, it's framed as an entirely internal state with no...

One framing to avoid the (much needed) blame is to go with something like "the current way is not working". There is a current way. It's clearly not working. The blame is implicit, there will be a time for it, but for now it simply states that what has been done so far has not changed anything...

Doesn't cover but is derived from. Most forms of support for respected diseases are not medical, but they require and derive from medical assent as an explicit requirement. They don't do the support themselves, but they must approve it. They aren't just the gatekeepers, they also print out the...

Potentially slightly interesting. If only the validity of recorded diagnoses was of value in itself in issues with no reliable tests. Most studies that rely on diagnostic codes for issues like this are pretty much studies into clinical practices, not patient or the problems they face. At least...

This is complete nonsense. And it's so obviously rationalization after the fact, deciding on why they made a decision after the decision has been made, with no consideration for evidence or outcomes. Absolutely no one of this has any basis in reality, and they might as well be ranting about...

I can't wait for the day no one ever uses this damn meme. There is no such thing as a social contract, it's pure fiction. There is a system in which our input is irrelevant and we can either submit to it or not. Well, there are systems, none of which are rational or have much to do with any form...

Hammers are super useful when you want to force things into places they don't fit.

Fascinating. And so generic. Circular reasoning never fails to amaze. You gotta love how absolutely none of this is in any way validated and bears no relation to any vague concept as they define it. It literally just asks about common symptoms in chronic illness. Exactly as useful as a werewolf...

I'm trying to come up with anything that makes this different from what the tobacco industry did and aside from the fact that it's far worse coming from experts in a position of authority... and I can't. This is what the tobacco industry did. They're even pretty much promoting the idea that...

This feels a lot like planting flowers to grow seeds to me. Did medicine just simply decide to ignore causality or what? This is so obviously back-asswards.

Considering that what is referred to as 'fear' mostly translates into being cautious, it seems perfectly reasonable in itself, other than the incorrect framing of this as fear. The entire psychological process here is mostly the avoidance of bad outcomes, including injuries, and avoiding...

Odd (bolded) past tense. Absolutely none of this has changed, a fact that is easy to find out. Things were also like that before, for decades, despite literal protests against it, a fact that is also easy to find out. I guess it makes things sound better when a disaster is put in the past tense...

This has been pretty damning as well. Seeing all the talk about how people have committed suicide because they were encouraged by AIs and how they should be banned as a result, and yet we know, for a fact, that it's common for sick people with disabling chronic illnesses to commit suicide...

What I see mostly is people who don't think that AI will improve enough, and are judging its final value entirely based on what they've seen so far. And I don't mean here, this is what's happening in general. From that perspective, it kind of makes sense. Ironically, the same mistake...

That's definitely true, but it only applies to issues where that biology is known. All medical gaslighting occurs when it's unknown, and it's a common thing. If it were rare things may work out on balance, but it's far from that. And in some ways the success of this approach is a major reason...

I have no idea who or what this is for. The entire premise is wrong. That's you, guy. You know that, right? Well, you as in health care professionals pushing for psychosocial this and that, because this junk is a systemic nightmare. They don't know that. They'd know it if they ever bothered...

I'm not sure that really applies here, especially for LC. Mostly because the concept of deconditioning is too arbitrary, mostly intentionally because it provides a cheap excuse to dismiss patients. We have seen plenty of exercise rehabilitation trials with patients who have vastly different...