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I think we need to be very cautious about "ability to return to work" as an objective criterion. It is becoming increasingly clear to me that much of this mumbo-jumbo was dreamt up at McMaster where it would appear that there was a close relationship with insurance companies whose sole interest...

How would this learning model seek to explain the "fatigue" of those with a clear relapsing/remitting illness. Is the remission also learned? How does one learn the cyclical behaviour and what caused the original cycle from which the behaviour is learned...allegedly?

Has it yet become clear how they deal with those long-covid patients who only have symptoms of ME?

I think the problem may be that the article has not translated well from double-Dutch. When exactly does this associative learning take place. You are fit and healthy and then within a short space of time you are "fatigued". What did you learn in that time to overcome the learning of twenty or...

It should be remembered that Pilowski's original Abnormal Illness Behaviour concept was, in part, based on the patients' failure to be reassured by the doctor's blandishments. Not sure 1969 could be considered new. It was probably not new even then.

The false optimism may be positively dangerous. That is what leads to the belief that the new treatment must work, the doctor wouldn't offer it if it were risky, the effects cannot be worse than what is being endured. Wrong on all counts.

Dr Caroline Kamau-Mitchell — Birkbeck, University of London (bbk.ac.uk) "She is the co-inventor of an occupational health intervention for doctors and other NHS staff coping with burnout and other work related distress."

Yes. I think the words are used differently by different people, but I would see exercise as being something done for no purpose other than exercise, whereas activity has some other useful purpose. The best sort of exercise is of course that for which coaches have to be employed and special...

... but is activity the same as exercise? It may be. It may not be. Do you have to exercise to avoid inactivity?

I think this is the explanation for the above Evaluating Covid-19 Injury Claims With a Focus on Workers’ C... : Journal of Occupational and Environmental Medicine (lww.com) Write your reply.

By using "they", was he dissociating himself from the decision? It would be intersting to know the source for the belief. Later he says "On all measures we got the same results". He is elusive. Was he privy to the discussions leading to the changes?

Doesn't "peer review" mean that some short-sighted person has peered briefly at the abstract?

They will already have prepared the ground. Do the SMC get prior access, subject to embargo? Or will we be able to see who has broken the terms?

Referring back to the apparetly discrepant evidence reviews by the York Centre, we should perhaps consider the question, is there any possible way in which these discrepancies could arise legitimately and honestly? It might , just about be possible to find justification if the starting position...

Schneider - nominative determinism at play again. Not hard to see what he wants to cut.

That is an extraordinary piece of information regarding the York teams evidence. It looks as though we can now see how the evidence became "supportive". Because they know where their funding comes from?

I had never heard of him, but shall note him for the "to do" list. I was disappointed to see that he was an Ohio man. I thought he would be from Harvard, but cheered up considerably upon seeing that he did his orthopaedic training in the US Army, and is on the advisory board for "The spine...

I am finding Aylward a puzzling character. His biographies make little of his time before 1986 and his move into government employ. It seems that he was by training a rheumatologist and involved with, possibly founded, Simbec Research Limited - a company conducting trials of pharmaceuticals...

Deconditioning was not the invention of SW. The concept was used by Cott and probably others as part of the Illness Behaviour model. It was they who introduced CBT and exercise as a form of treatment. I suspect that the object of the Maudsley/Oxford model was to bring the UK into line with...

Brilliant. Go for it. Just note typo in 2nd para 2nd line. Transcend rather than transcendent