Search results

Oh it will take years but hindsight has a way of resolving ambiguity. No one will be personally responsible, of course, but it will be costly.

It's a typical issue: self-regulation does not work. Ever. Never has. Never will. In industry, within organisations or in a regulated profession, the problem is the same: people operating under the same system generally cannot fix the system, especially when it is large. Right now it's nearly...

The insistence that withdrawal effects are minor despite literally being the most talked-about consequence by nearly everyone who has ever taken them is a really massive red flag about medicine's ability to take into account patient testimony. Some things you just can't measure. Pretending it...

I saw a discussion on Twitter a while ago. Can't remember the exact details but someone (either a therapist or clinical psychologist) was talking about something like the mechanism of MUS and how to communicate that information to the patient in order to reassure them. Maybe I'm mistaken on the...

Some cancers spontaneously disappear. Rare, but it happens. I think it's fine not to have an explanation, there isn't always one that we can figure out yet, even in areas that receive 10,000x more research funding.

I have seen some discussions here and there around the puzzling fact of muscle pain being a consequence of neural exhaustion, whatever that actually means in pathophysiology, but not within a formal thread. It's not quite clear how much distinction there is between PEM and PENE. Maybe they are...

The NIH really dropped the ball with the IOM report. It was published, but led to absolutely no significant changes, leading people to free to conclude that the report said whatever they want it to say. The CDC only published the changes as for information purposes only, not an official change...

I absolutely call it a failure of goodwill. I think many others would do as well. He is just saying things he wants to be true, not things that actually are true. He also knows very well that many have blamed the failure of goodwill. As usual, Sharpe rejects reality and substitutes his own.

The last thing I tweeted to Wessely before he blocked me is that him and his school of thought are responsible for fully half of the suffering that we experience. I am being generous with this, it's way more than half. But it is at least fully half. Over time it gets closer and closer to all...

It's nearly a century old. What time scale are they using? Geological? Phrenology was contemporary to the early days of the psychosocial model. Just because they prepended the bio part as a rebranding exercise does not change that it's a purely psychosomatic model built entirely on the same...

That's the thing with liars: unless there are consequences to lying, they just keep on lying and lying. When others are party to the lies, by publishing them or repeating them, then they become attached to those lies as acknowledging them would now impact them personally. Sharpe still repeats...

Sounds good. It's a sacrifice I'm willing to make. It's pretty amazing how there is widespread acknowledgement of the crisis of replicability alongside a complete refusal to do anything about it, even when given the opportunity to make incremental changes. Remarkable. The lack of oversight...

This is what I expect and frankly it opens up serious questions about why this took over a year to get around. If all they're doing, and it is very likely, is tweak around the edges, what explains the fact that it took so long? My guess is they just don't care much, the outcome was...

That seems to be the logical course. An accurate review would be rejected but it would at least force them to explain the thinking that they mostly leave to implication. I'm not even sure how to even have the green light since the current mental disorders group is obviously the wrong place but...

Uh. I wonder if that accounts for the dismal wikipedia articles. Likely at least in part. It's hard to explain why there are such strong opinions about a topic most people don't care about at all.

WTF? This is completely insane. Holy massive lawsuits, Batman.

So much for discussion. "We're here to discuss, as long as you agree with us." I only skimmed because there's no point but I really like that the article cites the Kelland article for which Sharpe himself was the source. Sharpe is literally citing himself giving his opinion and using the...

"Apparent disease" is doing a lot of work here. Literally the same basis for labeling peptic ulcers psychosomatic. And the same thinking behind the initial rejection of the germ theory of disease. Also the god of the gaps: if I can't see it it doesn't exist and therefore it must be what I...

I was thinking of this the other day and since the thread got bumped I'll try and make sense of it. This idea seems to be based on research that shows that unexpected pain feels worse when you anticipate it, when you are told that something will hurt but do not know how bad. In this research...

Multiple sclerosis has the same problem. There are 4 main types, with one accounting for most cases, and about a dozen atypical subtypes. Medicine is capable of dealing with this when it wants to, at least in terms of not denying whole a disease just because it is hard to properly diagnose...