Fully agree. And of course that reframing needs to also embrace those people without ME, in all areas of society, government, science, medical professions, etc.
Edited for clarity.
I suspect it would have been impossible for GET participants to expect anything else. The whole objective of the intervention was to progressively increase physical function, and that expectation was deeply embedded into the treatment regime. I think it would have been much more than simply...
Excellent! :) I especially like ...
... which smacks very strongly of expectation bias, depending on what expectation the treatment had instilled. As the author's very insightfully identify, any real improvement would show no such discrimination.
I also wonder how they ascertain from a distance how closely people are adhering to what they are actually being asked to do. How do they know, for instance, that the CBT sessions aren't in fact resulting in people learning how to pace themselves better.
I would imagine @Nancy Blake that you have to be very careful even with depression, given in many cases of clinical depressions there is likely an organic cause underlying it. But I can identify with the situation where someone's problems (or a significant component of their problems), are...
Until none is left.
Presumably restraint itself can provoke physical responses? e.g. Trying to break free; moving to and fro as captive animals often do it they have enough room for that; etc.
I think this is very likely true. The more severe a persons's ME is, the less energy is available to their whole body, including running their basic life support systems. If their energy availability drops so low, that just to stay alive they are going beyond PEM threshold, then bang - just...
My apologies to those who liked or replied to this post, which I have now deleted because in retrospect I included more personal details than I intended. Also not so sure now that NLP is much like what I did when younger.
I think there may be another complicating factor going on here. I seem to recall Charles Shepherd once saying on PR that he is one of those PwME who does not experience PEM, and I think on another thread here in S4ME some others have said the same. Ellen Goudsmit (no 'L' in her surname note) may...
I think it comes down to: they know no better, have nothing better, but totally believe in their supreme knowledge and infallibility. Very narcissistic.
A quick look at the Conclusions and Discussion seems all they could identify is that it is an extremely blunt instrument, primarily able to discriminate between people who are fatigued and those who are not :rolleyes:. And although the claim of evaluating change over time ...
... there is no...
Cannot properly identify with what she means here. Although much of PEM is subjective, not all of it is. And although it is right to be very wary of trying to measure subjective parameters, to dismiss them altogether seems silly; how else could you evaluate someone's perception of their pain for...
It's really very simple. NLP is a tool, which if used correctly is perfectly valid. It's when abused it becomes a crock of shit. A kitchen carving knife is an excellent tool for what it is intended, but in the hands of a murderer is bad. It's not the tool that's the problem, it's the person...
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