This statment by SW acknowledges that there may be some cases where exertion is to be avoided; no ambiguity. He also confirms no one has any idea who these people are; no ambiguity. He also says that in general such advice is counterproductive, tacitly acknowledging therefore that in some cases...
Possibly akin to writing an exam paper and students then taking the exam ... only to then modify the exam paper (having already had some sight of the students' answers) and then mark the student's answers against that modified paper? Is that a valid analogy, or am I being a bit unfair here?
Not sure what the right content is, but the best approach I think is to assume most of the MPs are completely ignorant of the issues, and unlikely to comprehend within 30 mins anything but the most clear-cut hard hitting single-issue argument. Which is why I think the COI focus would be good, as...
I've not pursued it now it's sorted. But the difference is dramatic. My knuckles were splitting in several places, each up to 5+mm long, and I would think 1-2mm deep, quite unpleasant. Defied all manner of creams I tried. Several months now since I stopped using the dryers and all fine. Although...
I've stopped using these at my work. For some years the skin on my hands had been splitting quite badly, and it dawned on me when I spent a few weeks off work and my hands were OK again that it might be work related; they got bad again after a few weeks back at work. The 'obvious' culprit was...
Maybe there are mechanisms working in opposition? The cell defence mechanism trying to shut things down, and normal cellular operation trying to carry on regardless? Whenever you have complex systems with opposing forces at work, there is the potential for over- and under-swings, as regulatory...
See also @Sly Saint's new thread ...
"Government and Insurance companies - establishing the BPS model"
https://www.s4me.info/threads/government-and-insurance-companies-establishing-the-bps-model.2319/
... which looks very relevant.
But in the case I was talking about, somebody had said the participants had in some cases had to stop doing some of their normal activities so they could maintain their activities for Peter White's PACE trial. So even if it looked like some objective measures were similar at 52 weeks to...
Also worth keeping in mind that one of the PACE participants recently observed (cannot recall where, maybe in a response to one of DT's blogs?) that even the objective measures were not really that objective, because in order to meet the trial's physical demands, they backed off from some of...
It also has knock-on consequences for later state pension entitlement, because only certain DWP sickness payments accrue National Insurance credits, and are much harder to get if mis-classified as mental health.
The really strong points to bring out re psychological diagnosis are:
It has nothing to do with stigma.
Is a misdiagnosis, with all the attendant issues that misdiagnosis of any condition brings.
Which, to me, cascades into what seems another underlying problem: The investigators apparent dismissal of objective outcomes as having any relevance or importance. It's as if their whole mindset is along the lines of:
We know ME/CFS is a psychological problem; psychological problems are only...
Aren't the authors simply saying the PACE investigators changed how they were going to interpret the outcomes long after the outcomes data were available, thereby allowing the PACE investigators to cherry pick the most favourable interpretation methods? Or maybe I'm missing you're meaning here...
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