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Having recently been rereading the Ean Proctor case, one feature that stands out is the need for a strict formal proceduralrequirement as to examination and interview by all certifying practitioners. This should involve certification of alternative diagnoses considered and recording of...

Is that cost benefit analysis complete? If, by keeping a person in employment, you can take years off their life, consider all the savings on pension and health care costs that cam be made.

"these findings, and the lack of specific physical and laboratory abnormalities, support a pathogenic hypothesis that regards CFS as endogenous depression occurring in individuals with a tendency to amplify somatic complaints and explanations. The clarification of the aetiology ofCFS will...

I think you have to start with what you know, look for common factors, and then ser if they are present in other groups. You never discover anything if your first step is to hugely expand the area of search.

I think that a major problem in describing the symptoms arises from the progression of the illness. I know the experts tell us it is not a progressive illness, but they in general make no attempt to follow the long term cases, and have a limited evidence base. There would then arise questions...

Wrong on all counts, I fear. Old, cynical and,for once,not sarcastic. We should not commit the fallacy of inductive reasoning. Metrly because encounters with known practitioners are known to be unsatisfactory does not enable us to form a definite view of an unknown practitioner. Evidence is...

I wonder whether Sir Simon will decide whether it is necessary or advisable for a psychiatrist to examine a patient before writing a report which might lead to enforced detention.

I think that last post encapsulates the problem. Many of us will be aware of the problems the illness can impose upon relationships. It is entirely possible that this is a well meaning attempt by a caring doctor to address the problem. People would need to use some term other than CBT in such...

I must have misunderstood what has been going on for the last thirty years. I always imagined that some preferred myalgic encephalomyitis because the definition described a more tightly drawn group of cases, rather than because it used a Latin description.

It is surprising that some who object to the name myalgic encephalomyelitis are happy to use neurasthenia. There is no evidence for that. But presumably as it suggests that it is all down to the metaphorical nerves the term is acceptable.

Shurely shome mishtake. If it were research at Kings it would have a silly acronym. I suppose we could help.

I suppose the next question is to enquire whether the Register of Members Interests shows any payments to MPs for one reason or another.

You must admit-Gavin Williamson is much more concise.

When l read Oliver Sacks description of the encephalitis lethargica cases I thought they bore significant resemblances, which were worth exploring. But good luck with trying to persuade a GP. Tests on mice may be permitted, but as for humans...... Edited for typos and to correct Oliver Sacks

That's a fascinating insight. Does this mean that the paper by SW in, I think, 1994 was in effect a student work written for an MSc .? It puts a completely different complexion on matters. I was first drawn to the question of the quality of some of the papers in this oeuvre with the 1989 paper...

It should. But it is arguable that we are in the position we are because a group for reasons best known to themselves, decided to study the epidemiology of chronic fatigue, conflate it with neurasthenia, and reject any input from people who knew what they were talking about.

I recognise a personal attack when I see one.

Sorry. I am sure there are good epidemiologists, but where is the humour in that! There seem to be some, however, who think they can study the general and draw conclusions about the particular.

At least we can agree with the comment that the trial involved an awful lot of oversight.

" Luc Bonneux is an epidemiologist". What a coincidence. So was Simon Wessely. No more need be said.