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  1. rvallee

    Acute effect of strength training on mood of patients with fibromyalgia syndrome, 2019, Andrade et al

    Uh, yeah, 3x12 is resistance training. Strength is usually 4-6 at ~90% load. The meaning of words, does it really matter?
  2. rvallee

    Article : Medicine and the Mind — The Consequences of Psychiatry’s Identity Crisis

    Not much meat but it's a good commentary on the limitations in the specialty. Psychiatry has clearly overstepped itself in making pronouncements and assertions based on little to no facts at all, sometimes even against all the facts in evidence. The author suggests a humbling drawback, but...
  3. rvallee

    The Lancet: Opinion: "Offline: Transcending the guilt of global health", Horton

    Horton said some time ago that he is proudly an activist editor. He dismisses everything relating to PACE because it is the work of "activists", nevermind that it isn't true. Nevermind that he is clearly siding with bullies who oppress vulnerable people and that he is very much complicit in...
  4. rvallee

    News and views in myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS): The role of co-morbidity and novel treatments (2019) Comhaire et al.

    I, um, yeah, well, there are definitely more than 5 grains of sand in a handful and a blue whale is definitely at least more than 20kg. Not much to interpret. Open label with self-reported outcomes. The fatigue questionnaire doesn't look particularly relevant. Doesn't look bad so much as not...
  5. rvallee

    Development of a Scale to Measure an Unemployment Syndrome: Items Generation and Content Validity, 2019, Bocchino et al

    There are Markov chain bots that are more coherent than this. Clearly one solution to unemployment syndrome is to hand out employment to people whose work is about equivalent to throwing a bunch of cue cards with vague concepts down some stairs while yelling "BPS BPS BPS" and tacking together...
  6. rvallee

    Mediation analysis re: cognitive behavioural therapy in Q fever fatigue syndrome, 2019, Knoop et al

    Probably, considering it's been the same tune for 30 years, itself not much different than the stuff in the decades that preceded it. At least being stuck in deep ruts means it's hard to spoil any more places. Probably the latest innovation was being openly deceitful about it, the whole...
  7. rvallee

    NEJM Journal Watch: Interview with Dr. Caleb Gardner on the limitations of an increasing focus on biologic knowledge in psychiatry

    It's puzzling that as we verge on gaining actual understanding of the human brain that goes beyond the very simplistic, there are people who expect that too much biology may be the problem. This thing is just getting started. It has mostly failed because we still don't understand the organ that...
  8. rvallee

    "Ehlers-Danlos syndromes: new labels confuse everyone", 2019, Williams, letter to BMJ, includes comments about CFS

    Yeah I did a double-take on this one, derides diseases that have objective pieces of evidence but are an unsolved puzzle, pushes for something that doesn't have a single piece of objective evidence and mostly acts as a proxy for yet another thing that lacks any evidence whatsoever. Hard to take...
  9. rvallee

    Mediation analysis re: cognitive behavioural therapy in Q fever fatigue syndrome, 2019, Knoop et al

    Not sure how well the movie is known outside of the French world but I love this similar (roughly translated) quote from Amélie Poulain: These people aren't just obsessing over the finger, they built an entire belief system out of the finger being the only thing that exists and the sky being...
  10. rvallee

    Leveraging the Shared Neurobiology of Placebo Effects and Functional Neurological Disorder: A Call for Research, 2019, Burke et al

    At least they admit it's a belief. We got a self-aware wolf right here, i.e. someone who makes an argument against something but actually uses it in support of one thing, aka as being right for the wrong reasons. Remarkable that they are OK with beliefs as long as they agree with that, while...
  11. rvallee

    Leveraging the Shared Neurobiology of Placebo Effects and Functional Neurological Disorder: A Call for Research, 2019, Burke et al

    I mean, it's literally the control for "no effect". Should we upend literally all of clinical medicine by adding, what, a second control for no effect? What would that second "no effect" would be? In food tasting, it would be the one where nothing was added. In hearing testing, it would be the...
  12. rvallee

    ME Action petition to Walter Koroshetz

    We're still not very organized. It will take time to get people to bother, that it's worth it. Adding to the even more who don't even know what disease they have and are barely surviving. Especially as the usual means for petitions like this is Facebook and there is too much stigma to dare...
  13. rvallee

    News from Scandinavia

    Weird how people with a personal understanding of ME consistently reject the BPS model for having nothing to do with reality. And how the BPS folks tend to rant against those personal experiences as a conflict of interest because reasons. So much so that the author actually listed that as a...
  14. rvallee

    UK, Oxford: THE ROSAMUND SNOW SCHOLARSHIP FOR PATIENT-LED RESEARCH

    Hard to imagine something that will age as badly as putting scientific integrity and Simon Wessely in the same sentence. Other than moral courage, of course. Oh, boy. I've heard of paper tigers but is there such a thing as a paper reputation? One that is microns-deep and ready to burst into...
  15. rvallee

    The IAPT Pathway for People with Long-term Physical Health Conditions and MUS. Full implementation guidance.

    I don't know exactly how it started but it's from a Spongebob Squarepants meme where you mock what someone said, in general terms, because it's stupid. Can repeat exactly or loosely paraphrase the thing.
  16. rvallee

    "Ehlers-Danlos syndromes: new labels confuse everyone", 2019, Williams, letter to BMJ, includes comments about CFS

    Straight from a horse's ass. That is one hell of a cherry-picked factum to support a belief. How do people like that even make it through high school? Just coasting on good memory?
  17. rvallee

    Mediation analysis re: cognitive behavioural therapy in Q fever fatigue syndrome, 2019, Knoop et al

    Ironically in this context it is interchangeable with dis/ability so basically they are pointing at disability caused by illness being the problem but because of a belief system that rejects this they invent a magical explanation instead and run with it and use hand-wavy words that can mean...
  18. rvallee

    The Effect of Comorbid Medical and Psychiatric Diagnoses on Chronic Fatigue Syndrome, 2019, Natelson et al

    It's just association anyway and generally not much more sophisticated than "Do you have anxiety? Yes? Diagnosis of anxiety it is." I don't know if it's on my file, but a few years back my GP handed me a reference to psychotherapy for affective disorder. I didn't know whether to laugh or cry...
  19. rvallee

    David Tuller: Trial By Error: How to Avoid Ethical Review

    Uh, uh. No, case not closed. Keep the file in an accessible location. When this all blows over there will be hard questions to answer about the validity of a process that greenlights and reaffirms it is OK with ethical violations and malpractice if you know the right people. You don't actually...
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