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I've done what I often do unfortunately, and fallen into the trap of using an engineering term that does not really work in normal usage. In electronics, for instance, a bias voltage simply means a voltage that provides an offset to some other voltage, shifts its value in effect, "biases" it to...

I have come to realise (see my post #25, #32 etc in this thread), that psychological treatments like CBT and GET are in a different class to other treatments, in that their objective actually is to bias people's beliefs/perceptions away from their current state. Which is fine for people whose...

Without going into detail I will claim some personal experience here. In cases where shifting of perceptions and beliefs are valid, then once such a shift in perceptions/beliefs occurs, the person progressively comes to live it and be it. It is not that such a shift makes you something you are...

I don't recall saying I thought there were. And I don't see the relevance. For such a person genuinely needing such help, then I strongly believe they would be very grateful for it. I personally think society contains many people needing such help, but people don't recognise it, and just dismiss...

If a patient's condition is genuinely down to their flawed beliefs (and there are plenty of psychological problems where that really is the case), then in a sense that person's beliefs, and the behaviours that result from those beliefs, can themselves be considered to already be biased ...

Trouble is, when a healthy person goes down with a virus, be it lightweight or hard hitting, in most of those instances the person will not be harmed by pushing themselves pretty hard, and will be able to work their way through it. I and plenty of others I know have done that and got away with...

So what links might he have then? It is not only financial links that can constitute COI.

Inclined to agree. "Shared decision making" is one of those marketing-style phrases that sounds good but can mean whatever those in charge want it to mean. The phrase "shared decision making" is invariably presumed to mean 50:50 shared and well informed decision making, but often it's nothing...

I thought a major objective of a protocol was to pin down such detail and so avoid ambiguity. Especially something so crucial as whether something is a primary or secondary outcome at whatever point in the process. If anything so important can be reinterpreted or misinterpreted (possibly...

[my bold] This seems to be their standard get-out-of-jail card - we didn't prove anything useful but we'll spin it so it sounds like we only ever intended to lay the ground for another (worthless?) study anyway.

Yes, the protocol says ... Makes no suggestion of WSAS being a secondary outcome at any point.

Sounds like a suitably trained plumber, bricklayer, carpenter, etc might find it worthwhile applying - pretty much everyone else is in there.

They'd better! ;)

I think the point is that physios are going to get involved anyway, whatever anyone might otherwise think. This paper makes it clear such involvement must not just be the usual same-old same-old, but that physios need to do a brain reset and digest what the paper is saying. Personally I think it...

... and so closing the BPS circle.

Clearly wedded to the notion that that exercise will make you feel better, which is likely true if you are a relatively physically healthy person who needs to feel better, but not if you are someone whose physical health can be jeopardized by exercise.

Yes, agree entirely. When we talk about conflicts of interest I think it is more specifically about potential COI. So it seems to me the first thing is to identify whether a potential COI exists, and if it does, then decide what the correct remedy is. In some cases it will be deemed the risk to...

The thing about advisors is they need to be independent, no matter what they are advising on.

If that were all that counted then why would anyone go to all the time and expense of running clinical trials? One of the main reasons for trials presumably is to guard against flawed conclusions being drawn from such things as clinical experience, which though valuable must be strewn with...

Which is what I said in my preceding post (and subsequent post in no way meant to countermand) ... The point being that subjective outcomes in unblinded trials alone can never pass muster. You may well be right, and maybe I've not fully appreciated this. Which is surely an argument to not...