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Their main theory is that people who get tired choose to either further exhaust themselves doing the task properly, or choose to save their energy/effort by Harry half-jobbing. Although, just like Walitt, they don't seemed to have entertained the idea that maybe those who'd been exhausted before...

Sorry I should have made it more clear. What I didn't understand is how you can know that the rate isn't going up, just as you don't know it isn't going down? - given even an actuary can't have figures/rates that noone is collecting (and for all we know eg with LC it could be that with correct...

I don’t understand That depends on the death rate vs rate of getting it? And if more each year stay alive with it than die plus there are new cases and there isn’t a high recovery rate/it’s short lived for those then surely the logic is that it would be upward, how could all diseases be the...

Well this is a sinister and poor attempt at ‘replicating’ Walitts dodgy effort preference using stroop test before hand grip then claiming the format tests something related to effort and habituation instead of exhausting ill people then calling a spade a spade what the heck do these people...

Just sounds like something that in any other sector might be using what would be termed as mis -selling of treatment, facts etc very dodgy using forced choices And if their facts on outcome are incorrect then if it weren’t theoretical and not actual it would be a consent issue anyway even if...

The big issue if that wasn’t done as a trial but a retrospective is that if something works for you then you keep using it but if it doesn’t or find something better you don’t I never see people posting strata if they’re going up the stairs at work and walking back from the pub now they’ve...

Wheedling or post hoc justification by the sounds why is it that healthy people are often the lazy ones who then spend so much energy trying to sell why their laziness is necessary ok or good for others instead of just getting in with it Whilst step way above our limits doing this for them...

If it’s not science with testable null they are open to properly happening and being interested in then that’s precisely what these are people being these days allowed to use academic publications as a platform for manifestos selling bigotry these aren’t even ideas any more as they aren’t new...

I've looked it up and it seems the two people behind IAPT were: David M. Clark - Wikipedia Richard Layard, Baron Layard - Wikipedia So the point made somewhere by someone about psychology having been invaded by economics and its methods seems entirely relevant.

Thank you. It is very good I think I particularly thought of BACME at 57 mins in when there was a list of tasks they had tested and shown they cause ME/CFS to be over their limits. But it is so often the case that showering isn't one of these... so strange given I'm pretty sure most I know...

there is a big issue isn't there where the idea of both exercise and any old thing as a pretend psych 'therapy' being helpful for 'fatigue' having become a truism in the medical profession and pushed into other vocations. It is like the untouchable as if someone is suggesting smoking is good...

Anyone see this?

Do you mean you actually hear a creak? Has anyone else noticed this? when i directly exercise certain muscles then when they are at the end of their whatever /out if whatever they I get 3 tugs in quick sequence. Like someone is pulling a rope straight letting it bend then tugging it again...

I agree, but with the caveat that I think we need to be careful about the cherrypicking/fishing for that would happen if we just threw data out there, given we know about the latencies and patterns but I don't know what might be manufactured if someone took a few good days vs bad and cart before...

Agreed. And it has just reminded me watching this (I think the last line about CBT, plus the bit about Chalder's misuse/misunderstanding of the term 'normal') that we need to begin requiring that it is underlined that just because Nice NG206 didn't throw out all CBT does NOT mean that it didn't...

To me, is it OK to go at the list / concept of testability from a different angle and suggest that it needs to be something that can explain or accommodate the idea that with sufficient REST - but that being in ME/CFS terms so a lot of rest when someone needs it and until they naturally feel...

I'm trying to add the bits together that might relate to muscle here, because the pain I'm thinking of I don't think is 'brain/nerve-related'. For me I think the earliest and most obvious was always the calves. Full-on deep soreness to a level I'd never felt before, and definitely not caused by...

ON point 1. I was thinking similarly on the more women than men affected stat too, based simply on the history of it being used as a dumping bucket when CFS (and probably still now). I thought of autism and women. I'm also all too aware of watching over the years on social media people trying...

I'm hoping this isn't too much of a sidetrack but this comment made me think of having recently read this (as I thought of clock genes / clock cells and this came up) and thought if it is correct then it begins to undermine the simplistic 'hardware-software / brain controls the body one-way...

Yep. That one seems to fluctuate for me significantly there is probably a term of like when the illness is ‘live’ I’m reaching for ie where I feel like my body is on a free fall/ downward situation and definitely if I’d had an illness exacerbate I remember @Peter Trewhitt doing a good post...