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Generally, I see the BPS model as the simple application of "because I say so". It does not bother with validity, it doesn't need to, because in the end it always follows the same formula: "you feel X, but actually it's YZ, because I say so". It's actually a regressive model in that it's...

This is really playing out exactly the same way as the "chemical imbalance", that somehow many MDs pretend was never asserted, even though it's aggressively defended and is ready to spring back at the slightest hint of a possible maybe. Chemical imbalance is dead, long live network imbalance...

It's not nearly said often enough that health is political, healthcare is political, and medicine is political. Almost everything important is political, but healthcare especially so. Particularly in our case, where what we need is in direct conflict with what healthcare systems want to do.

Something about some PACE-like trial buried in there: Program ACTIVE (Adults Coming Together to Increase Vital Exercise) was a pilot and feasibility study to assess the effect of an intervention that combined community-based aerobic exercise and CBT in patients with type 2 diabetes and...

Uh huh. Sure. Psychogenic hyperglycemia. Why not? Let's just make stuff up, who cares?! Zero attempt at making sense. Psychogenic hyperglycemia, treated by exercise? Come on. At this point, it's not really possible in EBM to do the thing with submitting joke papers to test if they get accepted...

And who is that "we" mentioned here? Because very few medical organizations, if any at all, recognize this, let alone know it (sometimes they put it there even though they dispute it). CFS was literally invented for the purpose of removing any connection to infections, and making it a fully...

I pretty much assume the same thing happened in every country, playing out mostly the same way. There were discussions of Long Covid between the federal public health officer and provincial officers (in Canada, health is a provincial authority, with the federal government setting the overarching...

Well, if it's caused by SOB, then it's the SOB that should be targeted, not its consequence. You find an object obstructing a stream, and the only thing you can think is to address the consequences of the blockage? Not the blockage? That's just a weird conclusion. As if thinking in root causes...

I don't think that fooling MDs was ever a goal. They always knew what was in the bottle and among themselves they have no shame admitting those stories are just that: stories invented precisely to sound pseudoscientific, so that the patients won't know what they're consenting to. Frankly, this...

That's a pretty bad answer. There are other scales with published research. Choosing the worst one is a deliberate choice. Maybe not the choice of the worst one, so much as the choice of one that is basically 3 biases in a suit and has the magical ability of giving expected results every time...

Marketing claim. There is no evidence that it makes any difference, and a shockingly high number of serious deterioration that are completely unrecorded and unacknowledged by clinicians, which makes the entire paradigm unsafe, in addition to being useless. It's shocking to see the widespread...

I hope so, although it's really hard to accept that it could ever get this bad, let alone that it has been this bad as a choice. But after years, you get the message. And with time people see more context, and the more context you add, the worse it is:

For a while, it seemed liked concerns over cognitive impairment were being taken seriously. It seemed as if dots were being connected. It doesn't look like medicine can keep up the motivation and is already set up to give up. The RECOVER experiment with cognitive training is a good example, but...

Just as same and distinct as the relationship between the mind and the body. Not dualist. You're the dualist. Words mean nothing in this ideology. They are weapons used to manipulate and coerce, to manufacture the illusion of consent. Even though consent on false pretenses is explicitly...

It's so disappointing that medicine hasn't progressed beyond the simple thinking of one pathogen = one outcome and always the same for everyone. Peptic ulcers have a similar context, nearly everyone carries H. Pylori, but not everyone develops ulcers. There are other factors at play, and they...

We can definitely see that it's not a clinical study. No confusion here. But the second part is a blatant lie. I don't know how these people think they're right when they have to lie so much about everything they do, but it's even more absurd that no one in the system cares, how this practice...

The essence of a good trial or experiment is: all other things being equal. There has to be certainty that one thing is being evaluated, and one thing only. Most of the effort in conducting a reliable experiment is in achieving this, in eliminating all possible noises. It's important enough...

Given that it already has, this is weird. The costs are already enormous, thanks to deniers and systemic failure preventing the development of expertise and effective treatments. And also, is burden to healthcare the only concern? Morbidity is simply entirely irrelevant? Obviously not. Any...

I sure love a good naming and shaming when it is deserved. More of this. People are failing us. Not nature. Not fate. People. Even systems are made of people. Name them. Shame them. Send them packing, they have a great career in alternative medicine if they really want to keep doing the same...

Beyond that, the whole set of studies funded by this round has turned out to be a terrible waste of resources. Unless I'm mistaken, they're all completed. And absolutely nothing to show for it. Not that research is guaranteed to produce results, but the selection of proposals was very weak and...