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In college there was a doctor at the health services named Dr Rectanus. At least he was a GP, not a proctologist.

The authors seem to reference their own prior theoretical papers to bolster their arguments. The whole thing is based on the premise that people with so-called PPS do not have any organic problems that could be causing their symptoms.

Yes, I agree that is squishy. But that is essentially what all psychotherapists do, in whatever modality they're working in. Since I've benefited--or believe I've benefited, or experience myself as if I've benefited--from psychotherapy, I can't come down hard on all such approaches. But it...

He's an outside reviewer--not a Guardian employee. So his opinion doesn't really represent the Guardian. But good that they picked someone who would make decent points.

I agree that he finds IAPT threatens longer-term psychotherapeutic relationships, and he is identified as a Jungian. Are the "scam" and "born-again Jungian into all sorts of magic" observations something you got from the text, or just what you think of Jungians and the purported benefits of...

and because undoubtedly very, very powerful people were yelling behind the scenes.

I'll be there. I was looking forward to meeting her. Too bad.

The CDC has always refused to criticize PACE. Since it is the lead public health agency in the US, its refusal to criticize a study it recommended for years is a disgrace--an abandonment of core principles of public health. I have slammed them over this failure repeatedly.

wait, what did Hawking think the moon was made of anyway?

Well, they agree with Michiel that the number is inflated and they should have indicated it was a number for CF and not CFS, and they also agree that the fatigue could be because of having had a baby or house renovations. Then there's more yaba-yaba and then they say they will consider more...

it was the seminal paper--the "bible" of the CBT/GET ideological brigades

out of 140+ identified as having missed too much school for unexplained reasons, she diagnosed 20+ as having the illness. That's from memory--I haven't double-checked.

I'm a bit confused about why so much guidance is needed for 'pacing' anyway. I'm not a patient so I can't judge from personal experience. But isn't it a matter of two or three general sentences of advice, and then let people find their own way? I mean, it's a self-help mechanism, it's not a...

it would be great if you could slip in there that web-based CBT doesn't really do much for symptom improvement in IBS as well but now is being pushed to be offered to everyone who presents with IBS.

@Andy, thanks! I will mark them [sic] since they were in the letter as sent!

I assume, although don't know, that the moderate and severe patients were already diagnosed through appropriate criteria with ME or ME/CFS, whichever it is being called, and that PEM was a required symptom. The study seems to be intended to be a PEM-inducing study more than a fatigue study.

yes, I assume they will. but does the advertising standards agency get involved at this stage, when it is not yet available to anybody?

yes but they're not offering it yet. it's like they're branding it before they intend to launch it.

Hm, interesting. Great that she is called out!

In general, I think of regular CBT with a smart therapist as potentially useful in helping people adapt realistically to their circumstances and find ways to accommodate that. I can see where that might help with "stress"--anxiety, depression or whatever. Like practical guidance in not obsessing...