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Exactly. How do they now it is (unjustified) stigma/fear of psychiatric diagnoses and therapies that is the problem, as opposed to those diagnoses and therapies being false, and useless, and sometimes a lot worse than merely useless, and hence the stigma and fear of them being entirely...

which aims to empower participants to manage their energy effectively, At what point did the profession demonstrate having the requisite knowledge to be able usefully inform patients on this?

Just shows the utter contempt in which we and our story are held by the medical establishment.

They want the responsibility, and hence the blame for failure, to be in our hands, while they retain the power to define us and our health issues and lecture us from on high about how to handle them.

IIRC, it depends on when the container was made, as the toxic paints stopped being used a few years back. However, if it has a wood floor, then it may well be treated with strong persistent insecticides.

Lots of videos on Youtube about small houses, with lots of good ideas about the details, including layout and how to optimise the use of space.

It certainly is.

Apart from anything else, it shows considerable contempt for our hard earned experiential understanding of it, which is why they have to include a component in their definition that says we have perceptual pathology. They think that we are just ignorant delusional idiots. It is a maddening and...

Nor does the value of subjective self-report measures mean they can over rule objective measures when they contradict.

Though I have experienced gut troubles, including IBS, and still do. Just never nausea.

The issue is, of course, not the importance of subjective data. It has its place. The issue has always been: is it adequately controlled to reveal the known problems with subjective self-report data so they can be factored into the analysis? If it has been then it is useful data. If it has not...

What this stuff looks like is nothing so much as very hard evidence in favour of Upton Sinclair's dictum that: It is difficult to get a man to understand something, when his salary depends on his not understanding it.

iCBT was also no better than treatment as usual. "The effect of iCBT was not significantly different or slightly higher than treatment as usual after treatment" So what additional benefit is it offering?

Nausea is one symptom I have not experienced on any significant basis.

as a new entity, As a new label. Nothing more.

How many times can Horton be so wrong, behave so contrary to scientific and ethical principles, in such a blatant hypocritical manner, with such appalling consequences, and yet face zero accountability for it, and still remain so influential and honoured? And he ain't alone. Something sure is...

I am increasingly of the view that humans are rarely if ever sedentary (on a prolonged basis) for no good reason, and the real reasons for being sedentary rarely if ever include psycho-drama morality-play nonsense. That characterisation is just the superficial narrative mythologies we spin to...

Yeah, if I had to bet I on it would put my money on the psychosomatic gang trying to pull another public dummy-spit stunt like they did with NICE. But we will see soon enough. Fingers crossed.

Indeed. Nothing to apologise for. Furthermore, people have a right to tell their story, and there are very few places ME/CFS patients can do that in safety, to an understanding and sympathetic audience.

Sicker people tend to score worse on measures of work capacity. All of which could easily be explained as being caused by a chronic physical condition. Cutting edge stuff, isn't it.