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Wessely defended Eysneck. Just saying. The entire purpose of this stuff is to create a psychosocial environment where patients do not feel safe in reporting symptoms or their degree. Which is more than a little ironic. It is a particularly insidious and cowardly form of intimidation and...

There is literally no possible excuse for somebody claiming any degree of expert status to not know the full history of their field, and in considerable detail. That is their damn job. Anything less is reckless wilful ignorance at best, and extreme incompetence, dishonesty, and callousness...

The whole concept of a baseline is unevidenced. It is just an arbitrary piece of nonsense to try justifying their 'treatment' model.

Thanks for doing this. The psycho-behavioural club has never presented any evidence for deconditioning being a significant factor, and indeed have not even made any serious attempt to robustly test that critical assumption. Instead, all the evidence is pointing in the opposite direction: that...

'pacing up' is another.

So why did they not use a longer term assessment? The issues with confounding effects in short-term self-report assessments, especially for CBT, et al, that require time to wash out, are well known including in ME/CFS studies. Interestingly, given it is supposedly the "definitive" work on this...

This is not going to end well.

And like most gossip it tends to be malicious. Now there is a cultural echo from the past. I wonder how many here know who he was. he he :sneaky:

Shh. Don't mention the 4 billion ton gorilla in a neon pink tutu in the room.

Outcomes were assessed at baseline (T0) and after five weeks (T1). On subjective self-report outcomes, after just five weeks treatment for a condition known to last years (and potentially a lot longer), via an inpatient program designed to get patients to report better scores on subjective...

Wot he sed.

I tried 3-4 different kinds of massage in the early years and did not find any of them helpful. If anything they left me worse off.

Titles on YouTube videos often change during the first day or three, particularly on the high traffic, more commercially oriented channels. The channel owners typically try a few different titles to see which one gets the most views and go with that. Not all channels do this.

Long-Covid patients would need daily physiotherapy and a special diet, and of course psychological support. Yes, Virginia, the world really is insane.

I think he is beyond help and should be fully retired from all positions of authority and influence, effective immediately. That fact alone should render a person unfit for further involvement in our care. Or anybody else's.

I am also in the camp that is very wary of lumping different labels together. Sure there might be substantial advantages in numbers, but as the history of all this shows there are also extreme risks, as noted by others.

This may not be the best example. When I got sick among the first symptoms I had were changes in basic sensory input, including smell and touch. Everything just felt different, in a roughly comparable way to when you have a bad flu or a fever. Those changes were immediate, often subtle &...

And so that in the clinical practice they understand the limits of the evidence base, which doctors in general are perhaps not so good and consistent at doing. Given what is currently regarded as 'placebo' is a mishmash of various factors, including confounding non-therapeutic factors (in...

Ironically one of the main things that saved HIV/AIDS from the psychosomatic fate was that they were indisputably dying in horrible and unusual ways. That is hard to write off to just being a psychosomatic disorder. Though a few did try, and some of those went on to die from AIDS...

Looks good to me. Thanks to all who contributed. :thumbup: One comment, and one suggested minor rewrite: Simple advice on judging activity limits based on personal experience is all that is justified. This is the core of activity advice. Any activity. Explain to patients the basic concept of...