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Yep. Just psych-washing.

What about selection criteria? In particular, are they differentiating properly for PEM? I suspect that is the main means by which these LC exercise studies are getting away with this stuff.

When contextualized within prior research, our SSD estimates appear plausible. The methodological circle jerk continues right on, unrestrained by reality.

underscoring the ongoing importance of prevention measures. Good luck with that in current socio-political and medical climate.

there is no clear evidence base So, once again, they are brazenly admitting they got nothing, besides their nakedly self-serving clinical 'feels', yet are continuing to expand their empire anyway? Can somebody please explain how this is not straight fraud and corruption. And very very cruel to...

accompanied by excessive According to...?

negotiating an agreed approach This is insanity. As meaningless and pointless as negotiating with the sun about its size, but infinitely more destructive and cruel.

science of predictive processing News to me. If you are living with myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) or long COVID, you’ve likely learned to be very careful about not overdoing it. After meticulous efforts not to exceed your "energy envelope", you may have achieved...

Psychosomatics is by far the greatest failure and disaster of modern medicine. How it has become so dominant and immune to legit criticism is a damning indictment of the profession's technical and ethical standards, and the rest of the governance system for allowing to get so far and become such...

emphasizing the need for tailored support and ongoing resources to facilitate sustained recovery. Or for admitting that you are barking up the wrong tree.

Functional neurological disorders (FNDs) are neurological conditions resulting from altered brain network activity... FND results from abnormal connectivity in the limbic system and overlapping circuitry dysfunction in salience networks. Is there actually any hard evidence for this 'explanation'?

Nuts are great foods, one of the healthiest and tastiest and most convenient there is. I could eat them all day. But they are also a trap for the unwary because they are calorie dense due to the high oil content and so easy to consume. If you want to put on weight, start eating nuts. I limit...

I agree with using and promoting ME/CFS. It is not great, but is the most workable compromise we have for now, all things considered.

Patients never have. But the initials have been mocked in the distant past by a few as just having a 'look at me disease' kind of thing.

And even less effective for the other conditions in the study. -------- There was an average gain on the 6WMT of 50.5m (30-60m) for all conditions, giving absolute outcomes of 531-599m (except for COPD at 455m), and "baseline adjusted" scores for the 6WMT of PC=632.4 m vs ALL=603.4m. But...

A lot of the psych based 'treatment' is just a combination of that, plus encouraging the patient to simply deny the reality of their situation, a form of self-gaslighting. Distract and deny therapy.

Funding these clinics not only wastes money, but causes considerable harm by maintaining the fiction that there are effective treatments available to those patients who really want to be well. And strongly implies, their claims to the contrary notwithstanding, their preferred psycho-behavioural...

Our finding that a lower MVPA [moderate-vigorous physical activity] level was associated with more improvements in outcomes in the long-term seems to suggest some benefit from reduced activity. As we have been saying for [checks notes] effing decades. And the earlier patients can implement...

We are in the era of just making shit up, where methodological standards are whatever you want them to be.

Design Observational, self-report, single time-point online assessment. Stopped there. Saved time.