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'ACT assumes that Obvious flaw is obvious.

Medicine demands physicians be invulnerable, trained to push through exhaustion, As I have noted before, medicine's great blind spot is in dealing with conditions that feature a major reduction in stamina. From day one of med school, through to at least a decade or so post graduation, the...

It is a good article, that touches on many of the points we have been making for decades. But I also agree with @rvallee about the problems with the perversion of evidence-based medicine, having all the form but none of the content, and that being used to stifle dissent and criticism. Would...

I would expect such a phenomenon to be lethal, and within minutes. If they had said a significant reduction in cellular energy production, that would be at least plausible as an initial hypothesis. But a complete collapse is not even vaguely plausible.

a complete collapse of cellular energy production, News to me.

Epecially that.

Lack of evidence and logic are fertile grounds for fantasists and grifters of all persuasions.

Indeed. If the placebo effect is so powerful why have they not employed it effectively? Where are the substantial practical benefits of it?

Point taken about the dangers of trying to mindlessly quantify things. I just meant it as the principle we should be aiming to quantify things that can be meaningfully quantified. A core part of which is figuring out what those things are, and what they are not. Endless rounds of self-report...

1. Not up to following this debate. That said: 2. Comorbidities do have to be factored in somehow. Almost all humans have them, and getting a clean comorbidity-free sample from any group is difficult at the best of times, let alone from a group who have been very sick for many years, some for...

They are really struggling to let go of the deconditioning myth. Understandable, as it is a central assumption for psycho-behavioural paradigm. But that is no excuse. If it is wrong – and it is – then out it goes. We would probably get much more informative results if they kept up the daily...

And sometimes not even that.

Innovative pedagogical approaches may help address these gaps. Funny way to spell ideological propaganda. The flood of papers in recent years focused on how to better market their 'product' is revealing. If their product was good they would not need to flog it so hard, and invent excuses as to...

Yes, they understand it enough to rig it in their favour. They are also quick to point out the methodological weaknesses in biomed studies, thus demonstrating that they know what they are doing.

‘Finally Awakened’ comes out on Amazon on 21 April Because of course she has something to sell. :cautious:

Selective use of diagnostic criteria, (including arbitrary modifications to them, thus making the results hard to compare with other studies - see PACE). Lack of long-term follow-up.

Well, the identify and quantify bits are okay, the 'understand' bit is worrying.

The aim is to identify, understand and quantify people’s symptoms and disabilities. No in principle problem with this bit, though it is hardly novel or insightful. It will support goal setting, treatment planning, and monitor changes. Massive problem with the first two of those. Goal setting...

"Misdiagnoses of FND are rare and the effects are likely minimal" the authors say. :rolleyes:

It was never going to turn out any other way, was it.