Functional Stroke Symptoms: A Narrative Review and Conceptual Model, 2019, Chalder et al

Paywall, https://neuro.psychiatryonline.org/doi/10.1176/appi.neuropsych.19030075
Scihub, https://sci-hub.se/10.1176/appi.neuropsych.19030075

 

Even a hammer is capable of doing more than just hammering nails. Hell, a hammer makes a better boomerang than this crap makes for credible science. Just updating the graphics doesn't change the fact that it's the exact same thing that failed every time being reused over and over again. Pretty remarkable that the narrative is strictly that of people who have neither insight nor understanding of the experience. Like someone explaining to you what you did yesterday even though they weren't there.

At this point it's the people who keep funding this idiocy who are to blame. It's not like there are lives at stake, or something like that. Noooo, keep pumping the same BS for a full century, very normal and useful. At its core here it's literally the same stuff as the BPS model of ME, "strength of belief" and "physical attribution" of symptoms as basically being fear of being afraid and a risk factor. There's plenty of stuff about rousing reassurance and imaginary illness benefits of "intense attention" by medical professionals. As if that actually happens. Doesn't even score points for originality.

Literally every point from Wessely's early ME models is there. Even "some of them recover spontaneously". Illness-related beliefs. Fear avoidance. Imaginary benefits from all the "attention" from health services and family, which totally happen. Imaginary focus on symptoms, "catastrophizing", as if not thinking about them makes them magically go away. It's all there. It's the same damn thing. It could essentially be copy-pasted with some words changed here and there and it's the same thing. The "treatment" is IAPT-style CBT crap, of course.

That the patients are not experiencing the subjective cognitions being imagined here is strong evidence that they are happening. Why not? I'd say you couldn't make this stuff up but that's literally what's happening here. Good grief.

I mean, here it literally argues some time-warping and reverse causality that the "event" is a precipitating factor of the "event". Not only is it turtles all the way down, the second turtle is also standing on the first turtle, which is itself standing on the second. Is there really no one with common sense involved with that process? Sorry but a volcanology paper arguing that the cause of a volcanic eruption is the eruption would be sent home to think about what they just said.

Correct. This ain't it, chief. This ain't even close to be it. These people are broken inside.

 

Functional stroke symptoms: A prospective observational case series
2020
Chalder et al

https://www.sciencedirect.com/science/article/abs/pii/S0022399919310943

variations on the same theme

 

How many more conditions can be " white labelled" in this way ?
Just change the description and provide more of the same from multiple providers.

 

Sheesh, so now the b*****s are attacking stroke patients? I particularly liked this:

And followed immediately by this:

Yeah well, you've been diagnosed with having a stroke, just get over yerself and get on with your life there's nothing wrong with you but a bit of anxiety and depression. These people are bloody UNBELIEVABLY CALLOUS!

 

Wasn't this Goldberg's great discovery. That illness consists merely of anxiety and depression... whatever the illness.

 

What about TIAs, the small mini strokes which heal but show there is a problem?

 

@Mithriel their specialty is unexplained and unidentified pathology.