It seems more and more treatment recommandations are being updated! https://twitter.com/user/status/928963924585787392 http://www.mydr.com.au/first-aid-self-care/chronic-fatigue-syndrome
This update came about as a direct result of one Australian patient's interaction with those responsible for the content. It's a work in progress and sounds like they are open to revising further given the appropriately referenced research.
If you do a second take on the picture, it almost looks like a pair of slender legs, knees up, with the head ... coming out of the wrong end . Which may be more indicative of how it feels for PwME.
Things are rapidly changing it seems. One after another stops recommending exercise or is reviewing guidelines. A pity that in the Netherlands we're faced with the most stubborn of bastards.