An chance to rework the french Wikipedia article
In 2024 and 2025 the
English and
German Wikipedia Articlea have seen leaps in its content accuracy. Which is amazing. In 2025 ME was the Featured Article of the day for the English wiki and on 12.05.2026 for the German Wiki.
The
French article has seen nothing like that happen yet. If you or someone you know would be able, it would be great to get the French article reworked too.
Here are some deficiencies that are outlined in the
talk page for the french article:
1. PEM (Post-Exertional Malaise) is not simply "fatigue," but a systemic collapse
The French article severely downplays the core symptom of PEM.
The FR article says: "...consisting of an inability to tolerate physical and cognitive effort." The DE article states very clearly: "The main symptom is a severe deterioration of statefollowing exertion... Persists for hours, days, or weeks due to a disrupted physiological recovery response and can also permanently worsen the condition."
The Argument: PEM is not normal exhaustion, but a measurable metabolic collapse. This can be objectively proven by a 2-day Cardiopulmonary Exercise Test (2-day CPET): on day 2, the performance capacity (VO2 max) of patients with Myalgic Encephalomyelitis (ME) drops drastically. The body produces energy in a toxic manner, making normal recovery impossible. This is completely missing from the FR article.
2. Graded Exercise Therapy (GET) is not just controversial, it is dangerous
The French article still lists CBT "coupled with physical exercise" in the treatment section and presents the criticism of this as a simple "controversy" surrounding the PACE trial.
The FR article says: "...cognitive behavioral therapy (CBT) based on positive thinking exercises coupled with physical exercise..." The DE article explicitly warns: "Physical activation therapies, in which activity is to be continuously increased over a long period, can lead to a deterioration of the condition and are not recommended... Aerobic training is not tolerated."
The Argument: Because of PEM, Graded Exercise Therapy (GET) is medically contraindicated. It causes organic damage to patients. The FR text must clearly state that activation therapies can lead to permanent deterioration.
3. "Pacing" as the gold standard of management is completely absent
While the FR article lists unproven dietary supplements and gymnastics, the most internationally important management strategy is missing: pacing.
The DE article says: "Pacing is a form of individual energy management and an important strategy for coping with the disease. [...] The goal of pacing is to minimize the risk of PEM and prevent symptom worsening, or even a downward spiral in the course of the disease."
The Argument: As long as there is no curative treatment, pacing (strict energy management within one's own limits) is the only way to avoid severe "crashes." This must be the very first thing mentioned in the "Treatments" section.
4. CBT (Cognitive Behavioral Therapy) does not cure
The FR article gives CBT far too much therapeutic space. CBT can no more cure ME than it can cure cancer or multiple sclerosis.
The DE article clarifies: "When using psychotherapies for ME/CFS, it is essential to understand that it is an accompanying measure that has no direct influence on the symptoms of the underlying disease."
The Argument: Psychotherapy helps with coping with a severe chronic illness. It is an accompanying option, not a primary treatment for ME.
5. The toxic controversy: Organic vs. Psychosomatic
The FR article largely reads as if the disease is still an unsolved mystery between the psyche and the body. This ugly controversy has led to deadly/harmful recommendations in the past (like the PACE trial).
The DE article is up-to-date with current science on this: "ME/CFS is a chronic multisystem disease... Disturbances of the immune system, metabolism, nervous system, and blood circulation are specifically described."
The Conclusion: The French article suffers from the historical legacy of the psychosomatic lobby. To align the article with the international consensus (WHO, CDC, Wiki-DE, Wiki-EN), it must be clearly stated that: PEM is the focal point, GET is harmful, and Pacing protects.