Oslo Chronic Fatigue Network

Dolphin said:
OPINION:

Marit Stafseth BOARD MEMBER OF THE NORWEGIAN COVID ASSOCIATION
https://www.sciencenorway.no/covid1...c-fatigue-consortium-enough-is-enough/2503517
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I would like to add that if the members of the consortium were willing to approach this with an open mind and lend me an ear, I could tell them that several patients have told me they benefit from cognitive therapy. Many patients need someone to talk to about how to cope with the illness.

There is nothing inherently wrong with cognitive therapy, but with the content OCFC has chosen to give the cognitive therapy."
 
A recently published scientific paper on a study investigating how doctors manage patients with fatigue confirms that it is inappropriate for primary care doctors to recruit patients to the Fatigue Study. Bizarrely, four out of five researchers in this study are also working on the Fatigue Study (linked to Oslo Chronic Fatigue Consortium).

Read more on my blog (Google Translated):
Newly published article confirms ethical problems with the Fatigue Study

Thread on S4ME about the article:
Physicians’ experiences of assessing and supporting fatigued patients in primary care: a focus group study, 2025, Samuelsson
 
I found the nurse education textbook by Vegard Wyller, and the short snippet on psychosomatic illness is firstly placed under the mental illness category (while OFN also says it’s neither somatic nor psychological), and goes straight for secondary gains like sickleave payments.

That’s great for building a relationship woth future patients I’m sure..
 
Michael Sharpe, who is seen as one of the foremost representatives of consultation-liaison psychiatry in the world
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That's just... sad.
In his lecture, Sharpe talks about the patients that consultation psychiatry encounters in somatic care. He emphasizes that it is not primarily about the major psychiatric diagnoses such as schizophrenia and bipolar disorder, but more about other causes, such as symptoms that cannot be explained medically and patients who, for various reasons, do not cooperate in treatment.
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Again, back to what I said yesterday in another thread: what does psychiatric even mean at this point? It used to mean like he says, the major psychiatric diseases, but now it means... whatever.
The label Sharpe applies to patients who are covered by the mission of consultation psychiatry is “mentally sick.” In this he includes people with physical symptoms where healthcare cannot demonstrate objective findings for physical illness.
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Literally whatever.

His own research pretty much proves it's useless: https://www.s4me.info/threads/proac...-in-england-the-home-study-2024-sharpe.39779/.

Literally, HIS OWN RESEARCH, says it's basically useless:
Whilst we found no evidence that any of the inpatient C-L Psychiatry service models evaluated is effective, the sparseness of the literature and its methodological limitations preclude strong conclusions. The trials do, however, suggest that purely consultation-based service models may not be effective. A new generation of robust clinical trials of a wider range of C-L Psychiatry service models is now required to inform future service developments.
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Andy

Thread 'The effectiveness of inpatient consultation-liaison psychiatry service models: A systematic review of randomized trials, 2021, Toynbee, Sharpe et al'

Abstract
Objective
To systematically review randomized trials of the effectiveness of inpatient Consultation-Liaison (C-L) Psychiatry service models in improving patient outcomes, reducing length of hospital stay and decreasing healthcare costs.

Method
We searched databases including Ovid Medline, Ovid Embase, Ovid PsycINFO and EBSCO CINAHL for relevant trials. Two independent reviewers assessed articles and extracted data. The review is registered with PROSPERO, number CRD42019120827.

Results
Eight trials were eligible for inclusion...
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Bah, whatever. The problem isn't even them. It's the systems that buy their bullshit. The whole thing is total wishcare, a scam, it's fraud to present any of this as purely speculative wishful thinking.
 
such as symptoms that cannot be explained medically....​
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physical symptoms where healthcare cannot demonstrate objective findings for physical illness.​

Can never demonstrate, or has not yet been demonstrated? Because it is a very critical distinction, which he did not make clear.

In the first interpretation it means that it can never be explained by physical findings, that investigations have been exhaustive and there are no reasonably plausible physical possibilities left to investigate.

The second, of course, means something very different, that if there is underlying primary physiopathology then it simply has not been demonstrated yet. Which situation leads to very different conclusions indeed.

The psychosomatic fan club desperately want to stop any further robust research into physical mechanisms, because they know what the consequences for them and their 'authority' will be if it turns out it is a physical disease.
 
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