The role of lifetime stressors in adult fibromyalgia: systematic review and meta-analysis of case-control studies, Kaleycheva, Chalder et al, 2021

Peter Trewhitt said:
I despair that so many papers like this are still being published without a basic understanding of experimental design, repeating basic logical failings that we were taught to avoid when I was a psychology undergraduate over forty years ago.
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No easier PhD than a copy-paste PhD. Also very easy for the supervisor, it's already completely familiar.

Decades of lowering the bar, and the bar has simply folded and gone home to get drunk.
 
This paragraph is priceless:

"Dr Crawford states that we have been led by a confirmation bias in stating that fibromyalgia can be defined as a functional disorder and, therefore, examined the role of HPA-axis dysfunction in fibromyalgia as a possible cause for the disorder. Whilst it is true we described fibromyalgia as a functional disorder due to the lack of clear structural pathology associated with it (Kaleycheva et al., 2021), we did not examine the literature regarding the association between HPA-axis dysfunction and fibromyalgia, as it was not the purpose of our review. However, it is certainly an area which merits further attention."

Thanks Dr. Crawford. Nevertheless, looks like this crowd still needs to defend their jobs and grants and prejudices.
 
Sean said:
Which is a completely unsafe bit of reasoning.
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Completely.

They are literally saying that because the "structural pathology" is unclear, it is therefore non-organic, the patients having bodily sensations which do not result from physical disease, but which the patients respond to as if they did. The long, horrific history of psychiatry and medicine in this aspect should have made them so sensationally humble and careful, but instead they stick to reasoning from the time of vapours, bloodletting and mercury.

What pisses me off about this type of papers, apart from their scientific weakness and with it distortion of real understanding of the illness, is that it's not intended to be helpful, it is intended to "prove" the origins of the illness are psychiatric to legitimize a CBT treatment. To keep fibromyalgia patients as part of the psychiatry domain.

It's weaponising trauma for its own end, pseudo-medical victimblaming. Which is such a malicious thing to do.
 
Arvo said:
Completely.

They are literally saying that because the "structural pathology" is unclear, it is therefore non-organic, the patients having bodily sensations which do not result from physical disease, but which the patients respond to as if they did. The long, horrific history of psychiatry and medicine in this aspect should have made them so sensationally humble and careful, but instead they stick to reasoning from the time of vapours, bloodletting and mercury.

What pisses me off about this type of papers, apart from their scientific weakness and with it distortion of real understanding of the illness, is that it's not intended to be helpful, it is intended to "prove" the origins of the illness are psychiatric to legitimize a CBT treatment. To keep fibromyalgia patients as part of the psychiatry domain.

It's weaponising trauma for its own end, pseudo-medical victimblaming. Which is such a malicious thing to do.
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Is this not a violation of the Hippocratic oath?
 
Perrier said:
Is this not a violation of the Hippocratic oath?
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Yup, but it's just a slogan to make people feel good about themselves. I always thought it was a bit weird but seeing medicine in action over these last few years, it looks downright silly. It's fully interpretable and requires the clinician's blessing to be genuine, the patient reporting harm means nothing to this, making it nothing but a bunch of cheap words that means even less than being sworn into office, which carries actual legal repercussions, sometimes.
 
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