The Unaware Physician's Role in Perpetuating Somatic Symptom Disorder, 2019, Morabito/Barbi/Giorgio

Where? All I can see is a very short abstract and nothing else.

 

I have made no such claim. I have ME so I have to set priorities, and BDD is not one of them. My submissions (at an earlier stage) were about the entries of ME and CFS, which included moving CFS to PVFS. What I've said is that I was pleased that they accepted this proposal, which narrows down the much-too-wide CFS to post-viral cases with neurological symptoms. I also proposed to move ME out of PVFS but no agreement emerged with regard to whereto.

 

You publicly opposed the insertion of exclusions for PVFS, (B)ME and CFS under BDD on Twitter.


In December 2019, I submitted a new proposal for exclusions [1] for the three 8E49 terms under 6C20 Bodily distress disorder, supported by a new rationale text.

In January 2020, the WHO approved and implemented that proposal [2].


1 Proposal Mechanism, ICD-11 Maintenance Platform, Suzy Chapman, January 20, 2020: https://dxrevisionwatch.files.wordpress.com/2020/01/rationale-bdd-exclusions-december-02-2019-1.pdf

2 Report: Update on classification of Bodily distress disorder in ICD-11 v2:
https://bit.ly/37pnwiI

 

That is correct. Do you also remember why?

 

Chronic fatigue syndrome had been indexed to G93.3 since the Alphabetical Index for ICD-10 was released, with an exclusion for G93.3 under R53 Malaise and fatigue; and an exclusion for G93.3 under F48.0 Neurasthenia and its inclusion term, Fatigue syndrome.


As ICD-11 had stood in 2010 to early 2013 (during the iCAT, Alpha draft and early Beta drafting stages), Chronic fatigue syndrome was being proposed to replace PVFS as ICD Concept Title term.

BME had been proposed as the Specified Inclusion Term under the new Concept Title, Chronic fatigue syndrome, with PVFS relocated under the list of 14 index terms.

So I am confused by your statement that you were pleased that your "submissions (at an earlier stage)" were accepted.

 

Guido, I suggest you review our lengthy Twitter discussions between 1 June 2019 to 4 June 2019, in particular these exchanges:

https://twitter.com/user/status/1134890027127889928


(...)

https://twitter.com/user/status/1135192922226188288


https://twitter.com/user/status/1135267536885469184


Followed by a number of posts by me setting out why exclusions were required under BDD and its Synonyms terms, including the fact that BDD is already being confused and conflated by researchers, academics and clinicians with Fink et al (2010) BDS.*

(...)

https://twitter.com/user/status/1135616354801856512



I have been retired since the end of November and have nothing further to say on this matter.


*You might also like to consider the recommendations in this book chapter for diagnosing children and young people with CFS and ME under BDD:

Somatic symptom, bodily distress and related disorders in children and adolescents, 2019 edition. Fiertag O, Taylor S, Tareen A, Garralda E. Somatic symptom, bodily distress and related disorders in children and adolescents in Rey JM, Martin A (eds), IACAPAP e-Textbook of Child and Adolescent Mental Health. Geneva: International Association for Child and Adolescent Psychiatry and Allied Professions 2019:

https://iacapap.org/content/uploads/I.1-Somatic-synptom-disorders-2019.pdf

 

Thank you for your reply.