leokitten
Senior Member (Voting Rights)
Unpaywalled: https://archive.is/20260601111253/https://www.wired.com/story/the-painful-truth-about-long-covid/
Mind body / brain retraining
This approach of slow habituation to the thing that's unpleasant was the idea behind CBT/GET. We already know it doesn't work.But this logic doesn’t fit the reality of symptoms. What’s typically called “psychological” might also have a biological basis, and what’s dismissed as “all in your head” is often also in the body. Food aversion helpfully illustrates the problems with these binaries, because it happens in animals as well as humans. Rats can acquire a food aversion after eating food that makes them sick. Their gut reprograms their brain, and they will exhibit reflexive distaste for the food, even when the pathogen that sickened them is no longer present. To cure the rats, researchers use the same time-tested technique that’s used on humans: slow exposure therapy. Does this mean the food aversion was “all in the rat’s head”? Were the rats “faking” their reflexive distaste? Did they have a mistaken “belief”?
The author is not well informed on the topic of placebo effects. Most of what is claimed to be a placebo effect, in the sense as understood here, is actually other things, like reporting bias or bad study design.Believing patients, all patients, means that mind-body therapies may work in some cases of long Covid, even severe ones. (Dismissing those therapies as the “placebo effect” is, ironically, to reaffirm their effectiveness: The placebo effect is just a pejorative term for the power of the mind to produce symptom improvements.)
Really? What issues did you think were valid?A very long article which raises some valid issues,
Definition of Long Covid so broad it is difficult to use in research.Really? What issues did you think were valid?
I agree.To me it’s an extreme article.
I find it highly unprofessional to repeat these unconfirmed claims of death threats that were an attempt to discredit the opposition.
I don't think the best response against these claimed threats is that they are fabricated, even though they may be.And far too much credibility given to advocates of brain training claims of being threatened.
I didn't claim they are fabricated. I said too much credibility is given to them, meaning too much prominence in order to discredit everyone who critiques brain training and CBT/GET. So I'm agreeing with you.I don't think the best response against these claimed threats is that they are fabricated, even though they may be.
Claiming these threats occured, whether true or false, has the effect of discrediting an entire group of critics by associating them with the worst behaviour of individuals. It shifts the attention away from valid scientific criticism. If threats occur, it may be fair to publish them, but being threatened can never serve as a defense against scientific scrutiny.
Thanks for calling me out. Sorry If my wording was too strong. I wasn't really responding to you or Hoopoe. More to this idea in my head.I didn't claim they are fabricated. I said too much credibility is given to them, meaning too much prominence in order to discredit everyone who critiques brain training and CBT/GET. So I'm agreeing with you.
Wow that is news to us, the people who keep getting bombarded with its dominant nonsense.Over time, the influence of the PACE trial began to fade.
Oh, yes, absolutely, if you promote psychological treatments your career is basically over. No money there, institutions will stop communicating with you, fellow physicians will chase you down the halls, no clinic will hire you. No difference between lying and delusional here. Even by the standards of clumsy authoritarian regime propaganda, this is very clumsy.At the long Covid conference, I asked one clinician-researcher why psychological risk factors—for which there is substantial evidence—had gone entirely undiscussed. “The patients are listening,” he whispered. “Talking about psychology can destroy your career.” He was one of multiple experts I interviewed who asked to remain anonymous to avoid retaliation.
Oh, that's ironic, because what he's discussing is definitely at the intersection of science and religion, specifically a split point between both. Do people prefer to go with hopeful beliefs, in which the problem is not only solved but doesn't really exist in a meaningful sense, or would rather go with, ironically, the painful truth that there is a lot of work to be done and until then people will suffer greatly? So far everything has been put towards the false hope pseudoscience, blocking the real problem from being solved. And would you look at that: it hasn't been solved, not even seen any progress. Entirely as expected when one stakes everything on a pipe dream.Dr. Alan Levinovitz is an Associate Professor of Religion
I wonder if therein lies the genesis of this article?Sarno’s theories. . . positive replies poured in, including one from Kevin Kelly, the founding executive editor of WIRED (“Worked for me”)
The only proof that I know of is this picture that allegedly was sent to Paul Garner:Has anyone actually documented a death threat, or serious threat of harm, from any verifiable ME/CFS or LC patient at any time?

Valerie Eliot Smith saw a video in 2011 that had been sent to Wessely, and she said it could easily be interpreted as a death threat. I believe her on that one. Now, that doesn't mean the whole thing wasn't exaggerated and hyped etc etc. But I count that as at least one actual "death threat." I also wouldn't be surprised if there were others. But that's the only one I know that's been confirmed.Has anyone actually documented a death threat, or serious threat of harm, from any verifiable ME/CFS or LC patient at any time?
None.But what neuroscience backs up this explanation?