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We discovered that the person responding to NICE on behalf of the NHS was Prof Tim Kendall, Clinical Director for Mental Health. ME comes under his directorate .I did put up links in the thread but I doubt that I will be searching for them for a few days.

That is a moot point. Within the NHS does not ME fall within the remit of the Mental Health Directorate. We had this discussion with the NHS response to NICE.

Either can be deemed acceptable but there is a distinction to be made. "When the group is considered as a whole the singular is to be preferred; when it is viewed as consisting of individuals the plural is preferred". The distinction is often lost. I did once check it in Fowwler's Modern...

and here is the webpage for Torus Wellbeing Clinic which seems to be the workplace for Brough and Abel.Torus Wellbeing Clinic - About Us - Tel: 01782 273314. Little more need be said.

If people cannot be relied upon to summarise, accurately, their research and results, why would one rely upon their full, unsummarised reports?

This. "Chronification" is merely a change of category, or classification. As such it is purely down to the classifier. Earlier chronification was established by changing the definition from six months to three months, or whatever it now is. People using this term are likely to be asking the...

Are we sure about the "grabbed". They may, in part, have had it thrust upon them. We must remember Sir Simon's quip about being sent a note from a well known neurologist-"Simon, will you see this patient? there's nothing wrong with her". I seem to have ,somewhere ,come across a reference to...

One might reasonably expect that chronification could have three potential uses: by analogy with "magnification", the degree or state of chronicity, or, the process of becoming chronic, or, the process of being made chronic. Perhaps there are more. The process of becoming chronic is merely...

Don't you suspect that it is there because they do?

I suspect that "chronification" is a word which will lead to many misconceptions and false inferences. "Chronification" is all in the head. The head of the person who uses the word.

For some unexplained reason, the word dilettante comes to mind.

Remind me again. How did endorsing the PACE trial improve the lives of people with ME. If I am not mistaken that took place within the last 35 years. There are dangers in juxtapositions which cause people to remember things you would rather they forgot.

As I keep repeating, if you can answer a questionnaire you have probably either not understood the question, or not understood the answer.

"Synthesis" seems such a dishonest word in this context. It brings with it apparent allusions to Hegelian dialectical progression, with suggestions that there was first some antithesis to be considered, even though such an outcome would not have appealed to Popper. But that seems not to be the...

That is interesting. It shows the development of the illness. When I was diagnosed in 1984/5 they would have been the core ME sufferers. Intellectual integrity does not seem to be favoured in some institutions of "science" and learning.

Is it clear whether these symptom clusters appear indepently or whether two or more clusters may occur in one patient. It looks odd for fatigue and cognitive problems to be separated. A considerable overlap woulsd be expected.

I presume thatthis is a result of SMC intervention. So, they get an Emeritus Professor in Evidence Synthesis to proclaim that it "is more likely to be". It would be helpful to know the evidence which he synthesised to reach that conclusion.

Do these "therapists", I use the word loosely, never see people who try to increase their activity and relapse and return to square one? Why do they always write as though treatment leads to steady improvement? How would they treat someone who keeps relapsing?

Presumably Flottorp's opinions, presented as facts, represent a synthesis of all available evidence, irrespective of quality or relevance.

It does not specify in which direction the world is being led.