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Ahh, don't be too hard on your profession, @Daisybell, @Peter Trewhitt. Bullshit knows no disciplinary bounds. I'm from Psychology, and look at how many of my colleagues are up to their necks in it. Psychology, psychiatry, physiotherapy, speech-language pathology, social work, general medical...

Yes, you can't have your cake and eat it too. If you take the view that psychological therapies operate by just increasing people's expectations of improvement, then you cannot claim any superiority over any other form of bullshit that does the same, whether its shamans, witchdoctors, crystals...

This is a really good point. I saw a study a few years back on Alzheimers disease - it found that the rate of diagnosis of depressive disorder was well above chance in AD patients in the two years immediately preceding their AD diagnosis. Nobody is trying to say depression causes AD. That would...

Look at the p values! Not statistically significant if you correct for the number of chances they gave themselves to get a result.

@Hutan :rofl::rofl::rofl: Hold the phone, stop the presses! "Scientists discover that depressed people are generally more negative than non-depressed people". That, combined with that hilarious K-SADS acronym made me think of this:

Oh yes. CBT works for everything, apparently. Nobody seems to think that's a problem.

No, the article is definitely talking about epileptic seizures. Its actually quite interesting. I suppose we already know that intense light and noise can trigger seizures, and there's absolutely no reason to think our senses of smell might operate in an entirely different way.

:jawdrop::jawdrop: News flash: "Anhedonia, which is one of the diagnostic criteria for depression, is present in people who have been diagnosed with depression" Who would have thought it?

Soooooo... if we just ask patients to report their symptoms in a questionnaire, without bothering to consider what caused them, we gets lot of cases of FSD. If we actually talk to them, and take the time to consider whether the symptoms are really medically unexplained, we don't get as many...

Yes! And then isomehow this very limited phenomenon is then used to as evidence to support loose and free psychological ideas of pain catastrophising. I hate the misprepresentation and the fake neurobabble even more than the idea itself.

@Milo, there was quite a bit of talk about it on this thread: https://www.s4me.info/threads/my-doctor-told-me-my-pain-was-all-in-my-head-it-ended-up-saving-me-2021-medical-examiner-article.19160/#post-325236

You are kind, @shak8. But look at some of the things they say: So, make the pain in the periphery go away and so too will the "central sensitization"? But if the source of the pain is the periphery then surely this isn't "central sensitisation", in the sense that the term is normally used? I...

I'm not even sure there is such a thing as central sensitisation. Period. Its a collection of phenomena defined by what they aren't, not what they are. They aren't pain with a single known peripheral source (e.g., local inflammation, broken bone, etc). But probably only a small fraction of the...

Yes, they admit as much.

I just read the whole thing and I feel dirty. There is a whopping big table with a shopping list of all the "predisposing", "precipitating" and "perpetuating" factors that have been associated with these unexplained seizures. Everything is there, from panic attacks and migraines to childhood...

Absolutely, @Snowdrop. I think Psychiatry is in a deep crisis, with a huge chasm between those who are embracing biological psychiatry, and those that still want to be talking therapists. The turf of psychiatry is constantly threatened on both sides. On the talk therapy side, psychologists...

Oh, yes, everything has a psychological component. I suggest we ensure that any patient admitted to hospital for neurological problems has done the necessary amount of therapy and self-examination before they come crying to the medics. Those people going into comas, look deep inside yourself...

Maybe that's not within his power?

@dave30th, its my impression that Jess Fiedorowicz is very much trying to clean up the dodgy science in this area and improve the quality of the research. I can't talk specifics in public, but he has been actively working to ensure BPS style papers are receiving rigorous reviews before...

No, I think they dug through literature for trials that ran in two phases - blinded and nonblinded.