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Beginning to wonder even more about this illness/disease dichotomy. My book opened itself at a page in the paper by Arthur Cott of McMaster. Illness is behaviour he asserts with confidence. Is it? What could that mean? If it is , then what is it doing the behaving? They generally say that...

Thanks. It has been an interest since 1989 or 90 whenever it was that reports first appeared in the MEA magazine. It always seemed clear that there was something fundamentally wrong.

It is interesting to see him say on 5th August 1988 It may assist the Court to point out that I am the co-author of several scientific papers concerning the topic of “ME". We know about the one with David and Pelosi, but that hardly classifies as a scientific paper. It is an opinion piece...

That mention of Chew-Graham's role in general practice research caught my eye, as I have recently come across reference to the General Practice Research Unit, and wondered if there is any connection. The reference I had in mind was: One of his outstanding contributions was to focus attention on...

You know those annoying revisionist historians? You have been warned... Let us assume , for the sake of argument, that SW was not some genius who created, along with other members of the triumvirate, a wholly new approach to PVFS - whatever the title of their paper may have suggested. At least...

Whatever happened to all that "reaching out" that there was going to be. I suppose in these politically correct times one must be cautious about such things. EDIT typo

After the United Kingdom now also seems to be turning its back on ME, Any idea what they mean by that? Surely the only turning of the back has been in respect of GET and CBT.

This is something i did not expect This work was supported in part by a Public Heahh Service Special Fellowship (MH--8516) from the National Institute of Mental Health. During the period of the fellowship the author was affiliated with the Medical Research Council Social Psychiatry Research...

It now appear that, between 1960 and 1963, Imboden co-authored three papers on "Conversion Reactions" with Ziegler and Meyer. In two of these he made reference to the Imboden, Canter Cluff papers in such a way as to indicate that this model applied to perpetuation of symptome in the brucellosis...

It would be interesting to know what they think there is to cause "illness" other than biology. I think we are getting closer to understanding what they thought they were dealing with. Eisenberg made a reference to "post brucella somatisation. Imboden referred to it as a "conversion...

There seems to be a problem with "maladaptive". People are probably only pursuing patterns of behaviour adapted to their prior experience. What they are doing always worked before. They can hardly be expected to display behaviour "adaptive" to a wholly new set of circumstances. "Adaptive" seems...

I thought that but didn't want to say it. There is a tradition to maintain.

I have been quite surprised recently to read of the extent to which the "Illness Behaviour" Model was specifically and explicitly framed to prevent adoption of "the sick role". The references in the literature by Wessely and Sharpe and others are just the "tip of the iceberg". Some of it is...

So this is where the maladaptive behaviour came from....just joking.

Next time you hear a Scotsman say that Edinburgh was one of the centres of the enlightenment, as they are sometimes wont to do, remember this and smile to yourself. Otherwise you are left thinking, "what the Foucault!"

For the sake of accuracy I should say that the paper is by Coe R M (1970) in Sociology of Medicine quoted in What remains ill-defined, howeve, is the notion of "illness". Writers such as Coe (1970) have emphasised that "illness" and "disease" are not the same thing. "Illness" refers to the...

Is there any indication of the type of conditions the clinic will cater for, or why they should be more financially viable than ME patients?

I suppose they distinguish between what might be seen as idiosyncratic behaviour on the one hand and visible manifestations of something "physical" on the other. Perhaps a rash is thought unlikely to result from hypochondriasis or malingering, not to mention hysteria.

@Mike Dean Thanks. I shall look into those, though I may already have aa lifetime's reading to cope with. I am cross. It probably shows. A false narrative, or a number of false narratives, have been allowed to stand, hindering access to fundamental resources which would have enabled...

We used to have a member, I hope he is well, who liked to point out the origins of the Guardian, which were not quite what one expected.