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The finding that avoidance behaviour mediated change in several outcomes supported our theoretical fear-avoidance model on which DS-CBT was partly based It does no such thing. That avoidance behaviour may well be justified. Is staying away from the edge of a cliff a pathological avoidance...

That is stark indeed, especially the final chart that clearly shows that, if anything, patients were playing a better strategy than the healthy controls. Which hardly supports the patients are misinterpreting/incompetent/imagining/delusional/whatever view. It is also dangerously close to...

Yep. Every time I have tried to explain PEM to somebody in the health system their eyes glaze over, and it is abundantly clear they don't even start to get it, and most don't want to, and attempting to push the issue is only going to further impair our already fraught working relationship. So I...

I was at uni during the time when post-modernism was the Latest Big Thing. It was a disturbing lesson in how gullible and faddish the intellectual elites can be. - There is no such thing as objective truth. - Is that an objective truth? - *crickets*

I believe the correct term is 'bang stick'.

Free-text analysis revealed stress and trauma as the most common causal attributions, Was that before or after they had those casual attributions suggested to them? There were no significant changes in stigma, distress, sense of control or anticipated discrimination. So, a null result, then?

"An etude is a short, tricky tune that a musician plays mainly for practice or to demonstrate skill."

A particularly nasty and gutless form of bigotry, that is getting very close to hate crimes at times. Sometimes even crossing that line, IMO.

There was a 2.5 year long-term follow-up paper. Some of the control group did cross-over and try CBT/GET after the trial ended. But they were identifiable and enough data was available to compare those who did cross-over with those who didn't, and there was no difference, meaning adding GET or...

That is exactly what they have done.

For me the big indisputable weather correlation is humid heat. Dry heat, within reason, is manageable. But when it gets humid (above ≈50%) as well as hot, the going gets very rough. Tropical summer, especially the pre-monsoon build-up, is bad enough for healthy people, but it is a lot tougher...

Now that is interesting. Yep, as long predicted here, they are doing a bait and switch, simply swapping ME/CFS for another, more psychosomatic-friendly, diagnostic label to keep us under their control. They really do think they own us, and nobody, not even the highest levels of their own...

a completely new disease Yeah, nah.

They do love strawman excuses. In fairness, they don't have much else. Certainly not solid evidence.

This.

But they have the 'resources' to continue right on imposing the old psycho-behavioural regime. They can't even come up with half decent excuses. Or just couldn't but bothered to.

And the evidence for this is...?

I think the long-term follow-up results for PACE, especially the slopes of the curves at that point, suggest this interpretation is correct.

One possible alternative interpretation is that receiving 'expert rehabilitation management' was actually a hindrance to natural recovery. IOW, that patients were better figuring it out for themselves than having an authority figure imposing an arbitrary rehabilitative framework on them.

Interesting.