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Uh-oh. I tick those boxes, some of them very long term too. The reflux has been an issue since my teens, and only got progressively worse as I got older, resulting in being on PPIs for about 20 years now. Also probably resulted in developing Barret's esophagus, which is something you really...

All form and no content.

Yeah, I have not seen much from him, at any level of research, clinical, policy, or medico-legal, that I would call useful.

Maybe. They are proving very resilient and resistant to substantive reform, and the rest of the power structure is not doing a good job yet at removing them and their shit theories from practical application.

The lack of self-awareness in some people never ceases to astound me. It is either that or he knows what he is doing and just doesn't give a shit about the harm it causes. Clinician, heal thyself.

Thank you Trish, and Sonya for listening and acting promptly. :thumbsup: Yep, BACME are a complete waste of our time and lives. Sooner they are left in the dust of history, the better.

Integrated care is recommended when treating persistent somatic symptoms in later life, regardless of the (un)explained origin of the symptoms. BPS for everything.

+1 It's ridiculous, isn't it. The actual outcomes seem to make no difference at all to their 'reasoning', the explanation/conclusion they come up with is always 'more BPS'.

This is the bit that the powerful are scared of and trying to bury.

And that increase in risk was for severe childhood trauma. If they are only getting a weak generic effect for the severe end of the abuse spectrum, there is unlikely to be a stronger effect for the more moderate-mild end of that spectrum. At the population level none of this is of much...

What @bobbler said. Especially this: There certainly is a psycho-social pathology in play here: extreme psychopathophilia.

I am a bit alive, though mostly just existing.

It is bizarre just how backwards they have it. After four decades of watching it in action it still takes my breath away. Kinda seems relevant for a condition they have declared a 'fatigue' disorder.

CBT requires the assumption that the therapist has some grand sweeping view of and insight into the entire human condition, a neutral place from which to objectively judge whether any given thought or claim is reasonable or not, without having to properly test it. I have never met anybody who...

It is not like we have much choice. Our bodies let us know in no uncertain terms. It does.

What patients need is not detailed planning and micro-management. They need the flexibility to adjust their activity pattern as required. Which is pretty much the complete opposite of planning and schedules, etc. Indeed. I had forgotten about that rhetorical sleight of hand from PACE. I agree...

We do not know the cause of ME/CFS, but our fatigue service can address the factors that cause fatigue symptoms to persist and reduce their impact on everyday life. A slippery game with words there. Sliding casually from we don't know the cause of ME/CFS, into we know the factors perpetuating...

Yep.

Another fine piece of work condensing the critical facts into a short readable and punchy form, @ME/CFS Skeptic. Thank you. :thumbup:

Does belief in functional brain aberration predict having functional brain aberration?