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  1. Sean

    Effect of Pain Reprocessing Therapy vs Placebo and Usual Care for Patients With Chronic Back Pain an RCT, 2021, Asher, Gordon et al

    The problem with fMRI is that it often doesn't answer a question so much as ask a whole bunch of new ones. There are usually too many factors involved and too many possible explanations. It is a very interesting tech, but we do not always use it in a way that helps clarify the situation.
  2. Sean

    Peter White (ed.) 2005, Biopsychosocial Medicine: An integrated approach to understanding illness

    Current BPS ideology = heads they win, tails everybody else loses. It is unfalsifiable, and immune to correction.
  3. Sean

    Effect of Pain Reprocessing Therapy vs Placebo and Usual Care for Patients With Chronic Back Pain an RCT, 2021, Asher, Gordon et al

    It is much worse than that. They are confusing reporting feeling better with feeling better, and hence with being better. Getting people to change what they say is not in itself a meaningful benefit. At least, not to the patient. Might benefit the clinician's and researcher's career. Medicine...
  4. Sean

    Placebo effect: a psychosomatic component, or only an aggregate of other biases?

    The main, and possibly only, genuine benefit of 'optimism' is that it is more socially acceptable and hence rewarded – it attracts more resources and protection.
  5. Sean

    Placebo effect: a psychosomatic component, or only an aggregate of other biases?

    Yep, the onus is on those making the claim to justify it.
  6. Sean

    (Daily Telegraph) “How I became a target for the ME militants” by Dr Michael Fitzpatrick

    I think people like Fitzpatrick and the whole RCP crowd are just attention-seekers, who simply can't stand being ignored. They cannot do constructive peace-time, so they generate destructive conflict instead as a substitute. Politics is full of these kind of people.
  7. Sean

    Placebo effect: a psychosomatic component, or only an aggregate of other biases?

    IIRC, Wessely has claimed that the placebo effect is one of the most powerful medicines we have, or something to that effect.
  8. Sean

    (Daily Telegraph) “How I became a target for the ME militants” by Dr Michael Fitzpatrick

    These guys do like playing the victim role, don't they.
  9. Sean

    UK: Priority Setting Partnership: Medically Not Yet Explained Symptoms - 10 top priorities published July 2022

    Historians of medicine will describe this era as the Age of Acronyms.
  10. Sean

    Concerns about Cochrane

    Especially when those who created the mess are still in power and doing everything they can to prevent it being cleaned up. :grumpy:
  11. Sean

    Long COVID and Chronic Fatigue Syndrome: A survey of elderly female survivors in Egypt, 2021, Aly et al

    Falling could be a secondary symptom in the elderly. If you are already getting unsteady on your feet, something like CFS could significantly exacerbate it. Similar possibilities for other common symptoms of ageing, like lower quality sleep, cognition, coordination, stamina, vision issues, etc.
  12. Sean

    News about Long Covid including its relationship to ME/CFS 2020 to 2021

    :speechless::speechless::speechless:
  13. Sean

    BPS attempts at psychologizing Long Covid

    If you load up a car beyond its designed carrying capacity, it is not going to perform well or last long. Doesn't mean the design or construction of the car is at fault. Same for ME patients. If the ME places an excess burden on patients past their normal healthy capacity, then any additional...
  14. Sean

    Paul Garner on Long Covid and ME/CFS - BMJ articles and other media.

    A cynical person might think this is exactly the response Garner was trying to provoke. Until the veracity and provenance of the alleged threats is independently established, then he has nothing.
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