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I agree. Sorry Descartes, we're not rational beings and never will be. We're driven by emotion and belief. We are quite good at using our rational capbilities to support our emotionally motivated beliefs. But that's not really the same thing, is it? You can't educate people to be rational...

Prof Wessely is chair of this esteemed institution, no? I wonder whether this was his plan going in - to use the position to gain access to media?

I think the BPS proponents really believe that a huge portion of illness is having the wrong thoughts, feelings and behaviours. Its just that recently, they have learned their work gets more attention if they make a point of highlighting the economic benefits of this perspective.

Yes, I wondered that too, @Barry, since inflammation seems to interfere with cellular energy production. Yes, I think that's the whole reason people are encouraged to learn how to pace. For most of us, our bodies don't always tell us to stop early enough. If it did, then we wouldn't need to...

Thanks for posting these, @Sly Saint. I just had a look at the abstract for this one, and its kind of interesting. This is what they did: This is what they found: This suggests that even from the first visit, these US doctors are judging - based on your symptom profile - whether you are worthy...

Since I spend about 80% of my time bedbound (physically, I'm on the more severe end of the spectrum), I feel a little offended at the idea that there's anything "luxurious" about my situation. But I'm figuring you didn't mean it that way, @deboruth. What you say does point to the idea that...

I just saw this article you posted, @MSEsperanza, and it's really interesting. A really good effort to try and identify subtypes of fatigue. We really need a system for describing and rating the different types that can be used across all illnesses where fatigue is a component. The only...

I smelt hypocrisy right away. Especially give that it was recommended on twitter by some of the worst offenders. What they say seems reasonable - even useful to put it all together - but we know some of these authors do not follow their own advice.

Key Concepts for Informed Health Choices: a framework for helping people learn how to assess treatment claims and make informed choices. Chalmers I, Oxman AD, Austvoll-Dahlgren A, et al. BMJ Evidence-Based Medicine 2018; 23:29–33. http://ebm.bmj.com/content/ebmed/23/1/29.full.pdf. (full text...

Good thoughts, @unicorn7. Its interesting that you chose IBS as a sort of "test case" for the BPS model. I agree its a really good example. I don't think the BPS people ever "leave" any illness. They continue to find a place for themselves, even after an organic cause has been found for the...

I lived in the UK in the late 80s and early 90s, and of course it was a different place then. But when I first went to a doctor (pre-ME), she kept me waiting for an hour and a half, and I thought this was outrageous. I asked why couldn't I have been kept informed about the delays and not just...

I agree that such people might exist, especially in a free GP situation like the UK (probably less so where I live, where it costs $50 a pop to go to the doctor). But in every case description, I saw myself. "Fat file" patients, "heartsink" patients. That's me. That's what they think of me.

@Iansbergen, would you consider changing the thread title to match the article title: "Integrative Personal Omics Profiles during Periods of Weight Gain and Loss". It makes it easier for people to search for if they ever want to.

Enuff said. :yuck:

OMG, I tried to work through these, but it just went on and on and I felt sicker and sicker to my stomach. All that appeal to GPs self-interest and references to dodgy "evidence". I was astounded at how it all contradicted itself "gotta stop being dualistic, but the problem is definitely...

Fascinating to read the stories from other countries. Thanks so much for posting, @Solstice, @unicorn7, @Inara, and others I haven't mentioned by name. Thanks for taking the time to put it in English for us.

Just caught up with this thread, and shocked with what's happening in the UK. Special clinics to train those that can't easily be dealt with - so that they just give up and go away. I don't want to single out the UK, because this sort of thing is going on in a lot of places. But there seem to...

@Louie41, the issue of carbs vs. calories is a whole topic on its own right! Maybe that's one for the weight loss thread?

Of course you're right. But then nobody's weight loss recommendations include going to bed and moving as little as possible for the duration of the diet! Obviously not, because then you would have to drop your calories to absurdly low levels to effect weight loss. Just cos you can't lose weight...

This is a cool design. It was an actual intervention. Participants (all men, who looked to be overweight at the time of recruitment, age not known) had their diets assessed, and were then instructed to eat specified additional snacks designed to cause a gradual weight increase (3.2kg over 30...