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I definitely agree. But no one can effectively and reliably do this. Even less so in the 5-10 minutes or so that the average medical consult lasts. There are too many biases, it would take too much time, and there are no reliable methods. This requires general intelligence, which is rare and...

That was pretty great. Participation was bigger than either LC or ME awareness days. I don't know what this says about our efforts. Maybe that adding a little fun to it works better? I'll go for that. Generative AI turns out to be only somewhat useful for now, but in the near future it will be...

Evidence that it's psychological: file not found

I'm pretty sure that IAPT chose 50% because it's the point at which the abysmal effectiveness of this model would become economical, if it worked. Which it doesn't. But the people involve don't understand the economics involved here. They make the assumption that as they scale up, they get...

Aside from the general problem of GIGO in systematic reviews, those so-called response rates seem to mostly fall about where random noise would. They all fall short of IAPT's 50% recovery rate, and IAPT is applied to many health problems that clearly aren't mental disorders. And of course those...

Absolute and relative outcomes of psychotherapies for eight mental disorders: a systematic review and meta-analysis https://onlinelibrary.wiley.com/doi/10.1002/wps.21203 Psychotherapies are first-line treatments for most mental disorders, but their absolute outcomes (i.e., response and...

30 year-old woman from Quebec chose euthanasia after suffering for years. At the end she weighed 59 lbs and could not get supplemental feeding from the health care system. Very similar case to others we have seen recently, but chose the option to end it on her own term instead of starving to...

One thing I notice from this is that for decades the whole game has been about finding ways to better fool the patients, to get them to sign a contract when they don't accept the terms, and it's all openly revealed in their own literature. Including the preference of 'functional' as sounding...

I think we do have some indication of that. IIRC it was something like over 5K people who undertook the LP in Norway, and RecoveryNorway has something like... 50 testimonials? Most anonymous, some of whom are copies of others. So not even that many. That is about the most giant red flag ever...

Speaking of: https://www.s4me.info/threads/gordon-waddell-back-pain-the-subversion-of-the-biopsychosocial-model-and-the-uk-governments-development-of-a-victim-blaming-approach-to-disability.38751/

There's also an inherent problem with evaluating outcomes, a problem that simply can't be resolved. It's basically the equivalent of a resolution problem, which makes differences impossible to distinguish. Like the faces on Mars. With a low resolution telescope, it looked like faces. With the...

Even worse, it's an expected, and found, feature of all illnesses. So this makes it especially foolish, because they make this arbitrary distinction based on their own perspective, on their own ignorance, rather than what is happening to the patients. Then they have the hubris of making...

More like the opposite, where several times I had periods of very heightened smell sensitivity. It's still a bit there but not as bad.

I can't say those are particularly pertinent questions and certainly should not be actionable on their own, but this is light years better than the full ones that ask weird questions or explicitly ask about symptoms. But of course dysautonomia easily overlaps with the anxiety questions, for the...

Same. For the most part I don't think it's worth funding trials without a valid hypothesis. As in none at all. If there's anything that the disaster combo of evidence-based medicine and biopsychosocial ideology has done, it's making a slam dunk case for the complete worthlessness of clinical...

This crap is making me reevaluate everything I thought about religions and cults. And it's so weird seeing this old pre-science style of rhetoric, around some "the formulation states" and a bunch of meaningless waffle that is pure opinion and belief, mixed with what is supposed to be a serious...

Damn, it's rare to see this plainly stated rather than distorted. It's so rare and difficult to get basic details right out of medical research. It's still mind-boggling that complete amateurs still pretty much outperform almost everything we've seen so far from professionals. There's so much...

There are two similarly named organizations, I think they're citing the legit one.

I don't think I've ever seen a more perfect example of No true Scotsman outside of politics than the biopsychosocial model and what it claims to be. In real life it simply has no relation whatsoever to its core ideas. The whole thing makes no sense, and doesn't even require a model. Physicians...

Gordon Waddell, back pain, the subversion of the biopsychosocial model, and the UK government's development of a victim-blaming approach to disability https://mecfs.substack.com/p/gordon-waddell-back-pain-the-subversion Although in theory the biopsychosocial model applies to all areas of...