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The potential problem is, can one be sure that all cases where the treatment has had no effect, or adverse effect, have been properly monitored, recorded and reported?

The most puzzling aspect of this discussion is that we seem to be reinventing the wheel. I suggest that in the 1980s it was well appreciated that in order to pursue research in this field it was necessary to reduce the variables to a minimum. If abnormalities were then found in that group you...

This quotation from the report increases understanding of neurasthenia: The following was the procedure adopted during the later stages of the war. Early in 1917 all cases presenting symptoms of functional nervous disorder were sent to special hospitals as NYD. At these centres a...

Let us take this opportunity to reflect upon the words of Col JFC Fuller DSO. I think what one found out during the war was that we took in to start with a very high category of men and got them killed off and when towards the end of the war we wanted good fellows, then we got a very low...

One could say that.

@James Morris-Lent please try not to be rude about Trudie Chalder

It may be that matters have not changed greatly on the recovery front. In 1993 McCluskey said: "Of the CFS patients that we have studied about 16.8% seem to recover from this illness.....So about 17% of the population of patients seen in a major teaching hospital seem to recover. It may be that...

I suspect that the origins for the claims with which the original enquiry was concerned lie in the paper Sharpe M, Hawtpn K, Seagroatt V, Pasvol G 1992 Follow up pf patients presenting with fatigue to an infectious diseases clinic. Br Med J 305:147-152 I have only seen the abstract, bit it...

If you were scientifically inclined would you not wish to know how those who did not participate in the follow up were sit between the four groups. Perhaps that is addressed elsewhere, but it was not obvious I the article.

Sharpe says "patients beliefs that the symptoms of CFS are evidence of disease, particularly viral infection, and that any activity which exacerbates symptoms should be avoided, are potential causes of disability and distress" quoting Sensky T 1990 Patients reactions to illness. Br Med J...

On further reflection the earlier post shoed the real beauty of the BPS approach. SE was referring mot to something said by Sharpe in the discussion nut to comments in his paper. He referred to "a well conducted case study of out-patients.........The improvements in many cases were marked and...

@Barry I have edited the post to include a quote from the abstract. I am not sure that amateurish is le mot juste.

I thought that these quotations ought to be added, presumably uttered within fifteen minutes of each other. Wessely: "Thinking of Weir Mitchell and George Waterman reminds me that neurologists aren't what they used to be any more! You were in fact too kind to our study, Dr Sharpe. This was not...

Given that the leading researchers are sufficiently intelligent to understand that acceptance of money from the DWP would inevitably prejudice the objectivity of the exercise, it does seem strange to have accepted such a sum.

It all sounds very familiar to me. The only points to make are that 37 years have passed and the b....... still have not learned.

I wonder whether the missing link between Sharpe's CBT for CFS and Gelder is Hawton They co-authored: Follow up of patients presenting with fatigue to an infectious diseases clinic. Sharpe M, Hawton K, Seagroatt V, PasvolG 1992 Br Med J 305 147-152 Hawton had earlier written: Cognitive...

I am not entirely surprised at the difficulties. In a study of this sort which must involve NHS resources,one suspects that there must be notional costs and internal accounting. I do not know whether anyone familiar with NHSaccounting has commented on this.

He was acknowledged in the paper by Sharpe setting out the Oxford Criteria as one of those assisting with funding of the meeting. His interest in the subject remains unclear.

Eureka. Now I see that the use of the Sunday Times mock-up was legitimate defence of science in the post-truth era. Such a shame we have not moved with the times. Or even the Sunday Times.

Perhaps it is all a coded message to indicate the view of insiders that psychiatry has not progressed beyond the middle ages.