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It can at least be said for Sharpe that he appears to be a stage further advanced than the BMJ. He is apparently concerned with "truth" rather than "the truth".

Apologies for these musings. Others probably pointed out the problems long ago. A problem seems to be that the term "evidence based medicine" is made to suffice for both "the whole" and "the part". As described by Sackett in the paper referred to above "Evidence based medicine" is a system in...

A difficulty seems to me to be that the word is used in completely different ways, sometimes within the space of a paragraph, without any thought as to the implications of the different usage or the ways in which the implications of one usage may be unwittingly carried over into a different usage.

Franky, I would doubt the drafting skills of anyone who says "Evidence based medicine is..."

You are not alone. You clearly missed the IBS thhttps://www.s4me.info/threads/trial-by-error-cbt-and-irritable-bowel-syndrome.13321/page-3#post-234543read. EDIT on reflection it is perhaps best to point out that there was nothing childish about the post which I linked. Only in my subsequent...

It is fascinating to see from that letter to the Lancet that David and Wessely sent. Can anyone explain the objection to the term myalgic encephalomyelitis on the basis of lack of supporting evidence whilst endorsing the name "neurasthenia". What is the evidence for weakness of nerves, and is...

Deja vue all over again. It's just like 1990ish. There were times when it was almost possible to sympathise with SW and co in view of some of the opinions expressed by people who may not have been particularly well grounded in "reality".

You know how it is with politicians. They try to solve one problem by creation of a worse one. They probably won't be around to sort out the mess. Indeed, careers have been created on that premise.

There was a time when he became a "psycho-neuro-immunologist". Don't know what became of the immunological component. The mention in the article of that symptom of the patients eyes rolling and the inferences made seems reminiscent of the remarks by Thomas in 1987, 1990 and 1993 that the...

There may be some, not amongst the regulars, for whom it would be useful to point out that David was a co-author with Wessely and Pelosi in 1988 proclaiming a new approach to PVFS. They were all rather junior at the time. He was one of those who proposed that ME was due to dysfunctional...

It would be interesting to know the providers of the technology, whom they lobbied, and what benefits might have been transferred by means other than cashless debit card.

I do not propose to read the full paper, but would one not need, separately, to assess the severity of the alleged abuse and see whether there is any correlation between that and severity of symptoms of conversion disorder. The term "sexual abuse" seems likely to cover a very broad spectrum.

I always found it highly suspicious that in the areas where this idea seems to have developed many, if not all, of the therapists had themselves to have undergone therapy. Makes you think.

The issue of loss of colour to the face is a significant one. My recollection is that facial pallor was a feature of the Royal Free and Betty Scott's report on the subsequent general community outbreak. It is reported in sporadic cases. It would seem to suggest sudden circulatory problems but...

Some people are too interested in arbitrary classification, and insufficiently interested in symptoms and their effects. There is no dividing line in nature… only in the heads of the classifiers.

No point complaining to the "Content Manager". Don't they have a "Discontent Manager"?

She is a professional person tendering advice. She should be aware of the possibility of exceptions and frame the advice accordingly.

Who makes up the names? After Windgassen, we get KLou. I think a study on nominative determinism is needed.

Apparently, as a consultant orthopaedic surgeon, she is unable to find any exceptions to the rule. Perhaps surgery has become so specialised that a surgeon only offers the one treatment.

One cannot afford imprecision when proffering advice. Certainly the recipient cannot afford imprecision.