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There is a feeling of inevitability about this. It was not necessarily this patient who would be reporting in such terms, but, sooner or later someone was going to.

It is rather late to be adding to the Robert Howard view of the autism trial but I missed this yesterday. What I found astonishing was the BBC report on the Today programme. It was quite obvious that questions needed o be raised about the trial methodology and in particular blinding. They seemed...

One wishes to be careful in what one writes, but Jo Daniel's views on health anxiety may be coloured by her own experience. There were recent reports on the BBC about a call for more male blood donors. The photograph seemed to match. It is a most unfortunate situation. Apparently the iron...

The side link to "Five ways to stop feeling tired all the time" may have been a clue. A tatty article.

For any who do not know it, this paper by Kendell from 1991 might be of interest . It discusses the origins of the term "functional". Kendell was a professor at Edinburgh, home of Stone. https://sci-hub.se/10.1192/bjp.178.6.490 It expresses some of the views seen in early Wessely and Sharpe

I think an interesting question would be whether the different aetiologies lead to distinguishable, albeit, similar, conditions. Or does everyone end up with one symptom whilst retaining aspects from the different causative infection. In the CIBA conference papers someone, I don't recall...

It should not be forgotten that the cause of epidemics was "mass hysteria". .. Allegedly.

I thought it was probably a typo for Manana. As in pay for the therapy now and we guarantee that you'll get better... Sometime... Perhaps.

Whatever the unidentified virus is, or viruses are, capable of causing atypical glandular fever. Atypical in the sense that it is not caused by EBV. Has Cytomegalovirus been associated with PVFS. Description of the form of glandular fever which it can cause does not seem to fit.

Coxsackie B?

For years, CBT has been used successfully to treat health issues like chronic pain (4) heart disease (5) and multiple sclerosis (6). Parallel takes CBT online to help reduce the severity of IBS. That looks like a very lawyerly piece of drafting. It claims only that the use was successful. It...

Glad to see that the word prestigious (as applied in a post above) seems to have reverted its original meaning of "practising conjuring tricks".

Therapist; heal thyself.

Did those MP's attend the Parliamentary Group meeting?

Complete the diary, but don't under any circumstances concentrate on the illness, symptoms or limitions imposed thereby. That would , of course, be counter-productive.

That is interesting. Presumably at the time this would have been Erythema migrans. One wonders what the acknowledged incidence of it, and of Erythema chronicum migrans, was in the UK at that time. My recollection of WB's reports is that he was never actually specific as to when it was that he...

Perhaps we need to start counting the number of different usages of the term "perceptions", and then analysing them. Is a "perceived consequence" a "perception"?

Never fear. KCL is putting together a team to advise on and treat the most important part of this. The "functional overlay" presenting as anxiety and depression and leading to perpetuation of symptoms. A course of CBT for all. Perhaps.

Thanks. I see that and quite understand that there may be circumstances where symptoms experienced might be reasonably described in such terms. The question which arises is whether the term is intended to be confined to such cases or whether it is intended to, or will, cover the idiopathic cases...

In this context is "dissociative" disorder being used euphemistically as a synonym for conversion disorder, or is there a substantive difference between the concepts? I should be able to work it out , but the eyes wander, as does the concentration.