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Totally off the subject, or perhaps not, I was idly speculating on the relationship between canards and quacks. Apparently it is closer than one might suppose. It seems that canard derives from the old French "caner"-"to quack".

All the more reason then for prominent display by the journal of the caveat on the same page as the article.

I think it possible to distinguish your experience from this case. Obviously you were at the cutting edge of your field. Its just that the patients were not and I guess controversy with patients did not arise. You were not working is an area of clear conflict dating back to at least 1965-to take...

I accept that, but these purport not to be mere general clinicians, but specialists at the cutting edge, publishing papers intended to advise and influence others. They have to know what is going on to take on such a role. Alternatively they should be writing to the Journal to express their...

Because his name has often appeared in the general press in connection with criticism of Pace, and anyone who isn't abreast of that is not really up to date.

I think that her use of the term "wild goose chase" to describe apparently well conducted research is unfortunate.

Wouldn't serious clinicians want to know what their patients, or their parents, might be reading? SW always did. I would have thought that Dave's blogs would be on the essential list, if only to ensure that you don't become the subject of one.

Are we expected to believe that people with a specialist interest in ME/CFS at GOSH and UCL are unaware of the controversy surrounding the Lightning Process paper and of the caveat attached by the editor. If so, just how much reading do they do around the subject of their supposed specialism? It...

Be fair. This was a SMC Expert Reaction. She may merely have been making the points which science journalists might understand and be likely to report. Who knows?

The authority which they cite is: Riley MS, O'Brien CJ, McCluskey DR, Bell NP, Nicholls DP. Areobic work capacity in patients with chronic fatigue syndrome. Br Med J 1990, 301: 953-956 I have not checked it.

You can tell the deferential type. It needs authority of the Lord Chief Justice to point out the distinction between criticism and abuse.

It is perhaps worth recalling how some of the problems over "recovery" initially arose. It may be difficult to fulfil the patients' expectations of what their level of fitness should be since patients have an exaggerated perception of their pre-morbid level of fitness. Treatment of chronic...

Presumably it is wholly unconnected with any events between 1998 and 2006 when David Sainsbury, as most, but perhaps not all, will know, was Science Minister.

Also what is taken as the commencement point for the ME? If you start with a severe viral infection, is that classified as a severe start, or is it a point sometime later when the initial virus should have gone and one is left with "perpetuation of symptoms", as the wise men tell us.

Now you mention it......however did they hit upon such a definition? Is there any precedent in the literature, or prior agreement/ Who was party to the discussions to set such anomalous figures? Was Aylward involved? Which hat was White wearing at the time? edit: punctuation

It's all very well to state precise phrasing. The problem is that that often avoids the clear, obvious and, sometimes, almost certainly intended meaning implicit in the phrase. Even when direct quotes are given additional paraphrasing may be necessary. It is not as though this problem is...

Perhaps we should offer "truth and reconciliation" facilities.

Has he ever had one?

In the Clarke and Fairburn book on CBT I came across a paragraph in the chapter by someone called John D Teasdale entitled "We do not have one mind but many". Overcoming initial objections on the basis of, what is it that stands outside mind yet has the capacity to possess it?, and should that...

It would be interesting to know why anyone ever thought it would be, and whether the reasons are s spurious as in ME/CFS.