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he also states that RCTs are not helpful to generate evidence in the field of psychotherapy. Yes, all that rigour and falsification is bad for one's eminence.

Their obsession with spinning superficial narratives tell us far more about what is going on inside their heads than in patients' heads.

Exactly. Just more time wasting, obfuscation, and trying to delay the inevitable.

This general angle has serious potential for LC/ME studies, and needs more consideration and investigation by researchers. I think most of the findings so far for both conditions are just the downstream consequences and compensatory physiological and behavioural responses, the attempts to deal...

Among them, thirst is a common complaint among long haulers. I get that sometimes. Used to a lot more before I figured out how to reduce the symptom load and PEM. I think you are correct, @RedFox , that it is not so commonly reported because it is easily dealt with and not really an issue...

With the usual honourable exceptions, the journalism profession has failed us almost as badly as the medical profession itself. Brave speakers of truth to power they most certainly have not been on this matter. They not only failed to expose these grotesque abuses of power, many were and still...

And sheer desperation.

Feeling the heat about their naked profiteering?

That. Is. Not. Pacing. Incompetence, or brazen dishonesty? Coz they are the only options on the table now.

The diverse, multifactorial and complex nature of ME/CFS When I hear those kind of statements I take it to mean that there is still too much focus on the broad downstream consequences of whatever is wrong. Not on locating the primary underlying mechanism driving all this. Cue suggestions of...

The demand to account for every minute of every day, and every paper clip and pencil, is so counter-productive. It is managerialism and accountability taken to the point of self-destructive insanity. Apparently the concepts of diminishing return and workplace flexibility have really not been...

I am firmly of the view that pacing is an experienced based process. The basic concept can be explained (and even that is problematic). But the details have to be learned the hard way. Patients have to learn by doing. Anybody who claims to be able to teach it is kidding themselves, at best.

In ME, the most common type of pain is neurological, widespread and general, known as nociplastic pain. Again with the utter certainty. :facepalm:

Has Wessely ever refused an award?

Seems sensible.

It is almost parody, isn't it.

Good Twitter thread. The core points are being made to the parliament. :thumbup:

:thumbup:

If I didn't know this was describing LC, I would think it was describing ME, and quite accurately. It would not be possible to make a differential diagnosis based on this symptom list. Invoking Occam's Razor, by far the most plausible explanation for this is that they are the same thing, or at...