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“No reliable evidence of efficacy” is not a strong term, it's a statement of fact. The best that this treatment model can boast about, after decades of assertions and clinical implementation, is low quality evidence that isn't clinically significant, on the backdrop of a huge number of reports...

Extensive studies of this type of treatment almost always weaken the findings, so they will not be conducted. Only more weak, biased and unreliable small studies, which are then pooled and tortured with mathemagics to extract some BS positive "finding". This entire paradigm is flawed, it...

So, not controlled or randomized, and retrospective. How does this even get approved and published? Medicine has to rein in the mass of low quality studies, this is not the way to do this. And their weird framing of this being a placebo only reinforces the fact that for the most part, the...

Red teaming is common in technology fields. It's a great process, it's very effective at poking holes in models, and making fools out of people who make assumptions. It's a big reason why technology fields are so successful: criticism is all over the place, accepted and used constructively. I'm...

There's some legitimate concern with leaving people with multiple diagnoses and how healthcare professionals perceive them (and I guess with having any such diagnosis at all, and how some HCPs badly react to them). But I think on the whole the benefits outweigh those concerns. The issues are...

Something this paper also fails at, so that's not especially encouraging. If only this could be done, but instead it's blatantly obvious that medicine cannot tell the difference. Almost all of what they describe as mental illness is just illness, illness they don't understand and, because of...

Ha! Beyond parody. No, not those beliefs, those other beliefs.

Yes

I wish brain fog had only taken 10 years of cognitive decline. How sweet would that have been. I was in my 20's, and you don't see this kind of decline without dementia until the 80's, so it caused a good 60 years of mental decline. My father is 77 and has not seen anywhere close to this...

Not just a parody of science, but an actual parody of pseudoscience. Doctors used to laugh at this stuff. Now they embrace it. What a weird turn of events for what is supposed to be a serious profession.

Mostly seems to boil down to: Ultimately, they answer to no one on this stuff. If they don't follow their own rules, there's no one to hold them accountable for it. Rules are just words, unless enforced, they're totally useless. Same with principles. Even when written plainly, it only matters...

Ultimately, this seems to be the main reason why medicine is indifferent to those costs. They don't see them, they are mostly indirect. There is still a significant cost burden behind the need to go to several doctors, do several rounds of tests, and so on, but most of the costs come from the...

I'd be surprised if she didn't talk with Fauci. Let's hope he really means it and will advise to make something out of it. I doubt he said the thing about what he'd do if he started his career now just like that (in a recent interview, he said he'd be interested in working on ME). Especially in...

This looks like the only realistic scenario. When Marshall and his team invalidated everything about psychosomatic peptic ulcers, there was a lot going on and it would not have stopped without this bombshell. They'd still be the centerpiece of psychosomatic ideology. At some point long ago...

The latest selective "review" by Knoop about CBT "helping" got a lot of press and kudos. They keep doing this because they are rewarded for it. It doesn't remove blame from the producers of this pseudoscience, but it's high demand by medicine that is driving this. They are meeting a need, and...

There really isn't anything in there that addresses the issues presented in the petition. No doubt they will ignore it anyway, but the problems still stand and immediate retraction remains the only valid course of action. There is clear indication that there will still be more excessive delays...

Completely underwhelming. All I get from this is that Cochrane is a completely dysfunctional mess that is incapable of putting together a competent effort, and we already knew that. Aside from a personal tragedy, all the excuses are directly Cochrane's fault, and the complete secrecy surrounding...

Excuses excuses excuses. It was all a choice, there was never any obstacle to solving this other than lack of motivation caused by denial, and it's all the fault of psychosomatic ideology. It's the same as a news article reporting that a bullet flew through a window and struck someone. Bullets...

Projects like this usually work out when data can be shared across teams and organizations. But health data is never shared, so all we end up with is multiple siloes. I used Visible for a few months, then gave up because, really, what's the point? We need a revolution in how health data is...

Long haulers also not impressed with this tripe: