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  1. rvallee

    The effectiveness of specialist cognitive behavioural therapy for functional neurological disorder: a service evaluation 2026 White, Pick and Chalder

    It's really stunning how it not only proves that the service is worthless, it even debunks the entire model in the process, but they can not only still describe it as a success, no one involved even cares and they are allowed to pretend that up is down because direction doesn't even matter...
  2. rvallee

    UK House of Lords/ House of Commons - relevant people and questions

    So they keep saying, and yet there is no actual evidence of that, and in fact this is completely false. Every bit of research published this year and all clinical programs are stuck in time 3+ decades ago, absolutely nothing was actually achieved or even learned. And this is a blatant lie. It's...
  3. rvallee

    The Paradox of Modern Medicine—The Atlantic

    There are layers of problem here. It's not clear if simply dedicating more time would help, if the quality of that time doesn't improve. It should, when real experts are involved it almost always does, but it's not as if the few people who have dedicated their career to this have done...
  4. rvallee

    Pain and fatigue therapy in children and adolescents (SHARK): care model and initial evaluation results 2026 Höfel et al

    Everything a pilot, even old things that have been tried thousands of times. It's so hard to tell this apart from genuine satire.
  5. rvallee

    The ME Association Clinical Assessment Toolkit (ME-CAT) and app (autonom-e)

    I tried looking for whether there is a formal concept describing this, and it doesn't seem so. It's a combination of several fallacies that hasn't been formalized into a unified concept. Bits of "lies, damned lies and statistics", some mathemagics/scientism, metric creep (as if there is a real...
  6. rvallee

    Placebo effects improve sickness symptoms + drug efficacy during systemic inflammation: randomized controlled trial in human experimental endotoxemia

    Doctor: this will help. Patient: I think it helped. Doctor: *snickers* I didn't even do anything Patient: uh, I still think I'm somewhat better, I don't know, I guess Doctor: it's like a miracle! it might have slightly moved the needle, or maybe I bumped into it, either way it's a miracle...
  7. rvallee

    Paul Garner on Long Covid and ME/CFS - BMJ articles and other media.

    Same guy who would personally insist, along with his whole coterie, that someone meeting ME/CFS clinical criteria means nothing, and yet his whole argument rests entirely on that. Self-diagnosis, too. Ridicule has no guest limit, once you've got one inside they're all invited to the party.
  8. rvallee

    knowmecfs.org: Understanding ME/CFS

    https://knowmecfs.org/ Understanding ME/CFS Myalgic Encephalomyelitis / Chronic Fatigue Syndrome is a serious, complex multi-system neuroimmune illness. This guide covers everything from biology to daily management - grounded in the latest published science. Found this from a reddit thread...
  9. rvallee

    Psychosocial and Clinical Correlates of Somatic Symptom Disorder in Patients With and Without Somatic Comorbidities:... 2026 Wittenbecher et al

    I can't make sense of this, as in it doesn't bother making sense and simply argues the traditional "heads we're right, tails we're also right". In no way does this support the validity of this construct, and if 'real' health problems, according to professionals, don't seem to influence their...
  10. rvallee

    News from Germany

    The "ME/CFS Psychotherapy Network" posted a statement on a position paper by the DGPPN/DGPM, I think it's the "German Society of Psychiatry and Psychotherapy, Psychosomatics and Nerve Medicine". Statement: . Post on Bluesky from one of the authors: I think this is the statement they are...
  11. rvallee

    The ME Association Clinical Assessment Toolkit (ME-CAT) and app (autonom-e)

    Except that almost nothing here is quantified. Assigning numbers to subjective concepts, ratings, does not turn qualitative into quantitative. This is the main mistake the whole discipline has been doing forever, pretending that any of the numbers they toy around with have the meaning they...
  12. rvallee

    The ME Association Clinical Assessment Toolkit (ME-CAT) and app (autonom-e)

    I have never seen anyone actually explain that. Out of hundreds of papers and other sources, presentations, articles and such, no one has ever bothered doing that, it's considered self-explanatory. Just like exercise, it's never been anything but "goals are a good thing to have in general, and...
  13. rvallee

    The ME Association Clinical Assessment Toolkit (ME-CAT) and app (autonom-e)

    How does everyone involved not understand that this makes no sense in a highly fluctuating illness? All they seem to be doing is apply the traditional statistical toolkit, indifferent to the fact that this toolkit is mediocre at best, and wholly inappropriate in chronic illness. A repeat...
  14. rvallee

    Non-invasive electrochemical detection of cortisol in artificial sweat using molecularly imprinted polymer 2026 Ayankojo et al

    How the hell does BS like this get published? Not only is it not 'widely' used, it is not even used, because it's not a biomarker for any of those things, aside maybe for Cushing's, but that still makes it odd to include among those, and the notion that any of those are 'stress-related...
  15. rvallee

    Guided versus unguided internet-administered emotional awareness and expression therapy (I-EAET) for patients with [PPS] 2026 Maroti et al

    Oh I would suggest that they do, and that they take ample advantage of the fact that rules are never self-enforcing.
  16. rvallee

    Guided versus unguided internet-administered emotional awareness and expression therapy (I-EAET) for patients with [PPS] 2026 Maroti et al

    So, yet another useless 'pilot' trial where nothing of value can be concluded, and because it showed no benefit they didn't, but if it had, they would have emphasized how it's promising, but they still conclude that more of the exact same should be done, again, because reasons. Tails they win...
  17. rvallee

    Teaching about persistent physical symptoms with the aid of a television show: medical undergraduate students’ perceptions 2026 de Souza et al

    This looks like a sick joke. And it might as well be. How would they know that, when it's entirely circular? The depictions are obviously based on the same material and ideas they are taught. I guess by "realistic" they mean that it's what they expect to see. This is something someone would...
  18. rvallee

    Cardiopulmonary Exercise Test Results Do Not Change Over Two Sequential Days in Patients with Chronic Fatigue Syndrome, 2026, Mancini, Natelson et al

    The participants did the exertion test despite it being high exertion, especially so for them compared to controls, and returned and did it again. The whole psychobehavioral model is that we avoid exertion for no good reason, but people keep participating in studies and trials like this despite...
  19. rvallee

    Cardiopulmonary Exercise Test Results Do Not Change Over Two Sequential Days in Patients with Chronic Fatigue Syndrome, 2026, Mancini, Natelson et al

    Probably the thing that's missing the most here is that pwME doing such a test will rest before and after and in-between every part of this, while healthy controls will live their normal lives, would even go to work, to the gym, do all sorts of every day life things before and after the test...
  20. rvallee

    Cardiopulmonary Exercise Test Results Do Not Change Over Two Sequential Days in Patients with Chronic Fatigue Syndrome, 2026, Mancini, Natelson et al

    This puts a huge damper on the old "effort preference" / "the bastards just don't want to get better" nonsense. The ideologues keep asserting all sorts of nasty things about us, how we're lazy, how we don't try hard enough, how we "catastrophize" and as a result develop fear of doing things...
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