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Pretty much bumps the problem up from a pattern to "just the ways things are done"(TM). It's also very clear that fake pretenses of "scientific rigour" are being abused to shield outright fraud, which can be assumed to far easier apply to all sorts of misconduct. Pretty much guarantees that...

The big problem here is that 'they' could just as easily apply to trolls, shitposters, bigots, people stuck in conspiracy fantasy communities and... the medical profession. Medical forums that are gated for professionals discussing this only barely rise above this, and only in terms of style...

Those structures are standard. That's the problem, it can't be acknowledged that there are problems here without admitting there are problems everywhere with all trials using the same basic structure. It would invalidate well over half of so-called evidence-based medicine, almost every trial...

Imaginary dialogues are a core feature of psychosomatic ideology. This is just an expansion. Early Wessely was pretty big on this, crafted all those imaginary internal dialogues that none of us have, things no one ever said to them. Not because those scenarios are real, simply because they are...

I have seen many random discussions on general forums, where there can't be any bias towards people disgruntled about medicine, that make it clear that a significant % already do, and the more health problems they have of the kind that medicine treats poorly, the more they do. So here we have...

Especially when they are so generic they are of absolutely no use in any context. Such as literally all Long Covid research assessing those things. Looking for a woman of a certain age, probably between 5 and 75 or so, who had life events who may or may not have a respiratory system and also...

Isn't RA known for being especially painful? A reasonable person would immediately flag the fact that those concepts are absurd and harmful. And yet.

I can't say I have seen any of that in any of the studies or articles we have analyzed over the years. I'm sure such writings exist, but from the work of the leaders of the ideology and their claims, all I see is psychological thought processes and behaviours, the social aspect is simply there...

Horseshoe theory in action. They ended up doing at least as much as harm, and probably a lot more on account that biological models of eugenics are much easier to debunk and displace. Their way of doing things removed the immoral elements of old eugenics and made them virtuous. So it's more...

Also, akshually This is not similar at all to what is seen in Alzheimer's disease. In fact memory appears to be largely intact in brain fog, it's just very difficult to use. Like every other major brain function, especially executive functioning. It is, however, similar to brain fog, which is...

Those are not 'treatment options', FFS. This fetish medicine has developed for making every solution to every problem being 'min-max a bunch of useless behaviours, or whatever' marks one of those turning points that cemented the alluring power of alternative medicine pseudoscience. Things would...

Which is about the same situation as trying to diagnose diabetes without a validated test. It works out there because there are tests. But very few diabetics will go to see a GP explaining how their sugar intake is clearly causing them trouble, whereas the only way a GP could know this would...

Yeah I really had to do a double take on that because wow do physicians ask a lot of leading questions, it's just that with us they are exactly the wrong kind. But, really, when have you stopped beating your wife, senator?!

Living is exertion, it cannot be avoided. This is what trips most physicians. Even you tripped on it here. Normal activities of daily living are enough exertion to be a problem here. Plus most of the time that layer of malaise is itself the result of past exertion, which is hard to pin down...

It's something that is almost impossible to work out without knowing to look for it, but once you know to look for it it becomes very obvious, yes. This is annoying but it is the reality we have to live with, and it's very far from being unique at that. It still doesn't make PEM subtle, in fact...

Pretty much. Looking back at my interactions with GPs all those years, there is zero chance they could have possibly asked the right questions, and I didn't tell them the needed information, mainly because I was so cognitively impaired that I couldn't even make sense. It needed a structured...

During the infamous tulips craze in the Netherlands, when they became so valuable they were an investment, even the people who understood it was stupid invested anyway, because even if the craze is, well, crazy, the rewards are real. People could and did make fortunes out of it. Humans are...

The CBT packaging is especially problematic in that all this evidence ultimately works through systematic reviews, and in those there isn't even the barest hint of what the contents are, and they clearly don't matter, so much that no one even actually cares what's in it. It's basically...

Once is a mistake. Twice can be an oversight suggesting problems in procedure or organization. When it happens almost every single time, it's completely implausible to argue it can be anything but intentional. We are long past thousands of instances, this is beyond ridiculous, it's a system...

Given this, the only valid conclusion is that there is no valid evidence and it should not be recommended to anyone. When a treatment is controversial literally for decades, the only rational position to take is that it cannot meet any burden of evidence. A dead horse has never been beaten so...