There it is. When they say 'biopsychosocial' they mean psychogenic.
Yes.
And no, mostly via a trick.
The goal of the EAPM is to make and keep psychiatry involved in medical treatment via mostly CBT, and for this they have to keep up and justify an approach (the psychosomatic approach, bps) that portrays psyche as
the determining factor in illness, particularly the illnesses they have built their movement on, ME being its flagship. It's a mix of disablist ideology and a cold hard industry game plan to conquer and expand territory/market. But at the same time they have to keep up a balancing act: they want to treat these things with psychiatric treatment (CBT) and like there is no actual or appreciable pathology going on. But they also don't want their targets to be seen as psychiatric cases (despite treating them that way)because they need their approaches to be seen as on par with medical treatment, having an effect on physical disability and severe disabling physical symptoms. So while their movement is built on rehashed narrative of victorian neuroses -hypochondria and hysteria- this is all hidden behind what you recently so eloquiently called "a rhetorical mirage" of bps bullshittery.
Psychogenic means that something is due to psychic, mental or emotional factors and not to detectable organic or somatic factors.
You'd think that sums up the bps movement's view of illnesses like ME, but it also emphasises the cause as psychological in the name.
genesis means "the origin of something, when it is begun or starts to exist" (Cambr. dic.) As a suffix, -genesis means 1. origin, or 2. production (wiktionary) Following that, psychogenic means originating from, or produced by, psychological factors.
The trick that is played in the bps movement is, like I explain
here at the bottom of this post, one of time. They make a linear time difference between what has been the trigger of ME, which is allowed to be a viral infection, and what is causing the symptoms and disability
now, which according to their beliefs is wrong cognitions and behaviour, psychiatry territory.
It's why they can say things like "applying a cognitive-behavioral approach to the treatment of post-COVID-19 fatigue does neither imply that its cause is psychological nor does it negate a possible somatic cause" without blinking.
