She proclaims “It is now commonly accepted that CBT ‘works’ to a greater or lesser extent for most physical health conditions”
Yes, people who believe in a thing, accept that thing. Homeopaths commonly accept that homeopathy 'works', to a greater or less extent. This is basically the definition of something being fashionable. Because everything is projection in this ideology, so is the idea of fashionable diagnoses. Which come strictly from psychosomatic ideologues, not the patients.
This is the not the basis for anything. In fact accepting this standard is a complete perversion of everything science taught us. Every damn pseudoscience out there is "accepted" by its proponents. Every false paradigm and all fraudulent claims shared the feature of being "accepted" by people who believe in it. This very idea was accepted for asthma, peptic ulcers and many other conditions before the charlatans were chased away by science shining on the right answer.
Psychology has invaded this space and owns it already, we know the outcome of this paradigm because this is what existed already when LC came along. The entire basis of separating the concept away from immunology was to make it fully generic. By the definitions used for decades in the field, everything they have done so far should apply to Long Covid, there is no basis to investigate anything specific, the concept generically applies to any and all "fatigue" or generically to "symptoms", whatever is meant by that.
To admit otherwise, to claim that this needs to be researched and re-applied all over again is an admission of fraud, of having fraudulently sold a lie by claiming it is fully generic and applies in all cases. The fact that the ideology is fully generic is one of its main features. As Simon Wessely said, the biology is as relevant here as the color of the car that injured a patient heading to emergency care. This was a positive affirmation, not some passing mention, it is core to the ideology.
But of course since the entire concept is a Big Lie, no one will care. Just as no one actually cared that for years the CODES trial researchers insisted that only the objective outcome of number of seizures mattered, then when this failed they immediately pretended they never said that. This failed trial is still considered "impressive", because failure is expected and no one actually cares since failure and success have no formal meaning here.
As with all forms of rampant cheating, it's not the cheating, or the cheaters who are to blame, it's the existence of an accepted culture of systematic fraud. It's the failures that enable the cheating, that reward cheaters and enable not just a culture where cheating is accepted, but where it is necessary, since everyone cheats, those who don't are left behind with nothing to show.
Some... Norwegian, I think, doctor posed that question on Twitter the other day, about why pwME reject the role of psychology when it's commonly used in cancer. The responses were solid and refuted his point entirely, that cancer patients aren't sent to therapy where they are told it's their thoughts that make them ill and that they don't actually have cancer, only think they do. Well, not anymore anyway. That no one actually objects to it, it's the false claims and fraudulent methods that people object to. He hasn't replied yet, the answers do not fit the caricature he expects.
A system built on lies is a system designed to fail. A system designed to fail does not deserve to keep existing, it must be replaced.
