Chapter in The American Psychiatric Association Publishing Textbook of Psychosomatic Medicine and Consultation-Liaison Psychiatry, Third Edition

chrisb said:
First we, and others, have found that clinical anxiety and phobias are common among patients
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Uuhhhh.. citation? Of course there is no citation for this. There have been multiple studies on the mental health of ME patients and they all found no significant differences with the general population outside of what should be expected of any illness and how it impacts quality of life and basic sustenance. This is beyond lazy and straight up manufacturing supporting evidence out of hot ass air.

Why is it OK for them to just make shit up like this? This is pure speculation and projection on their part, falsified by actual research. They know this. They don't care because prejudice and confirmation bias leads people who aren't familiar with this disease to not actually check whether their claims have any truth.
 
chrisb said:
They found no differences in fear of illness and illness worry between the two groups, the opposite of what would be predicted in hypochondriasis. Nevertheless, worry about illness did play a role in the fibromyalgia patients, and correlated highly with overall functional ability. The authors suggest that "feelings of vulnerability and apprehension about having an illness of unknown origin may contribute to sufferers' activity limitations, inability to sustain a work effort and varied somatic distress".
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Remarkable, even when their theory doesn't hold up to examination, they still say they're probably correct and the data is wrong.
 
Arnie Pye said:
Referring to the above, what is the likely effect of NOT telling a patient they have CFS or ME?
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They will tell you have depression or a somatoform disorder; they will offer you a treatment: antidepressants, psychotherapy and exercise. If you don't get better, i.e. if you "fail", this will be your fault, and your fault alone. This may lead to feelings of desperation, including maybe suicidal thoughts, but "medicine" can say "we did our best", and for 1 or 2 years you may be hopeful and not a pain in the ass of others, especially doctors.
 
Esther12 said:
If you suffer from a poorly understood condition lacking effective treatments then it doesn't seem surprising that more disability will be highly correlated with more worry about illness.
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Yeah, funny that.

Then add the decades of abuse of those patients by their self-claimed saviours, and the very serious economic consequences of it all, and they wonder why these patients don't like them or their 'treatments'.

Such a mystery.
 
JaimeS said:
Remarkable, even when their theory doesn't hold up to examination, they still say they're probably correct and the data is wrong.
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That's clearly because they keep pronouncing leviosa wrong! Which is still better than pronouncing nektu wrong, wouldn't want to bring demons into this world with such a simple mistake.
 
There is strong evidence that psychological and behavioral factors play a major role in perpetuatimg both CFS and FMS
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Really? And where is that STRONG evidence?? I doubt you would see Sharpes and Weasels using that type of unjustified rhetoric in a scientific article, because they know that it's BS, but this is a book, so I guess you can do whatever you want if you follow the BPS logic.

And guess where most regular clinicians get their knowledge? Surely, they don't bother to read the actual research or check the references. They'll just read a book like this and then be very happy that all their preconceptions were just confirmed. Problem? Solution.
 
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