But NICE clearly defer to eminence and I don't see them challenging Wessely and his acolytes, who can make their lives miserable. They are absolutely not beneath that. It would be a huge paradigm shift that means eminent people who are still very influential were completely wrong despite being told explicitly so by the very people who suffered the consequences. Those concerns were brushed off as meaningless whining of butthurt people pouting about being told they aren't really sick. A lot was put on the line to push the paradigm against legitimate objections and without any credible evidence. As a "non-disease", the usual rules and ethics concerns are irrelevant because they wouldn't be enforced since almost nobody cares about a bunch of tired people. Don't underestimate the lengths people will go for self-preservation. This is not a normal situation. It's not unique, but the usual standards and common sense don't apply here since too many people bought the line that none of this is even medically relevant at all. "There is no disease" is as explicit as it gets, it doesn't matter that supporters pretend otherwise. This is way more political than medical.