I think the people on twitter he keeps referring to as activists are extremely positive and are the kinds or people who have got us to the verge of positive changes despite 3 decades of being targeted by the BPS crowd and their negativity.
I think being on the end of their positivity is leading to negative consequences for him. That's his real problem.
Dislocating though to see a medical professional spend last few months on Twitter insulting everyone involved w ME advocacy/exposing PACE and now opening his arms to understand us.
Psychological factors
Whatever their biological basis, there is strong evidence that symptoms
and disability are shaped by psychological factors. Especially important
are the patients’ beliefs and fears about their symptoms. Research in
several functional syndromes has found that a strong belief and
preoccupation that one has a “medical disease” and a helpless and
passive attitude to coping is associated with persistent disability (as it is
in recovery from acute medical condition such as myocardial infarction).
The presence of depression is similarly associated with greater disability
and worse outcome. Some persons appear to exaggerate symptoms but
this is often hard to prove.
Although harder to research, social factors are almost certainly of great
importance in shaping functional illness. Relevant factors include the
information patients receive about the symptoms and
how to cope with them. This information may be
helpful or may stress the chronicity of the illness and
promote helplessness. Such unhelpful information is
found in “self-help” (!) books and increasingly on the
Internet (see for example www.meassociation.org.uk).
In practice, even if treatment is available, there may be obstacles to
recovery. Over time, the patient’s beliefs may be become entrenched
and be driven by anger and the need to explain continuing disability.
The current system of state benefits, insurance payments and litigation
remain potentially major obstacles to effective rehabilitation. It is often
unrealistic to expect medical treatment alone to overcome these.
Furthermore patient groups who champion the interest of individuals
with functional complaints (particularly for chronic fatigue and
fibromyalgia) are increasingly influential; they are extremely effective in
lobbying politicians and have even been threatening towards individuals
and organisations who question the validity and permanence of the
illness they champion. Again the ME lobby is the best example.
[...] Much could be gained from having an early biopsychosocial assessments
of patients that ensured the identification of psychiatric as well as
medical diagnoses. There is also a need to minimise iatrogenic harm
both from family doctors who misguidedly encourage the patients to
“take time off ” at the insurer’s expense and from certain “specialists”
Finger's crossed that Steve Topple at the Canary gets to hear that little nugget of information.well clearly he hadnt had a change of heart when he accused Carol Monaghan in an email this week of conduct unbecoming of her position![]()
well clearly he hadnt had a change of heart when he accused Carol Monaghan in an email this week of conduct unbecoming of her position![]()
thank you this gave me a belly laugh"Have you read Hansard?"
Will there be a sequel with the next generation (starring Esther Crawley)?Sharpe one of the nakedPACE emperors has well & truly been pointed at and derided in Westminster today
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