A few years ago I had the idea of starting up a website in which hospitals, institutions or individual psychiatrists and psychologists who coerce exercise therapy upon unwilling ME/CFS patients could be named and shamed. I was just recently reminded of the idea after reading this thread of an adult with severe ME/CFS who was coerced into exercise therapy in a US hospital against his will (and he may be forced back into hospital for a second course in the near future). Apparently the medical professionals in this hospital unethically refused to feed him unless he got up and went to the cafeteria himself, in order to force him to do exercise. In this instance, I don't think this patient wants to rock the boat, and I don't think he will want to name and shame the hospital and/or the medical professionals involved. But in general, it might be a good idea to have a website, or perhaps a sub-forum on one of the ME/CFS forums, where anyone who has been unethically coerced or forced to do graded exercise therapy (GET) against their will or against their better judgement can anonymously post the details, for naming and shaming purposes. In particular, patients who have experienced a permanent worsening of their ME/CFS after coerced exercise might like to post the name of the psychiatrist/psychologist/pediatrician or institution on this name and shame list. In a large survey (see page 9) of 4217 patients by the UK ME Association, only 3.4% of patients given GET found it led to great improvement. But 33.1% said GET made them much worse. So these statistics suggest GET may well be harmful for many patients. Ideally each psychiatrist/psychologist/pediatrician or institution that was named and shamed would have their own webpage or forum thread, so that it is easy picked up in Google searches, when people search for that institution or psych. Obviously this would not apply where patients have undergone graded exercise therapy of their own free will, or where exercise therapy was intelligently and sensitively administered. Dr John Chia, who is certainly in the biomedical camp, does prescribe graded exercise therapy to many of his ME/CFS patients where appropriate (ref: here). But I suspect he reserves this for patients with milder ME/CFS. So this name and shame list would only be for institutions or medical professionals who administer GET forcibly or by coercion, against the will or the better judgement of the patient, especially when the patient tells them that the exercise is making them more ill, but they don't listen. What do people think about this idea? Is it a good idea? Can you envisage any problems with it? I think the main issue is that it will rely on ME/CFS patients (or in the case of children under 16, perhaps their parents) who were coerced into GET to anonymously post their account, and name the hospital or medical professional invovled. But possibly once this list is started, it may gather momentum and prompt others to post about their coerced treatment.