"Today’s Best Practice Will Be Rubbished Tomorrow" (CFS and CBT/GET mentioned briefly)

Wonderful to see it expressed in that way in an 'establishment' journal, instead of the usual framing of ME sufferers as anti-science militants! A voice of reason, for a change. I do hope that sentence stays as is, and is not modified or deleted by someone making a quiet phone call to the editor...
 
Yes, nice to see but the author then goes on to say
Finally, many conditions frequently encountered in medicine, for example chronic pain and common mental disorders, are sensitive to the effects of placebos, but this is the very effect that is excluded in RCTs.
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I'll always vote for any treatment I receive to have an actual effect, rather than being given something that is just meant to fool me into thinking that there has been an effect, whereas the author seems to be advocating for a different approach.
 
I think the author reveals his own muddled thinking pretty much throughout. Every medical student should be in a position to write this article - rather better. Fortunately the author is now retired!

I am afraid I think this is another example of how the people who like rabbiting on about quality and evidence are the very people who tend to cause the problems.
 
The voice of patients has been crucial in challenging the usefulness of graded exercise therapy and CBT in chronic fatigue syndrome, resulting in these being dropped as recommended treatments by NICE .5
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I would have liked something added to this, some reference that attempts to silence patients and gaslight them has served to hold back progress in this field.

With a conclusion that patients should be heard and not just seen in future.
 
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