United Kingdom: ME Association
RCGP Meeting – General Practice and the new NICE guideline on ME/CFS
Report on a meeting held on Thursday 16th June between Forward-ME (FME) and the Royal College of General Practitioners (RCGP) to discuss implementation of the new NICE guideline on ME/CFS in primary care.
Worth a read of this report. I found it so frustrating. Basically confirms the same crux of the issue. Forward ME have got a big job because it looks like denial re: BPS approach whilst claiming they don't see the illness as psychological lurks large in this report.
And so difficult to post a comment - given the back into the corner on claims of BPS - 'holistic' and mental health (they actually used the = biological factors and psychological factors and social factors in their spiel - just forget to mention that unlike psychology who'd describe the issue as situational and needing support, the BPS ideology puts all the blame on 'perception' and the PwME's job to sort out).
Can we get together some good come-back to be able to note that all the BPS and motivational nonsense is actually
the stigma and not
the cure. I see several videos a day from norms who got covid talking about their 2 weeks and it affected their mind, and talking about what they learned and that nonsense, and noone points out that is how ME-stigma/bigotry on our condition takes its form. They are saying bad things hidden by being written in such spiel to make them seem as if they are good things.
The fact is I can't get the response right on my own but we need to be able to put good comments on public threads like these. It's one that might be more likely to be read by those who don't have ME. And isn't a private group. And it upsets me that I can't nail the words to retort to all this. And we can't just point people to a link of what 'BPS'
actually is, in case one norm reads it and is curious enough to click on the link.
And as a side-action/issue:
I feel like we need to start nailing that BPS is stigma not help, but also point out 'this is what ME-stigma looks like' (so they can spot it in others and notice when they do it themselves), 'this is what it causes' (people actually think it doesn't matter and is just a bit of name-calling, because they don't know how ill we are and how it deprives us of help and adjustments from all those around us). I'd like notes that do say if noise and exertion isn't sorted then people will get more ill and look more fragile (and no they aren't making it up, and don't 'have something else') and that yes the little liberty taken by people here or there or deciding that bit of help doesn't matter really is what led to someone looking like that.
It needs to be on general social media just like all the mind-body stuff is. Ideally with a few celebs or trusted people. Just popping up regularly as short videos and messages. To back up responses to these kinds of issues (so that we have links to short videos and pages). And maybe with some good ideas of how people actually can help or act if asked for help by someone.
I have severe ME. It is awful. I honestly say that the bigotry is worse than the illness itself. It is the cherry on top of the cake of no 'cure'. I've been cut-off from getting help on the things that might help in pacing or survival (and am too ill to sort alone). It has taken away all help, all connections, all good faith and all kindness or consideration normal people might expect day-to-day. Exactly when and with those who need the help most. It's bad enough NHS haven't helped most of us, but their choice in how they do this has affected access to others offering any support too. It's cut us off.
It feels time-contingent urgent that people start taking the mind-body videos that spread stigma that I keep seeing everywhere on social media and edit a few (or do a parody of them if there is a copyright issue) and put the truth over them to highlight to norms who kid themselves they are learning something clever that it is instead ME-bigotry/stigma (we
really need a specific term for it too). To have campaigns that flag the tenets of how the stigma operates: step 1: minimisation, step 2: misdirection, step 3: cast aspersions when someone gets more ill , step 4: relate it to something normal people might imagine, so they think they now have expertise to offer - even though they actually
don't have any experience of it.
And the more people who have seen one of these videos or read a one-liner the more it embeds because of the stupid fallacy of people that 'if we all think it then it must be true and the PwME must be the one who is deluded'. And noone has pointed out that is stigma, and that is how 'isms' and 'ogynies' operate. Just like I'm sure before we cracked racism or homophobia people used to find others who thought or said the same as them and thought they weren't being racist with what they were saying or thinking because they just wanted to help or whatnot.
Because at the moment we can't even answer back to this. Because they pretend BPS is 'mental health' or 'holistic' or 'social and psychological support', so objections have to try and point out they are wrong. Which makes for long replies which risk one-word anti-mental health retorts with noone really understanding or wanting to read the detail to realise the nuances. ie hide it under the 'nice guy pretence'.