Woolie
Senior Member
Yea, I've noticed that in FND too, and I think the reason for the greater acceptance of psyc accounts in these areas is that the accounts are more likely to emphasise the role of external events that the person had no control over, like trauma and abuse. So instead of telling the patient that their thinking is wrong (therefore putting the responsibility on the patient to change it), they give the person permission to attribute at least some of the blame externally (its not your fault, x, y and z happened to you, its not surprising that you've reacted in this way, now how can we help you address it).I get the impression that there's a lot more willingness amongst fibromyalgia sufferers to accept that psychological factors and trauma contribute to or cause fibromyalgia. Despite their willingness to accept that though, that doesn't stop doctors from viewing them with a fair bit of disdain and judging them significantly, possibly even more so than ME patients, interestingly. Which might make for a good argument against capitulating to a psychological view of ME in any way (unless there's good evidence for it, of course).
Maybe they're more willing to accept that because it is actually true in a certain regard - any type of pain is affected by psychological factors. However that doesn't make fibromyalgia psychogenic.
As you say, its all a bit of subterfuge really, because we know deep down that these doctors believe only certain vulnerable persons will develop illnesses as a result of trauma. But that's not how it appears to patients. So its a really clever lie.