Utsikt
Senior Member (Voting Rights)
There is no reliable data to support the BPS model of disease in general, and the BPS model is in itself based on contradicting underlying assumptions.Ok, now I start to understand where (some) people in this thread are coming from. If I understand it correctly, the assumption that human system vulnerabilities trigger ME/CFS, in itself has no evidence behind it. Is that correct? If yes, that's an eye opener for me and now I also understand why someone else on the thread (forgive me, I don't remember who) said they have stepped away from the biopsychosocial model.
The BPS model of ME/CFS is just a fairytale, and trials of treatments that sought to address the «maladaptive thoughts» or «deconditioning» have consistently failed.
There are certain risk factors for individual humans, e.g. genetic ones, but none of those are related to personality, beliefs, etc., and more importantly: attempting to change your personality or beliefs will do nothing for your ME/CFS.
Being able to reduce anxiety, worry, etc. might make PEM happen less often, not because PEM is caused by anxiety or worry, but because activity, exertion and stimuli in general usually is followed by PEM. And it might improve your perceived quality of life.
To put it simply, ME/CFS is not a character flaw, and it isn’t caused by character flaws. It’s caused by some unknown combination of random events inside our bodies, much like all other diseases. And those events can’t be normal, because if they were normal, everyone would have ME/CFS. Something has to not be following the normal rules.