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MAGICAL MEDICINE: HOW TO MAKE AN ILLNESS ... - Invest in ME

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22<br />

Common threads runn<strong>in</strong>g through the Wessely School’s documents are their refusal to heed publicly‐<br />

expressed concern about what is described as their flawed methodology, and their ignor<strong>in</strong>g of the copious<br />

published evidence that disproves their <strong>in</strong>sistence that <strong>ME</strong>/CFS is a behavioural disorder.<br />

In a recent article, Wessely states: “there is also a second and more disturb<strong>in</strong>g explanation for the alacrity and<br />

uncritical nature with which (organic) explanations are endorsed on often the flimsiest of evidence. Psychiatry, its<br />

patients and its practitioners, cont<strong>in</strong>ue to be stigmatised like no other branch of medic<strong>in</strong>e...If one reads the angry<br />

responses to any article that mentions chronic fatigue syndrome and psychiatry <strong>in</strong> the same breath, it is<br />

clear that the drive to f<strong>in</strong>d an (organic) biomarker for chronic fatigue syndrome is driven not so much by a<br />

dispassionate thirst for knowledge but more by an overwhelm<strong>in</strong>g desire to get rid of the psychiatrists…<br />

<strong>in</strong>deed, the search for <strong>in</strong>fective causes and triggers for psychiatric disorders has never ceased.ʺ<br />

(http://www.jamesl<strong>in</strong>dlibrary.org/trial_records/20th_Century/1920s/kopeloff/kopeloff‐commentary.html).<br />

Inevitably, the desperation of people with <strong>ME</strong>/CFS to show how erroneous is the Wessely’ School’s<br />

psychosocial model of “CFS/<strong>ME</strong>” is escalat<strong>in</strong>g.<br />

Wessely seems to take patients’ “drive to f<strong>in</strong>d a biomarker” quite personally (a “drive” which is shared by<br />

<strong>in</strong>ternationally respected doctors and scientists) and appears unable to perceive any explanation other than<br />

<strong>ME</strong>/CFS patients’ “overwhelm<strong>in</strong>g desire to get rid of the psychiatrists”.<br />

Wessely appears to be so bl<strong>in</strong>ded by the supposed benefits afforded by a diagnosis of <strong>ME</strong>/CFS that he<br />

overlooks the simple fact that the patient’s life ‐ <strong>in</strong> every respect ‐ is devastated by the illness. The suffer<strong>in</strong>g<br />

and disruption are such that many patients could not care less about what the solution might be as long as<br />

they can improve or recover. To imply that patients would reject help because it happened to come from a<br />

psychiatrist is ludicrous.<br />

Patients with <strong>ME</strong>/CFS are not opposed to psychiatry or psychiatrists. Patients are opposed to the ‘Wessely<br />

School’ because the theories they have espoused for over two decades do not help them and do not accord<br />

with the biomedical science that underp<strong>in</strong>s <strong>ME</strong>/CFS.<br />

It seems that no matter how much evidence is presented, and no matter how many times the WHO<br />

repudiates their mis<strong>in</strong>formation, Wessely and other members of the Wessely School refuse to accept it and<br />

they cont<strong>in</strong>ue to <strong>in</strong>sist that <strong>ME</strong>, which they <strong>in</strong>clude as part of “CFS/<strong>ME</strong>”, is a mental illness.<br />

It is the Wessely School ethos that underp<strong>in</strong>s the MRC PACE Trial.<br />

As Dr Monica Greco, Senior Lecturer <strong>in</strong> the Department of Sociology, Goldsmith’s College, University of<br />

London, suggests: “..are there ways <strong>in</strong> which the privilege accorded to aetiology may actually h<strong>in</strong>der the delivery of<br />

better care <strong>in</strong> many situations?…..the immediate focus on…treatments often constitutes a ‘knee‐jerk’ reaction dictated<br />

by factors that have little to do with the best <strong>in</strong>terest of the patient. Indeed, physical evidence – or lack thereof, as<br />

supposedly ‘proved’ by negative test results – is often used to better dismiss patients and their concerns<br />

rather than vice‐versa” (Co‐Cure ACT 12 th September 2009).<br />

That this occurs <strong>in</strong> <strong>ME</strong>/CFS is beyond dispute, so the question requir<strong>in</strong>g an answer is why is it occurr<strong>in</strong>g?<br />

It is a matter of record that Wessely School psychiatrists have close l<strong>in</strong>ks to powerful medical and<br />

permanent health <strong>in</strong>surance companies such as UNUMProvident, which has been described as an “outlaw<br />

company” by California Insurance Commissioner John Garamendi – see below. If it can be “proven” that<br />

“CFS/<strong>ME</strong>” is a mental disorder, then <strong>in</strong>surance payments to patients could be limited or even denied. Given<br />

the rise <strong>in</strong> the number of claims for <strong>ME</strong>/CFS, this is a not <strong>in</strong>significant matter from the <strong>in</strong>surers’ perspective.

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