MAGICAL MEDICINE: HOW TO MAKE AN ILLNESS ... - Invest in ME
MAGICAL MEDICINE: HOW TO MAKE AN ILLNESS ... - Invest in ME
MAGICAL MEDICINE: HOW TO MAKE AN ILLNESS ... - Invest in ME
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
221<br />
imp<strong>in</strong>ge upon medical decisions and health service provision…Science <strong>in</strong> general and psychiatry <strong>in</strong> particular needs to<br />
be <strong>in</strong>dependent from contemporary sociological and political contexts”.<br />
Not<strong>in</strong>g that well‐developed ethical pr<strong>in</strong>ciples did not stop the trespass<strong>in</strong>g of political ideology <strong>in</strong>to cl<strong>in</strong>ical<br />
practice and research <strong>in</strong> the 1930s, Strous concluded: “A dark side to medic<strong>in</strong>e exists: psychiatry, academia, and<br />
science played a key role <strong>in</strong> the establishment of National Socialism and all that ensued (see Section 1 above). The<br />
experience of psychiatry dur<strong>in</strong>g the Nazi era provides an example of how science can be perverted by politics and<br />
therefore can become vulnerable to misuse and abuse” and he warns of “the very real dangers of the perversion of<br />
science and cl<strong>in</strong>ical management by outside political <strong>in</strong>fluences”.<br />
Given that it has been confirmed by the PACE Trial’s Chief <strong>Invest</strong>igator that the aim of the PACE Trial is<br />
“Health economics and societal costs”, is it the case that “outside political <strong>in</strong>fluences” are the bedrock of this<br />
particular MRC trial?<br />
It is undeniable that the Wessely School persistently ignore the large body of biomedical evidence that does<br />
not accord with their own beliefs about the nature of <strong>ME</strong>/CFS, and this is one of the central arguments<br />
aga<strong>in</strong>st the PACE Trial. Another central argument is the denial of adequate <strong>in</strong>vestigations for people with<br />
<strong>ME</strong>/CFS: if there is no desire to f<strong>in</strong>d the cause of a disease, or its cure, then do not look for it; such a stance,<br />
however, is not <strong>in</strong> the best <strong>in</strong>terests of either medical science or society as a whole.<br />
S<strong>in</strong>ce the general body of knowledge known about by other cl<strong>in</strong>icians and researchers work<strong>in</strong>g <strong>in</strong> the<br />
field of <strong>ME</strong>/CFS is now so great, the question repeatedly asked is: at what po<strong>in</strong>t will that body of<br />
scientific knowledge be so great that it will be considered serious professional misconduct to ignore it<br />
and to cont<strong>in</strong>ue to deceive patients by pretend<strong>in</strong>g that it does not exist?<br />
It is important to be aware of the press release from Professor Maes and Frank Twisk that accompanied their<br />
review (referred to above) <strong>in</strong> which the authors said:<br />
“There is now sufficient evidence that <strong>ME</strong>/CFS is a disorder that primarily <strong>in</strong>volves an <strong>in</strong>flammation with<br />
dysregulated and suppressed immune functions, oxidative stress, <strong>in</strong>fections, autoimmunity and mitochondrial<br />
dysfunction. Dur<strong>in</strong>g the last few years, many scientific studies, <strong>in</strong>clud<strong>in</strong>g gene expression research, have confirmed<br />
that patients with <strong>ME</strong>/CFS suffer from the above….Despite major scientific breakthroughs, <strong>ME</strong>/CFS is still described<br />
<strong>in</strong> the popular media as a medically unexpla<strong>in</strong>ed disorder. Cognitive behavioural therapy and graded exercise therapy<br />
are declared to be the only possible therapies. A thorough analysis of the current medical (and) scientific literature and<br />
<strong>in</strong>ternational patient surveys, however, show that CBT/GET is not only <strong>in</strong>effective for the majority of <strong>ME</strong>/CFS<br />
patients, but also potentially very harmful…<strong>in</strong>flammation, oxidative stress and dysfunctional ion channels will be<br />
amplified by m<strong>in</strong>or exertion and by ‘rehabilitation therapies’ like CBT/GET. The reviewers urge policy makers to<br />
change their policies by putt<strong>in</strong>g a stop to potentially harmful and <strong>in</strong>effective ‘rehabilitation’ programmes, and <strong>in</strong>vest<strong>in</strong>g<br />
<strong>in</strong>to medical research and therapies targeted at the immune system, <strong>in</strong>fections and other pathological aspects of this<br />
disease”<br />
(http://www.ediver.be/ediver/latest%20news/PRESS%20RELEASE%20CBT%20and%20GET%20<strong>in</strong>%20<br />
<strong>ME</strong>%20CFS.pdf).<br />
Defiance of science is rewarded <strong>in</strong> the UK<br />
Many people (<strong>in</strong>clud<strong>in</strong>g Professor Mart<strong>in</strong> Pall – see above) have openly queried how it is possible for the<br />
Wessely School model of “CFS/<strong>ME</strong>” to have ga<strong>in</strong>ed such popularity and even credibility. It is worth re‐<br />
visit<strong>in</strong>g what Pall said <strong>in</strong> his book “Expla<strong>in</strong><strong>in</strong>g ‘Unexpla<strong>in</strong>ed Illnesses’ “:<br />
“One of the great puzzles about the psychogenic literature regard<strong>in</strong>g these multisystem illnesses is how do<br />
so many bad papers get published? How do so many papers dom<strong>in</strong>ated by emotion laden phrases, by<br />
transparent falsehoods, by logical flaws, by overstated claims and by unsupported or poorly supported