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

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26<br />

“Functional somatic syndromes….<strong>in</strong>clude chronic fatigue syndrome….Perpetuat<strong>in</strong>g factors have particular<br />

importance <strong>in</strong> understand<strong>in</strong>g CFS…Physical decondition<strong>in</strong>g as a consequence of reduced activity may contribute<br />

towards greater experience of symptoms” (Hyong J<strong>in</strong> Cho, Simon Wessely, Rev Bras Psiquiatr 2005:27:3).<br />

These are barely illustrative of Professor Wessely’s recorded beliefs about <strong>ME</strong>/CFS, with which the literature<br />

is replete.<br />

It is perhaps worth putt<strong>in</strong>g on record that follow<strong>in</strong>g publication of some quotations from Wessely’s own<br />

articles <strong>in</strong> CFIDS Chronicle (Spr<strong>in</strong>g 1994:14‐18 – see below), Simon Wessely wrote: “If you must quote, do it<br />

accurately. I was v(ery) upset by CFIDS ‐‐‐ currently meet<strong>in</strong>g Counsel for the MDU (Medical Defence Union). I<br />

don’t m<strong>in</strong>d what people write about me provid<strong>in</strong>g they are accurate with the facts” (personal communication).<br />

Given that it was Wessely’s own work that was quoted, his comment was remarkable.<br />

It is also understood that <strong>in</strong> 1989, Wessely sought an <strong>in</strong>junction to compel the publishers of Dr Anne<br />

Mac<strong>in</strong>tyre’s book “<strong>ME</strong>‐PVFS: how to live with it” (Unw<strong>in</strong> Paperbacks) to remove the section that<br />

documented his own <strong>in</strong>volvement with the case of Ean Proctor (see below) and republish without reference<br />

to himself, with which they duly complied, although copies of the first edition rema<strong>in</strong> <strong>in</strong> existence.<br />

It is the case that Wessely threatened the charity Westcare (now subsumed with<strong>in</strong> Action for <strong>ME</strong>) who were<br />

at that time the UK distributors of CFIDS Chronicle with an <strong>in</strong>junction unless they defaced every copy and<br />

removed an article entitled “The Views of Dr Simon Wessely on <strong>ME</strong>: Scientific Misconduct <strong>in</strong> the Selection<br />

and Presentation of Available Evidence?” (Spr<strong>in</strong>g 1994:14‐18) before send<strong>in</strong>g out the Chronicle, which<br />

Westcare duly did. This was confirmed by Richard Sykes himself (for Sykes’ further <strong>in</strong>volvement <strong>in</strong> <strong>ME</strong><br />

issues, see below), who said that his charity could not run the risk of legal proceed<strong>in</strong>gs by Wessely and who<br />

then wrote to CFIDS Chronicle <strong>in</strong> support of Wessely and asked that the Chronicle publish an apology to Dr<br />

Wessely <strong>in</strong> the next issue (a request that was decl<strong>in</strong>ed by the Editors of the Chronicle). People <strong>in</strong> the UK<br />

compla<strong>in</strong>ed that copies for which they had paid <strong>in</strong> advance had been defaced without an <strong>in</strong>junction<br />

requir<strong>in</strong>g such action. However, copies of the CFIDS Chronicle that were mailed directly from the US were<br />

not similarly defaced and <strong>in</strong> fact, the furore drew even more attention to the article.<br />

In October 2009 the premier journal Science published evidence that a gamma‐retrovirus XMRV (related to<br />

the HIV/AIDS virus – see below) has been found <strong>in</strong> patients with <strong>ME</strong>/CFS, a profoundly important<br />

discovery about which Simon Wessely was <strong>in</strong>stantly publicly dismissive (see below).<br />

Follow<strong>in</strong>g the discovery of XMRV by the Whittemore Peterson Institute for Neuro‐Immune Diseases, the<br />

Institute issued a statement: “Does (XMRV) prove once and for all that <strong>ME</strong>/CFS is not a psychological or<br />

psychosomatic illness as described by those who don’t understand the disease? Absolutely! Actually there are<br />

thousands of research articles show<strong>in</strong>g the very real biological problems that <strong>ME</strong>/CFS patients experience. Only the<br />

most stubborn and mis<strong>in</strong>formed <strong>in</strong>dividuals refuse to believe that this disease is real and serious”<br />

(http://wp<strong>in</strong>stitute.org/xmrv/xmrv_qa.html).<br />

Notably, Dr Jacob Teitelbaum from the US commented: “The XMRV research helps make it even clearer how real<br />

and devastat<strong>in</strong>g (<strong>ME</strong>)CFS is. This may offer a bit more to silence the nitwits who like to claim (<strong>ME</strong>)CFS is all<br />

<strong>in</strong> your m<strong>in</strong>d (though I would not count on it, as they have ignored reams of earlier research show<strong>in</strong>g<br />

(<strong>ME</strong>)CFS/FMS to be very real illnesses)” (Co‐Cure Res: 30 th October 2009).<br />

For over two decades, the Wessely School have ascribed the symptoms of “CFS/<strong>ME</strong>” to somatisation.<br />

Lipowski def<strong>in</strong>ed somatisation as: “a tendency to experience and communicate somatic distress and symptoms<br />

unaccounted for by pathological f<strong>in</strong>d<strong>in</strong>gs, to attribute them to physical illness, and to seek medical help for them” (Am<br />

J Psychiat 1988:145:1358‐1368). His concept is widely accepted, especially <strong>in</strong> psychiatry (a discipl<strong>in</strong>e that is<br />

more of an art than a science).

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