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

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A cultural, not a medical, problem<br />

290<br />

As Hillary Johnson, author of “Osler’s Web: Inside the Labyr<strong>in</strong>th of the Chronic Fatigue Syndrome<br />

Epidemic” (Crown Publishers, Inc. New York 1996) says <strong>in</strong> her article “Across the Pond, Part One, August<br />

2009:<br />

“It’s hard to imag<strong>in</strong>e a general patient population that has suffered more horribly than the English, given<br />

the remarkable sway of a handful of British psychiatrists, such as Simon Wessely, who dom<strong>in</strong>ate and even<br />

def<strong>in</strong>e the field there. This cabal cont<strong>in</strong>ues to propose ever more preposterous explanations for the<br />

emergence of this disease <strong>in</strong> England, their <strong>in</strong>fluence lead<strong>in</strong>g directly to the <strong>in</strong>carceration of patients <strong>in</strong><br />

psychiatric wards, the arrest of parents of patients, one might even claim the death of patients, and<br />

certa<strong>in</strong>ly all manner of abuse <strong>in</strong> the realm of treatments and therapy<br />

(http://www.oslersweb.com/blog.htm?post=623914).<br />

It is almost as though the Wessely School diagnose “CFS/<strong>ME</strong>” by accusation and seem only too will<strong>in</strong>g – if<br />

not eager ‐‐ to dispense with the rules of rigorous scientific analysis when it comes to their model of the<br />

biopsychosocial construct.<br />

Common sense would suggest that it is better to admit to not understand<strong>in</strong>g someth<strong>in</strong>g than to construct<br />

implausible and untestable theories to hide ignorance.<br />

The Wessely School’s disregard of what is already known about <strong>ME</strong>/CFS seems to have had the effect of<br />

uncover<strong>in</strong>g two undesirable characteristics <strong>in</strong> many cl<strong>in</strong>icians who deal with <strong>ME</strong>/CFS patients: (i) an<br />

<strong>in</strong>ability to admit ignorance and (ii) contempt for patients they perceive as somatisers. Far too many<br />

patients with <strong>ME</strong>/CFS can testify to the fact that doctors are will<strong>in</strong>g to forget about medical science because<br />

of their strong antipathy to anyone with the label of “CFS/<strong>ME</strong>” and are quite happy to subject them to<br />

“punitive” regimes of CBT/GET, even though the Wessely School’s model is not data‐driven but merely<br />

op<strong>in</strong>ion.<br />

In many respects, the problem that patients with <strong>ME</strong>/CFS face is cultural, not scientific.<br />

Despite the numerous and significant scientific advances <strong>in</strong>ternationally <strong>in</strong> understand<strong>in</strong>g the nature of<br />

<strong>ME</strong>/CFS, the assiduous efforts of the Wessely School have ensured that UK cl<strong>in</strong>icians’ attitude towards<br />

patients with <strong>ME</strong>/CFS has undoubtedly worsened s<strong>in</strong>ce 1987 when Simon Wessely came to prom<strong>in</strong>ence, and<br />

the immeasurable suffer<strong>in</strong>g of people with <strong>ME</strong>/CFS cont<strong>in</strong>ues unabated.<br />

Many people firmly believe that patients are subjected to what can only be described as medical abuse and<br />

neglect because of the way <strong>in</strong> which the Wessely School has portrayed <strong>ME</strong>/CFS as a behavioural disorder.<br />

Patients with <strong>ME</strong>/CFS are still ridiculed and dismissed by their doctors and the DWP is <strong>in</strong>creas<strong>in</strong>gly<br />

target<strong>in</strong>g and harass<strong>in</strong>g people with <strong>ME</strong>/CFS.<br />

It is the case that on the very day that one of the people who sought <strong>in</strong>formation about the PACE Trial under<br />

the FOIA received that <strong>in</strong>formation, the applicant also received notification to attend a DWP Tribunal for re‐<br />

assessment of benefits. It is also the case that when duly attend<strong>in</strong>g the DWP Tribunal, on the <strong>in</strong>struction of<br />

the Exam<strong>in</strong><strong>in</strong>g Medical Practitioner the applicant was refused entry to the Hear<strong>in</strong>g until an <strong>in</strong>timate body<br />

search for weaponry had been carried out. Such <strong>in</strong>timidatory tactics perpetrated by the DWP upon an<br />

extremely sick and vulnerable <strong>ME</strong> sufferer are <strong>in</strong>excusable.<br />

Of overwhelm<strong>in</strong>g importance is the fact that, <strong>in</strong> reject<strong>in</strong>g the biomedical evidence that exists about <strong>ME</strong>/CFS,<br />

the Wessely School and the agencies of State to which they are advisors are simply wrong about <strong>ME</strong>/CFS. It<br />

is not a cont<strong>in</strong>uum of chronic fatigue, but a dist<strong>in</strong>ct nosological entity that, like multiple sclerosis, causes<br />

<strong>in</strong>capacitat<strong>in</strong>g physiological exhaustion.

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