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

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• have succeeded <strong>in</strong> mak<strong>in</strong>g cl<strong>in</strong>icians fearful <strong>in</strong> case they may be thought (or worse, to be shown) to<br />

have been taken <strong>in</strong> by “mal<strong>in</strong>ger<strong>in</strong>g” <strong>ME</strong>/CFS patients – as the Medical Advisor to the <strong>ME</strong><br />

Association recently said: “a significant number of my good medical colleagues are…reluctant to<br />

get <strong>in</strong>volved with <strong>ME</strong>/CFS” (http://health.groups.yahoo.com/group/<strong>ME</strong>ActionUK/, 6 th November<br />

2009), which has been translated by the listowner as: “Keep quiet about psychiatry. Keep<br />

quiet on ask<strong>in</strong>g for bio‐medical<br />

research. Play the game our way, otherwise don’t speak. Right, guys?”. It is undoubtedly true that most<br />

<strong>ME</strong>/CFS patients know more about their disease than most doctors, a situation which some doctors<br />

might f<strong>in</strong>d humiliat<strong>in</strong>g and therefore do not allow it to present itself by referr<strong>in</strong>g the hapless<br />

patient <strong>in</strong>to psychiatric care<br />

• have portrayed people with <strong>ME</strong>/CFS as feckless, suggestible mal<strong>in</strong>gerers who are afraid to exercise their<br />

deconditioned bodies (a concept that fails to consider the countless academics, scientists,<br />

cl<strong>in</strong>icians and lawyers who have been forced to lose their cherished careers)<br />

• have mis‐portrayed <strong>ME</strong>/CFS patients to PACE Trial therapists, which lowers the respect that<br />

therapists should have for their patients<br />

• have <strong>in</strong>structed therapists to mislead participants by pretend<strong>in</strong>g that they believe participants are<br />

suffer<strong>in</strong>g from a physical disease when therapists have been taught otherwise<br />

• have taken away participants’ autonomy<br />

• have implied criticism of other medical professionals who do not subscribe to the Wessely School’s<br />

beliefs<br />

• have mis‐portrayed and trivialised <strong>ME</strong>/CFS as a dysfunctional belief<br />

• have based their model of “CFS/<strong>ME</strong>” on empty and illogical arguments that have long s<strong>in</strong>ce<br />

been discredited <strong>in</strong> the <strong>in</strong>ternational literature<br />

• have portrayed as established facts what they themselves acknowledge to be<br />

unproven assumptions<br />

• have purlo<strong>in</strong>ed ideas from other fields that have no relevance whatever to <strong>ME</strong>/CFS (see<br />

Appendix VI).<br />

In other words, the PACE Trial appears ill‐conceived pseudo‐science and a deplorable waste of UK<br />

taxpayers’ money as well as do<strong>in</strong>g noth<strong>in</strong>g constructive to alleviate the suffer<strong>in</strong>g of people with a serious<br />

and life‐destroy<strong>in</strong>g disease.<br />

No matter that:<br />

• the WHO has classified <strong>ME</strong> as a neurological disorder for forty years<br />

• there are over 5,000 published papers demonstrat<strong>in</strong>g serious organic pathology <strong>in</strong><br />

<strong>ME</strong>/CFS<br />

• the Royal Society of Medic<strong>in</strong>e accepted <strong>ME</strong> as a nosological entity <strong>in</strong> 1978<br />

• the UK Department of Health accepted <strong>ME</strong> as a physical (organic) disease <strong>in</strong> 1987<br />

• the British Medical Association issued a statement say<strong>in</strong>g that <strong>ME</strong> was “a newly recognised disease<br />

and that we are sympathetic to sufferers” <strong>in</strong> 1988<br />

• people <strong>in</strong> the UK with <strong>ME</strong> have been permanently excluded from donat<strong>in</strong>g blood s<strong>in</strong>ce at least<br />

1989 (Guidel<strong>in</strong>es for the Blood Transfusion Service <strong>in</strong> the UK, 1989: 5.4; 5.42; 5.43; 5.44; 5.410)<br />

• the UK Disability Liv<strong>in</strong>g Allowance Board accepted <strong>ME</strong> as a physical disorder <strong>in</strong> 1992<br />

• the UK Health M<strong>in</strong>ister went on record stat<strong>in</strong>g “<strong>ME</strong> is established as a medical<br />

condition” <strong>in</strong> 1992<br />

• the UK Chief Medical Officer went <strong>in</strong> record <strong>in</strong> 2002 stat<strong>in</strong>g that <strong>ME</strong> should be<br />

recognised alongside disorders such as multiple sclerosis and motor neurone disease<br />

• <strong>ME</strong> has been classified as a neurological disorder <strong>in</strong> the UK Read Codes (F286) used by all GPs<br />

s<strong>in</strong>ce 2003<br />

• the UK Health M<strong>in</strong>ister confirmed that the Department of Health accepted the WHO classification<br />

of <strong>ME</strong> (ie. as neurological) <strong>in</strong> 2004<br />

• <strong>ME</strong> has been <strong>in</strong>cluded <strong>in</strong> the UK National Service Framework for long‐term<br />

neurological conditions s<strong>in</strong>ce its <strong>in</strong>ception <strong>in</strong> 2005<br />

• <strong>ME</strong> is accepted to be (as well as be<strong>in</strong>g classified by the WHO as) a neurological condition by the<br />

UK Government as recorded <strong>in</strong> Hansard <strong>in</strong> 2008,

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