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

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could he require Primary Care Trusts to follow M<strong>in</strong>isterial command. As far as <strong>ME</strong>/CFS is concerned, it<br />

seems that there is noth<strong>in</strong>g the Government can ‐‐ or will – do about the current situation.<br />

It is apparent that the Government feels no duty of care towards those whose life has been devastated by<br />

<strong>ME</strong>/CFS, a situation that is borne out by Professor Stephen Holgate’s confirmation at the RSM Meet<strong>in</strong>g on<br />

11 th July 2009 (Medic<strong>in</strong>e and me; hear<strong>in</strong>g the patients’ voice) that the Government will not permit <strong>in</strong>tegrated<br />

research <strong>in</strong>to <strong>ME</strong>/CFS.<br />

This can only mean that the <strong>in</strong>fluence of the Wessely School over the lives of people with <strong>ME</strong>/CFS will<br />

cont<strong>in</strong>ue and that their tactics of denial (see Appendix VII) will rema<strong>in</strong> unchallenged, no matter what the<br />

calibre of the biomedical evidence show<strong>in</strong>g them to be wrong. As people recently drily commented on an<br />

<strong>ME</strong> group, those tactics <strong>in</strong>clude:<br />

“load up your committees with your biased friends and pretend they are offer<strong>in</strong>g a fresh look; give really negative<br />

scor<strong>in</strong>gs to biomedical applications; try to stop biomedical papers gett<strong>in</strong>g published <strong>in</strong> the better known journals; make<br />

sure to keep on publish<strong>in</strong>g psychiatric rubbish to bias the general medical population and scientific community aga<strong>in</strong>st<br />

any other explanation, and give the impression that CBT/GET is all that is needed i.e. no need to waste all that money<br />

on silly biomedical projects” (http://health.groups.yahoo.com/group/Local<strong>ME</strong>/ 6 th December 2009) and “ensure you use the sketchiest<br />

diagnostic criteria you can get away with; wherever possible, avoid see<strong>in</strong>g/talk<strong>in</strong>g to patients at all; never<br />

discuss/<strong>in</strong>volve the severely affected; avoid us<strong>in</strong>g objective outcome measures; rotate the name of lead authors on papers<br />

and ensure you <strong>in</strong>clude plenty of reference papers from your psychosocial mates….” (http://<br />

health.groups.yahoo.com/group/Local<strong>ME</strong>/ 7 th December 2009).<br />

As others have noted, the strategy is (1) to ignore <strong>ME</strong>; (2) to ensure that CFS is seen as a problem of false<br />

perception, then (3) to reclassify “CFS/<strong>ME</strong>” as a somatoform disorder (Co‐Cure NOT:ACT: 12 th January<br />

2008), which is far removed from the reality of <strong>ME</strong>/CFS, the CNS dysfunctions of which are described by Dr<br />

Byron Hyde as be<strong>in</strong>g caused by “widespread, measurable, diffuse micro‐vasculitis affect<strong>in</strong>g normal cell operation<br />

and ma<strong>in</strong>tenance….The evidence would suggest that <strong>ME</strong> is caused primarily by a diverse group of viral <strong>in</strong>fections that<br />

have neurotropic characteristics and that appear to exert their <strong>in</strong>fluence primarily on the CNS arterial bed” (ibid).<br />

Patients and their families, many cl<strong>in</strong>icians and researchers are well aware of such strategies and tactics but<br />

‐‐ so powerfully has the Wessely School myth about <strong>ME</strong>/CFS been promulgated ‐‐ have been unable to halt<br />

them.<br />

As Dr Jacob Teitelbaum reported, the XMRV virus study clearly documents that (<strong>ME</strong>)CFS is validated<br />

with<strong>in</strong> the ma<strong>in</strong>stream medical community as a real, physical and devastat<strong>in</strong>g illness, “aga<strong>in</strong> prov<strong>in</strong>g that<br />

those who abuse patients by imply<strong>in</strong>g that the disease is all <strong>in</strong> their m<strong>in</strong>d are be<strong>in</strong>g cruel and unscientific…Though the<br />

economics may cause a few <strong>in</strong>surance companies to cont<strong>in</strong>ue to unethically deny the science, so they can avoid pay<strong>in</strong>g<br />

for the health care and disability costs they are responsible for, this research should speed up understand<strong>in</strong>g of the<br />

illness. Meanwhile, for those with the illness, their families and their physicians, it is now clear that this is a real and<br />

devastat<strong>in</strong>g illness” (Co‐Cure RES: 4 th December 2009).<br />

That there is profound concern amongst parliamentarians about the psychosocial model of “CFS/<strong>ME</strong>” is<br />

recorded <strong>in</strong> the M<strong>in</strong>utes of the APPG<strong>ME</strong> meet<strong>in</strong>g that was held on 8 th July 2009:<br />

“Chair (Dr Des Turner MP): “I th<strong>in</strong>k that anyone who presumes to dictate a model of service for <strong>ME</strong>/<br />

CFS<br />

sufferers is be<strong>in</strong>g precocious, because there are no recognised guaranteed therapies. There are services which<br />

are offered but, as you know, they do not necessarily have any beneficial effect for sufferers, and <strong>in</strong> some<br />

cases, they can have adverse effects. We are aware of that. That will be an issue covered by the <strong>in</strong>quiry”<br />

(referr<strong>in</strong>g to the APPG Inquiry <strong>in</strong>to NHS Service Provision for People with <strong>ME</strong>, which began tak<strong>in</strong>g<br />

evidence the follow<strong>in</strong>g day).

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