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

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48<br />

own 1996 Jo<strong>in</strong>t Royal College’s Report (CR54) that denied the existence of <strong>ME</strong>. In his Foreword to the 1994<br />

Task Force Report, Tyrell wrote: “We have no doubt that (<strong>ME</strong>/CFS) exist(s) and cause suffer<strong>in</strong>g and disability. We<br />

discuss the issue of nomenclature at some length for it is not just a semantic problem. It encompasses serious<br />

disagreements, which have sadly led to ill will and abusive remarks on such questions as whether the syndrome exists,<br />

whether it is ‘real’ or ‘organic’ or ‘merely’ psychological…it is important that…adm<strong>in</strong>istrators, cl<strong>in</strong>icians, scientists,<br />

fund<strong>in</strong>g agencies and patients identify the topics <strong>in</strong> their field on which action is needed…(and) the research<br />

community should be developed and strengthened. But we should be prepared for the long haul”.<br />

It has certa<strong>in</strong>ly been “a long haul” because 15 years later, despite approximately 5,000 published ma<strong>in</strong>stream<br />

papers that prove them wrong about the nature of <strong>ME</strong>/CFS, the Wessely School rema<strong>in</strong>s obdurate that<br />

“CFS/<strong>ME</strong>” is a somatisation disorder.<br />

Lay Statements of concern about flawed studies<br />

As part of the evidence that was obta<strong>in</strong>ed for the (unsuccessful) Judicial Review of the NICE Guidel<strong>in</strong>e <strong>in</strong><br />

February 2009 at the High Court <strong>in</strong> London, statements from people with <strong>ME</strong>/CFS about their experiences of<br />

CBT and GET were obta<strong>in</strong>ed from 37 lay people.<br />

Of concern is the evidence dated 22 nd September 2008 of DC from Liverpool whose statement about Wessely<br />

School behavioural <strong>in</strong>terventions confirmed:<br />

“I tried GET and from day one I followed the regime religiously. I would get weekly calls from my GET supervisor<br />

who I told exactly what I was experienc<strong>in</strong>g. I never let up once with the <strong>in</strong>cremental <strong>in</strong>creases on the exercise bike and<br />

found that the project supervisor became more and more agitated when after three months I couldn’t get any<br />

improvement from the programme. I pushed myself but found I did not recover. It just got harder and harder but I<br />

was told almost like a mantra that I must carry on, so I did. After three months—and I remember it well ‐‐ I pushed<br />

myself so hard to reach my target that other symptoms started to occur. I told the supervisor, who carried on the with<br />

‘GET rhetoric’…F<strong>in</strong>ally I was referred to the CFS cl<strong>in</strong>ic…who <strong>in</strong>formed my supervisor that I should stop…I was<br />

<strong>in</strong>formed that anyone who did not return for the post‐GET assessment was to be considered ‘recovered’. If<br />

this is the case then I feel whatever the results of the survey (they) would be skewed by correlation<br />

assessment not be<strong>in</strong>g carried out properly”.<br />

This is an important statement because it confirms that anyone who did not return for post‐GET<br />

assessment (because they may have suffered a serious relapse) was to be considered RECOVERED,<br />

which skews the statistics / data <strong>in</strong> favour of the alleged efficacy of what is <strong>in</strong> fact a failed <strong>in</strong>tervention.<br />

If true, that is scientific fraud.<br />

Another statement (from VJ, 13 th October 2008) confirms: “I am a fellow <strong>ME</strong> sufferer. I have had CBT at K<strong>in</strong>g’s<br />

Hospital <strong>in</strong> London which neither helped nor made me worse. However, I did approach my GP and Consultant at the<br />

Chronic Fatigue Unit about gett<strong>in</strong>g the battery of tests recommended under the Canadian Guidel<strong>in</strong>es and was fudged<br />

each time as to why they would not go through with these. I was told I fitted the Oxford criteria and that would<br />

be enough when deal<strong>in</strong>g with permanent health <strong>in</strong>surers and the DWP, and also that the Canadian<br />

Guidel<strong>in</strong>es tests were not tests they saw any reason to do on <strong>ME</strong> sufferers”.<br />

Def<strong>in</strong>itions of Cognitive Behaviour Therapy and Graded Exercise Therapy as used <strong>in</strong> the PACE Trial<br />

Simon Wessely has publicly stated: “CBT is directive – it is not enough to be k<strong>in</strong>d or supportive” (New<br />

Statesman, 1 st May 2008) and the form of CBT used <strong>in</strong> the PACE Trial is <strong>in</strong>deed “directive”.<br />

The Trial Identifier says: “CBT will be based on the illness model of fear avoidance. There are three essential<br />

elements: (a) Assessment of illness beliefs and cop<strong>in</strong>g strategies, (b) structur<strong>in</strong>g of daily rest, sleep and activity, with a<br />

graduated return to normal activity, (c) challeng<strong>in</strong>g of unhelpful beliefs about symptoms and activity” and that it

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