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

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“Results:<br />

52<br />

• Only 2% of respondents reported that they considered themselves to be completely cured upon f<strong>in</strong>ish<strong>in</strong>g the<br />

therapy<br />

• 30% reported ‘an improvement’ as a result of the therapy<br />

• The same percentage [30%] reported no change<br />

• 38% said the therapy had affected them adversely, the majority of them even report<strong>in</strong>g substantial<br />

deterioration<br />

• Participat<strong>in</strong>g <strong>in</strong> CBT proved to have little impact on the number of hours people were capable of ma<strong>in</strong>ta<strong>in</strong><strong>in</strong>g<br />

social contacts or do<strong>in</strong>g household tasks<br />

• A strik<strong>in</strong>g outcome is that the number of those respondents who were <strong>in</strong> paid employment or who were<br />

study<strong>in</strong>g while tak<strong>in</strong>g part <strong>in</strong> CBT was adversely affected. The negative outcome <strong>in</strong> paid employment was<br />

statistically significant.<br />

“A subgroup analysis showed that:<br />

• Those patients who were <strong>in</strong>volved <strong>in</strong> legal proceed<strong>in</strong>gs <strong>in</strong> order to obta<strong>in</strong> disability benefit while participat<strong>in</strong>g<br />

<strong>in</strong> CBT did not score worse than those who were not<br />

• Cases where a stated objective of the therapy was a complete cure did not have a better outcome<br />

• Moreover, the length of the therapy did not affect the results.<br />

“Conclusions: This pilot study, based on subjective experiences of <strong>ME</strong>/CFS sufferers, does not confirm the<br />

high success rates regularly claimed by research <strong>in</strong>to the effectiveness of CBT for <strong>ME</strong>/CFS.<br />

“Overall, CBT for <strong>ME</strong>/CFS does not improve patients’ well‐be<strong>in</strong>g: More patients report deterioration of<br />

their condition rather than improvement.<br />

“Our conclusion is that the claims <strong>in</strong> scientific publications about the effectiveness of this therapy, based<br />

on trials <strong>in</strong> strictly controlled sett<strong>in</strong>gs with<strong>in</strong> universities, have been overstated and are therefore<br />

mislead<strong>in</strong>g” (Source: Medisch Contact, February 2008, ISBN: 978‐90‐812658‐1‐2, by Koolhaas MP, de<br />

Boorder H, van Hoof E. The Netherlands. Information from m.p.koolhaas@consunet.nl ).<br />

A University of East Anglia conference has exploded the widespread myth that CBT is more effective than<br />

other types of therapy. CBT has been the subject of massive Government <strong>in</strong>vestment, as <strong>in</strong> the £8.5 million<br />

awarded for the sett<strong>in</strong>g up of “CFS” Centres specifically to deliver CBT to “CFS/<strong>ME</strong>” patients, and the<br />

millions of pounds sterl<strong>in</strong>g awarded to the Wessely School psychiatrists by the MRC to support the claimed<br />

efficacy of CBT <strong>in</strong> “CFS/<strong>ME</strong>” (said by Professor Sharpe <strong>in</strong> 2007 to have risen to about £4 million: Co‐Cure<br />

ACT:RES:22 nd Octber 2008), and recently CBT has been the subject of a £173 million Government grant.<br />

The UEA conference was told: “The Government, the public, and even many health officials have been sold<br />

a version of the scientific evidence that is not based <strong>in</strong> fact, but is <strong>in</strong>stead based on error”. The conference<br />

was told that three comb<strong>in</strong><strong>in</strong>g factors have helped perpetuate the CBT myth: (i) more academic researchers<br />

subscribe to the CBT approach than to any other; (ii) these researchers get more research grants and publish<br />

more studies on the alleged effectiveness of CBT and (iii) this greater number of studies is used to imply that<br />

CBT is effective (News Desk, 18 th July 2008).

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