Author name: David Tuller

Trial By Error: Tack’s Take on 2020 Studies; Professor Edwards’ Statement to NICE

By David Tuller, DrPH I have been laying low during the recent holiday and coup season. Today I’m watching the impeachment hearings. And I might find it challenging to get back up to full speed until after New Year’s–which for me will be January 20th, or whichever day the White House is finally de-Trumped. For …

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Trial By Error: Psych Issues Do Not Predict ME/CFS, New Chicago Study Shows

By David Tuller, DrPH For decades, investigators have argued over the causes of the illness or cluster of illnesses variously called myalgic encephalomyelitis (ME), chronic fatigue syndrome (CFS),  ME/CFS, CFS/ME and other names. In the absence of an adequate explanation for the debilitating symptoms, a flawed approach to intervention based on the perceived need for …

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Trial By Error: Swedish ME Patient Fears Forced Psychiatric Treatment

By David Tuller, DrPH Holger Klintenberg, a 35-year-old from the southern Swedish city of Jonkoping, has severe ME. His illness began after a bout of mononucleosis (or glandular fever) when he was 19. He has recently experienced difficult interactions with the health care system. His family fears he could be forced into psychiatric care against …

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Trial By Error: A Letter to BMJ From Prof Hughes, Prof Racaniello and Me

By David Tuller, DrPH I have sent the following letter to Fiona Godlee, editorial director of BMJ and editor-in-chief of The BMJ, on behalf of Professors Brian Hughes and Vincent Racaniello as well as me. We were responding to the recent editorial regarding the new draft of ME/CFS clinical guidelines from the National Institute for …

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Trial By Error: BMJ Pushes Back Against New NICE Draft

By David Tuller, DrPH The BMJ has published an online “editorial” slamming the new draft of clinical guidelines for ME/CFS from the National Institute for Health and Care Excellence. The position expressed is an interesting one: Non-pharmacological treatments for “complex conditions” cannot be adequately measured by randomized trials, according to the two authors. It is, …

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Trial By Error: Professors Chalder and Crawley Join Forces to Push CBT for Kids

By David Tuller, DrPH On November 10th, the National Institute of Health and Care Excellence published a draft of new clinical guidelines for ME/CFS. The draft represented a blunt rejection of the argument that the combination of “unhelpful cognitions” and deconditioning drives the illness. Under this once-hegemonic framework, indicated therapies include cognitive behavior therapy to …

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