Author name: David Tuller

Trial By Error: More on the BMJ Opinion Piece from the Psychobabblers

By David Tuller, DrPH When it comes to ME and ME/CFS, The BMJ—formerly called The British Medical Journal but now, like the food franchise once known as Kentucky Fried Chicken, officially reduced to a mere acronym—is a long-time champion of the “biopsychosocial” ideological brigades. (I use the “scare quotes” because the term is a misnomer, …

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Trial By Error: BMJ Publishes New Propaganda Piece on Severe ME/CFS

By David Tuller, DrPH Last week, The BMJ published a commissioned propaganda piece—er, “opinion”—written by confirmed members of the cognitive behavior therapy/graded exercise therapy/Lightning Process ideological brigades. The title: “Patients with severe ME/CFS need hope and expert multidisciplinary care.” It repeats all the usual blah blah, along with the unwarranted assertions and evidence-free arguments about …

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Trial By Error: Pushback on “Brief Outpatient Rehab” Trial for Long Covid from Norwegian Ideological Brigades

By David Tuller, DrPH I often find myself responding to crap studies–such as a Norwegian study called “Brief Outpatient Rehabilitation Program for Post–COVID-19 Condition: A Randomized Clinical Trial,” from Nerli et al., published last December by JAMA Network Open. The senior author was Professor Vegard Wyller, the dean of the Norwegian wing of the CBT/GET/Lightning …

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Trial By Error: A Letter Seeking a Correction in FMD Physiotherapy Paper

By David Tuller, DrPH I have recently written about a trial of an intervention for functional motor disorder (FMD) that had null results for its primary outcome—physical function as rated by the SF-36. The study–“Specialist Physiotherapy for functional motor disorder in England and Scotland (Physio4FMD): a pragmatic, multicentre, phase 3 randomised controlled trial,” published by …

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Trial By Error: When Primary Outcomes Yield Null Results in Clinical Trials, FND Experts Prefer Their Secondary Outcomes

By David Tuller, DrPH In 2020, the CODES study of cognitive behavior therapy (CBT) for psychogenic non-epileptic seizures, also known as dissociative seizures, reported null findings for its primary outcome—the number of seizures per month one year after the start of therapy. This was a disappointing result for an ambitious effort to seek an effective …

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Trial By Error: Australian GPs Keep Promoting Exercise Treatments for ME/CFS

By David Tuller, DrPH When it comes to treatments for ME/CFS, the Royal Australian College of General Practitioners (RACGP) has long endorsed the graded exercise therapy (GET)/cognitive behavioral therapy (CBT) approach. Last April, the organization published an “updated” article in its Handbook of Non-Drug Interventions (HANDI) advocating “incremental physical activity” for what it called CFS/ME. …

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