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Trial By Error: Dr Rob Wüst on ME/CFS, Long Covid and Deconditioning

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By David Tuller. DrPH Proponents of psycho-behavioral interventions for ME/CFS and, more recently, Long Covid, have argued–unconvincingly and with a shortage of actual evidence–that the disabling symptoms can be attributed to the effects of deconditioning. Earlier today, I spoke with Dr Rob Wüst, an expert in muscle physiology and metabolism at Vrije [Free] University Amsterdam. …

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Trial By Error: Canadian GET/CBT Campaigners Publish Propaganda Cosplaying as Research on Twitter Trends

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By David Tuller, DrPH McMaster University, in Hamilton, Ontario, seems to be Canada’s Ground Zero for psychosomatic theorizing. In March, 2021, a psychiatrist-in-training, Jeremy Devine, published an opinion in The Wall Street Journal titled “The Dubious Origins of Long Covid.” (I wrote about it here.) Devine cited the PACE trial favorably, as if its findings …

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

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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

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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

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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

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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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