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(1/2) XMRV Professors: "CBT is the only treament for the Vicious Circle of Cancer"

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Uploaded by on Jun 17, 2010

"The syndrome was predicted largely by the severity of the acute illness rather than by demographic, psychological, or
microbiological factors".

w w w .bmj . com /cgi/reprint_abr/333/7568/575.pdf
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In order to engage the participant in therapy, it is important that the therapist conveys to the participant their belief in the reality of their symptoms, distress and handicap. The
therapist should be able to demonstrate a sound knowledge of CFS/ME as participants will generally be well informed about their illness and may have had "difficult"
experiences with other professionals who may have not taken their problems seriously ( Wessely Chalder Sharpe White and others in PACE)

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Uploader Comments (titusLcarus)

  • PACE material below:

  • Treatment is focused on addressing the cognitive and behavioural factors that maintain the vicious circle of CFS/ME

    Factors that commonly maintain or perpetuate chronic fatigue syndrome can be

    illustrated in a diagram that we call a vicious circle.

  • In order to engage the participant in therapy, it is important that the therapist conveys to the participant their belief in the reality of their symptoms, distress and handicap. The therapist should be able to demonstrate a sound knowledge of CFS/ME as participants will generally be well informed about their illness and may have had "difficult" experiences with other professionals who may have not taken their problems seriously.

  • If participants are insistent that there is an ongoing "physicial” problem, it is rarely

    helpful to directly challenge them on this point. It is important that you acknowledge that their illness is real but its effects can be reversed by the way they manage it.

  • The way that you present the rationale for treatment will be particularly important otherwise they may feel that you are trying to "psychologise” the illness. It is particularly helpful if they are sceptical about this approach, to draw a model of illness together, to look at all the factors that may have triggered it and be involved in maintaining it.

  • Patients often feel reassured when they are informed that CBT helps people with a wide range of health problems including cancer, chronic pain and diabetes. It can be helpful for this group of patients to try to view aspects of CBT as an experiment.

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All Comments (32)

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  • @titusLcarus Please could you give an example of what sort of work Lynn Gilderdale could have attempted?

  • Sorry , I didn't realise that CBT could cure brain stem inflammation. Could you please direct me to the studies that prove this. Also, perhaps sufferers might be more reassured if you could satisfactorily explain why they are banned from giving blood or donating organs even after death.

  • Simon Wessely, scumbag par excellence.

  • If patients with ME/CFS were worried about being stigmatized by a label, we would never admit to having ME/CFS and instead would deny this in favor of a diagnosis of depression. It's not at all that's there's some type of stigma associated with MH issues, it's that mental illness doesn't explain what we have experienced and is not the answer to ME/CFS. We deny a MH CAUSATION for the serious physical health issue that is ME/CFS. Depression would be much less stigmatizing than ME/CFS.

  • I love the use of the word "burden." Of course he's thinking in terms on "burden" on the doctor's practice (meaning for the doctor) but it really exemplifies how they think of us in general. We're a "burden," not patients needing help and wanting real answers.

  • how can anyone who chooses to wear that hat be taken seriously?

  • "Since you assume my disease is mental, I am sure you would not mind to inject some blood of mine? After all, nothing is in there, right?

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