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1 🇳🇴) In this Norwegian study, therapists using a psychosomatic approach to ME/CFS expressed "concern about how current approaches might be viewed if future research were to establish a treatable biological dysfunction."

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Doctors are worried about their reputation without doing anything to ensure their reputation is good. No ethical code. The way they treat certain groups of patients is disgusting. ME/CFS & patients with disabilities & chronic painful diseases are treated like shit. They've made medical care unsafe.

2) The study interviewed 16 healthcare professionals who take a 'psychologically and behaviourally informed approach' and believe that this helps patients recover from ME/CFS. The interviews give insight into their experience, how they view patients and their approach.

3) The paper highlights several teams such as that ME/CFS patients often end up in no-man's-land, that it's important to validate their experiences, build trust and offer a potential explanation for their symptoms in terms of stress and the body's alarms systems.

4) But the interesting thing about the paper is that it also includes some reflection from these therapists: what if we're wrong? We don't see that very often because being confident and persuasive is part of the treatment approach towards recovery.

5) Some expressed residual diagnostic uncertainty (perhaps something was overlooked) or concern that future research might show a biomedical abnormality "with little or no role for the processes they currently targeted."

This paper revisits psychological and behavioural approaches to ME/CFS without convincing evidence that they lead to recovery. Reframing these approaches does not address their evidentiary limitations or the physical suffering patients experience.