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1) 🇫🇷 France' public health insurance Ameli has updated its info on ME/CFS including sections critical of graded exercise and CBT. In this article, however, proponents of psychosomatic medicine explain how they pushed back to get some of the language changed.

14/10/26, 7:44 am6 reposts28 likes

Otrosdías

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2) The authors, who include Dr. Cédric Lemogne and Dr. Brigitte Ranque criticise, for example, that the webpage presented CBT mainly as "a means of supporting patients in coping with the condition, rather than as a treatment that might itself reduce symptoms or disability."

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3) They also questioned "language that might inadvertently imply an invariably poor prognosis or obscure evidence that some patients substantially improve or recover."

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4) "Some of us separately raised these concerns with the French national health insurance"., the article writes. Afterwards, the text was indeed (slightly) changed in their favour. It now includes references to the controversial PACE and Cochrane review on GET.

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5) In the article, the authors explain that this provides a lesson for psychosomatic medicine. They caution not to conflate onset, pathology and treatment of an illness and that blame should be avoided when discussing cognitive and behavioural aspects.