Ciba Foundation Symposium 173 Chronic Fatigue Syndrome 12-14 May 1992
ISBN 0-471-93618-9
Page 310 Discussion – Non-pharmacological treatment
White: On this theme of treating the physical and the psychological factors together, Silas Weil Mitchell was probably the most successful doctor ever in treating this condition (Mitchell 1904). Apart from dietary requirements, that Norma Ware has mentioned, he was also very keen on massage; and his masseurs, if you read his work, were also very interested in talking to the patients. I wonder if Michael Sharpe believes that what he is doing is dealing with one part of the multidimensional problem, the psychological aspect, but missing out the on the physical aspects? Do you think a successful treatment would be one that combined the physical and the psychological sides together? It might include graded exercise therapy from David McCluskey, plus cognitive or dynamic psychotherapy at the same time.
Sharpe: I tend to agree with you on this. The model of illness we employ includes physiological, psychological and interpersonal dimensions; while we aim to change all of these, we focus our intervention on individual psychotherapy. The patients do carry out their own programme of physical therapy and we often see them with their partner. However, I think there would be a case for evaluating a programme that explicitly intervened simultaneously in physiological, psychological and interpersonal realms, although the results may be more difficult to interpret.
-reference page 317
Mitchell SW 1904 The evolution of the rest treatment. J Ment Dis 31:368-373
P. D. White Department of Psychological Medicine, Bartholomew’s Hospital, London EC1A 7EB, UK
M. C. Sharpe Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford OX3 7JX UK
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A couple of points Tilney would like to include in this post-
When White refers to David McCluskey I believe he should have said Michael Sharpe as -
I cannot see any reference to David McCluskey saying or recommending graded exercise therapy. David McCluskey was talking about Pharmacological approaches to the therapy of chronic fatigue syndrome (drugs) pages 280- 287 Discussion pages 287-297
– I believe he is be referring to Michael Sharpe talking about Non-pharmacological approaches to treatment (this is all about CBT) pages 298-308 Discussion pages 308-317
To the best of my knowledge the chap Dr White refers to as "probably the most successful doctor ever in treating this condition" was
Silas Weir Mitchell (February 15, 1829 – January 4, 1914)
ISBN 0-471-93618-9
Page 310 Discussion – Non-pharmacological treatment
White: On this theme of treating the physical and the psychological factors together, Silas Weil Mitchell was probably the most successful doctor ever in treating this condition (Mitchell 1904). Apart from dietary requirements, that Norma Ware has mentioned, he was also very keen on massage; and his masseurs, if you read his work, were also very interested in talking to the patients. I wonder if Michael Sharpe believes that what he is doing is dealing with one part of the multidimensional problem, the psychological aspect, but missing out the on the physical aspects? Do you think a successful treatment would be one that combined the physical and the psychological sides together? It might include graded exercise therapy from David McCluskey, plus cognitive or dynamic psychotherapy at the same time.
Sharpe: I tend to agree with you on this. The model of illness we employ includes physiological, psychological and interpersonal dimensions; while we aim to change all of these, we focus our intervention on individual psychotherapy. The patients do carry out their own programme of physical therapy and we often see them with their partner. However, I think there would be a case for evaluating a programme that explicitly intervened simultaneously in physiological, psychological and interpersonal realms, although the results may be more difficult to interpret.
-reference page 317
Mitchell SW 1904 The evolution of the rest treatment. J Ment Dis 31:368-373
P. D. White Department of Psychological Medicine, Bartholomew’s Hospital, London EC1A 7EB, UK
M. C. Sharpe Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford OX3 7JX UK
---------------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------------
A couple of points Tilney would like to include in this post-
When White refers to David McCluskey I believe he should have said Michael Sharpe as -
I cannot see any reference to David McCluskey saying or recommending graded exercise therapy. David McCluskey was talking about Pharmacological approaches to the therapy of chronic fatigue syndrome (drugs) pages 280- 287 Discussion pages 287-297
– I believe he is be referring to Michael Sharpe talking about Non-pharmacological approaches to treatment (this is all about CBT) pages 298-308 Discussion pages 308-317
To the best of my knowledge the chap Dr White refers to as "probably the most successful doctor ever in treating this condition" was
Silas Weir Mitchell (February 15, 1829 – January 4, 1914)