Cinders66
Senior Member
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Hey that's AFMEs years work you're dissingLooks like the expected mix of psychobabble, real science, off-topic presentations, and AfME being incapable of telling the difference.
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Created in 2008, Phoenix Rising is the largest and oldest forum dedicated to furthering the understanding of, and finding treatments for, complex chronic illnesses such as chronic fatigue syndrome (ME/CFS), fibromyalgia, long COVID, postural orthostatic tachycardia syndrome (POTS), mast cell activation syndrome (MCAS), and allied diseases.
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Hey that's AFMEs years work you're dissingLooks like the expected mix of psychobabble, real science, off-topic presentations, and AfME being incapable of telling the difference.
Looks like the expected mix of psychobabble, real science, off-topic presentations, and AfME being incapable of telling the difference.
well we will get the video in the next few days - Friday or Monday maybe - so you will be able to check it outI wonder if the challenges include anti-science patient groups? Don't know him, apologies if he's one of the good guys. Still might be more worthwhile to talk about actual research instead of why it's not happening.
To be fair, there are likely some idiot BPSers in the audience who haven't discovered the importance of objective outcomes, recruiting patients with the mandatory disease symptoms, or that the patients matter more than putting another entry on their CV/résumé.And come up with these self-evident points as news. Isn't that what universities are for?
If the CMRC don't realise how embarrassing it is for her (Julia Newton?) to feel the need to point these things out to those attending then we have no hope of any progress from them. Did anybody feel the need for such basic education at the IiME conference this year? I highly doubt it.Honestly? I'm in bed, waiting for research and they discuss generally how research is done ("Have the ability to address the question appropriately". "Be able to measure the right thing"). And come up with these self-evident points as news. Isn't that what universities are for? I was originally a teacher and the following is not cynicism, I am honestly convinced that these points could be brainstormed by school kids.
That's exactly the same question I asked myself when seeing these tweets - Could I imagine slides like this at the Invest in ME conference? No. I ordered the DVD and the two days were so packed with exiting research. No time to discuss what skills researchers need to do their job.Did anybody feel the need for such basic education at the IiME conference this year? I highly doubt it.
I'd expect that's exactly what it's about. With extra spin, to make MEGA sound awesome and make patients opposed to it sound irrational. If AfME had a purpose, it wouldn't be fit for itIsn't it sad that hearing "collaboration" from these circles makes me afraid? Sounds like MEGA and "multi-discipline approach" (aka CBT etc.).
Another meta-talk about the theory of research (ironically called "practical session").
Let me guess what harms research? Anti-science activists, militant patients?
Isn't it sad that hearing "collaboration" from these circles makes me afraid? Sounds like MEGA and "multi-discipline approach" (aka CBT etc.).
bringing ALL stakeholders together...
Our national pain centre
Since 2010 we’ve been funding a national pain centre with the University of Nottingham in a bid to tackle long-term pain, involving clinicians and scientists from different research fields. These experts are working together to research better treatments for arthritis.
The aims over the next five years are:
Our research section gives more information about what we’re funding.
- looking at pain from a social context; finding out what patients’ understanding of pain is and what they expect from treatment
- investigating closely two forms of pain mechanisms: the role of peripheral pain (pain that comes from the nerves in the joints) and central pain (the way that the brain responds to and processes chronic pain) and trying to produce new compounds that target these pain pathways
- running clinical trials aimed at testing existing drugs and any new painkillers that may be produced over the next five years.
Research into the placebo effect
We’re funding some interesting research into the power of the placebo effect (where patients feel an improvement in their symptoms due to the power of suggestion rather than due to the effects of an actual drug). Our research team are giving placebos to volunteers with osteoarthritis and fibromyalgia to find out if they release natural painkillers in the body, known as endogenous pain control mechanisms.
The researchers are using laser stimuli to induce experimental placebo responses in the three volunteer groups. It’s believed that people with chronic widespread pain have abnormalities of how they anticipate and focus on pain and the researchers suggest that this results in them feeling greater pain than other people.
Novel research using mirrors
Our research has shown that mirrors can trick the brain into recovering from severe, long-term pain.
Researchers have found that people with severe pain in a limb (such as complex regional pain syndrome) found relief by looking at a reflection of their healthy limb in a mirror. The reflection of the non-painful limb gives the person the impression of now having two healthy, pain-free, functioning limbs. The treatment is based on a new theory about how people experience pain even when doctors can find no obvious direct cause.
The theory suggests that the brain’s image of the body can become faulty, resulting in a mismatch between the brain’s movement control systems and its sensory systems, causing a person to experience pain when they move a particular limb. Imaging studies have demonstrated that chronic pain reduces activity within the brain’s sensory and motor systems that relate to the painful area. Mirror visual feedback therapy has been shown to reactivate these areas, thereby improving function and reducing pain.
Telephone-delivered CBT
Our research has shown that cognitive behavioural therapy (CBT) provided over the phone can have a positive impact on people suffering from chronic widespread pain compared to usual care provided by their GP.
Patients who received a short course of CBT over the telephone from trained therapists reported that they felt ‘better’ or ‘very much better’ at the end of a six-month treatment period, and also three months after it ended.
Our trial was the first-ever trial of telephone-delivered CBT for people with chronic widespread pain.
Exercise was also shown to improve pain and disability and helped people manage their symptoms.
Other research
Much of our research looks at pain at specifics sites. We’ve shown that yoga can help people manage back pain more effectively, and we’re currently investigating acupuncture and the Alexander technique as possible treatments for neck pain.
We’re looking at better ways of managing back pain in primary care by developing a new screening tool for GPs which has been designed to pick up whether a patient’s risk of back pain becoming chronic is low, medium or high – and which is enthusiastically being taken up by GPs around the country. Patients are then offered different treatments, with those at highest risk of their back pain becoming chronic given the most intensive physiotherapy treatment, while those at low risk are encouraged to avoid numerous sessions of treatment that are unlikely to be beneficial.
We’re looking at whether a particular intense form of CBT can help people whose back pain has led them to withdraw from society and normal life, people who are known as ‘fear avoidant’. It’s being compared to physiotherapy. Early results look promising.
16:05-16:40 Fatigue and Functional Neurological Disorder – making a pathophysiological link
Professor Mark Edwards, St George's University of London, UK
Abstract
Functional neurological disorder (conversion disorder/psychogenic disorder) is one of the commonest diagnoses made in neurology clinics. People present with genuine neurological symptoms, but such symptoms ‘break rules’ regarding basic anatomy and physiology. Patients with functional neurological disorder have traditionally fallen down the crack between the dualistic divide of neurology and psychiatry, and tend to have a poor prognosis. Recent developments in pathophysiological thinking in this disorder has provided a neurobiological account of functional symptoms to go alongside psychodynamic accounts. This account uses models of brain function based on active inference to explain functional symptoms. This lecture will consider if there is an extension of this work to help us understand the pathophysiology of fatigue, and how this might also enhance treatment.