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"Chronic Fatigue Syndrome" by Chalder in The Wiley Handbook of Cognitive Behavioral Therapy

Discussion in 'Latest ME/CFS Research' started by Dolphin, Aug 4, 2016.

  1. Dolphin

    Dolphin Senior Member

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    Useful article if anyone needs reminding that the CBT model for CFS is annoying.
     
    Last edited: Aug 4, 2016
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  2. Dolphin

    Dolphin Senior Member

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    mango, barbc56, Boronia and 5 others like this.
  3. Dolphin

    Dolphin Senior Member

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  4. Dolphin

    Dolphin Senior Member

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  5. Dolphin

    Dolphin Senior Member

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  6. Dolphin

    Dolphin Senior Member

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  7. Dolphin

    Dolphin Senior Member

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    The engagement section appears to suggest that the therapist disguises or hides from the patient what the therapist thinks.
     
  8. Dolphin

    Dolphin Senior Member

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    A recipe for problems with this illness I think.
     
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  9. Dolphin

    Dolphin Senior Member

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  10. Dolphin

    Dolphin Senior Member

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  11. duncan

    duncan Senior Member

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    In what world is a 20% recovery rate an "optimistic message"?
     
  12. Dolphin

    Dolphin Senior Member

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    How they sneakily try to change people.
     
  13. Dolphin

    Dolphin Senior Member

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    The PACE Trial is mentioned including the very dubious recovery figures:

     
    Last edited: Aug 4, 2016
  14. alex3619

    alex3619 Senior Member

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    I think this is called the Benevolent Lie.
     
  15. alex3619

    alex3619 Senior Member

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    So, speculation and theory equal fact?
     
  16. JaimeS

    JaimeS Senior Member

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    Wonder what they'd make of me: I've neither pushed nor retreated to my bed. I go for short walks every day so my muscles don't atropy (I'm aware this isn't in everyone's capacity: I've graduated to 'very minor' ME). Fascinating, the way I'm still sick, though, eh?:lol: Despite following this advice to the letter!

    I don't sleep during the day, either, or even lie down, on 9 days of 10. Fascinating, the way I'm still sick, eh?:lol: Despite following this advice to the letter!

    In other news, I love how they can only cite themselves and research that's 20+ years old... before all that pesky biomedical stuff came out.

    Everyone knows that sympathy is the worst for chronic illness. Ensure that they KNOW that if they continue to be ill -- a drain on society -- even their friends and family will abandon them. :confused: It's this kind of 'tough love' that sends UK patients off to be sectioned, which is clearly just best for everyone.

    ...my family encouraged the expression of emotion. No one in my family is emotionally stunted / limited: we're very open, emotionally. Fascinating, the way I'm still sick, eh?:lol: Despite not having my emotional responses met with hostility as a child!

    o_O We're apparently morons as well, and can't 'grasp' the delicate and complex nature of the way that our beliefs can cause dramatic shifts in our blood tests and such. Well, all right; that's accurate. I have trouble grasping how anybody could believe in that if I close my eyes and think happy thoughts -- with the help of Chalder's magic pixie dust... I'll be able to fly! :angel:

    I also WISH the biomedical aspects were 'easy to understand.' Also, if they are, why doesn't Chalder understand them as we all do? ;)

    My favorite is that I know patients who insisted they had no childhood trauma during therapy sessions. The therapists' response?

    "You must've suppressed it." :thumbsup: = (If my conception does not match my pre-approved reality, reality is incorrect. Is this a healthy stance, psychologically?)

    Wowww. :bang-head: (I'm amazed it took me that long to get to that particular emoji.)

    Again, citations from ages ago, as well as being creepily insistent on techniques that read as brainwashing: "agree with the patient. Make them your friend. Slowly shift their perception of reality until it matches yours..."

    Preceded by "this works in 1 of 5 patients"!

    I guess those are the percentage naturally susceptible to suggestion.

    D'you know who I always think of when I see or hear about this lady?

    [​IMG]

    Chalder seems like just the sort of creature who'd really (pretend to) believe it was in your best interest to carve I must not tell lies into your hand to remind you that her reality supercedes yours every time you glance down. Chalder's motivation appears to be to punish patients for not conforming to the societally-acceptable mold of which she believes she is the only right and proper example. If electroshock were still common, she would relish dishing it out while claiming it was best for patients.

    I found Umbridge's character far creepier than Voldemort, personally, because people like her are recognizable IRL: they often end up high in government or politics because they know how to present a facade of respectability in front of 'the right people.'

    You guys know me, I am seldom this condemnatory, but I can't possibly come up with a fairer reply after reading what appears to be a direct, hateful, intentional assault on patients under the guise of a sweet let me HELP you. She must deeply despise her patients and test subjects.

    And if she isn't aware of that, she must be suppressing it. :thumbsup:

    -J
     
    Last edited: Aug 4, 2016
  17. Esther12

    Esther12 Senior Member

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    Thanks for the notes on this. It was one of those things I'd been meaning to find a copy of for ages. Sounds like it is worth a read.
     
  18. JaimeS

    JaimeS Senior Member

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    The important part is, @alex3619 , that Umbridge's mythos is better than your hypotheses, because she herself is better than all patients put together.

    Sorry, I'm calling her that from now on...
     
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  19. GreyOwl

    GreyOwl Dx: strong belief system, avoidance, hypervigilant

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    Only if the person speculating and theorising is a proponent of BPS theory.
     
  20. taniaaust1

    taniaaust1 Senior Member

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    Maybe they should be writing a section in their books on how this kind of lying causes distrust between them and their patients once they are found out. Also leads to ME patients then not trusting other doctors either.
     
    Last edited: Aug 4, 2016
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