Pragmatic Rehabilitation was assessed in the UK£1.3m FINE Trial. It is similar to CBT and GET and a previous trial of it (Powell et al., 2001) has been used in reviews of GET and CBT for CFS (as evidence of their efficacy). I have just come across the manual: http://www.fine-trial.net/downloads/Patient PR Manual ver9 Apr05.pdf I don't have time/energy to review it at the moment. However, Orla in the thread, "Psychiatric Theory in practice: Liverpool CF/CFS Clinic Patient handout" http://forums.phoenixrising.me/inde...liverpool-cf-cfs-clinic-patient-handout.3066/ , wrote a detailed critique of that manual which I believe is similar. --- Note: I have also just set up a thread: "FINE Trial: Pragmatic Rehabilitation Presentation (initial presentation to patients) http://forums.phoenixrising.me/inde...ation-initial-presentation-to-patients.21416/ I thought it would be easier to have separate threads given there is a good chance people will start discussing the contents as it might get confusing with the page numbers, etc.