edit: I've just realised that I forgot to post a link to the paper I started this thread about! Sorry about that. It's often slightly disappointing to read my old posts and realise how garbled that are! Here's the link: http://www.annfammed.org/content/2/6/576.full I've just read this and the replies (it did take me a day to get through it all), and thought it was kind of interesting. In some ways it sounded really sweet, in other ways, terrifyingly naive about the way the BPS model would actually lead to patients being treated. It's just hilarious when you compare it to the impact the biopsychosocial reforms to the UK benefits system are having, or even to those training videos Chalder did: http://forums.phoenixrising.me/inde...sh-gps-on-how-to-deal-with-cfs-patients.3079/ Anyone thinking that it was a good idea to promote a biopsychosocial approach to CFS within the NHS must have not cared much about the impact it would have upon patients, or have been utterly deluded about the psychosocial setting most medical staff are operating within. Some of the things the above paper expects from doctors would require them to be super-human... or else will inevitably lead to quackery. In the White book on BPS they talk about the model only gaining influence when politicians and civil servants realise it can be used as a way of saving money... and this now seems to be the primary role of BPS: to justify cutbacks in care and assistance for those with health problems. How very proud all those who made their careers out of it must be.