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Overcoming the barriers to the diagnosis and management of CFS/ME in primary care

Discussion in 'Latest ME/CFS Research' started by Bob, Mar 14, 2014.

  1. Bob

    Bob

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    I thought I'd seen this somewhere on the forum, but i can't find it, so here it is...

    It's another attack on the 'biomedical model' of ME, this time by UK authors...

    I don't think i'm familiar with the authors. It anyone else?


    Overcoming the barriers to the diagnosis and management of chronic fatigue syndrome/ME in primary care: a meta synthesis of qualitative studies.
    Bayliss K, Goodall M, Chisholm A, Fordham B, Chew-Graham C, Riste L, Fisher L, Lovell K, Peters S, Wearden A.
    7 March 2014
    BMC Fam Pract. 2014 Mar 7;15(1):44.
    http://www.biomedcentral.com/1471-2296/15/44

    Full PDF:
    http://www.biomedcentral.com/content/pdf/1471-2296-15-44.pdf

    Last edited: Mar 14, 2014
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  2. Dolphin

    Dolphin Senior Member

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    A lot of them were involved with the FINE Trial ...
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  3. barbc56

    barbc56 Senior Member

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    Is the study saying that since doctors don't know about me/cfs it's psychological or are they saying to look at the whole picture which includes biological plus any mental conditions?

    TBH, I can't make heads or tails of this and can't download the pdf, atm.

    If a doctor needs to look at the whole picture, will they also refer us to a dental clinic an? :lol:

    I think not.

    Barb
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  4. Bob

    Bob

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    @barbc56, I haven't read the full paper yet, but the abstract simply asserts that CFS/ME is best treated via a 'bio-psychosocial' approach. Considering the authors, I suspect this actually means via a 'psychosocial' approach, without the 'bio'. In other words, via normal NHS treatments: CBT/GET/pain meds.

    It's ground-breaking stuff!
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  5. peggy-sue

    peggy-sue

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    "A more flexible bio-psychosocial approach is recommended where medical school training aims to equip practitioners with the skills needed to understand, support and manage patients and provide a pathway to refer for specialist input."

    Bolding in that quote from the Conclusions part, by me.
    I would re-interpret that to mean that gps need to pay more attention to the nasty little videos produced by nurse chalder on how to flannel your patients with philospohical arguments about dualism (disguised as monism) and mind-body theories.

    I know my gp has watched them. He didn't know that I was well enough educated to be able to see right through it and have the counter arguements ready.:p
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  6. daisybell

    daisybell Senior Member

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    From a quick glance through, this reads like sitting on the fence.... The authors seem to be trying to appease both the doctors and patients. Which of course ends up satisfying neither for the main part.
  7. peggy-sue

    peggy-sue

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    We've seen this all before. Loads and loads of times.

    The "difficulties" are all caused by our being unwilling to accept that it is all in our heads.:rolleyes:

    This is merely about how they are going to carry on gaslighting more effectively.:bang-head:
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