#@!&!! &%#@!+?! bleeping blank blank bleep! What I really think about this garbage is unprintable in a family forum. These people put the babble in psychobabble. Reputable psychiatrists, the ones whose goal is to actually help people with mental illness, should be outraged by this kind of sloppy thinking and sloppy research, because it discredits their whole profession. Its clear they dont know their post from their ergo. They suffer from serious causal fallacies. Answers to true/false statements like "I am in just as good physical health as most of my friends," "I can work about as well as before," or "I feel like I cannot get going" might indicate psychopathology if answered by a person with no somatic illness. But taken in the context of someone with ME/CFS, say, or post-polio syndrome, MS, late-stage AIDS, congestive heart disease, rheumatoid arthritis, or other serious illness, the responses would be perfectly appropriate. I have seen nothing that would indicate that the Personality Diagnostic Questionnaire 4 has been demonstrated to have validity when administered to people with a serious illness. On the contrary, the Personality Diagnostic Questionnaire 4 has been shown to have a high rate of false positives. My favorite line was Since maladaptive personality is not specific to CFS, it might be associated with illness per se rather than with a specific condition. Let us not forget how inaccurate their assessment of who has CFS is. I suppose we could say theyve done us a favor by showing that they are studying people with depression rather than ME/CFS. Unfortunately, it doesnt really matter if its not a good study or that its not in a prestigious journal; it will still be cited as evidence that those people are crazy by people who have an interest in discounting and discrediting anything we say. For that matter, even insisting we are sane can be used as evidence of personality disorders. From the Merck manual People with a personality disorder are unaware that their thought or behavior patterns are inappropriate. And of course, thinking that someone might want to construe the study this way can be used as evidence of a paranoid personality.