You misunderstand my point.
The psychs will say (as they currently do) that exercise is a treatment for CFS/ME (a somatisation disorder) even though patients claim it makes them worse. A presenting symptom is a worsening of the condition on exertion, but historical and ongoing interpretation is that that worsening is either deconditioning or all part of the faulty belief system.
In other words, PEM as a requirement is no hindrance to a psych interpretation and/or GET.
Have a quick look here, reactions from Drs to the IOM report
http://forums.phoenixrising.me/index.php?threads/this-is-what-were-up-against.35468/
Thanks. You're talking to the same person who gathered up those reactions.
I understand your point but the report also cites the 2-day CPET studies as objective evidence of worsening on exertion. I totally agree that a government committee diktat is not going to change the minds of physicians who believe it's a psych problem. But if objective evidence of exercise making us worse were to continue to accumulate, then the deconditioning position is going to become untenable.