I have to admit that I was disappointed by both pieces. I think I remember Janet Eastham being a patient who gets it and is a goodie, and I'm sure it's a pain to get anything into the papers, but:
This week a group of researchers at Bristol University, led by Professor Esther Crawley, offered new hope for sufferers. Until now, it has often been overlooked that up to 1 in 50 children and teenagers have CFS and that it can disrupt education.
The 1 in 50 figure seems pretty questionable - maybe it was overlooked because it was BS?
Crawley’s online treatment programme sounds promising but some of those who are affected by the illness are likely to be suspicious of a treatment that involves psychological therapy, the validity of which for treating CFS has been a subject of heated debate.
Maybe patients are suspicious because the trial appears poorly designed and Crawley has form with spinning results for CBT/GET trials? Why play along with the notion that patients are concerned because the trial involves a 'psychological' treatment?
That's not my concern, and if that's all that concerns other patients then they sound pretty foolish to me.
Also, I'm not really keen on anecdote based stories, and this one with Emma Franklin [best wishes to her, and she's braver than I to put her story in the paper - I know I've done and said lots of things I regret to do with my health] seems particularly risky as it sounds like she's pursuing some alternative treatments that have no better evidence to support them than CBT/GET.
Maybe, my expectations were unduly raised for this, but it felt like it could be a net loss (sorry to be negative). Crawley does sound a bit rubbish, but so do patients concerned about the trial, and again it feeds into this misleading narrative that the key conflict is over psychological vs non-psychological treatments/models of illness. That presentation of the issue makes things so difficult for us. It should be about 'is this rigorous research'? 'Are misleading claims about made about treatment efficacy?' Those are the issues that really matter, and they're debates where the evidence is really on our side.
We really need to do all we can to get away from this phony 'psychological vs biological' debate that gets in the way of picking apart the flawed research which is being used to make misleading claims to patients. For the sake of the arguments around PACE/FITNET/etc it really doesn't matter whether or not CFS is a psychological illness... lets get down to discussing the merits of these researchers work!
I worry that social media/twitter is a bit unhelpful here, as the important issues are complicated and don't fit into a tweet, but 'psych treatments' for CFS is a shorthand for so many problems to those who already know the history. I worry that patients mutual understanding of one another encourages some communication to take place in a way that serves to undermine us with outsiders.