I honestly could not find an appropriate section on the forums in which to post this article. I seriously questioned whether or not it has any place on these forums. I have posted it because of the potential damage it will do and the need to challenge the article's premise and draw attention to the real harm it will do. Kempke, S., et al., Unraveling the role of perfectionism in chronic fatigue syndrome: Is there a distinction between adaptive and maladaptive perfectionism?, Psychiatry Res. (2010), doi:10.1016/j.psychres.2010.09.016 The authors claim to be studying and writing about CFS and if the article were not so horrifying in its potential to do serious harm, I would have thought it to be a satirical piece put together by some of the more clever amongst us. I doubt that collectively we could have come up with a more perfect piece of satire. The authors do an absolutely flawless job of capturing the danger of the diagnostic/cohort issues perpetuated by the CDC as they confound depression with CFS. They then gleefully run headlong down the CBT/GET road with recommendations on how one may refine CBT (apparently we need to lower our standards and expectations - I'd suggest we start by lowering our expectations of the psychiatric community even further - as if that was possible). Please understand if I don't participate much in the discussion of this article. After having slogged my way through it, I'm feeling like I need to go take a shower. Someone needs to respond to this. It is published in the journal Psychiatry Research. People's lives will be impacted. Jennie, I know this question is likely to ignite another CAA flare up but I have to ask, what is the CAA's policy on responding to articles like this? If the CAA has no policy, does the IACFS/ME have a policy? I tried to respond to the CDC's article on CFS and personality this past summer and simply I couldn't sustain the effort/went into a prolonged crash. I have a pdf copy of this entire article if anyone who is interested.