What exactly is the biopsychosocial model of ME as advocated by Professor Peter White? I don't want to start an anti-BPS thread, I would just like to know the theory so I know whether I agree or disagree with it. I'm also including a poll to see whether we all agree on what we think they think it is. You can vote for 2 options in case I haven't put any of them quite right and of course suggest your own.
Is it something along the lines of:
A) Normal tiredness or deconditioning which the patient mistakes for biological illness due to ignorance and overreaction? Like me misreading my bank statement and thinking I'm overdrawn when it doesn't say that.
B) An abnormal fatigue perception due to biological causes e.g. elevated cytokines or neurological sensors overstating it, but which doesn't directly affect exercise capacity. Like my bank statement really does say I'm overdrawn but it's wrong, so I could in fact afford to go shopping if only I realised it.
C) Abnormal fatigue perception due to biological causes (which possibly even stem partly from psychological causes as Gupta suggests) and this then causes exercise incapacity because, say, my brain prematurely curbs energy metabolism because it wrongly judges it's not viable, and this starts a vicious circle. Like my bank statement wrongly saying I'm overdrawn and the bank believes it and charges me for the overdraft and this genuinely does push me into the red, so I really can't afford to go shopping till the bank realises its mistake.
Or what?
Is it something along the lines of:
A) Normal tiredness or deconditioning which the patient mistakes for biological illness due to ignorance and overreaction? Like me misreading my bank statement and thinking I'm overdrawn when it doesn't say that.
B) An abnormal fatigue perception due to biological causes e.g. elevated cytokines or neurological sensors overstating it, but which doesn't directly affect exercise capacity. Like my bank statement really does say I'm overdrawn but it's wrong, so I could in fact afford to go shopping if only I realised it.
C) Abnormal fatigue perception due to biological causes (which possibly even stem partly from psychological causes as Gupta suggests) and this then causes exercise incapacity because, say, my brain prematurely curbs energy metabolism because it wrongly judges it's not viable, and this starts a vicious circle. Like my bank statement wrongly saying I'm overdrawn and the bank believes it and charges me for the overdraft and this genuinely does push me into the red, so I really can't afford to go shopping till the bank realises its mistake.
Or what?
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