This thread has been split from -- http://forums.phoenixrising.me/inde...ditor-richard-smiths-blog-post-on-pace.41853/. If somebody can up with a better title, let me know.
A problem with subjective measures in PACE is that any control condition would have had to have dealt with the issue of blame for failure of the treatment. With CBT and GET, where patients were told that it was within their power to recover by their own efforts, and they were then assessed face-to-face (at 52 weeks, not at long-term), the obvious corollary of that is that if they didn't recover it was their own damn fault for not trying hard enough. Under that kind of pressure, they're going to inflate their ratings when assessed non-blind. Very hard to control for that.
One thing that concerns me about PACE is that patients weren't debriefed at the end. They've left a lot of patients having been repeatedly told by people in positions of authority over six months into thinking they could recover through their own efforts. It's clear from the summary table that the vast majority were still very ill at the end. The patients must feel awful about themselves.
I suspect we're a bit off-topic again, though. Maybe we should start a new thread if we want to go down this particular rabbit-hole.
A problem with subjective measures in PACE is that any control condition would have had to have dealt with the issue of blame for failure of the treatment. With CBT and GET, where patients were told that it was within their power to recover by their own efforts, and they were then assessed face-to-face (at 52 weeks, not at long-term), the obvious corollary of that is that if they didn't recover it was their own damn fault for not trying hard enough. Under that kind of pressure, they're going to inflate their ratings when assessed non-blind. Very hard to control for that.
One thing that concerns me about PACE is that patients weren't debriefed at the end. They've left a lot of patients having been repeatedly told by people in positions of authority over six months into thinking they could recover through their own efforts. It's clear from the summary table that the vast majority were still very ill at the end. The patients must feel awful about themselves.
I suspect we're a bit off-topic again, though. Maybe we should start a new thread if we want to go down this particular rabbit-hole.
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