Im always out looking for motives of things being published when I see stuff coming from London.
Yet, therapies such as CBT, which focus on reducing negative constructs, produce unsatisfactory recovery rates in physical and psychiatric symptoms in this patient group
interestingly is contrasted with the papers
Previous psychological research into CFS has largely focused on the identification of negative constructs and CBT, a treatment that targets evidenced-based negative constructs, has demonstrated efficacy in reducing levels of fatigue and disability.
We've seen this same kind of tactic so many times before.. its say something to like draw the ME/CFS group in or to blind eye them but then to put in what appeals to the psych pushing group
eg in the past with the psychs it has been to make it look like they believe the illness is physical..before throwing in the twist to push its mental health but on this occassion I see it as being, lets support that the CBT was bad.. then they put down what they really want to get through to people reading this and support its good "efficient"
I believe they do this kind of stuff to get these things out there without too much outcry and people who dont know the illness well to know what is crap and what isnt, will probably be more impacted by the line that the CBT "has demonstrated efficacy in reducing levels of fatigue and disability" as that is what they most hear in media so its reminding people of this, it just takes a little tiny mention to strongly reinforce a view they have heard so many times before
(its harder to take in a new idea then to reinforce an old).
they are using psychological tactics when putting this research out there. They are putting out research which on first glace appears anti CBT but is it really? (they just reinforced CBT is good!!). Is there a reason why they dont want to fully knock CBT? (they could of easily left out that reinforcement that its good?). There is and they give off their true intentions and the way they want things to head in the next quote I've cut and pasted which to most will look like a quite innocent thing unless its seen in the whole context of this research.
Finding ways to enhance the efficacy of existing treatments is a clinical priority. There is evidence to suggest that in clinical populations, standard CBT is effective at reducing negative affect and thinking but fails to enhance low levels of positive affect and thinking, implying treatments may be more effective if they promote positive functioning alongside a reduction of negative functioning.
Note that first sentence which is the quote from the main research info. (something which is written under heading 'key practioner messages" So what are the "existing treatments" they wish to "enhance efficancy of" with this research? it certainly isnt something like viral treatments!.. this is a psych group. Even if they hadnt mentioned the CBT in that it was obvious what they were refering too. Watch out can you see where this is all headed..
Im going to put out a prediction - we may well see this as being used as an excuse why CBT didnt work well. We may suddenly see a heap of new studies using this new thing ALONG with CBT to "enhance efficacy" (of exsiting treatment) of CBT.
Im going to guess there are few other studies going on in this line right now which will only be published if they get supportive results! A few studies of this supporting this (something to enhance CBT) and they no longer have to worry about failed PACE trial. CBT in a new form can live. (I feel sick just thinking about this, its like a bad nightmare which cant be stopped).
The CBT people are not about to quit and if they can add something else and tell everyone that CBT is more efficient now due to being done little differently (and in process tell people they are about to do studies or have got them going on with "new improved" CBT ..umm may go and rename it), they will do just that.
This challenges the overemphasis on maladaptive cognitive and personality traits in past research and the premise of CBT in trying to remove negative traits'.
On this basis, researchers may wish to shift the paradigm of psychological treatments for CFS away from an exclusive focus on symptom reduction, towards the enhancement of strength, happiness and virtue
"On this basis, researchers may wish to shift the paradigm of psychological treatments for CFS away from an exclusive focus on symptom reduction, towards the enhancement of strength, happiness and virtue"
CBT has failed (PACE) and they need to now twist things, feed people the same concept but redesigned. once again I say watch it, I predict here comes
a new improved CBT (under a new name to get from the bad CBT PACE trial reports if they see that as too damaging) said to be now far more efficient due to focus now more towards "strength, happiness and virtue"
this is a taste of what is to come, I wish we knew how to stop all this
but we are against a mob of drs who know how to make the most impact upon others and will never admit they were wrong.