Countrygirl
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https://www.virology.ws/2020/11/09/...lgxF3EPrDUY0fcoH9M4ztYltXYwmvdtjmbNpZWnzBWgtY
Trial By Error: With Trump Out, Can GET/CBT Be Next?
9 NOVEMBER 2020
By David Tuller, DrPH
Trial By Error: With Trump Out, Can GET/CBT Be Next?
9 NOVEMBER 2020
By David Tuller, DrPH
As the GET/CBT paradigm continues its slow collapse, members of the biopsychosocial ideological brigades have been busy repositioning themselves. The British Association for CFS/ME recently issued a muddled statement that seemed to rebut its own previous positions on GET and CBT—without explanation for the changes. Sir Simon recently suggested on twitter that these interventions were not based on the notion of getting more fit—a 1984-ish effort to un-say what he and his colleagues have asserted for years about the role of deconditioning in the illness. Going forward, I think we can expect more of these verbal pyrotechnics from people who know they got it wrong.
Tomorrow, we will learn a bit more about whether the international reevaluation and repudiation of the GET/CBT paradigm in recent years has had much impact in the UK. NICE is a major arm of the domestic medical-industrial complex, and its clinical guidelines are used extensively in British medical practice. Moreover, NICE’s influence extends far beyond domestic consumption. NICE guidelines are routinely cited and followed by health officials and clinicians around the world.
Here’s what I recently predicted about two main points of the draft NICE guidance to be released tomorrow: