Now, that's the right question.
It's one of those things we've discussed extensively here. If the point is really that CFS sufferers are mentally ill, then the disdain, aggression, and mockery they've received from the psychiatric profession is beyond the pale. It's also pure hysteria to claim that patient communities like Phoenix Rising are riddled with death threats -- where it seems we mostly discuss science and
poke fun at these guys.
Because it would not be okay to say about, e.g., schizophrenics, or people with depressive disorder, what is said about individuals with CFS, there must be the supposition that we are in fact faking illness due to 'secondary gains' -- a hypothesis espoused by Wessley often. So we're sane, we're just trying to get all of that
sweet chronic illness cash. You know how it is.
But it's not reasonable or socially acceptable to talk about secondary gains in any meaningful way, since government assistance in most countries lets you pick a run-down shack to live in, or groceries to eat, but not both. Who would willingly give up their entire lives like that, for money that isn't enough to live on? 'Secondary gains' assumes cash or sympathy or extra help, which are things that -- if you read PR boards -- you know doesn't generally reflect reality.
So patients are inventing disabling symptoms for secondary gains that
don't exist.
That brings us back to 'these patients must actually be crazy', and we've completed the nutty loop: that in our society you don't treat people with mental disorders the way that BPS folk feel comfortable treating us.
These are not people who do a lot of meta-analysis re: why they think what they think, and how it informs their actions, which I'm sure comes as a surprise to no one.
