If there is no conspiracy that means by definition that there has only ever been one person behind the insurance lobbying, the countless BPS organisations set up, clearly outlined refusal off data which hides the truth behind a medical treatment causing potential harm, the SMC etc etc.
The issue here is the difference between conspiracy and politics. There is no question there is widespread political wrangling going on.
Now if David Tuller is right and they wrote a paper about intrinsic bias in the use of standard deviation calculation on extreme data that is not normalized, then there are grounds for investigation for scientific fraud. However there is a complication here - they are clever enough to tell everyone the bare essentials of what they did. It should have been picked up by the reviewers, editors, the readers etc. Of course we did find the problem, but David Tuller found the paper that shows they knew exactly what they were doing. So if they told people, is it fraud? Or just poor scientific practice? They seem to love ambiguity.
Has anyone looked up that paper cited by David Tuller?
To me the difference between conspiracy and politics and stupidity and greed are not always obvious. Politics turns to conspiracy, by my way of thinking, if there is a
deliberate attempt to
improperly sway the situation in their favour. The issue comes down to what is "improperly". It seems that good scientific practices are acceptably thrown out the window in large areas in psychiatric, and especially psychogenic, research. All of this seems to be in a political and social framework, not scientific. The scientific trappings are part of the persuasive technique, and given these claims often seem to meet the definition of nonscience then it invokes the possibility of pseudoscience. In science there is nothing as dangerous as a true believer. Science relies on evidence and reason, not belief.
Its deeply ironic that Wessely keeps going on about how CFS is a social phenomenon, while at the same time BPS is a social phenomenon inside and outside of psychiatry. So is their claim that CBT/GET is effective in treating CFS and ME.
I would bet there is nothing like a single conspiracy. There will be widespread and complicated politics. Inside that, as in any large group of people working on an issue, will be a whole lot of tiny conspiracies. Its yet another reason why making research, and bureaucracy, totally transparent is so very important.
One of the problems in the current age is that bureaucratic processes and scientific processes are becoming more entangled. Governments privatizing essential government services is involved too.
Accountability is difficult if not impossible if you put essential functions of government outside the government. We have that issue here in Australia at the moment with a corporate database used by one of our regulators being considered for outsourcing to a private corporation.
What is undoubtedly happening is groups with similar agendas are supporting each other. This is what leads to Zombie Science, "science" funded and supported by vested interests and not evidence and reason.
So in many respects most claimed conspiracies are probably just business as usual politics and people acting in their own best interests. Much of the rest is due to failures in governance. Transparency and accountability are essential governance concepts.
If you move away from the notion of conspiracy into notions of ethics and morality, then its even murkier but there may be a lot more evidence that things are not what they should be. I have not thought about this nearly enough. I regard the MAGENTA trial as probably unethical, and any ethics committee approval is problematic. Not advising patients, prior to the PACE study, of possible conflicts of interest, is also probably unethical.