The Rise and Fall of the Wessely School

New preprint available here ABSTRACT The Wessely School’s (WS) approach to medically unexplained symptoms, myalgic encephalomyelitis and chronic fatigue syndrome (MUS/MECFS) is critically reviewed using scientific criteria. Based on the ‘Biopsychosocial Model’, the WS proposes that patients’ dysfunctional beliefs, deconditioning and attentional biases cause illness, disrupt therapies, and lead to preventable deaths. The evidence reviewedContinue reading “The Rise and Fall of the Wessely School”

“Doctors can commit scientific fraud and financial fraud and not be punished”

Press Release by Dr Myhill concerning Dr Myhill’s Virtual Hearing 22 MARCH 2021 – vs ICO & GMC Doctors can commit scientific fraud and financial fraud and not be punished. This is the conclusion of Dr Sarah Myhill following her recent hearing vs the ICO and GMC. Dr Sarah Myhill tells us “That is officialContinue reading ““Doctors can commit scientific fraud and financial fraud and not be punished””

ME/CFS and the PACE trial

Here I review the disastrous trial known as the ‘PACE trial’. This updates a post from several years ago. Readers may also be interested in seeing the Special Issue on the PACE trial in the Journal of Health Psychology (2017). Review of the evidence indicates that none of the Wessely School’s hypotheses about the causesContinue reading “ME/CFS and the PACE trial”

ME/CFS and deconditioning

A previous post examined the Wessely School hypothesis that ME/CFS is caused by unhelpful beliefs. This idea was exploded as a myth. Here I examine a second Wessely School hypothesis (H2) that states: Deconditioning causes, or exacerbates the symptoms of, ME/CFS and MUS. Deconditioning refers to multiple, potentially reversible changes in body systems brought aboutContinue reading “ME/CFS and deconditioning”

ME/CFS and the Wessely School

In a series of posts I review the Wessely School’s influence on science, treatment and – most importantly – ME/CFS patient experience. In previous posts I outlined here the likely biological basis of ME/CFS and here treatment harms to patients. This post introduces the Wessely School’s approach to ME/CFS and medically unexplained symptoms. What isContinue reading “ME/CFS and the Wessely School”

ME/CFS and treatment harms

Despite evidence of physiological and cellular abnormalities in myalgic encephalomyelitis (ME)/chronic fatigue syndrome (CFS), the dominant therapeutic approach has been cognitive behaviour therapy (CBT) and graded exercise therapy (GET).  Patients report  distress and dissatisfaction following healthcare encounters based on GET and CBT.  A significant body of research suggests that CBT and GET are harmful forContinue reading “ME/CFS and treatment harms”