FT, Dr Margaret McCartney: If it’s in the mind, it’s still the real thing

Yesterday, I posted commentary from Dr Alastair Miller on the RSM CFS Conference:

“The reality right now is that we do not have any evidenced based approaches other than CBT and GET to help our patients and these techniques are helpful to many of our patients – not everyone and I do accept that in some cases they may worsen the situation but that is true of many conditions and many therapeutic interventions. Equally we know that CBT may help symptoms in many other situations – for example, it is of benefit in some patients with cancer and nobody would claim that cancer is a psychological condition.”

Dr Alastair Miller, Royal Liverpool University Hospital, speaker at the forthcoming Royal Society of Medicine CFS Conference

and here we go again, in today’s Financial Times…

“This troubles me, because Nice’s recommendation doesn’t imply this at all; psychological or behavioural treatments can, for example, be used to improve the quality of life of people who have diabetes, asthma, or cancer.”

Financial Times Weekend columnist Dr Margaret McCartney

If it’s in the mind, it’s still the real thing

By Margaret McCartney

Published: March 22 2008 02:55

“Medically unexplained conditions are common and frequently contentious. Conditions such as myalgic encephalitis (also ME or chronic fatigue syndrome), fibromyalgia (a disorder where pain is felt at various points in the body), repetitive strain injury and irritable bowel syndrome are comparable in that they do not have a diagnostic test, and are usually diagnosed by a process of exclusion.  Additionally, none has a clear pathological or biochemical abnormality…”

Read rest of article here


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