5 ms·

Ouch, you're coming at me red hot there! To be clear, I think post-viral syndromes are a common "proximal" cause of CFS. If a patient doesn't have an underlying

Ouch, you're coming at me red hot there! To be clear, I think post-viral syndromes are a common "proximal" cause of CFS. If a patient doesn't have an underlying dynamic of chronic dissociation, and doesn't already have a few other CSS syndromes, then I think it's unlikely they will develop CFS as a post-viral syndrome. Cheers.

fatfingerd 3y ago
To me this seems suspiciously like confusing heightened awareness of a problem, or inability to treat it early, with cause. People who seem likely to be diagnosed seem less likely to happily sleep for 12 hours a day for a few weeks after a viral infection, more likely to blame themselves for their state and more stressed by awareness that something is wrong. Naturally, if a rich layabout has the problem anyway, then we can look to their childhood and find at least one trauma.
- whimsicalism 3y ago
  > To me this seems suspiciously like confusing heightened awareness of a problem, or inability to treat it early, with cause. Heightened awareness of a problem can be related to the cause - these are not distinct. The comorbidities of ME/CFS make it look very similar to known psychosomatic conditions. Researchers who explore psychological-heritable causes have been forced to stop due to death threats.
  - fatfingerd 3y ago
    Sure but if you look at male outcomes, we are clearly ignoring a lot of real health problems that are deadly, so 66% of males ignoring a less than deadly problem that allows 8 hours of work a day seems more likely than a lot of female hypochondriacs to me.
    - whimsicalism 3y ago
      This argument could be applied to any condition with psychosomatic indicators. Your suggestion that somatically-involved conditions aren't 'real' is offensive and what gives rise to the stigma that means we can't talk about this in the first place.
      - fatfingerd 3y ago
        There's no telling what's real once you are willing to go down that route, least of all a doctors opinion. If someone stops displaying symptoms that could just be a non blinded doctor and a placebo. I think the offense is going there without any double blinded science and then relying on non reproducible fields of research to annoy the patient.

fatfingerd 3y ago

To me this seems suspiciously like confusing heightened awareness of a problem, or inability to treat it early, with cause. People who seem likely to be diagnosed seem less likely to happily sleep for 12 hours a day for a few weeks after a viral infection, more likely to blame themselves for their state and more stressed by awareness that something is wrong. Naturally, if a rich layabout has the problem anyway, then we can look to their childhood and find at least one trauma.

whimsicalism 3y ago
> To me this seems suspiciously like confusing heightened awareness of a problem, or inability to treat it early, with cause. Heightened awareness of a problem can be related to the cause - these are not distinct. The comorbidities of ME/CFS make it look very similar to known psychosomatic conditions. Researchers who explore psychological-heritable causes have been forced to stop due to death threats.
- fatfingerd 3y ago
  Sure but if you look at male outcomes, we are clearly ignoring a lot of real health problems that are deadly, so 66% of males ignoring a less than deadly problem that allows 8 hours of work a day seems more likely than a lot of female hypochondriacs to me.
  - whimsicalism 3y ago
    This argument could be applied to any condition with psychosomatic indicators. Your suggestion that somatically-involved conditions aren't 'real' is offensive and what gives rise to the stigma that means we can't talk about this in the first place.
    - fatfingerd 3y ago
      There's no telling what's real once you are willing to go down that route, least of all a doctors opinion. If someone stops displaying symptoms that could just be a non blinded doctor and a placebo. I think the offense is going there without any double blinded science and then relying on non reproducible fields of research to annoy the patient.