By Anil van der Zee.
The other day Dr. Jim Faas, insurance physician, lawyer, former President of the Association of Insurance Physicians (NVVG) and Senior Staff Officer at the Dutch unemployment office (UWV bezwaar en beroep), wrote a blog in the biggest Dutch medical news website Medisch Contact about the current situation of the PACE trial and Cognitive Behavioral Therapy (CBT) and Graded Exercise Therapy (GET) in general. Dr. Faas posed some great questions and his piece is truly a major development.
Neurologist Emile Keuter, a “prominent” figure in the Medically Unexplained Physical Symptoms (MUPS) world, establishing MUPS guidelines in the Netherlands and a proponent of the CBT/GET model for M.E., wrote a response on Medisch Contact. He referred to the ME community as the “militant CFS/ME community”. He ends the blog by claiming that CBT seems to be reasonably effective against physical fatigue but not with ME patients and makes the suggestive remark by saying “You may guess why”. Below is my response.
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