If profesionals of health systems don't begin to reflect urgently about actual Tardo-Patriarchy percoling all of us at a global level, that would mean that, not only it is a case of auto-censorship, but also that they (their mind, their cultural constructs) are prisoners of the (residual) Patriarchy that still inhabit inside them, doctors and health-services people that it is supposed they are going to protect all of us, and no merely to follow The Archetypical-Patriarchy-Law: The silence, itself the most subtil, the easiest and powerful, and coward, Patriarchy weapon pon pon pon pon pon pon poing poing poing poing baaaaaah!
Published 11 February 2010, doi:10.1136/bmj.c738
Cite this as: BMJ 2010;340:c738
Chronic fatigue syndrome
Defeatism among clinicians is undermining evidence that it can be treated
|The first 150 words of the full text of this article appear below.|
The recent acquittal of Kay Gilderdale, who had been charged with the attempted murder of her 31 year old daughter Lynn, has led to blanket press coverage this week. She was given a one year suspended sentence for the lesser charge of aiding and abetting suicide, to which she had earlier entered a guilty plea. The debate in the media has focused on the rights and wrongs of assisted suicide, the wisdom of bringing a prosecution for attempted murder, and whether the law needs to be changed.
Yet perhaps the most striking aspect of the case from the clinician’s point of view is the largely uncontested media portrayal of a condition referred to as chronic fatigue syndrome or myalgic encephalomyelitis (now commonly if unsatisfactorily called CFS/ME) as a progressive, paralysing, and commonly fatal illness. Little has been said in the media about the uncertainties and controversies that this diagnosis has
Alastair M Santhouse, consultant in psychological medicine1, Matthew Hotopf, professor of general hospital psychiatry2, Anthony S David, professor of cognitive neuropsychiatry3
1 South London and Maudsley NHS Foundation Trust, York Clinic, Guy’s Hospital, London SE1 3RR , 2 King’s College London, Department of Psychological Medicine, Institute of Psychiatry, Weston Education Centre, London SE5 9RJ, 3 Section of Cognitive Neuropsychiatry, PO Box 68, Institute of Psychiatry, King’s College, London SE5 8AF