Tijdschr Psychother. 2011; (37)4: 233-258; Frank N.M. Twisk, Rob J.W. Arnoldus en Michael Maes:
Cognitive Behavioral Therapy (CBT)/Graded Exercise Therapy (GET)
is often proclaimed to be
the only evidence-based therapy for
Myalgic Encephalomyelitis (ME)/Chronic Fatigue Syndrome (CFS).
However, medical research has proven
that the psychosocial explanatory models of Vercoulen and others
– being the justification for CBT/GET –
are invalid, and
that CBT/GET is not only ineffective,
but also potentially harmful for many patients.
like pain, cognitive impairment, fatigue and post-exertional malaise,
can plausibly be explained by physical abnormalities,
especially inflammation, oxidative/nitrosative stress,
metabolic dysfunction, cardiovascular disturbances,
gastro-intestinal aberrations and ion channel dysfunction.
The dominance of
the psychosocial explanatory model and CBT/GET
has profound medical, juridical, financial/social and
psycho/emotional consequences for patients.
Based upon these observations
should question his role as CBT/GET therapist,
as a result of psychologizing ME/CFS,
any patients are reluctant to seek essential psychological counselling
aimed at coping with the disease.
See also: When CBT fanatico's get ME they run away from silly CBT as fast as possible !!
See also: Metabolic dysfunction causes Post-Exertional malaise in ME/CFS
See also: Jan 2011, Spanish study shows that CBT and GET make things WORSE in ME/CFS !!!
See also: Is ignoring clinical evidence The Way Ahead for the RCGP and Prof Christopher Ward ?
See also: Harvard Medical School: EEG spectral coherence data distinguish chronic fatigue syndrome patients from healthy controls and depressed patients
See also: Cerebrospinal fluid profiles can differentiate between Lyme disease, ME/CFS and healthy controls
See also: Post-exercise acid exposure 50 times higher in ME/CFS patients vs healthy controls, with no reduction with repeat exercise
See also: The putative agent of ME/CFS can be transferred to monkeys