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Diane O'Leary, PhD Profile picture
@DianeOLeary
Jun 12 • 3 tweets • 3 min read Twitter logo Read on Twitter
Michael Sharpe's research has been discredited by Natl Academy of Sciences @theNASciences, @NIH, @NICEComms & @AHRQNews. What does it say to the public when the American Psychiatric Association @APApsychiatric honors this work w an achievement award - and no further comment?...
This report from Agency for Healthcare Research & Quality agrees w NIH & Nat Ac of Sci that Sharpe's research defining #MECFS is "high risk" & should be rejected. It evaluates many studies w conclusions based on that research & finds them all flawed.... ncbi.nlm.nih.gov/books/NBK37958…
This material has determined care for millions of patients for more than a decade. I'm not saying @APApsychiatric must agree w rigorous, unanimous scientific findings of government med agencies. I'm saying it's scientifically bizarre that they think it's ok to simply ignore it. /

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More from @DianeOLeary

Diane O'Leary, PhD Profile picture
Apr 12
This editorial is nonsense. To be clear, the claim here is that #LongCovid is psychosomatic. Authors' spin on that term does not arise from "progress". It arises from a plan in research to rebrand the term so that patients won't get angry & object...🧵 theglobeandmail.com/opinion/articl…
2/ "Progress" in psychosomatic research in the last 20 years has primarily been about rebranding. Convince people that psychosomatic conditions are brain problems, then they'll comply with psych treatment. Is it true that we "now know" these are problems w brain function? No...
3/ We knew that all along bcz most psych probs can be construed as probs w brain function. Is it true that we now know psychosom disorders are probs w "predictive processing" in the brain? Yes but that doesn't distinguish psychosomatic illness frm depression, anxiety, delusion...
Read 5 tweets
Diane O'Leary, PhD Profile picture
Dec 9, 2022
1/ I’ve been concerned that journalists have decided they’re fit to make credible contributions to medical issues like #longcovid – and this piece by @nataliesurely convinces me the problem is both bizarre & directly threatening to public health... newrepublic.com/article/168965…
2/ Shure has done a lot of research, but w no academic rigor or caution. More than that, she's got a decisive ax to grind in support of @awgaffney’s #longcovid agenda. You couldn’t grind this ax through peer review, but you can grind away in @newrepublic, so here we are...
3/ First, @nataliesurely why aren’t you asking the most obvious question: WHAT IS THE SCIENTIFIC CONSENSUS? The answer on that is so clear that among scientists this "debate" was resolved long ago: Long covid is biomedical disease(s)....
Read 13 tweets
Diane O'Leary, PhD Profile picture
Oct 6, 2022
There are 3 problems w Gaffney’s article, each one obvious enough, and dangerous enough, for @TheAtlantic to flag before publication. First, how could any editor publish the sentence, “a false separation of brain and body has long plagued medicine”?...
theatlantic.com/ideas/archive/…
People, the brain is a body part! No one in medicine or philosophy has ever been plagued by separation of body parts. We struggle with mind & body because mind is NOT a body part. Does it matter that Gaffney is terrible at amateur philosophy?... 2/
Hell yes it matters - because this article tells clinicians that they too should rely on nonsense philosophy when they make decisions about care for people who suffer from long covid... 3/
Read 8 tweets
Diane O'Leary, PhD Profile picture
May 29, 2022
I'm very happy to report that @awgaffney has been silenced on the question of what causes Long Covid, at least for today. This thread got pretty disjointed so here's the conversation in order, without editing, for all to see...
G: I have no overarching monocausal theory about LC. I’ve consistently contended that symptoms are likely propagated by different mechanisms/mediators in different patients. Yes I’ve said that psychosocial processes could be a contributing factor for some. True for many illnesse
O: Can you show where you've said this? As far as I can see, you've religiously avoided using the terms psychosomatic or psychosocial, preferring innuendo, and in a way that applies to all. You're saying now that perhaps most LC patients are suffering from biological disease?
Read 11 tweets
Diane O'Leary, PhD Profile picture
May 4, 2022
Everyone involved here is well meaning & clear that LC is bio disease. It’s impossible to overstate, though, how damaging this material is to LC patients. First, you have no science to support the claim that LC patients are more often traumatized or type A than anyone else…1/
It’s damaging to the cause for you to publicly engage in unscientific speculation. Second, for you @doctorasadkhan and @gezmedinger to concede high prevalence of trauma & type A in LC patients is for you to openly sanction the psychosomatic approach to LC…2/
It doesn’t matter that you don’t see the tie to trauma as a basis for psych causes. Others do, and you’re conceding the foundation for their approach (with no scientific basis). Third, it’s a bad idea to embrace this “we have to get rid of dualism” stuff - bcz…3/
Read 6 tweets
Diane O'Leary, PhD Profile picture
Aug 29, 2021
1/6 The 11th-hour halt to publication of the #ME/CFS guideline has been so very difficult for the patient community. It's particularly hard that there's been so little clarity about why this has happened and what it will take to move forward. Imho...
nice.org.uk/news/article/n…
2/6 it might be useful for patients & professionals to consider how immense the ramifications of this guideline are. NHS management of medically unexplained symptoms is based on the CFS example & consensus that psych care works via CBT & GET. That consensus is now shattered...
3/6 NHS #LongCovid care is largely based on the CFS example, and many US "experts" rely on the CFS model to gaslight long covid patients in the media. US med textbooks also base their MUS training on the psych model of CFS from the UK. Do you see how huge this is?...
Read 6 tweets

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