A dualistic view of illness doesn’t help those with ME/CFS

In response to the tragic death of Maeve Boothby O'Neill, which was linked to outdated views on myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), a group of experts, including Peter White, Trudie Chalder, and Michael Sharpe, challenged misconceptions about the illness. They emphasized that ME/CFS arises from a complex interplay of biological, psychological, and social factors, rather than being solely a physiological or psychological issue. While acknowledging the criticisms of rehabilitative treatments like cognitive behavioural therapy and graded exercise therapy, they noted that no relevant research supporting these methods has been withdrawn. Despite the National Institute for Health and Care Excellence's (NICE) retraction of support for these treatments, the authors argued that many patients benefit from them. They contended that the decision was made based on flawed evidence interpretations and posited that understanding the multifactorial nature of ME/CFS is critical for effective treatment. Furthermore, the authors highlighted that many with ME/CFS have histories involving chronic stress and significant life events, which may contribute to the illness's onset. They advocate for a balanced understanding that considers both psychological and environmental factors in treatment approaches while emphasizing the reality and severity of symptoms experienced by sufferers.