Lightning Process

The Lightning Process is a psychological intervention created by Phil Parker that has been promoted to myalgic encephalomyelitis and chronic fatigue syndrome patients as a cure. It gets its name because it is supposed to cure in three days.

Overview
The Lightning Process claims to be a combination of neurolinguistic programming (NLP), positive psychology and osteopathy. The content of the process is copyrighted but according to patient reports involves affirmations and counteracting negative thoughts:

"'You ask yourself if you want to choose happiness. Which you obviously do and then you say how fantastic you are to have stopped the negativity thought. You ask yourself what you really want, then you answer yourself, and again ask yourself how you are going to get there. The answer of course is to keep doing the process, getting rid of those negative thoughts. Then you tell yourself how great you are again and maybe have a bit of a hug with yourself, then... no nothing, that's it.'"

The cost is between £695 and £1,997 for a three day course with additional sessions up to £250 an hour. (September 2016 rates)

The Lightning Process is based on the view that chronic fatigue syndrome is a "stress response" which leaves the person's body constantly on alert. It includes some cognitive behavioral therapy, a form of psychotherapy.

Evidence
The Lightning Process is not based on any theory derived by studying patients with ME/CFS, fibromyalgia or any particular illness or disease. LP practioners do not normally have either medical or mental health qualifications or training, they act as life coaches/trainers.

The Lightning Process has not been tested with any randomized, controlled trials.ref name="Toussaint2012"/> Evidence of benefits largely comes from personal testimonials, which often mention medical diagnoses that have not been confirmed from medical records, and it is not possible to know if patients later relapsed.

Before being accepted on a training course patients are expected to do preparatory work and to be psychologically "ready to engage" which appears to involve an assessment during a pre-course telephone call which includes already having the belief that change is possibly using the LP, and the belief in their own capability to recover/resolve their own issues. These conditions are likely to bias any outcomes when compared with controls or people undertaking a treatment which is open to everyone.

Harms, risks and side effects
Harms, risks and side effects are not documented in scientific literature, with the exception of Anderson et al. (2021), who reported "no serious adverse effects" in the controversial SMILE trial in children. The LP states it is a training course, not a treatment.

Anecdotal evidence of patient harm
According to a national survey by the Norwegian ME association ME Foreningen in (2012), Lightning Process was found to be one of the treatments that has done the most harm to patients. The Lightning Process resulted in 50% of the ME patients reporting that LP had made their condition worse, 25% seriously worse. 30% reported that LP had no effect on symptoms.

Attempted suicides
In 2011, a 13 year-old Norwegian boy with ME attempted suicide after he failed to improve with the Lightning Process.

In 2020, a Twitter user came forward with her story of 10 years of intense depression and suicide attempts as a result of being gaslit by the Lightning Process as a child.

King's College London Study
A small non-randomised qualitative study took place at King's College London, reporting in 2012. The study was conducted by Trudie Chalder and Nicola Archer with Silje Endresen Reme of Harvard University. Nine Participants aged 14 to 26 were recruited through advertisements. They were interviewed after undergoing the process along with three of their parents.

Seven participants reported being satisfied with two as dissatisfied. The intensity and poor follow-up were criticised by participants along with the secrecy surrounding it and feelings of guilt and blame if the treatment did not work.

SMILE trial
The Smile study protocol

Criticisms
John Greensmith criticised the Lightning Process programme as a costly pyramid scheme noting that people who train in the process frequently go on to become practitioners themselves.

Psychologist James Coyne has described the Lightning Process as "quackery backed by pseudoscientific theory".

Some patients critique the Lightning Process for its high cost, lack of evidence, and the pressure placed on participants if they do not improve.

SMILE trial
In a joint statement in August 2010, the ME Association and the Young ME Sufferers Trust called the SMILE trial "unethical" saying, "The ME Association and The Young ME Sufferers Trust do not believe that it is ethically right to use children in trialling an unproven and controversial process such as the Lightning Process."

Invest in ME Research, in a letter to the UK's National Research Ethics Committee (NRES), described the process as "rather like CBT but with bullying and risks of harm."

Professor Robin Gill, a member of the British Medical Association medical ethics committee, wrote to the Church Times about the LP and the SMILE trial. He expressed concern about the issue of coercion of children in the trial.

The BMJ Archives of Disease in Childhood,

Dr. Nick Brown, Editor-in-Chief Archives of Disease in Childhood, published by the BMJ, added an Editor's Note to the trial article 'Clinical and cost-effectiveness of the Lightning Process in addition to specialist medical care for paediatric chronic fatigue syndrome: randomised controlled trial'.


 * Editor's note


 * This study was published online in Archives of Disease in Childhood after peer review in September 2017. The trial tested the effectiveness of a neurolinguistic programming intervention (used widely but never formally tested) in children and young people with chronic fatigue recruited between 2010 and 2013. Though the number of participants was small, analysis suggested a benefit in terms of physical function (measured by the standard SF 36 scale) at both 6 and 12 months after intervention.


 * Since publication, the study has been criticised for failing to meet ICMJE and BMJ policy on trial registration and for not fully adhering to CONSORT guidance on trial reporting. The journal has been criticised for not detecting these issues during editorial and peer review. We have acknowledged these comments and reviewed our processes in relation to this paper and relating to EQUATOR guidance in general. In addition, we have received clarifications from the authors which are under editorial consideration.

Trial By Error by David Tuller, DrPH via Virology blog


 * Dec 13, 2017, The SMILE Trial's Undisclosed Outcome-Swapping
 * Jan 17, 2018, Professor Crawley’s Bogus BuzzFeed Claims
 * Jan 30, 2018, A Letter to Archives of Disease in Childhood
 * Feb 19, 2018, A Letter to BMJ Open
 * March 7, 2018, My Exchange With Archives of Disease in Childhood
 * May 28, 2018, NICE’s Consideration of the Lightning Process
 * Jun 4, 2018,BMJ Still “Looking Into” Lightning Process Paper
 * Jun 11, 1018, More Letters About BMJ's Flawed Pediatric Studies
 * Jul 11, 2018, Waiting for Godlee
 * Jul 11, 2018, Trial By Error: My Letter to Parliament’s Science and Technology Committee
 * Aug 21, 2019, Trial By Error: Joan Parland's Lightning Process Experience

British Advertising Standards Authority (ASA) ruling
In 2012 the British Advertising Standards Authority ruled against claims on the Lightning Process (LP) website.

The ASA upheld a complaint from Hampshire County Council trading standards made about false claims about the use and effectiveness of LP on ME/CFS. The claims were that "Our survey found that 81.3%* of clients report that they no longer have the issues they came with by day three of the LP course", which the complainant stated "misleadingly implied that the Lightning Process could treat or cure CFS/ME."

The ASA noted, "the website breached CAP Code (Edition 12) rules 3.1 (Misleading advertising), 3.7 (Substantiation) and 12.1 (Medicines, medical devices, health-related products and beauty products)."

The ASA ruled that Phil Parker Ltd should not make medical claims for the LP unless they were supported with robust evidence and the company was not to refer to conditions for which advice should be sought from suitably qualified health professionals.

The Nordic Consumer Ombudsman
The 2017 Agenda for the Nordic Consumer Ombudsman ruled that it is illegal to claim that any alternative medicine treatment is effective against specific illnesses and conditions. This ruling forbids the Lightening Process (LP) owners to market Lightening Process (LP) as a treatment for ME/CFS.

Videos

 * The Lightning Process Trial: A Saga of Very Bad Research--and Even Worse Editorial Decisions - David Tuller

Articles and blogs

 * 2021, Self-styled medical leaders defend “neurolinguistic processing” as legit treatment for ME/CFS - Brian Hughes
 * 2020, Trial By Error: My Talk Last October in Oxford (Video)
 * 2019, Joan Parland's Lightning Process experience
 * 2018, A Controversial Therapy For ME Has Led To Claims Of Death Threats, Harassment, And Pseudoscience - Buzzfeed
 * 2015, Patient's account of Lightning Process - Phoenix Rising
 * 2014, Cort Johnson on the Lightning Process SMILE Study - Health Rising

by independent scientists

 * 2021, Does the Lightning Process Training Programme Reduce Chronic Fatigue in Adolescent and Young Adult Cancer Survivors? A Mixed-Methods Pilot Study - (Full text)
 * 2020, Patients' experiences and effects of non-pharmacological treatment for myalgic encephalomyelitis/chronic fatigue syndrome–a scoping mixed methods review - (Full text)
 * 2018, Editor's Note by Dr. Nick Brown: Clinical and cost-effectiveness of the Lightning Process in addition to specialist medical care for paediatric chronic fatigue syndrome: randomised controlled trial - Archives of Disease in Childhood BMJ - (Editor's note)

by LP practioners

 * 2022, Reflections on NICE, CFS/ME, and the Lightning Process (Opinion piece)
 * Unpublished by journal in 2022 after complaints


 * 2021, CBT repackaged or a novel treatment? The Lightning Process compared with UK specialist medical care for paediatric Chronic Fatigue Syndrome - (Full text)
 * 2013, Experiences of young people who have undergone the Lightning Process to treat chronic fatigue syndrome/myalgic encephalomyelitis – a qualitative study - |doi=10.1111/j.2044-8287.2012.02093.x (Full text)
 * 2001, Kronisk utmattelsessyndrom og erfaring med Lightning Process - (in Norwegian)
 * 2012, A Mind-Body Technique for Symptoms Related to Fibromyalgia and Chronic Fatigue - (Full text)
 * Nobody with ME/CFS completed the programs, harms and reasons for dropping out were not reported on. The Lightening Process was compared with CBT and GET for fibromyalgia, which were ineffective, and there was no control group.

Books

 * An Introduction to the Lightning Process: The First Steps to Getting Well. Hay House, Inc., Phil Parker, P (2012)
 * Get the life you love, now: how to use the Lightning Process® toolkit for happiness and fulfilment. Hay House, Inc., Parker, P. (2013)

Online presence

 * YouTube
 * Twitter
 * Website

Learn more

 * The Lightning Process did not work for ME - Collection of patient experiences
 * LP-fortellinger (In English: LP-Stories) - A collection of stories from ME/CFS patients who have experienced the Lighting Process
 * Chronic Fatigue Syndrome and the Experience of the Lightning Process - A commentary article in the Journal of the Norwegian Medical Association. The lead author is a Lighting Process practitioner
 * Wikipedia - Lightning Process