Per Fink

Per Fink is head Professor, MD, PhD, DMSc of The Research Clinic for Functional Disorders and Psychosomatics at Aarhus Universitetshospital in Denmark, which treats people with Bodily Distress Disorder, health anxiety and psychosomatic illness.

ME/CFS
His approach to chronic fatigue syndrome is to classify it as a Functional Disorder with medically unexplained physical symptoms rather than a biological physical illness. Fink's treatment approach to ME/CFS is opposed by Danish patient group ME Foreningen.

He co-authored the leaflet Information About Functional Disorders - When the body says stop, published the The Danish Committee for Health Education and issued in co-operation with The Research Clinic for Functional Disorders and Psychosomatics, Aarhus University and the Research Unit for General Practice.

In 2019, the Danish parliament unanimously voted to separate ME/CFS from functional disorders (medically unexplained symptoms), and to treat the disease as a physical neurological illness using the World Health Organization classification rather than as psychosomatic illness, and called upon the department of health to update it's information.

Notable studies

 * 2012 - Cognitive–behavioural group treatment for a range of functional somatic syndromes: randomised trial.
 * Dec 7, 2016, James Coyne's PLOS ONE blog post critique of Per Fink's 2012 paper: Danish RCT of cognitive behavior therapy for whatever ails your physician about you


 * 2017, Long-term economic evaluation of cognitive-behavioural group treatment versus enhanced usual care for functional somatic syndromes
 * 2017, Syndromes of bodily distress or functional somatic syndromes - Where are we heading. Lecture on the occasion of receiving the Alison Creed award 2017

Controversies and criticism
Per Fink has applies the biopsychosocial model (BPS) to the organic biological disease myalgic encephalomyelitis (ME), using a biopsychosocial approach rather than biomedical treatment. Fink's recommended treatment for ME is cognitive behavioral therapy (CBT) and graded exercise therapy (GET), and he claims most people will be cured or significantly better after treatment.

Karina Hansen's institutionalization
Karina Hansen is a Danish woman who became ill with ME as a young adult. An attempt was made to remove Karina from her home in 2012; after this incident, she arranged for her parents to have power of attorney, in case she was declared unfit.

On February 12, 2013, Karina Hansen was removed from her home and taken to Hammel Neurocenter. She was 24 years old. Only months later her sister, a nurse, visited Karina and found her condition had deteriorated to the point that she could no longer speak. Per Fink was one of two doctors overseeing her "treatment".

In October of 2014, Karina was moved to a nearby rehabilitation center for brain injury, where she was allowed limited contact with her family. Though she was physically clean and cared-for, she was in a wheelchair and unable to speak clearly. She did not recognize her father at all when he visited her in December of 2015.

Although Karina was already very ill when she was taken from her home, at that time she was still able to stand up occasionally and clearly communicate with others. Her current condition represents a frightening deterioration in her physical and mental health, whether from ME-induced neurological damage, severe over-medication, trauma as a result of her circumstances, or some combination of all three. Though there is no certainty regarding how Karina was treated at Hammel Neurocenter, the recommended treatment for ME in Denmark consists of CBT, GET, occupational therapy, and psychotropic medications.

It took a Danish High Court Case to bring Karina back home three-and-a-half years later.

In 2018, Per Fink made a statement on the Aarhus University Hospital website criticizing a media campaign about an unnamed patient that may have been Karina, and claiming that no patient had ever been held at the clinic against their will, and that the Danish parliament had investigated and found no wrongdoing on part of the clinic. Aarhus University Hospital had been reported as advising the Hammel Neurocenter where Karina was held, and protests were held outside both clinics.

Clinic location
Aarhus University Hospital, Norrebrogade 44, DK-8000 Aarhus C

Tel. +45 7845 0000

Email: auh@rm.dk

Talks and interviews

 * 2004 The TERM Model: An advanced educational program for non-psychiatric physicians


 * 2012, Somatoform disorders – functional somatic syndromes – Bodily distress syndrome. Need for care and organisation of care in an international perspective - EACLPP Lecture

Online presence

 * PubMed
 * LinkedIn

Learn more

 * Affiliated Institution: Aarhus University Hospital
 * 2015, Per Fink complains about IOM ME/CFS report (Institute of Medicine report)