Anonymous
Not logged in
Talk
Contributions
Create account
Log in
Search
Editing
Alastair Miller
(section)
From MEpedia, a crowd-sourced encyclopedia of ME and CFS science and history
Namespaces
Page
Discussion
More
More
Page actions
Read
Edit
Edit source
History
Warning:
You are not logged in. Your IP address will be publicly visible if you make any edits. If you
log in
or
create an account
, your edits will be attributed to your username, along with other benefits.
Anti-spam check. Do
not
fill this in!
==Controversy related to the use of CBT and GET (as recommended by the PACE trial)== For treatment, Dr. Miller believes that drugs can ameliorate some of the symptoms such as pain, depression, [[nausea]], etc., but dissension arose from the patient community because he, also, recommended [[cognitive behavioral therapy]] ([[CBT]]) or [[graded exercise therapy]] ([[GET]]). He acknowledged that these treatments were controversial approaches, but since CBT was employed in many other chronic conditions such as cancer and [[rheumatoid arthritis]], he felt it was logical to try it for CFS/ME. His recommendation was based on the belief at the time that CBT and GET were "evidence based" as reported by the [[PACE trial]] and [[The Lancet]] article.<ref>http://www.gresham.ac.uk/lectures-and-events/myalgic-encephalomyelitis-chronic-fatigue-syndrome-not-just-tired-all-the-time</ref> In a 2008 message to the [[25 Percent ME Group]], regarding the group's complaint about the Royal Society of Medicine Conference on CFS endorsement of [[CBT]] and [[GET]], Dr. Miller responded: "The reality right now is that we do not have any evidenced based approaches other than [[CBT]] and [[GET]] to help our patients and these techniques are helpful to many of our patients β not everyone and I do accept that in some cases they may worsen the situation but that is true of many conditions and many therapeutic interventions."<ref>https://readmeukevents.wordpress.com/2008/03/21/correspondence-with-dr-alastair-miller-speaker-rsm-cfs-conference/</ref> In a [[Science Media Centre]] press release in 2011, Dr Miller reaffirmed his belief in [[CBT]] and [[GET]] by stating: "It is clearly vital to continue our research into biological mechanisms for [[ME/CFS]] but recent 'false dawns' for example, over the role of retroviruses ([[XMRV]]) have shown how difficult this can be. In the current absence of a biomedical model for the causation and the absence of any pharmacological intervention, we have a pragmatic approach to therapy that works and we should use it."<ref>http://forums.prohealth.com/forums/index.php?threads/petition-calling-for-action-for-me-resignations.210840/</ref> This endorsement lead to a petition drive for his resignation from [[Action for ME]], along with others who supported funding of the [[Pace trial]]. The petition failed. <ref>http://www.thepetitionsite.com/3/call-for-action-for-me-resignations/</ref> No comments by Dr. Miller are available at this time regarding the released [[PACE trial]] data and if he would still recommend these treatments in light of the discrepancy between the data collected and the data and conclusions published.
Summary:
Please make sure your edits are consistent with
MEpedia's guidelines
.
By saving changes, you agree to the
Terms of use
, and you irrevocably agree to release your contribution under the
CC BY-SA 3.0 License
and the
GFDL
. You agree that a hyperlink or URL is sufficient attribution under the Creative Commons license.
Cancel
Editing help
(opens in new window)
Navigation
Navigation
Skip to content
Main page
Browse
Become an editor
Random page
Popular pages
Abbreviations
Glossary
About MEpedia
Links for editors
Contents
Guidelines
Recent changes
Pages in need
Search
Help
Wiki tools
Wiki tools
Special pages
Page tools
Page tools
User page tools
More
What links here
Related changes
Page information
Page logs