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Boudewijn Van Houdenhove
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=== Listening to the patient === According to Van Houdenhove the whole controversy around ME/CFS can be explained by doctors and researchers not listening to the story of the patient.<ref name=":20" /> If they did, they would know that this isn’t merely a matter of [[deconditioning]] and [[illness beliefs |unhelpful cognitions]]. Only if one listens closely to the life history of patients, is it possible to grasp the many complex dimensions this illness has. Psychologists who rely solely on questionnaires will often miss the underlying factors (childhood abuse, maladaptive perfectionism, overactivity etc.) that help explain why a person got ill. According to Van Houdenhove this is the main reason why the effectiveness of CBT in ME/CFS has been so disappointing.<ref name=":20" /> He has argued that herapists should expand their scope: <blockquote> "[…] when the patient’s story is left out of the therapeutic project, the risk of nonresponse or relapse might be substantial as soon as he or she is confronted with unresolved intrapsychic conflicts or ongoing psychosocial (e.g. interpersonal) problems. This surely does not imply that all CFS patients should engage in formal psychodynamic or interpersonal therapy. It does, however, suggest that [[Cognitive behavioral therapy |cognitive – behavioural]] therapists should— besides their traditional focus on illness maintaining and reinforcing factors— broaden their scope to include predisposing and initiating psychosocial factors as well."<ref name=":20">Van Houdenhove B. [https://www.jpsychores.com/article/S0022-3999(01)00297-5/pdf Listening to CFS: why we should pay more attention to the story of the patient]. J Psychosom Res. 2002 Jun;52(6):495-9. [[PubMed Identifier|PMID]] [[pubmed:12069874|12069874]]</ref> </blockquote>
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