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Boudewijn Van Houdenhove
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=== A lumper standpoint === According to Houdenhove the mechanism described above is not unique to ME/CFS. He argues that low cortisol levels for example have also been reported in other stress-related disorders like atypical depression, fibromyalgia, [[post-traumatic stress disorder]] (PTSD) and [[burnout]].<ref name=":18" /> Van Houdenhove sees a lot of similarity between these conditions, stating for example: <blockquote> "Could it be that the over-ambitious athlete complains about 'overtraining', the over-committed social worker about 'burnout', and the over-burdened modern woman who feels obliged to combine three 'fulltime' jobs (household, professional career and educator of children).., about ME?"<ref name=":18">Van Houdenhove B, Onghena P, Neerinckx E, Hellin J. [[pubmed:7490698|Does high 'action-proneness' make people more vulnerable to chronic fatigue syndrome?]] A controlled psychometric study. J Psychosom Res. 1995 Jul;39(5):633-40.</ref> </blockquote> Van Houdenhove confesses that he is a lumper, not a splitter i.e. he thinks fibromyalgia (FM) and ME/CFS should be regarded and treated as one disease.<ref name=":7" /> In line with Simon Wessely he thinks the splitting of many so called functional somatic syndromes represents an artifact of specialized modern medicine.<ref name=":7" /> In 2007 he proposed to rename FM and ME/CFS into "stress intolerance and pain hypersensitivity (SIPH) syndromes".<ref>Van Houdenhove B, Luyten P. [https://www.ingentaconnect.com/contentone/ben/crr/2007/00000003/00000004/art00009?crawler=true Fibromyalgia and Related Syndromes Characterised by Stress Intolerance and Pain Hypersensitivity: Do We Need a New Nosology?] Current Rheumatology Reviews. 2007Nov; 3(4): 304-308.Β </ref>
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