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[[File:Per Fink.png|200px|thumb|right|Source:ResearchGate]] '''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|Bodily Distress Disorder]], [[health anxiety]] and [[psychosomatic illness]].<ref>{{Cite web|url=https://www.en.auh.dk/departments/the-research-clinic-for-functional-disorders-and-psychosomatics/staff/| title = Staff | last = | first = | authorlink = | date = |website=Aarhus Universitetshospital|language=en-US|archive-url=|archive-date=|access-date=2021-02-26}}</ref> == 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.<ref name="book2015">{{Cite book |isbn=978877124851-7 | first = Per | last = Fink | first2 =Marianne | last2 = Rosendal | date = 2015 | title = Functional Disorders and Medically Unexplained Symptoms: Assessment and Treatment|publisher =Aarhus University Press |url = https://en.unipress.dk/media/3769614/9788771249361_functional___2_.pdf}}</ref> Fink's treatment approach to ME/CFS is opposed by Danish patient group [[ME Foreningen]].<ref name="IMER190301" /> 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.<ref name="stop2012">{{Cite web|url=http://www.en.auh.dk/contentassets/d604a6c89ec74d23bfb648d73595161f/when-the-body-says-stop.pdf| title = Information About Functional Disorders - When the body says stop | last = Rosendal | first = Marianne | last2 = Fink | first2 = Per | date = 2012 | website = en.auh.dk|archive-url=|archive-date=|access-date= | last3 = Schröder | first3 = Andreas|publisher=Aarhus University}}</ref> 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#icd10|World Health Organization]] classification rather than as psychosomatic illness, and called upon the department of health to update its information.<ref name="IMER190301">{{Cite web|url=http://www.investinme.org/IIMER-Newslet-190301Danmark.shtml| title = There is something right in the state of Denmark | last = Invest in ME Research | first = | authorlink = Invest in ME Research | date = Mar 1, 2019 | website = [[Invest in ME Research]]|archive-url=|archive-date=|access-date=2021-02-26}}</ref><ref name="parliamentvote">{{Cite web|url=https://www.ft.dk/aktuelt/webtv/video/20181/salen/71.aspx| title = Tv fra Folketinget|website=Folketinget|language=da|access-date=2021-02-26}}</ref> ==Media coverage & interviews== ==Notable studies== *2012 - [https://www.psych.ox.ac.uk/publications/331315 Cognitive–behavioural group treatment for a range of functional somatic syndromes: randomised trial].<ref>{{Cite journal | last = A | first = Schroder | last2 = E | first2 = Rehfeld | last3 = E | first3 = Ornbol | last4 = M | first4 = Sharpe | last5 = Rw | first5 = Licht | last6 = P | first6 = Fink | date = 2012-04-26| title = Cognitive-behavioural group treatment for a range of functional somatic syndromes: randomised trial|url=https://www.psych.ox.ac.uk/publications/331315|journal=British Journal of Psychiatry|language=en}}</ref> :* Dec 7, 2016, [[James Coyne]]'s [[PLOS ONE]] blog post critique of Per Fink's 2012 paper: [http://blogs.plos.org/mindthebrain/2016/12/07/danish-rct-of-cognitive-behavior-therapy-for-whatever-ails-your-physician-about-you/ Danish RCT of cognitive behavior therapy for whatever ails your physician about you]<ref>{{Cite news | url=http://blogs.plos.org/mindthebrain/2016/12/07/danish-rct-of-cognitive-behavior-therapy-for-whatever-ails-your-physician-about-you/| title = Danish RCT of cognitive behavior therapy for whatever ails your physician about you {{!}} Mind the Brain | last = Coyne | first = James | date = 2016-12-07|work=Mind the Brain|access-date=2018-11-02|archive-url=|archive-date=|language=en-US}}</ref> *2017, [http://www.jpsychores.com/article/S0022-3999(17)30018-1/abstract Long-term economic evaluation of cognitive-behavioural group treatment versus enhanced usual care for functional somatic syndromes]<ref name="Schröder, 2017" /> *2017, Syndromes of bodily distress or functional somatic syndromes - Where are we heading. Lecture on the occasion of receiving the Alison Creed award [https://www.jpsychores.com/article/S0022-3999(17)30018-1/abstract 2017]<ref>{{Cite journal | last = Fink | first = Per | date = Jun 2017| title = Syndromes of bodily distress or functional somatic syndromes - Where are we heading. Lecture on the occasion of receiving the Alison Creed award 2017|url=https://www.jpsychores.com/article/S0022-3999(17)30445-2/pdf|journal=Journal of Psychosomatic Research|language=English|volume=97|pages=127–130|doi=10.1016/j.jpsychores.2017.04.012|issn=0022-3999}}</ref> == 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.<ref>{{Cite news | url=https://occupyme.net/2018/10/12/protesting-per-fink/| title = Protesting Per Fink | last = Spotlia | first = Jennie | date = 2018-10-12|work=Occupy M.E.|access-date=2018-11-02|archive-url=|archive-date=|language=en-US}}</ref> === Karina Hansen's institutionalization === [[Karina Hansen]] is a [[Denmark|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.<ref name="EliotSmith201604042">{{citation | last1 = Eliot-Smith | first1 = Valerie | authorlink1 = Valerie Eliot-Smith | title = Karina Hansen 4: Timeline, Torture and Tragedy | website = Valerie Eliot-Smith Blog | date = Apr 4, 2016 | url = https://valerieeliotsmith.com/2016/04/04/karina-hansen-4-timeline-torture-tragedy/ }}</ref> On February 12, 2013, Karina Hansen was removed from her home and taken to [[Hammel Neurocenter]].<ref name="MEGlobChron20151025KH2">{{citation | title = Karina Hansen | journal = ME Global Chronicle | page = 6-21 | date = Oct 25, 2015 | url = http://let-me.be/download.php?view.24 }}</ref><ref name="VoicefrShadow20130509">{{citation | title = Karina Hansen is a severely ill Danish patient who was forcibly taken from her home | journal = Voices from the Shadows (website) | date = May 9, 2013 | url = http://voicesfromtheshadowsfilm.co.uk/2013/karina-hansen-is-a-severely-ill-danish-patient-who-was-forcibly-taken-from-her-home-update-may-2013-9th/}}</ref> 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.<ref name="EliotSmith201604042" /> Per Fink was one of two doctors overseeing her "treatment".<ref>{{Cite news | url=https://occupyme.net/2018/10/12/protesting-per-fink/| title = Protesting Per Fink | last = Spotlia | first = Jennie | date = 2018-10-12|work=Occupy M.E.|access-date=2018-11-02|archive-url=|archive-date=|language=en-US}}</ref> In October of 2014, Karina was moved to a nearby rehabilitation center for [[brain]] injury,<ref name="EkstraBladet201502272">{{citation | title = Our daughter was stolen two years ago: Help us, minister | journal = Ekstra Bladet news (Denmark) | date = 27 Feb 2015 | url = http://ekstrabladet.dk/nationen/fik-datter-stjaalet-for-to-aar-siden-hjaelp-os-minister/5461897}}</ref> 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 [[Nervous system|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.<ref name="EliotSmith201604042" /> It took a Danish High Court Case to bring Karina back home three-and-a-half years later.<ref>{{Cite news | url=https://valerieeliotsmith.com/2016/04/04/karina-hansen-4-timeline-torture-tragedy/| title = Karina Hansen 4: Timeline, Torture and Tragedy | last = Eliot Smith | first = Valerie | date = 2016-04-04|work=valerieeliotsmith|access-date=2018-11-02|archive-url=|archive-date=|language=en-US}}</ref><ref>{{Cite news | url=https://valerieeliotsmith.com/2018/06/25/karina-hansen-8-the-aftermath-continues/amp/| title = Karina Hansen 8: The Aftermath Continues | last = Eliot Smith | first = Valerie | date = 2018-06-25|work=valerieeliotsmith|access-date=2018-11-02|archive-url=|archive-date=|language=en-US}}</ref> 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.<ref>{{Cite web|url=https://www.en.auh.dk/departments/the-research-clinic-for-functional-disorders-and-psychosomatics/publications/| title = Publications & news | last = Fink | first = Per | authorlink=Per Fink | date = Oct 17, 2018 | website = en.auh.dk|language=en-US|archive-url=|archive-date=|access-date=2021-02-26}}</ref> Aarhus University Hospital had been reported as advising the Hammel Neurocenter where Karina was held, and protests were held outside both clinics.<ref>{{Cite web|url = https://dxrevisionwatch.com/tag/me-foreningen-danmark/| title = ME Foreningen Danmark|website =DX Revision Watch|access-date = 2021-02-25}}</ref><ref name="dx2013">{{Cite web|url = https://dxrevisionwatch.com/2013/08/14/media-coverage-karina-hansen-now-detained-six-months-against-her-will-in-hammel-neurocenter-denmark/| title = Media coverage: Karina Hansen now detained six months against her will in Hammel Neurocenter, Denmark | date = Aug 14, 2013|website =DX Revision Watch|access-date = | last = | first = | authorlink = |archive-url=|archive-date=}}</ref> ==Clinic location== [http://www.en.auh.dk/departments/head-and-heart-centre/the-research-clinic-for-functional-disorders-and-psychosomatics/ Aarhus University Hospital, Norrebrogade 44, DK-8000 Aarhus C] Tel. +45 7845 0000 Email: auh@rm.dk ==Talks and interviews== * 2004 [http://web.archive.org/web/20040908192433/http:/www.auh.dk/cl_psych/term/TERM-UK/term-dias02.pdf The TERM Model: An advanced educational program for non-psychiatric physicians]<ref>{{Cite web|url=http://web.archive.org/web/20040908192433/http:/www.auh.dk/cl_psych/term/TERM-UK/term-dias02.pdf| title = The TERM-Model: The Extended Reattribution and Management Model. An advanced educational program for non-psychiatric physicians|website=Wayback Machine | last = Fink | first = Per | last2 = Rosendal | first2 = M | date = 2004-09-08|archive-url=|archive-date=|url-status=dead|access-date=2018-11-02 | last3 = Toft | first3 = T}}</ref> *2012, [https://dxrevisionwatch.files.wordpress.com/2012/08/eaclpp_per-fink_somatoform-disorders.pdf Somatoform disorders – functional somatic syndromes – Bodily distress syndrome. Need for care and organisation of care in an international perspective - EACLPP Lecture]<ref>{{Cite web|url=https://dxrevisionwatch.files.wordpress.com/2012/08/eaclpp_per-fink_somatoform-disorders.pdf| title = Somatoform disorders – functional somatic syndromes – Bodily distress syndrome. Need for care and organisation of care in an international perspective - EACLPP Lecture | last = Fink | first = Per | date = 2012 | website = dxrevisionwatch.files.wordpress.com|archive-url=|archive-date=|access-date=}}</ref> ==Online presence== *[https://www.ncbi.nlm.nih.gov/pubmed/?term=Fink%20P%5BAuthor%5D&cauthor=true&cauthor_uid=22539780 PubMed] *[https://www.linkedin.com/in/per-fink-9b170b42 LinkedIn] ==Learn more== *Affiliated Institution: [http://www.en.auh.dk/ Aarhus University Hospital] *2015, [http://www.healthrising.org/forums/threads/per-fink-complains-about-iom-me-cfs-report.2745/ Per Fink complains about IOM ME/CFS report]<ref>{{Cite news | url=http://www.healthrising.org/forums/threads/per-fink-complains-about-iom-me-cfs-report.2745/| title = Per Fink complains about IOM ME/CFS report | last = Merry | first = | date = Jul 8, 2015 |work=Health Rising's Chronic Fatigue Syndrome (ME/CFS) and Fibromyalgia Forums|access-date=2018-11-02|archive-url=|archive-date=|language=en-US}}</ref> ([[Institute of Medicine report]]) ==See also== *[[Denmark]] *[[ME Foreningen]] *[[Karina Hansen]] *[[Biopsychosocial model]] *[[Medically unexplained physical symptoms]] ==References== <references> <ref name="Schröder, 2017">{{Citation | last1 = Schröder | first1 = Andreas | authorlink1 = | last2 = Ørnbøl | first2 = Eva | authorlink2 = | last3 = Jensen | first3 = Jens S. | authorlink3 = | last4 = Sharpe | first4 = Michael | authorlink4 = Michael Sharpe | last5 = Fink | first5 = Per | authorlink5 = Per Fink | title = Long-term economic evaluation of cognitive-behavioural group treatment versus enhanced usual care for functional somatic syndromes | journal = Journal of Psychosomatic Research | volume = | issue = | page = | date = 2017 | pmid = | doi = 10.1016/j.jpsychores.2017.01.005 }}</ref> </references> [[Category:Researchers]] [[Category:Denmark researchers]] [[Category:Clinicians]] [[Category:Psychological paradigm proponents]]
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