Per Fink

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Per Fink is head Professor, MD, PhD, DMSc of The Research Clinic for Functional Disorders and Psychosomatics. His approach to chronic fatigue syndrome is to classify it as a Functional Disorder with medically unexplained physical symptoms.[1]

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.[2]

Media coverage & interviews

Notable studies

Controversies and criticism

Per Fink has applies the biopsychosocial model (BPS) to the organic biological disease myalgic encephalomyelitis (ME). Fink's recommended treatment for ME is cognitive behavioral therapy (CBT) and graded exercise therapy (GET) claiming most people will be cured or significantly better after treatment.[7][2]

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.[8]

On February 12, 2013, Karina Hansen was removed from her home and taken to Hammel Neurocenter.[9][10] 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.[8] Per Fink was one of two doctors overseeing her "treatment".[11]

In October of 2014, Karina was moved to a nearby rehabilitation center for brain injury,[12] 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.[8]

It took a Danish High Court Case to bring Karina back home three-and- a- half years later.[13][14]

Clinic location

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

Tel. +45 7845 0000

Email: auh@rm.dk

Talks and interviews

Online presence

Learn more

See also

References

  1. Per Fink and Marianne Rosendal. (2015). Functional Disorders and Medically Unexplained Symptoms: Assessment and Treatment. Aarhus University Press. https://en.unipress.dk/media/3769614/9788771249361_functional___2_.pdf
  2. 2.02.1 Rosendal, Marianne; Fink, Per; Schröder, Andreas (2012). "Information About Functional Disorders - When the body says stop" (PDF). en.auh.dk. Aarhus University. 
  3. A, Schroder; E, Rehfeld; E, Ornbol; M, Sharpe; Rw, Licht; P, Fink (Apr 26, 2012). "Cognitive-behavioural group treatment for a range of functional somatic syndromes: randomised trial". British Journal of Psychiatry. 
  4. Coyne, James (Dec 7, 2016). "Danish RCT of cognitive behavior therapy for whatever ails your physician about you | Mind the Brain". Mind the Brain. Retrieved Nov 2, 2018. 
  5. Schröder, Andreas; Ørnbøl, Eva; Jensen, Jens S.; Sharpe, Michael; Fink, Per (2017), "Long-term economic evaluation of cognitive-behavioural group treatment versus enhanced usual care for functional somatic syndromes", Journal of Psychosomatic Research, doi:10.1016/j.jpsychores.2017.01.005 
  6. Fink, Per (Jun 2017). "Syndromes of bodily distress or functional somatic syndromes - Where are we heading. Lecture on the occasion of receiving the Alison Creed award 2017". Journal of Psychosomatic Research. 97: 127–130. doi:10.1016/j.jpsychores.2017.04.012. ISSN 0022-3999. 
  7. Spotlia, Jennie (Oct 12, 2018). "Protesting Per Fink". Occupy M.E. Retrieved Nov 2, 2018. 
  8. 8.08.18.2 Eliot-Smith, Valerie (Apr 4, 2016), "Karina Hansen 4: Timeline, Torture and Tragedy", Valerie Eliot-Smith Blog 
  9. "Karina Hansen", ME Global Chronicle: 6-21, Oct 25, 2015 
  10. "Karina Hansen is a severely ill Danish patient who was forcibly taken from her home", Voices from the Shadows (website), May 9, 2013 
  11. Spotlia, Jennie (Oct 12, 2018). "Protesting Per Fink". Occupy M.E. Retrieved Nov 2, 2018. 
  12. "Our daughter was stolen two years ago: Help us, minister", Ekstra Bladet news (Denmark), Feb 27, 2015 
  13. Eliot Smith, Valerie (Apr 4, 2016). "Karina Hansen 4: Timeline, Torture and Tragedy". valerieeliotsmith. Retrieved Nov 2, 2018. 
  14. Eliot Smith, Valerie (Jun 25, 2018). "Karina Hansen 8: The Aftermath Continues". valerieeliotsmith. Retrieved Nov 2, 2018. 
  15. Fink, Per; Rosendal, M; Toft, T (Sep 8, 2004). "Wayback Machine" (PDF). web.archive.org Wayback Machine. Retrieved Nov 2, 2018. 
  16. Fink, Per (2012). "Somatoform disorders – functional somatic syndromes – Bodily distress syndrome. Need for care and organisation of care in an international perspective - EACLPP Lecture" (PDF). dxrevisionwatch.files.wordpress.com. 
  17. Merry (Jul 8, 2015). "Per Fink complains about IOM ME/CFS report". Health Rising's Chronic Fatigue Syndrome (ME/CFS) and Fibromyalgia Forums. Retrieved Nov 2, 2018. 

Biopsychosocial model (BPS) - A school of thought, usually based in psychology, which claims illness and disease to be the result of the intermingling of biological, psychological and social causes. (Learn more: en.wikipedia.org)

Myalgic encephalomyelitis (ME) - A disease often marked by neurological symptoms, but fatigue is sometimes a symptom as well. Some diagnostic criteria distinguish it from chronic fatigue syndrome, while other diagnostic criteria consider it to be a synonym for chronic fatigue syndrome. A defining characteristic of ME is post-exertional malaise (PEM), or post-exertional neuroimmune exhaustion (PENE), which is a notable exacerbation of symptoms brought on by small exertions. PEM can last for days or weeks. Symptoms can include cognitive impairments, muscle pain (myalgia), trouble remaining upright (orthostatic intolerance), sleep abnormalities, and gastro-intestinal impairments, among others. An estimated 25% of those suffering from ME are housebound or bedbound. The World Health Organization (WHO) classifies ME as a neurological disease.

Cognitive behavioral therapy (CBT) - A type of psychotherapy geared toward modifying alleged unhealthy thinking, behaviors or illness beliefs. One of the treatment arms used in the controversial PACE trial.

Graded exercise therapy (GET) - A gradual increase in exercise or activity, according to a pre-defined plan. Focuses on overcoming the patient's alleged unhelpful illness beliefs that exertion can exacerbate symptoms, rather than on reversing physical deconditioning. Considered controversial, and possibly harmful, in the treatment or management of ME. One of the treatment arms of the controversial PACE trial.

Cognition - Thought processes, including attention, reasoning, and memory.

ME/CFS - An acronym that combines myalgic encephalomyelitis with chronic fatigue syndrome. Sometimes they are combined because people have trouble distinguishing one from the other. Sometimes they are combined because people see them as synonyms of each other.

The information provided at this site is not intended to diagnose or treat any illness.
From MEpedia, a crowd-sourced encyclopedia of ME and CFS science and history.