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June 3, 1998, Vol 279, No. 21 >

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Letters | June 3, 1998

Seeking Answers to Chronic Fatigue Syndrome

Marsha T. Wallace, MD
JAMA. 1998;279(21):1697-1698. doi:10.1001/jama.279.21.1697.
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To the Editor.—Although a book review is generally a subjective treatise, I nevertheless must take exception when it contains erroneous statements. Such is the case with Dr Loudon's review of The Night Side: Chronic Fatigue Syndrome and the Illness Experience.1The author may indeed believe that "chronic fatigue illness [sic] is usually caused by a specific category of psychological distress" but for this statement to appear unchallenged in the same journal that has otherwise featured scholarly articles on the subject2- 3is perplexing and disappointing. Espousal of such views exemplifies the dismissive reaction encountered by many patients with chronic fatigue syndrome (CFS), a "get-out-of-my-office" attitude that not only delays appropriate care, but indeed can ultimately be perceived as "crazy making."

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