0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Letters |

Seeking Answers to Chronic Fatigue Syndrome

David S. Svahn, MD
JAMA. 1998;279(21):1697-1698. doi:10-1001/pubs.JAMA-ISSN-0098-7484-279-21-jbk0603.
Text Size: A A A
Published online

Extract

To the Editor.—Dr Loudon1 reviews a book by Floyd Skloot in which Skloot describes his experience as a patient with CFS. Loudon refers to Skloot's dismay over the suggestion by one of his physicians that his illness might be of psychological origin. Skloot is so wary of having a psychosomatic illness that he is alarmed by his inclusion in a study with a placebo arm because, if he were to improve on placebo, he would be humiliated. Leaving aside the question of the cause of CFS, I wish to condemn the attitude toward psychological illness exemplified by this treatise, namely, that this illness is somehow unacceptable. Why does a psychological diagnosis represent "betrayal"? It is an important question, relevant to trying to offer cost-effective medicine and in helping people to feel better and to function better. This regrettably common antipsychology attitude is based on the unfortunate mind-body dualism that has gained preeminence in the West during this century. The reluctance of both physicians and patients to accept depression, anxiety, and related illnesses as legitimate and, more important, as treatable is a shame.

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();