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Wesselys Words Revisited
Malcolm Hooper 30th July 2011
with acknowledgement to members of the ME community
Tom Feildens notably excited introduction to his interview with Professor Simon Wessely about the disorder ME on the BBCs Today programme on 29th July 2011 exemplified a failure to exercise the requisite journalistic neutrality when reporting a story (http://news.bbc.co.uk/today/hi/today/newsid_9550000/9550947.stm).
Feilden seemed excessively eager to inform the nation about Wesselys claims of how he, a genuine scientist, is harassed and threatened by patients with ME to the extent that his mail has to be routinely scanned before he is allowed to access it and how he needs police protection as he has received death threats.
A dramatic and disturbing story by Wessely, but is it true or is it, as some people believe, an attempt to denigrate sick people and direct attention away from the ever-growing body of biomedical evidence which invalidates his own now-disproven beliefs about the disorder?
When challenged in the past to provide actual evidence corroborated by the police -- of such threats to his life, did Wessely produce any evidence? The police take death threats seriously so each would be allocated a crime incident number. Have any of these alleged death threats been substantiated? Have there ever been any prosecutions and have they ever been reported in the press?
What must Wesselys protection cost the nation in the currently straightened economic climate, and do a few immoderate emails and postings on the internet by desperate patients pushed to the brink by Wesselys consistent denial of the very existence of the disease from which they suffer warrant such costly protection?
As for the threats allegedly suffered by Professor Myra McClure and Dr Esther Crawley, it seems they may be a matter of interpretation. Quite certainly, it is known that Professor McClure has dealt with a correspondents valid concerns about her work by sending a receipt six weeks later which said Your message was deleted without being read (http://tinyurl.com/3pftbtl) and Dr Crawley has admitted that she has not received explicit death threats but has interpreted one email in particular to constitute a death threat (http://www.bbc.co.uk/iplayer/console/b012nlcv).
Feilden seemed unaware that claiming vilification and abuse by ME patients is a regular pattern of behaviour exhibited by Wessely over the years, usually when yet more published evidence further disproves his belief that ME is perpetuated by patients wrongly attributing their symptoms to a physical disease. At such times, Wessely often appears to deflect media attention away from the emerging biomedical science by portraying himself as the victim of endless harassment from vicious and intimidating ME patients.
Is such behaviour not one of the tactics of denial used by deniers and revisionists of whatever discipline? It is common practice for deniers to claim that pressure groups are active against them and are attacking both them and the truth and to claim that there are orchestrated campaigns against them (The Mental Health Movement: Persecution of Patients? Background Briefing for the House of Commons Select Health Committee. Professor M. Hooper; December 2003: http://www.meactionuk.org.uk/Select_CTTEE_FINAL_VERSION.htm).
Can it be co-incidence that this latest well-orchestrated campaign of media coverage of the alleged threats to Wessely and his colleagues who share his views about ME has been mounted hard on the heels of the publication by Carruthers et al of the International Consensus Criteria for diagnosing ME compiled by 26 researchers and clinicians from 13 countries (Journal of Internal Medicine; Accepted Article: doi:10.1111/j.1365-2796.2011.02428.x)?
The sound biomedical evidence upon which those criteria are based completely vitiates the belief of Wessely and colleagues about the psychiatric nature of ME, so what does he do?
He once again claims he is being vilified and threatened by patients with ME and he publicly denigrates and attacks them by asserting that they would rather have a disease caused by a retrovirus than admit they suffer from a mental disorder.
There are many who hold that it is Wessely et al who are orchestrating a media campaign against patients with ME, not the other way round.
The campaign to eradicate ME by Wessely et al cannot be denied and the documented referenced evidence can be accessed at http://www.meactionuk.org.uk
In 1990 Wessely asserted that ME exists only because well-meaning doctors have not learnt to deal effectively with suggestible patients (Psychological Medicine 1990:20:35-53).
In 1991, he cited medical comments made between 1880 and 1908 on patients with neurasthenia, with the very clear implication that such descriptions apply equally well to todays ME patients: always ailing, seldom ill; a useless, noxious element of society; purely mental cases; laziness, weakness of mind and supersensitiveness characterises them all; the terror of the busy physician (BMB 1991:47:4:919-941).
His dismissal and rejection of the biomedical evidence on ME has continued unabated.
On 6th October 2003 in her regular column Doctors Notes, Dr Margaret Cook, former wife of the late Robin Cook MP, wrote an article about Simon Wessely in The Scotsman entitled ME sufferers have found an enemy in Wessely so they need friends, commenting: It seems that he has been central to the psychiatric perspective that ME does not exist at all, and that the related Chronic Fatigue Syndrome is a mental condition best managed by a psychiatric therapeutic approach.He has downplayed the need for research into diagnostic markersand such is his influence that no state funding is forthcoming to support any other research than his own.You can tellthat he is used to dictating principles and having everyone in his orbit humbly accept his gospelWhen you have enemies like him, you need a powerful lot of friends.
Wessely was both hurt and angry by that article and he demanded its retraction and an apology from The Scotsman, which meekly complied and as a result of his threats of litigation duly dispensed with the services of Dr Cook as a columnist.
Of note in relation to Feildens broadcast is that in Wesselys reply to Dr Cook published in The Scotsman, he stated he had spent 15 years of his life looking after sufferers from ME.
That does not chime with the fact that for the most part he has denied the very existence of ME how many other caring doctors have amused themselves by orchestrating a campaign in the BMJ about non-diseases and proposed that ME be one of those non-diseases, along with freckles and big ears, as happened in 2002?
Patients with ME know what Wessely really thinks about them, as his published views leave no room for doubt or conjecture (for illustrations of his descriptions of ME/CFS patients, see Quotable Quotes about ME/CFS: http://www.meactionuk.org.uk/Quotable_Quotes_Updated.pdf).
Later in October 2003, Wessely asserted that those who disagree with him and believe that ME is an organic disorder -- to whom he referred as the radicals -- are (quote) crazy and that they are engaged in fantasies, lies and gross distortions, that the radicals are left fighting yesterdays battles (seemingly because he believes he has established that ME does not exist except as a false belief), that they need a reality check and their behaviour is outrageous (private communication).
Those words hardly concur with his claims to be a caring clinician who has looked after people with ME all his professional life.
Responding to Wesselys claims of vilification and denigration by patients with ME that he made seven years ago, in his letter of 7th January 2004 to The Scotsman, Dr John Greensmith pointed out: It is deplorable if he has been so treated, no matter how controversial his views. It is instructive, however, to examine how Professor Wessely has raised passions to this level of fervour by, perhaps, more than any other single individual, being responsible for making the area as controversial as it is.
Referring to Wesselys use of the term battleground, in a letter of 9th January 2004 to The Scotsman, DM Jones pointed out: It is astonishing that he seemingly is blind to the fact that that this situation has arisen almost entirely due to his own prolific output and that of his like-minded collaborators, denying the existence of ME on the one hand and reclassifying (his) preferred term CFS as a mental and behavioural disorder in the WHO Guide to Mental Health in Primary Care on the other.Professor Wessely should be held accountable for his own role in this controversy over CFS/ME, which provides the basis for this battleground and which has had such disastrous consequences for so many patients.
Importantly, as Erik Johnson noted, Wessely has stated: Right from the start, ME has been identified with a refusal to accept the doctors verdict (Co-Cure EDU: 9th January 2004). Johnson drew attention to the dictum of Sir William Osler: Listen to the patient. He is telling you his diagnosis, commenting that Wesselys name threatens to stand as the epitome of physicians who refuse to listen to their patients.
In another letter of 9th January 2004 to The Scotsman, Dr Joseph Lenz, a clinical psychologist, hit the nail on the head: Science has no greater enemies that those who seek to confuse an issue, and those who create the most confusion are invariably those who believe that they already know the truth (Co-Cure EDU: 10th January 2004).
This being so, can or should -- one take at face value what Wessely says?
One moment Wessely states, as he did on 12th May 1994 in his 9th Eliot Slater Memorial Lecture: I will argue that ME is simply a belief, the belief that one has an illness called ME but ten years later he states, as he did in his article in the Scotsman on 5th January 2004: I have been saying for 15 years that this is a real illness.
Clearly both statements cannot be true.
Presently, Wessely has seized the opportunity to weave the theme of his alleged personal harassment into his responses in the current issue of Nature Reviews Neuroscience published online on 27th July 2011 (Viewpoint: Chronic fatigue syndrome: understanding a complex illness: doi:10.1038/nrn3087): in answer to the question What is the best way for the field to make progress?, his answer was: So long as decent clinical and basic scientists continue to engage with the field it will make progress, although sadly that no longer includes myself.The ongoing antagonism that has been directed towards so many of the scientists who failed to replicate the original (XMRV) finding and who thus came up with what the extremists see as the wrong answer has alienated yet another group of scientists from getting involved in this area.
What Wessely and the media fail to acknowledge is that it was the utterly triumphant and contemptuous comments of certain of those scientists whose studies failed to replicate the original XMRV study published in Science (2009:326:585-589) that so incensed some people with ME, many of whom have daily to run the gamut of undisguised disdain amounting to abuse meted out by those who are supposed to be supporting and helping them cope with a devastating disease.
In the interests of common justice, Tom Feilden would do well to investigate the reasons why people with ME are so angry by checking the easily verifiable facts and then to redress the balance by reporting with equal enthusiasm the other side of the battleground because, compared with Wesselys 25-year campaign of dismissal and denigration of extremely sick people that has resulted in no appropriate healthcare provision and in the relentless harassment by the DWP of people with ME, there may be those who consider that, whilst abusive emails and death threats are never in any circumstances to be condoned, complaints to the GMC are entirely understandable and legitimate.
Permission to repost
Malcolm Hooper 30th July 2011
with acknowledgement to members of the ME community
Tom Feildens notably excited introduction to his interview with Professor Simon Wessely about the disorder ME on the BBCs Today programme on 29th July 2011 exemplified a failure to exercise the requisite journalistic neutrality when reporting a story (http://news.bbc.co.uk/today/hi/today/newsid_9550000/9550947.stm).
Feilden seemed excessively eager to inform the nation about Wesselys claims of how he, a genuine scientist, is harassed and threatened by patients with ME to the extent that his mail has to be routinely scanned before he is allowed to access it and how he needs police protection as he has received death threats.
A dramatic and disturbing story by Wessely, but is it true or is it, as some people believe, an attempt to denigrate sick people and direct attention away from the ever-growing body of biomedical evidence which invalidates his own now-disproven beliefs about the disorder?
When challenged in the past to provide actual evidence corroborated by the police -- of such threats to his life, did Wessely produce any evidence? The police take death threats seriously so each would be allocated a crime incident number. Have any of these alleged death threats been substantiated? Have there ever been any prosecutions and have they ever been reported in the press?
What must Wesselys protection cost the nation in the currently straightened economic climate, and do a few immoderate emails and postings on the internet by desperate patients pushed to the brink by Wesselys consistent denial of the very existence of the disease from which they suffer warrant such costly protection?
As for the threats allegedly suffered by Professor Myra McClure and Dr Esther Crawley, it seems they may be a matter of interpretation. Quite certainly, it is known that Professor McClure has dealt with a correspondents valid concerns about her work by sending a receipt six weeks later which said Your message was deleted without being read (http://tinyurl.com/3pftbtl) and Dr Crawley has admitted that she has not received explicit death threats but has interpreted one email in particular to constitute a death threat (http://www.bbc.co.uk/iplayer/console/b012nlcv).
Feilden seemed unaware that claiming vilification and abuse by ME patients is a regular pattern of behaviour exhibited by Wessely over the years, usually when yet more published evidence further disproves his belief that ME is perpetuated by patients wrongly attributing their symptoms to a physical disease. At such times, Wessely often appears to deflect media attention away from the emerging biomedical science by portraying himself as the victim of endless harassment from vicious and intimidating ME patients.
Is such behaviour not one of the tactics of denial used by deniers and revisionists of whatever discipline? It is common practice for deniers to claim that pressure groups are active against them and are attacking both them and the truth and to claim that there are orchestrated campaigns against them (The Mental Health Movement: Persecution of Patients? Background Briefing for the House of Commons Select Health Committee. Professor M. Hooper; December 2003: http://www.meactionuk.org.uk/Select_CTTEE_FINAL_VERSION.htm).
Can it be co-incidence that this latest well-orchestrated campaign of media coverage of the alleged threats to Wessely and his colleagues who share his views about ME has been mounted hard on the heels of the publication by Carruthers et al of the International Consensus Criteria for diagnosing ME compiled by 26 researchers and clinicians from 13 countries (Journal of Internal Medicine; Accepted Article: doi:10.1111/j.1365-2796.2011.02428.x)?
The sound biomedical evidence upon which those criteria are based completely vitiates the belief of Wessely and colleagues about the psychiatric nature of ME, so what does he do?
He once again claims he is being vilified and threatened by patients with ME and he publicly denigrates and attacks them by asserting that they would rather have a disease caused by a retrovirus than admit they suffer from a mental disorder.
There are many who hold that it is Wessely et al who are orchestrating a media campaign against patients with ME, not the other way round.
The campaign to eradicate ME by Wessely et al cannot be denied and the documented referenced evidence can be accessed at http://www.meactionuk.org.uk
In 1990 Wessely asserted that ME exists only because well-meaning doctors have not learnt to deal effectively with suggestible patients (Psychological Medicine 1990:20:35-53).
In 1991, he cited medical comments made between 1880 and 1908 on patients with neurasthenia, with the very clear implication that such descriptions apply equally well to todays ME patients: always ailing, seldom ill; a useless, noxious element of society; purely mental cases; laziness, weakness of mind and supersensitiveness characterises them all; the terror of the busy physician (BMB 1991:47:4:919-941).
His dismissal and rejection of the biomedical evidence on ME has continued unabated.
On 6th October 2003 in her regular column Doctors Notes, Dr Margaret Cook, former wife of the late Robin Cook MP, wrote an article about Simon Wessely in The Scotsman entitled ME sufferers have found an enemy in Wessely so they need friends, commenting: It seems that he has been central to the psychiatric perspective that ME does not exist at all, and that the related Chronic Fatigue Syndrome is a mental condition best managed by a psychiatric therapeutic approach.He has downplayed the need for research into diagnostic markersand such is his influence that no state funding is forthcoming to support any other research than his own.You can tellthat he is used to dictating principles and having everyone in his orbit humbly accept his gospelWhen you have enemies like him, you need a powerful lot of friends.
Wessely was both hurt and angry by that article and he demanded its retraction and an apology from The Scotsman, which meekly complied and as a result of his threats of litigation duly dispensed with the services of Dr Cook as a columnist.
Of note in relation to Feildens broadcast is that in Wesselys reply to Dr Cook published in The Scotsman, he stated he had spent 15 years of his life looking after sufferers from ME.
That does not chime with the fact that for the most part he has denied the very existence of ME how many other caring doctors have amused themselves by orchestrating a campaign in the BMJ about non-diseases and proposed that ME be one of those non-diseases, along with freckles and big ears, as happened in 2002?
Patients with ME know what Wessely really thinks about them, as his published views leave no room for doubt or conjecture (for illustrations of his descriptions of ME/CFS patients, see Quotable Quotes about ME/CFS: http://www.meactionuk.org.uk/Quotable_Quotes_Updated.pdf).
Later in October 2003, Wessely asserted that those who disagree with him and believe that ME is an organic disorder -- to whom he referred as the radicals -- are (quote) crazy and that they are engaged in fantasies, lies and gross distortions, that the radicals are left fighting yesterdays battles (seemingly because he believes he has established that ME does not exist except as a false belief), that they need a reality check and their behaviour is outrageous (private communication).
Those words hardly concur with his claims to be a caring clinician who has looked after people with ME all his professional life.
Responding to Wesselys claims of vilification and denigration by patients with ME that he made seven years ago, in his letter of 7th January 2004 to The Scotsman, Dr John Greensmith pointed out: It is deplorable if he has been so treated, no matter how controversial his views. It is instructive, however, to examine how Professor Wessely has raised passions to this level of fervour by, perhaps, more than any other single individual, being responsible for making the area as controversial as it is.
Referring to Wesselys use of the term battleground, in a letter of 9th January 2004 to The Scotsman, DM Jones pointed out: It is astonishing that he seemingly is blind to the fact that that this situation has arisen almost entirely due to his own prolific output and that of his like-minded collaborators, denying the existence of ME on the one hand and reclassifying (his) preferred term CFS as a mental and behavioural disorder in the WHO Guide to Mental Health in Primary Care on the other.Professor Wessely should be held accountable for his own role in this controversy over CFS/ME, which provides the basis for this battleground and which has had such disastrous consequences for so many patients.
Importantly, as Erik Johnson noted, Wessely has stated: Right from the start, ME has been identified with a refusal to accept the doctors verdict (Co-Cure EDU: 9th January 2004). Johnson drew attention to the dictum of Sir William Osler: Listen to the patient. He is telling you his diagnosis, commenting that Wesselys name threatens to stand as the epitome of physicians who refuse to listen to their patients.
In another letter of 9th January 2004 to The Scotsman, Dr Joseph Lenz, a clinical psychologist, hit the nail on the head: Science has no greater enemies that those who seek to confuse an issue, and those who create the most confusion are invariably those who believe that they already know the truth (Co-Cure EDU: 10th January 2004).
This being so, can or should -- one take at face value what Wessely says?
One moment Wessely states, as he did on 12th May 1994 in his 9th Eliot Slater Memorial Lecture: I will argue that ME is simply a belief, the belief that one has an illness called ME but ten years later he states, as he did in his article in the Scotsman on 5th January 2004: I have been saying for 15 years that this is a real illness.
Clearly both statements cannot be true.
Presently, Wessely has seized the opportunity to weave the theme of his alleged personal harassment into his responses in the current issue of Nature Reviews Neuroscience published online on 27th July 2011 (Viewpoint: Chronic fatigue syndrome: understanding a complex illness: doi:10.1038/nrn3087): in answer to the question What is the best way for the field to make progress?, his answer was: So long as decent clinical and basic scientists continue to engage with the field it will make progress, although sadly that no longer includes myself.The ongoing antagonism that has been directed towards so many of the scientists who failed to replicate the original (XMRV) finding and who thus came up with what the extremists see as the wrong answer has alienated yet another group of scientists from getting involved in this area.
What Wessely and the media fail to acknowledge is that it was the utterly triumphant and contemptuous comments of certain of those scientists whose studies failed to replicate the original XMRV study published in Science (2009:326:585-589) that so incensed some people with ME, many of whom have daily to run the gamut of undisguised disdain amounting to abuse meted out by those who are supposed to be supporting and helping them cope with a devastating disease.
In the interests of common justice, Tom Feilden would do well to investigate the reasons why people with ME are so angry by checking the easily verifiable facts and then to redress the balance by reporting with equal enthusiasm the other side of the battleground because, compared with Wesselys 25-year campaign of dismissal and denigration of extremely sick people that has resulted in no appropriate healthcare provision and in the relentless harassment by the DWP of people with ME, there may be those who consider that, whilst abusive emails and death threats are never in any circumstances to be condoned, complaints to the GMC are entirely understandable and legitimate.
Permission to repost