Disentangling common characteristics is not so easy

doi:10.1136/bmj.311.7012.1093

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Charles Shepherd

Honorary medical adviser, ME Association Chalford Hill, Stroud, Gloucestershire GL6 8EH

EDITOR,--Over the past few years I have seen a growing number of patients with the chronic fatigue syndrome who have been told by psychiatrists and psychologists that abnormal illness behaviour and psychosocial factors are the main factors perpetuating their disability. Few patients have accepted or believed this explanation; neither have I. The ME Association now has evidence that the fashionable theory …