psychosocial model – Page 2 – American ME and CFS Society

A syndrome of disabling fatigue variously labelled myalgic encephalomyelitis (ME), post-viral fatigue, or chronic fatigue syndrome (CFS)1 has received much recent attention(2,3). Depression occurs in up to half of hospital referrals with CFS4-f and in these cases, may explain the symptoms (7). However, despite suggestions of muscular dysfunction(8) the cause in the remainder is unknown. The following case is reported with reference to this question.

You can read the rest of this article here: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1293060/pdf/jrsocmed00128-0067.pdf

Source: M C Sharpe, B A Johnson, and J McCann. Mania and recovery from chronic fatigue syndrome. J R Soc Med. 1991 Jan; 84(1): 51–52. PMCID: PMC1293060 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1293060/

Abstract:

The history of is discussed in the light of current interest in chronic fatigue, and in particular the illness called myalgic encephalomyelitis (‘ME’). A comparison is made of the symptoms, presumed aetiologies and treatment of both illnesses, as well as their social setting.

It is shown that neurasthenia remained popular as long as it was viewed as a non-psychiatric, neurological illness caused by environmental factors which affected successful people and for which the cure was rest. The decline in neurasthenia was related to the changes which occurred in each of these views. It is argued that similar factors are associated with the current interest in myalgic encephalomyelitis.

It is further argued that neither neurasthenia nor ‘ME’ can be fully understood within a single medical or psychiatric model. Instead both have arisen in the context of contemporary explanations and attitudes involving mental illness. Future understanding, treatment and prevention of these and related illnesses will depend upon both psychosocial and neurobiological explanations of physical and mental fatigability.

Source: Wessely S. Old wine in new bottles: neurasthenia and ‘ME’. Psychol Med. 1990 Feb;20(1):35-53. http://www.ncbi.nlm.nih.gov/pubmed/2181519