Therapeutic Nihilism in Fibromyalgia and Chronic Fatigue Syndrome

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This is the belief on the part of some clinicians that treatment is hopeless. Bourke explains that both fibromyalgia and chronic fatigue syndrome “have been contentious diagnoses in the past, and this diagnostic dispute has resulted in a therapeutic nihilism that has been of great detriment to their management and to alleviation of the intense suffering and disability that they have caused their innumerable sufferers.” Bourke believes that this therapeutic nihilism is unjustified especially given recent advances in understanding the pathophysiology. Bourke also believes that with “‘moderate' improvements are certainly attainable”. (Fibromyalgia and chronic fatigue syndrome: management issues. Bourke J1. Adv Psychosom Med. 2015;34:78-91.)