How not to get into arguments with the patient torrent

The treatment of chronic fatigue ("ME") in primary care

Dr Tylee interviews Dr Trudy Chalder of the Maudsley Hospital. The package
demonstrates how not to get into arguments with the patient, how to form a
therapeutic alliance with them, and how to carry out a plan of treatment aimed
at the restoration of normal function.



Professor Trudie Chalder PhD, MSc, SRN, RMN.

Behavioural Psychotherapist Professor



I am an expert in cognitive behavioural psychotherapy (CBP)and I am particularly interested in CBP for chronic fatigue syndrome, irritable bowel syndrome, diabetes and other chronic diseases.


Andre Tylee Professor of Primary Care Mental Health, Institute of
Psychiatry


Clare Gerada Vice-Chair of the RCGP Council, South London
Jenny Law Chair Lambeth LMC South London
Alicia Deale Cognitive Behavioural Therapist Institute of Psychiatry
Vincent Deary Institute of Health and Society Newcastle University


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Charles Sanders Peirce The Collected Papers Vol. I.: Principles of Philosophy (1931)

6. Morality and Sham Reasoning

Men, then, continue to tell themselves they regulate their conduct by reason; but they learn to look forward and see what conclusions a given method will lead to before they give their adhesion to it. In short, it is no longer the reasoning which determines what the conclusion shall be, but it is the conclusion which determines what the reasoning shall be. This is sham reasoning. In short, as morality supposes self-control, men learn that they must not surrender themselves unreservedly to any method, without considering to what conclusions it will lead them. But this is utterly contrary to the single-mindedness that is requisite in science. In order that science may be successful, its votaries must hasten to surrender themselves at discretion to experimental inquiry, in advance of knowing what its decisions may be. There must be no reservations.

58. The effect of this shamming is that men come to look upon reasoning as mainly decorative, or at most, as a secondary aid in minor matters — a view not altogether unjust, if questions of conduct are alone to interest us. They, therefore, demand that it shall be plain and facile. If, in special cases, complicated reasoning is indispensable, they hire a specialist to perform it. The result of this state of things is, of course, a rapid deterioration of intellectual vigor, very perceptible from one generation to the next. This is just what is taking place among us before our eyes; and to judge from the history of Constantinople, it is likely to go on until the race comes to a despicable end.