Skip to main content

ETHNOS_APP

Home • Search • Journals • List 0

Conceptualising illness and disease

Reflections on Sharpe and Greco (2019)

Bibliographic Data

ID12692209
AuthorsCarolyn E Wilshire (0000-0002-0126-4708, Victoria University of Wellington, corresponding author), Tony Ward (0000-0002-6292-2364, Victoria University of Wellington)
Year2019
Volume46
Issue4
Pages532-536
Publication date2019-12-11
Open AccessNo
TypeARTICLE
VenueMedical Humanities (JOURNAL)
Journal identifiersISSN: 1468-215X • E-ISSN: 1473-4265
PublisherBMJ (PUBLISHER • GB)
DOI10.1136/medhum-2019-011756
PMID31826926
OpenAlexW2995220973
LanguageEN
Citations received1
References cited15

In a recent paper, Sharpe and Greco suggest that chronic fatigue syndrome/myalgic encephalomyelitis (MECFS) can be viewed as an instance of "illness without disease", and consequently, treatment should be directed towards altering the patient's experience of, and response to, their symptoms. We discuss two broad issues that arise from Sharpe and Greco's article, one relating to the assumptions they make about MECFS and its treatment specifically, and the other relating to their conceptualisation of the illness/disease dichotomy. We argue that the term "illness without disease", in the sense that Sharpe and Greco use it, is problematic because it can lead to unwarranted causal assumptions. Following these critical comments, we present a new framework for conceptualising the relationship between explanatory disease models and the experience of illness

Cognitive psychology · Disease · Epistemology · Pathology · Fibromyalgia and Chronic Fatigue Syndrome Research · Medicine · Mental Health and Psychiatry · Philosophy · Psychology · Psychosomatic Disorders and Their Treatments

  • The illness-disease dichotomy and the biological-clinical splitting of medicine

    Open Access•Luigi Tesio, Marco Buzzoni•Medical Humanities•2020

  • The Environment and Disease

    Open Access•Austin Bradford Hill•Proceedings of the Royal Society…•1965

  • Comparison of adaptive pacing therapy, cognitive behaviour therapy, graded exercise therapy, and specialist medical care for chronic fatigue syndrome (Pace)

    Open Access•Peter D White, PD White et al.•The Lancet•2011

  • Disease and illness Distinctions between professional and popular ideas of sickness

    Open Access•Leon Eisenberg•Culture Medicine and Psychiatry•1977

  • Rethinking the treatment of chronic fatigue syndrome—a reanalysis and evaluation of findings from a recent major trial of graded exercise and CBT

    Open Access•Carolyn E Wilshire, Tom Kindlon et al.•BMC Psychology•2018

  • Chronic fatigue syndrome and an illness-focused approach to care

    Open Access•M Sharpe, Marinella Greco•Medical Humanities•2019

Citations per year0.17
Citation span2020 - 2020 (1)
Highly citedNo

Tools

Open DOISci-Hub
Ethnos_APP • Open Source Project • MIT License • Frontend v2.0.0 • Privacy and Cookies • API Documentation: api.ethnos.app/docs • API Source Code: GitHub • DOI: 10.5281/zenodo.17049435 • Frontend Source Code: GitHub • DOI: 10.5281/zenodo.17050053 • cruz.rio.br • Expectantes Misericordiae