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CFS is a psychological disease. There is no doubt there are associated physical, even biochemical changes. That there are is testament as to how profound is the influence of the brain and emotions on the rest of the body. Which is why healthcare is different to any other 'business' and why the customer is NOT always right. Amazing the energy and stamina that galvanises through this group [CFS] when you challenge their core beliefs. As a senior clinician who obtained a primary medical qualification in 1983, specialist qualifications in 1993 and has worked in 3 different health systems on 3 continents, I can say CFS only exists in cosseted societies where this kind of delusional manipulation of self and others can be 'afforded'. In any society where there is no safety net if you do not work, CFS does not exist.