Information Centre Library

This section contains a selection of relevant links and articles relating to ME.


Defending the Indefensible

Margaret Williams explains why the belief that graded exercise therapy (GET) has an impeccable safety record is indefensible 


Harms associated with CBT and GET for ME

Reporting of Harms Associated with Graded Exercise Therapy and Cognitive Behavioural Therapy in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome - By Tom Kindlon


Statistics and ME

Statistics and ME - Information about the article “Statistics and ME” by Professor Malcolm Hooper


“Grey” Information about ME/CFS Part 3: 1994

There is a wealth of important information about ME/CFS in the grey literature that has been largely ignored by those intent on denying the existence of ME/CFS as an organic disorder.



Using Cardiopulmonary Exercise Testing to Evaluate Fatigue and Post-Exertional Malaise in ME/CFS

The absence of reliable diagnostic laboratory tests or biomarkers presents significant problems for persons with (ME/CFS), treating physicians, and the ME/CFS research community alike. Typically ME/CFS diagnoses rely on self-report measures where patients describe the extent and duration of their fatigue and attendant symptoms either verbally or on a questionnaire.


Bursting Our Bubble - Norwegian Style

Ground-breaking research from Norwegian oncologists


The PACE Trial: An Expression Of Concern

A critique of the PACE trial by Douglas Frazer - "Essentially an unblinded trial, it appears to be falsely registered as a RCT, an example of “strawman design”, and published in breach of the Lancet's own requirements."


Ineffective NICE Treatments for ME

ME/CFS is (bio)logically explainable; Standard treatment is ineffective, and even potentially harmful


Chronic Fatigue Syndrome after Q fever

Q fever is a common and acute but rare chronic zoonosis caused by Coxiella burnetii. Its acute form manifests as atypical pneumonia, flu-like syndrome, or hepatitis. Some authors observed symptoms of chronic fatigue in a small number of patients after the acute phase of Q fever...


Interstitial cystitis and Chronic Fatigue Syndrome

ME/CFS is not the only illness which is being forced into a re-classification as a single somatoform disorder.


More evidence of inflammation in (ME)CFS

Unequivocal proof of inflammation in ME/CFS - read more


Why Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) may kill you:

Disorders in the inflammatory and oxidative and nitrosative stress (IO&NS) pathways may explain cardiovascular disorders in ME/CFS


Documented Involvement of Viruses in ME/CFS

It is notable that the PACE Trial Investigators did not include virological testing of participants in their trial that is based on their theory that patients with “CFS/ME” are merely deconditioned.
Read this very interesting, thought-provoking and disturbing article about the documented involvement of viruses in ME/CFS.

  UK Medical Research Council - Secret Files on ME

It is an established fact that the MRC has a secret file on ME that contains records and correspondence since at least 1988 - click here


Can the MRC PACE Trial be justified?

The House of Commons Select Committee received seven representations about the MRC’s refusal to heed the biomedical evidence about ME/CFS. MPs found evidence of poor planning and of focusing on “politically-driven” projects that have diverted money away from top-quality proposals - read more.


Statements of Concern about CBT/GET provided for the High Court Judicial Review of February 2009

For the NICE Judicial Review many submissions were made expressing  concern about the recommendation by NICE that the primary management intervention for ME/CFS should be Cognitive Behavioural Therapy and Graded Exercise Therapy - read more.


The role of viruses in ME/CFS: What, if any, will be the effect of the discovery linking XMRV to ME/CFS on the MRC PACE Trial?

There is increasing awareness that the dysregulated immune system that is a hall-mark of ME/CFS allows multiple latent viruses and microbial agents to become reactivated.

Moreover, recent research has shown that even viruses which were hitherto believed not to persist after an acute infectious episode are capable of long-term viral persistence. Margaret Williams discusses this.


Chronic Fatigue Syndrome: La Bête Noire of the Belgian Health Care System

Recently, the Belgian government has evaluated the outcome of the treatments at the CFS Centers. They concluded that a "rehabilitation therapy" with CBT/GET yielded no significant efficacy in the treatment of ME/CFS and that CBT/GET cannot be considered to be curative therapies.


CBT and GET - Ineffective for ME

A review on cognitive behavorial therapy (CBT) and graded exercise therapy (GET) in myalgic encephalomyelitis (ME) / chronic fatigue syndrome (CFS): CBT/GET is not only ineffective and not evidence-based, but also potentially harmful for many patients with ME/CFS.



From our 2009 Conference version of the Journal of IiME Volume 3 Issue 1.



Scientists have discovered a potential retroviral link to ME.  Researchers from the Whittemore Peterson Institute (WPI), located at the University of
Nevada, Reno, the National Cancer Institute (NCI), part of the National Institutes of Health, and the Cleveland Clinic, report this finding online Oct. 8, 2009, issue of Science.



From our Autumn 2008 Journal of IiME - Reasons why ME does not belong to the Medically Unexplained Symptoms category - click here


Recommended treatment of ME/CFS Often Detrimental

A press release from three Dutch ME organisations reveals CBT to lead to a deterioration in ME patients' condition.

Click on the image on the left for more information.


Caring for Seriously Ill ME Patients

From our Journal of IiME Vol 2 Issue 1- a survey from Norway helping explain how to manage severely affected people with ME - click here 



Dr. Sarah Myhill - CFS and Mitochondrial Dysfunction

Dr Myhill et al have published a new paper on mitochondrial dysfunction in ME.

The importance of this paper is that it separates psychological fatigue from cellular fatigue and is a possible biomarker for any subsequent diagnostic test for ME which may be developed. The research helps in confirming the biochemistry of ME and provides even more proof of the organic nature of this illness.

Dr Myhill presented on mitochondrial dysfunction at our 2007 conference in London (the DVD may be ordered from here).

Click on the image on the left.


Dr. Martin Lerner's Energy Index Performance Scale

At our conference in May Dr Martin Lerner not only provided unique data in his impressive presentation but he also discussed his Energy Index Points Score Table which is an easy way for healthcare staff to monitor a patient's capability levels thus helping avoid over-exertion and monitoring of progress.

Dr Lerner's presentation can be seen on the conference DVD. Dr Lerner has given us permission to display this on the IiME web site - click here.

More information is available from Dr Lerner's site at

from the December 2008 Newsletter


ME/CFS as a Mitochondrial Disease

Dr David Bell has been involved in ME/CFS for many years and in this extract from his Lyndonville newsletter he explains mitochondrial disease and the type of secondary mitochondrial disease ME/CFS patients experience - the inability to sustain activity. He clearly illustrates why ME/CFS has nothing to do with deconditioning.

from the Journal of IiME Volume 2 Issue 1


Caring for Seriously Ill ME Patients

An article which provides a good insight into the difficulties in caring for this group of ME patients in institutions. The normal rules of rehabilitation do not apply to ME patients and it is important to take the lead from patients. Patient experiences are very important and should be listened to.

from the Journal of IiME Volume 2 Issue 1 - by Dr Sidsel Kreyberg


Essential investigations for people with ME

Comments on “Identification and treatment of symptoms associated with inflammation in medically ill patients”.

January 2008 - by Margaret Williams


Exploratory Subgrouping in CFS: Infectious, Inflammatory, and Other

From the Journal of IiME Vol 1 Issue 1

May 2007 - by Dr. Leonard Jason


The physiology of exercise intolerance in patients with myalgic encephalomyelitis (ME) and the utility of graded exercise therapy

From the IiME Response to the NICE Draft Guidelines

November 2006 - by S. Pierce and P.W. Pierce

  CBT, GET And Human Rights:

From the IiME Response to the NICE Draft Guidelines.

October 2006 - by R. Mitchell and V. Mitchell

  Statistics on DLA and IB for PwME

From the August newsletter
Statistics on Disabled Living Allowance and Incapacity Benefit for UK people with ME.

  Letter from America

Pat Fero's update on the Whittemore-Peterson Institute - August 2007

  Dr Byron Hyde's Nightingale ME Definition

Produced by Dr. Hyde for the Gibson Inquiry and the Invest in ME - ME/CFS  Conference 2007.

A description of what ME is and what it isn't.  Click on the image to the left open this very useful document.

Click here to read more.

  What is ME - What is CFS? Information for Clinicians and Lawyers

December 2001 by E.P.Marshall, Margaret Williams and Malcolm Hooper


  Saying NO to CBT  

Designed to support M.E. sufferers who choose not to attend the current NHS Chronic Fatigue Syndrome/Myalgic Encephalomyelitis clinics which have been set up across the country.

  Invest in ME Conference presentations in Journal of Clinical Pathology  

The presentations from the International ME Conference in London during May 2006 have now been adapted and published in the Journal of Clinical Pathology.

Click on image to read more.

Dr. Byron Hyde's Little Red Book

Produced by Dr. Hyde for the Invest in ME - ME Conference 2006.

A description of what ME is and what it isn't.  Click on the image to the left open this very useful document.

  Canadian Guidelines Accepted by NHS ME Doctors

Two NHS doctors treating ME patients have endorsed the Canadian Guidelines. Click here to read more.
  Canadian Diagnostic Criteria

From the Journal of Chronic Fatigue Syndrome
A description of the important Canadian definition for diagnosis of ME.

  Professor Malcolm Hooper - Engaging with ME

From Invest in ME articles
A summary of the lecture by Professor Hooper organised by Invest in ME in 2005.

  Dr J Gordon Parish
A Review of The Clinical Syndrome Variously Called Benign Myalgic Encephalomyelitis, Iceland Disease and Epidemic Neuromyasthenia by ED Acheson (American Journal of Medicine, 1959)
Epidemics with ME.