By David Tuller, DrPH
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My story on the Lightning Process this week, published by Coda Story, was pretty long. Even so, it didn’t cover everything I would have liked to include. Here a bit more about the issue.
As we now know, the pediatric Lightning Process study conducted by Professor Esther Crawley, Bristol University’s methodologically and ethically challenged pediatrician, violated core concepts of scientific inquiry but was published anyway. BMJ whitewashed what appeared to be research misconduct by posting a 3,000-word correction/clarification rather than retracting the paper.
In retrospect, those in the ME/CFS patient and advocacy community who challenged Professor Crawley’s decision to study the Lightning Process in kids were prescient: It was a bad idea. Nonetheless, this understandable negative reaction became part of the so-called Science Media Centre’s scheme to orchestrate press coverage about what it purported was a coordinated campaign of harassment against researchers in this field. In 2012, Professor Crawley herself wrote an essay on the issue for the SMC’s tenth-anniversary publication, “Views from the front line.” under an ominous headline–“Threats of persecution.”
I can easily believe that troubled individuals sent Professor Crawley and others hateful and vicious messages. Perhaps some of these messages amounted to death threats, as has been alleged. But it is also true that this particular group of researchers frames tough criticism as “harassment,” as I know very well myself. After all, Professor Crawley publicly accused me of libel without basis and suggested my actions warranted police intervention, as if I threatened her person rather than just her professional reputation.
In any event, the SMC strove mightily to portray elements of the ME/CFS patient community as a menaceâ€”a simmering brew of hysterical, unhinged, dangerous, and anti-science zealots. The effort was a rousing success. The effect of this framing, and perhaps the goal, was to shield the SMCs favored researchers–the PACE authors as well as Professor Crawley–from legitimate scientific scrutiny. And UK reporters certainly enabled them in this endeavor.
In 2019, for example, both Reuters and The Guardian published articles that portrayed Oxford psychiatrist and PACE author Professor Michael Sharpe as a scientific martyr bravely confronting harassment from patients–and from me. Both articles failed to explore the scientific questions surrounding the PACE trial and the possibility that Professor Sharpe and his colleagues engaged in serious research misconduct in how they conducted it and reported their findings.
Alongside Professor Crawley’s testimonial in the SMC’s tenth anniversary celebration was one from the BBC’s Tom Feilden–a prominent reporter who decided to shill for the organization in his spare time. (Kate Kelland of Reuters made a similar decision to flack for the SMC, as discussed here.) In his essay, he described how the SMC packaged a story for him about the harassment experiences of Professor Crawley and other investigators. Before interviewing them, he conducted his own review of the matter:
“I set about researching the issue on the internet. At its heart seemed to be the classification of CFS as a psychiatric condition. The assumption underpinning much of the most vociferous comment from a small cabal of campaigners seemed to be that this amounted to an attempt to dismiss sufferers as either mad or malingerers. The real cause was an, as yet, undiscovered virus, and anyone who demurred was involved in an elaborate conspiracy.”
A very stupid notion
To anyone paying attention, Feilden’s account parallels the party line of the biopsychosocial ideological brigades and their fellow travelers at the SMC. According to this theory, patients reject PACE and related research because they are prejudiced against psychiatry and against people with mental illness.
It is hard to express how stupid this notion sounds to anyone who has actually engaged with patients. Had Feilden extended his research beyond “the internet” and spoken with the many smart people making cogent scientific arguments against the research being conducted by Professor Crawley and others, he might have learned something to challenge his misconceptions. Instead, he wrote this: “But it was when she [Professor Crawley] got involved in a study to assess the efficacy of one particular treatment, a therapy known as the lightning process, that the trouble started.”
If Feilden knew anything about epidemiology or clinical trial design, as the patients he dismissed as a “cabal of campaigners” apparently did, he would have recognized that the Lightning Process study was problematic from the start. Perhaps he took it for granted that the research was sound and could produce robust results–after all, the experts at the SMC believed in it. Maybe Feilden thought he didn’t need to bother double-checking with any independent sources outside the SMC bubble.
And he appeared to trust the SMC to not only vet the science for him but also do some of the journalistic legwork. Here’s what he wrote:
“We could, and would, have run the story without the help of the SMC. But it would have been without the personal insights or reflections of those at the sharp end of the controversy. It was the SMC that had persuaded, supported and prepared the scientists to speak out on Today. Without this we would have been on the outside looking in, and the story would have been the lesser for it.”
Like Kelland’s admission in her own essay that she preferred to outsource her professional judgement to the SMC, this is, or should be, an embarrassing statement for a journalist. Feilden relied on the SMC to perform some of a reporter’s primary job functions–finding sources, engaging with them, earning their trust. He appreciated that the SMC “prepared” –whatever that means. (Personally, I prefer talking to sources that haven’t been “prepared” beforehand by public relations specialists with a specific communications goal in mind.)
Now let’s look at what happened from the perspective of the SMC. In 2013, the organization issued a three-year review of its “mental health research function.” The successes of this arm of the SMC, according to the review, included working with investigators who “have found themselves in the firing line from a small group of extremists who are opposed to psychiatrists or psychologists doing research on chronic fatigue syndrome/ME.”
Among the positive outcomes of its efforts, noted the SMC in the mental health function review, was the high-profile report from Tom Feilden:
Tom Feilden, science correspondent for BBC Radio 4’s Today programme, won the UK Press Gazette’s first ever specialist science writing award for breaking the story the SMC gave him about the harassment and intimidation of researchers working on CFS/ME. The SMC had nominated him for the award.
So let’s get this straight: The SMC found the sources, persuaded and “prepared” them to talk to the media, and “gave” the story to Tom Feilden. Then the SMC nominated Tom Feilden for an award for the story it prepared and gave him. Tom Feilden won the award. Then he wrote a promotional essay for the SMC.
Hm. Nice! Great that things worked out so well for everyone.