Abstract
Fatigue, which is the central symptom of CFS/ME, is notoriously difficult to define. We describe an investigation in which we raise two questions. First, does the way people use fatigue-related language reflect distinctive patterns? Second, is there a particular pattern characteristic of CFS/ME? These questions can be asked with various theories of language and meaning in mind, as we discuss. Our orientation is towards the intersubjective realities revealed by language, rather than towards the neurological substrate of fatigue.
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References
Muscio, B. (1921) Is a fatigue test possible? British Journal of Psychology, 12: 31–36.
Sharpe, M., & Wilks, D. (2002) ABC of psychological medicine: Fatigue. British Medical Journal, 325: 80–483.
International Civil Aviation Organization (2012) Fatigue Risk Management System Manual for Regulators http://www.icao.int/Safety/fatiguemanagement/ FRMS%20Tools/Doc%209966%20-%20FRMS%20Manual%20for%20 Regulators.pdf Accessed 7/4/2015.
Ream, E., & Richardson, A. (1996) Fatigue: A concept analysis. International Journal of Nursing Studies, 33: 519–529.
Berrios, G. (1990) Feelings of fatigue and psychopathology: A conceptual history. Comprehensive Psychiatry, 31: 140–151.
Chalder, T., Berelowitz, G., Pawlikowska, T. et al. (1993) Development of a fatigue scale. Journal of Psychosomatic Research, 37: 147–153.
Alonzo A. A., (1985) An analytic typology of disclaimers, excuses and justifications surrounding illness: A situational approach to health and illness. Social Science and Medicine, 21: 153–162.
Wittgenstein, L. (1958) Philosophical Investigations. Translation by GEM Anscombe. Oxford: Basil Blackwell.
Barraclough, K. (2004) Diagnosis and Wittgenstein’s theories of language. British Journal of General Practice, 54: 480–481.
Johnston, Paul (1993) Wittgenstein: Rethinking the Inner. London and New York: Routledge. Chapter 5, pages 133–139.
National Institute for Health and Clinical Excellence (NICE) (2007) Clinical Guideline 53 — Chronic fatigue syndrome/myalgic encephalomyelitis (or encephalopathy): Diagnosis and management of CFS/ME in adults and children. London: NICE.
Gülich, E., & Furchner, I. (2002) ‘Die Beschreibung von Unbeschreibbaren. Eine konversartionsanalytische Annäherung an Gespräche mit Anfalls-kranken’. In: Inken Keim/Wifried Schütte] (Hg): Soziale Welten und kommunicative Stile. Festschrift für Werner Kallmeyer zum 60. Geburstag. Tübingen, pp. 161–18
Furchner, I., & Gülich, E. L’expertise des patients dans l’élaboration d’un diagnostic medical — Analyse linguistique d’entretiens avec des patients souffrant de crises épileptiques ou non-épileptiques Bulletin Suisse de linguistique appliquée 201; no 74 83–107 ISSN 1023–2044.
Gülich, G., & Schöndienst, M. (2006) Conversation analysis as a new approach in the differential diagnosis of epileptic and dissociative seizure disorders. Conference on Conversation Analysis in Epileptology, Sheffield.
http://www.sth.nhs.uk/clientfiles/File/pd3922_NonEpilepticSeizures.pdf Accessed 7/4/2015.
Wittgenstein, L. (1958) Philosophical Investigations, translation by GEM Anscombe. Oxford: Basil Blackwell.
Goldman, Irvin (1999) Q methodology as process and context in inter-pretivism, communication, and psychoanalytic psychotherapy research. Psychological Record, 49: 589–604.
Approval for this research was given by the Southern Derbyshire Research Ethics Committee. All participants gave written consent, after being given adequate time to consider written information.
Åhsberg, E., Gamberale, F., & Kjellberg, A. (1997) Perceived quality of fatigue during occupational tasks. Development of a questionnaire. International Journal of Industrial Ergonomics, 20: 121–135.
Hartz, A., Bentler, S., & Watson, D. (2003) Measuring fatigue severity in primary care patients. Journal of Psychosomatic Research, 54: 515–521.
Åhsberg, E. (2000) Dimensions of fatigue in different working populations. Scandinavian Journal of Psychology, 41: 231–241.
Goetz, S. M., Koch, T., Hahr, M., Beer, C., Minder, C. E., & Adler, R. H. (2005) Toward an understanding of different manifestations of fatigue. Journal of Psychosomatic Research, 58: 179–182.
Banks, J., & Prior, L. (2001) Doing things with illness. The micro politics of the C.F.S. clinic. Social Science & Medicine, 52: 11–23.
Nemiah, J. C. (1996) Alexithymia: Present, past — and future? Psychosomatic Medicine, 58: 217–218.
Taylor, G. J., & Bagby, R. M. (2004) New trends in alexithymia research. Psychotherapy and Psychosomatics, 73: 68–77.
Vanheule, S. Vandenbergen, J., Desmet, M. et al. (2007) Alexithymia and core conflictual relationship themes: A study in a chronically fatigued primary care population. International Journal of Psychiatry in Medicine, 37: 87–98.
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© 2015 Penny Standen, Christopher D. Ward, Laura Saunders, and Charlotte Beer
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Standen, P., Ward, C.D., Saunders, L., Beer, C. (2015). Symptoms into Words: How Medical Patients Talk about Fatigue. In: Ward, C.D. (eds) Meanings of ME: Interpersonal and Social Dimensions of Chronic Fatigue. Palgrave Macmillan, London. https://doi.org/10.1057/9781137467324_7
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DOI: https://doi.org/10.1057/9781137467324_7
Publisher Name: Palgrave Macmillan, London
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