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Tom Molmans, MD @molbaas.bsky.social · 21/09/2026

Here's their results. With the psychosomatic whitewashing live in action. Just look at the refs. Appalling. These people rule guideline formation in their respective countries: longcovidproject.eu/wp-content/u...

longcovidproject.eu

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Tom Molmans, MD @molbaas.bsky.social · 21/09/2026

The BPS model and more 'modern' psychosomatic tactics are being used to 'biopsychosocialize' the soaring rates of chronic illness in the West. Why? 'Cause ideologues can't move past their narcissims of 'good intentions' And governments like wellfare cuts. A perversely dangerous collusion.

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Tom Molmans, MD @molbaas.bsky.social · 21/09/2026

This awarded call indeed is from a while back (2021). This group presented its findings recently and practically said: we didn't find anything, let's turn everything in somatic-symptom disorder! George, please realize these people won't stop at ME/LC/PAIS. longcovidproject.eu

longcovidproject.eu

LongCovid – Decision support for prediction and management of Long Covid Syndrome (LCS)

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Tom Molmans, MD @molbaas.bsky.social · 21/09/2026

Indeed, there's not 8 million directly going to Gupta. But the way the large subsidy calls like Horizon are built favours 'broad' approaches, and BPS-whitewashing. Ideologues are moving along just enough to claim they have biomedical views. Dynamic, here: www.frontiersin.org/journals/med...

frontiersin.org

Frontiers | Commentary: Internal medicine at the crossroads of long COVID diagnosis and management

We read with attention the article by Ranque and Cogan (1) entitled "Internal medicine at the crossroads of Long COVID diagnosis and management." W...

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Tom Molmans, MD @molbaas.bsky.social · 29/07/2026

*Brain retraining proponents have entered the chat for clout*

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Tom Molmans, MD @molbaas.bsky.social · 29/07/2026

The problem remains: the blatant double standard in evidence generation and interpretation that exists, in which it is implied these hypotheses need to be falsified, not proven. This happens from the level of hypothesis generation, all the way up to the interpretation of treatment efficacy. 9/9

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Tom Molmans, MD @molbaas.bsky.social · 29/07/2026

Critiques are often countered by 2 forms of response. 1) The straw-man that 'mind-body interactions' are fully denied by critics. 2) A motte-and-bailey fallacy, through which statements are temporarily toned down a bit. 8/9 www.frontiersin.org/journals/med...

frontiersin.org

Frontiers | Commentary: Internal medicine at the crossroads of long COVID diagnosis and management

We read with attention the article by Ranque and Cogan (1) entitled "Internal medicine at the crossroads of Long COVID diagnosis and management." W...

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Tom Molmans, MD @molbaas.bsky.social · 29/07/2026

Why no 'holistic' mention that this mitochondrial damage has been through the entire body, outwide of the brain? Also in immune cells, but also in the endothelium, skeletal muscle and cardiac muscle, n.b. partially by the same researchers? We know why. 7/9 www.sciencedirect.com/science/arti...

sciencedirect.com

Immunoglobulin G complexes from post-infectious ME/CFS, including post-COVID ME/CFS disrupt cellular energetics and alter inflammatory marker secretion

Autoimmunity is a key clinical feature in both post-infectious Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) and Post-Acute Sequelae of …

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Tom Molmans, MD @molbaas.bsky.social · 29/07/2026

Why no mention of the shown microglial fragmentation, i.e. degeneration of the brain's immune cells, accompanied by the mitochondrial fragmentation we also see in other tissues and immune cells outside of the brain, n.b. mostly after an infection? 6/9 youtu.be/30DkFAXHjDI?...

youtu.be

Felipe Correa da Silva

YouTube video by NMCB | Nederlandse MECVS Cohort en Biobank

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Tom Molmans, MD @molbaas.bsky.social · 29/07/2026

Why no mention of the likely leading cause of brain fog, next to vascular disturbances: diffuse glutamatergic excitotoxicity across the brain (including the thalamus)? 5/9 academic.oup.com/braincomms/a...

academic.oup.com

Systemic increase of AMPA receptors associated with cognitive impairment of long COVID

Fujimoto et al. report that the patients with cognitive impairments after SARS-CoV-2 infection showed significant AMPA receptors upregulation across their

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Tom Molmans, MD @molbaas.bsky.social · 29/07/2026

It becomes even more telling, when neuroscientists/clinicians - who often whine about supposed 'mind-body dichotomies' - start perpetuating them themselves: why else is the only mention of central brain involvement one fitting the narrative of 'central gain' and 'effort preference'? 4/9

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Tom Molmans, MD @molbaas.bsky.social · 29/07/2026

For some reason holistic symptom reductionists often think linearly themselves: 'None of this settles whether the primary disturbance is bottom-up or top-down'. Which is solved by a god-like 'signal weighing' narrative, that appropriates some peripheral biomedical findings. 3/9

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Tom Molmans, MD @molbaas.bsky.social · 29/07/2026

This seems pathognomonic of a self-sustaining selection bias among certain academics, who don't seem interested or knowledgeable in the systemic, or central, biology of PAIS/ME, just cherry pick some biomed stuff, and let that converge with their own ideas and interests. 2/9

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Tom Molmans, MD @molbaas.bsky.social · 29/07/2026

Ironic to see a response saying these hypotheses and findings are 'easily understated', as the literature has been riddled with similar, overrepresented and overgeneralized FND rhetoric for decades, more so when based on a single, and not very convincing, HBOT study. A 🧵: 1/9

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Tom Molmans, MD @molbaas.bsky.social · 10/06/2026

And another one: 10-End academic.oup.com/brain/articl...

academic.oup.com

Validate User

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Tom Molmans, MD @molbaas.bsky.social · 10/06/2026

Here's a dismantling of the mordernist MUS-argument, in the form of somatic-symptom and functional disorders, and within the medical context of long Covid and ME/CFS, not as much within the philosophical context: 9 www.frontiersin.org/journals/med...

frontiersin.org

Frontiers | Commentary: Internal medicine at the crossroads of long COVID diagnosis and management

We read with attention the article by Ranque and Cogan (1) entitled "Internal medicine at the crossroads of Long COVID diagnosis and management." W...

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Tom Molmans, MD @molbaas.bsky.social · 10/06/2026

O'Leary and many others: 'Psychiatry and medicine, start looking at yourselves!' Psychiatry and medicine: 8

static.klipy.com

ALT:

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Tom Molmans, MD @molbaas.bsky.social · 10/06/2026

Shouldn't psychiatry be the 1st to know that change and losing relevance aren't the same? Although admittedly this means the role of mind-body ideologues is played out. So when will psych and medicine -on the topic of MUS - start choosing patients, and not themselves? 7

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Tom Molmans, MD @molbaas.bsky.social · 10/06/2026

The end of the interview beautifully shows an important reason for psychiatry's conflation on dualism: Its endless circular rationalizing is a defense mechanism to 'guard against' the all encompassing anxiety for the loss of its relevance if things change (and improve). 6

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Tom Molmans, MD @molbaas.bsky.social · 10/06/2026

It's the idea patients will suffer if radiologists, oncologists etc. keep doing what they do best by embracing 'biomedical reductionism'. It's a taught reflex that ignores that for decades (confounded) BPS thinking has already been dominant AND caused harms. 5

static.klipy.com

ALT:

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Tom Molmans, MD @molbaas.bsky.social · 10/06/2026

as it is a poor argument for the the mind's role in symptom experience, as it is a valid risk. Part of that reasoning, not all, is still built on this non-sequitur: 'With new scans and DNA-stuff, we still don't understand everything, therefore it must be the mind.' 4

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Tom Molmans, MD @molbaas.bsky.social · 10/06/2026

The selective frame that there's this constant danger of 'disconnecting the mind from the brain that needs to be guarded against', is as much a reflex within psychiatry's to reiterate its relevance - ever since the 'neuroreductionist age' couldn't explain everything -, 3

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Tom Molmans, MD @molbaas.bsky.social · 10/06/2026

Still hoping you reach out @awaisaftab.bsky.social! Is your cool interview with @dianeoleary.bsky.social on psychiatry's conflation on dualism, and your hesitation there to call out MUS for what it scientifically is, 1/10 www.psychiatrymargins.com/p/reconsider...

psychiatrymargins.com

Reconsidering the Place of Dualism in Medicine and Psychiatry: An Exchange with Diane O’Leary

[Redux]

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Tom Molmans, MD @molbaas.bsky.social · 08/06/2026

Dank voor deze bijdrage @kasperjansen.bsky.social Ik wilde je een mail/tip sturen, maar de mailtjes komen niet aan op het adres dat vermeld staat op je website. Stuur me een DM als je wil!

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Tom Molmans, MD @molbaas.bsky.social · 08/06/2026

Other thread on appropriation tactics, on X. With reference to a nice study showing diffuse glutamatergic toxicity in Neuro-long Covid - opposite psychiatric conditions. Even these people can score normally on neuropsychological examination. x.com/i/status/205...

x.com

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Tom Molmans, MD @molbaas.bsky.social · 08/06/2026

Here's some literature on this dynamic. 25-End academic.oup.com/brain/articl... www.frontiersin.org/journals/med... www.thieme-connect.com/products/ejo...

academic.oup.com

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Tom Molmans, MD @molbaas.bsky.social · 08/06/2026

'I feel so good about myself 'cause I'm instrumentalizing a group that has been harmed by psychologization, to combat society's bias against psychiatric disease, by saying they're very similar. Thus hurting both.' It's just naive and regressive internalized narcissism. 24

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Tom Molmans, MD @molbaas.bsky.social · 08/06/2026

Paraphrased: 'Impartiality is impossible when my views are ignored. That's because of your ideas, not my overgeneralized ones that had their shot for 70 years.' And lasty, the stigma straw man, veiled under an internalized sense of heroïsm comes into play (E). Paraphrased: 23

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Tom Molmans, MD @molbaas.bsky.social · 08/06/2026

So this is not just a religious war: it's a war against religious ideas in medicine. Ideas and a dynamic the author openly admits he himself is not impartial to. 22 Ironically, at the end he demonstrates his denial by turning his hypocrisy into a (projected) sense of irony. 22

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Tom Molmans, MD @molbaas.bsky.social · 08/06/2026

And in a way it does. It shows they embrace the subjective symptom reductionist view, and in the end only care about inflated self-reported outcomes. The entire scientific pitfall this field has been suffering from for so long. 21

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Tom Molmans, MD @molbaas.bsky.social · 08/06/2026

Next he invokes the false-dichotomy argument, as 'biopsychosocial' zealots always do. And then reduces vast methodological critiques to 'placebo', thinking this proves his point. 20

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Tom Molmans, MD @molbaas.bsky.social · 08/06/2026

Predictably, at the end he jumps on the neurplasticity train and uses cognitive rehab after stroke as an example of how 'psychological interventions' can treat biology. That stroke patients don't have a systemic disease with dysfunctioning cell biology doesnt matter ofc. 19

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Tom Molmans, MD @molbaas.bsky.social · 08/06/2026

So the author, a religion professor, in the end got what he wanted. The confirmation this is not a scientific, but a religious war. Isn't it nice to reiterate the relevance and ideas of yourself and your contemporaries, instead of admitting what went and is going wrong? 18

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Tom Molmans, MD @molbaas.bsky.social · 08/06/2026

Here a retired GP, biostatistician and epidemiologist, by no means an expert, is sought out to claim the methodology of 'some of the studies' is fine. And this notoriously bad example is used to substantiate this.😂 Confirmation bias galore. jamanetwork.com/journals/jam... 17

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Tom Molmans, MD @molbaas.bsky.social · 08/06/2026

So after the impression is made both sides have been heard, and evidence is presented in a highly selected, and really methodologically irresponsible, manner, the narrative always jumps to anecdotes, not specified stigmaclaims and arguments of hierarchy (I went to prof X)'. 16

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Tom Molmans, MD @molbaas.bsky.social · 08/06/2026

And did he just invoke this (really laughably bad) German study as an argument for 'extensive evidence of psychological risk factors', mentalhealth.bmj.com/content/27/1... and then practically martyr Paul Garner? 15

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Tom Molmans, MD @molbaas.bsky.social · 08/06/2026

And did he use the mismatch found between 'objective' deficits on neuropsychological examination, that often isn't sensitive enough or adequately time-controlled, as an argument to use more objective outcomes, but later use it as an unfalsifiable argument for psych factors? 14

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Tom Molmans, MD @molbaas.bsky.social · 08/06/2026

And did the author just use this 'study' as an example of 'multiple studies' saying PEM is only a subjective phenomenon. pmc.ncbi.nlm.nih.gov/articles/PMC... And did he just call this a 'rigorous trial' showing exercise in LC is fine? jamanetwork.com/journals/jam... 13

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Tom Molmans, MD @molbaas.bsky.social · 08/06/2026

Let alone that it's able to explain the pile of bio changes found, here reduced to 'no clear biological explanation'. This seemingly neutral questioning of the vastly objectified PEM phenomenon, suggesting only advocates, and not experts, agree on it, fits that perfectly. 12

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Tom Molmans, MD @molbaas.bsky.social · 08/06/2026

Like with many 'biopsychosocial' hypotheses in this field, this contradiction is very telling. It suggests a form of very selective biomedical appropriation to really substantiate an aspecific 'functional' view, that EVEN THEN still isn't able to explain how it works. 11

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Tom Molmans, MD @molbaas.bsky.social · 08/06/2026

More specifically: with a highly predictable, and yet entirely unspecified, select set of biomed findings. They don't go further than 'brain area' (insula) conditions 'immune cell' to let the 'nervous system' remain active. 10

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Tom Molmans, MD @molbaas.bsky.social · 08/06/2026

Irrespective of mindfulness therapies hypothetically being able to facilitate spontaneous remission as a helpful coping strategy like pacing, - opposite CBT -, what we're seeing scientifically is a push to 'integrate' brain (de)conditioning views with biomedical findings. 9

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Tom Molmans, MD @molbaas.bsky.social · 08/06/2026

Thus instrumentalize both groups' suffering to hide a hide a history of iatrogenesis, and your decreasing academic and monetary relevance behind. Then (subconsciously) hide this under a veil of good intentions. It is a vile collusion between vulnerability and narcissism. 8

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Tom Molmans, MD @molbaas.bsky.social · 08/06/2026

E) Double down by invoking the stigma straw man: instrumentalize FND/psych patients who felt helped by unevidenced treatments, claiming thry're being stigmatized and threatened, and psych factors in patient xp are being denied by 'aggressive' patients. (DARVO) 7

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Tom Molmans, MD @molbaas.bsky.social · 08/06/2026

D) When criticized, nitpick a bit of biostuff and say 'predictive coding', 'stress' or 'biopsychosocial' views' explain most, and when science shows the opposite, temporarily backtrack a bit by claiming you 'never said it's only psychological': Motte-and-bailey fallacy. 6

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Tom Molmans, MD @molbaas.bsky.social · 08/06/2026

B) Disqualify mountains of biomed evidence and patient xp as 'complex' and 'unclear', and project decades of weak and current subjective methodology and outcomes on biomedical views. C) Generalize 5% to>50% of the problem and use God-like mind arguments to defend that. 5

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Tom Molmans, MD @molbaas.bsky.social · 08/06/2026

This article beautifully mirrors the false-balance tactics used to dissuade from adequate priorities in these steps: A) 'Neutralize' decades of harm and stigmatization under the guise of Cartesian taboo (MiNd BoDy DiChOtOmY) 4

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