This book is titled "CFS/ME: The Facts", and as such is immediately in a difficult position, as there are very few concrete facts known about this illness to date. This book's name comes about because it is part of the Oxford University Press's "The Facts" series (which implies reliable, dependable information), and is cause for some concern.
The initial pages in Section One give a straightforward, readable introduction to the features of CFS/ME, and also some of the theories that have been put forward to explain it. However, as this section progresses, some rather worrying points of view are expressed, for example that many sufferers are resting too much, (thereby "hindering recovery"), and are afraid of participating in "activity that seems to make symptoms worse". Perhaps those sufferers who have been ill for some time (and may be in vicious circles of inactivity and complacency) might improve if they increased their activity; but for the newly-ill, exhausted and confused sufferer, it is more important to avoid activity that exacerbates symptoms, and to take plenty of rest.
Also in Section One, we are introduced to the book's biggest bias, that of Cognitive Behaviour Therapy/Graded Exercise Therapy (CBT/GET). Although the book goes to some lengths to point out the CBT/GET is NOT a cure, it still trumpets this as the best way forward. Other treatments (for example, from the alternative field), although considered, are presented as generally unproven, unreliable and even possibly harmful; yet CBT/GET, which is itself a contentious treatment, is highly recommended, as is a referral to a Psychiatrist. However, in the book's defence, it must be said that the chapter on CBT/GET is well written and makes good sense.
The first section also presents us with the somewhat insulting statement that many sufferers are not recovering partly because of their behaviour patterns and "illness beliefs". This would be great news, if it were true. Most CFS/ME sufferers do everything they can to aid recovery; yet most remain ill, due to the physical nature of their illness. To state that many sufferers are in illness-perpetuating "vicious circles" of behaviour and beliefs is insensitive and, perhaps most importantly, wrong.
In Section Two, Self-Help, there is a good description of the basics of pacing and management; and a lot of well-thought out sound advice. Attention to communicating effectively, improving relationships with others (including doctors), and on planning for your future, are all covered. There is also a section on children with CFS/ME. Allowing yourself time and energy for pleasure is also, addressed, and the balance seems good. However, throughout the book there appears to be some mistrust of patient's perceptions of their illness - for example, it is stated that some sufferers "seem" to be sensitive to antidepressants. I find this sceptical undercurrent worrying, as the way that patients report how they feel is vital in approaching recovery plans. Also, in the "Gradual increase in activity" section, we are advised that an increase in symptoms is "safe" and not to be worried about. Apparently, this has "proved" to be safe and to "work"; yet I and many other sufferers have found quite the opposite when ignoring increased symptoms after increasing activity levels.
In conclusion, this book could well be helpful to sufferers who have been ill for some time and wish to practise self-help techniques for improving their condition and enhancing their recovery prospects. However, I feel it should be treated with considerable caution by the newly-diagnosed and those whose symptoms have yet to settle down, as there is a risk that, after reading the first 50 pages, they may push themselves out of bed and into exercise when it is least appropriate. A more accurate title than "The Facts" would be "Cognitive Behaviour and Graded Exercise Therapy in CFS/ME".