Titlebook: Meanings of ME: Interpersonal and Social Dimensions of Chronic Fatigue; Christopher D. Ward (Emeritus Professor) Book 2015 The Editor(s) (

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Introductionis possible if we assume (1) that any given account of CFS/ME is a particular ‘punctuation ’ of complex realities and (2) that the meanings people associated with CFS/ME do not form a fixed code but are developed discursively. For these reasons a multi-perspectival, systemic approach is needed in or

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Historically Speaking: Three Influences on the Way we Think about CFS/MEase ’ fitted better with the progress of scientific medicine. The advance of medical specialisation has favoured the view that either the brain or the mind is the locus of disease in neurasthenia. Explanations of illness that are oriented towards whole systems and whole persons lack the authority an

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The Self and Others in CFS/ME: Reinterpreting Research Evidenceg; and (6) meanings derived from present and past relationships are important vulnerability factors. Each of these gain support from available evidence although our interpretation sometimes requires a shift from a cognitivist to a discursive paradigm. We end with a discussion of gender.

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What Does the Diagnosis Say?relationships within families and communities by legitimising illness and hence repositioning people. The roles of patient and of carer are established, pre-illness roles are adjusted, and blame and responsibility may be assigned in new ways following the making of a diagnosis. Some of these effects

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