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Boudewijn Van Houdenhove
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==="Ill without a disease" === In the 1990s Van Houdenhove expanded his expertise to chronic fatigue syndrome, a disorder in which he saw many similarities with the chronic pain patients he was treating.<ref name=":4" /><ref name=":13" /> In his first book<ref>Van Houdenhove, B. (1998). [https://books.google.be/books?id=Y5V0AAAACAAJ&dq=ziek+zonder+ziekte+van+houdenhove&hl=nl&sa=X Ziek zonder ziekte. Beter begrijpen van psychosomatische klachten]. Tielt: Lannoo.</ref> about the issue, he named CFS "the psychosomatic disease of our time" and claimed CFS patients were "ill without a disease" (in Dutch: "ziek zonder ziekte"). Van Houdenhove also claimed that this was a disease, “ideally suited to rehabilitation."<ref>[http://www.dekamer.be/doc/ccri/pdf/50/ic033.pdf#search=%22vermoeidheidssyndroom%20%2050 Belgische Kamer Van Volksvertegenwoordigers]. Handelingen. Integraal verslag van de openbare vergadering van de commissie voor de Sociale Zaken van 09-11-1999.</ref> As a reporting member for the ‘treatment working group’ of the Superior Health Council in 2001<ref>[http://users.telenet.be/martens-hansen/cfspolitiek/HGR_therapie.html Hoge gezondheidsraad - Syntheseverslag van de werkgroep "therapie"] (12-01-2011).</ref>, he played a vital role in implementing [[cognitive behavioral therapy]] (CBT) and [[graded exercise therapy]] (GET) as the state-sponsored treatments for [[ME/CFS]] in [[Belgium]]. When these therapies failed to show meaningful results<ref>Pardaens K, Haagdorens L, Van Wambeke P, Van den Broeck A, Van Houdenhove B. How relevant are exercise capacity measures for evaluating treatment effects in chronic fatigue syndrome? Results from a prospective, multidisciplinary outcome study. Clin Rehabil. 2006 Jan;20(1):56-66. [[Digital object identifier|doi]]:[http://journals.sagepub.com/doi/10.1191/0269215506cr914oa 10.1191/0269215506cr914oa]. [[PubMed Identifier|PMID]] [[pubmed:16502751|16502751]]</ref>, Van Houdenhove admitted his initial views to be erroneous and too simplistic (translated from Dutch): <blockquote>"When I started to see patients with chronic fatigue symptoms in the early 1990s, I was initially a non-believer. It was hard for me to imagine that the exhaustion of these patients could be so dramatic. Perhaps they - like many [[chronic pain]] patients with whom I had some experience - had become abnormally tired because of the deterioration of their physical condition. I thought practicing a lot would help them to get over it. But in the course of time I went through a metamorphosis. I became a believer. I remember that this change of attitude was encouraged by the contact I had with some patients who had previously been passionate about sports. In their case, there was absolutely no question of severe deconditioning. Nonetheless, they were unable to perform normal efforts and complained of a feeling of sickness, if they tried to force themselves."<ref name=":13">Van Houdenhove, B. (2009) [https://books.google.be/books/about/Herwin_je_veerkracht.html?id=yDauPwAACAAJ&redir_esc=y Herwin je veerkracht. Omgaan met chronische vermoeidheid en pijn]. Tielt: Lannoo.</ref> </blockquote>
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