i greatly admire schubiner and sarno for exploring this issue but their limits are clear, and they admit it themselves. relatively few patients (i think for sarno it was like 20%?) will "accept the diagnosis." and why should they? again, in 80% of patients the crisis of jouissance is not sharp enough to really investigate their unconscious. and of course in many of those 20% of patients (yourself and myself included) the jouissance is displaced elsewhere, perhaps to somewhere much less obvious than chronic lower back pain.
When someone believes they have a disorder for many years/decades it becomes a part of their identity. Admitting they were wrong means that they needlessly caused suffering to themselves. It is embarrassing and emotionally painful.
They become instantly defensive, and hostile towards anyone offering alternative explanations.
CFS =/= feeling tired.
"The most prominent symptom of chronic fatigue syndrome is an unexplained feeling of fatigue, which is not relieved by rest. This fatigue is severe enough to decrease a person's activity level at home, work or school by 50% or more. In addition, the diagnosis requires that patients should have at least four of the following symptoms that also are present for at least six months:
- Impaired concentration or short-term memory, severe enough to affect routine activities at home, work, school or social functions
- Sore throat
- Enlarged lymph nodes (swollen glands) in the neck or underarm area
- Muscle pain
- Pain in several joints, with no redness or swelling
- Headaches that are different in some way: a new type of headache pain, a new pattern of headaches or headaches that are more severe than before
- Sleep that doesn't refresh, or not feeling rested on waking
- An extreme reaction to exertion: feeling sick after exercise or strenuous activity, often not starting until the next day
People with chronic fatigue syndrome often have other symptoms that are not part of the official definition of the illness, such as nausea and difficulty tolerating alcoholic beverages or medicines that act on the brain. Many people also have allergies, such as hay fever (allergic rhinitis) or recurring sinus problems.
About half of people with chronic fatigue syndrome develop depression in the months and years after their illness starts. However, available evidence indicates that chronic fatigue syndrome is not a psychiatric illness. Rather, it appears to be a physical illness that leads to depression in some people."
https://www.health.harvard.edu/a_to_z/chronic-fatigue-syndro...
Edit: I want to apologize to fortran77. My temper got the better of me.
I suffered from chronic pain symptoms for almost 10 years (was unable play the piano and type on the keyboard) until I realized it was 100% psychosomatic.
Maybe I was an extreme case, but it had a horrible effect on me and I would never consider using it regularly again.