{ "schemaVersion": "0.4", "updated": "2026-09-24", "status": "Working research map for review; not independently reproduced, exhaustive, or a clinical selection instrument", "sourceRule": "Attribution, evidence and practical consequence are separate. Missing tags mean not mapped in this source sample, not absent from the program. Clusters are overlapping editorial groupings, not computed or historical lineages.", "sources": [ { "id": "D1", "title": "DNRS: current program", "url": "https://retrainingthebrain.com/the-program", "depth": "Public offer text; paid lessons not inspected", "date": "2026-09-15", "locator": "" }, { "id": "D2", "title": "DNRS: current explanation", "url": "https://retrainingthebrain.com/", "depth": "Public homepage text", "date": "2026-09-15", "locator": "What is DNRS; origin account" }, { "id": "D3", "title": "DNRS: frequently asked questions", "url": "https://retrainingthebrain.com/frequently-asked-questions", "depth": "Public FAQ text", "date": "2026-09-15", "locator": "Mechanism, graduated exercises, visualization and comparison with other treatments" }, { "id": "G1", "title": "Gupta: current offer", "url": "https://guptaprogram.com/", "depth": "Public homepage text; paid lessons not inspected", "date": "2026-09-15", "locator": "" }, { "id": "G2", "title": "Gupta: how the program works", "url": "https://guptaprogram.com/how-the-program-works/", "depth": "Public explanation text", "date": "2026-09-15", "locator": "" }, { "id": "G3", "title": "Gupta: how your condition started", "url": "https://guptaprogram.com/how-your-condition-started/", "depth": "Detailed public causal account", "date": "2026-09-15", "locator": "Seven-stage diagram and practices" }, { "id": "P1", "title": "Primal Trust: curriculum assessment", "url": "/program-audits/primal-trust/", "depth": "Accessible Level 1, Level 2 and selected library synthesis; expanded independent and human safety review pending", "date": "2026-09-14", "locator": "Whole-program synthesis dated 4 September; belief atlas Q01–Q11" }, { "id": "P2", "title": "Primal Trust: practices and protective guidance", "url": "/program-audits/primal-trust/#practices", "depth": "Curriculum-based inventory and source references", "date": "2026-09-14", "locator": "ABC, somatic presencing, breathing, pacing" }, { "id": "P3", "title": "Primal Trust: worldview and nonresponse", "url": "/program-audits/primal-trust/#worldview", "depth": "Selected curriculum passages; not a prevalence estimate", "date": "2026-09-14", "locator": "Belief atlas Q06–Q11; Level 2 protective identity and nonresponse material" }, { "id": "C1", "title": "CFS Health: program information", "url": "https://www.cfshealth.com/programinfo", "depth": "Public offer; paid coaching not inspected", "date": "2026-09-15", "locator": "" }, { "id": "C2", "title": "CFS Health: nervous-system episode", "url": "https://www.cfshealth.com/podcasts/the-chronic-illness-recovery-podcast/episodes/2149206545", "depth": "Previously captured public transcript assessed in 7 September audit; not newly listened to", "date": "2026-09-07", "locator": "Episode 193, 18 May 2026" }, { "id": "C3", "title": "CFS Health: critique of fixed graded exercise", "url": "https://www.cfshealth.com/podcasts/the-chronic-illness-recovery-podcast/episodes/2148184672", "depth": "Previously captured public transcript assessed in 7 September audit", "date": "2026-09-07", "locator": "Episode 59, 2 October 2023" }, { "id": "C4", "title": "CFS Health: identity in recovery", "url": "https://www.cfshealth.com/podcasts/the-chronic-illness-recovery-podcast/episodes/2149241326", "depth": "Previously captured public transcript assessed in 7 September audit", "date": "2026-09-07", "locator": "Episode 204, 9 August 2026" }, { "id": "S1", "title": "Somia: current recovery pathway", "url": "https://somiainternational.com/", "depth": "Public program text; paid lessons not inspected", "date": "2026-09-15", "locator": "Brain retraining was only the beginning; Stabilize, Recondition, Optimize" }, { "id": "S2", "title": "Somia: public cross-condition account", "url": "https://www.instagram.com/p/DbEMcfqmb-O/", "depth": "Previously reviewed public post; current audiovisual access not reverified", "date": "2026-07-21", "locator": "Somia public-account-pattern audit, pinned cross-condition source" }, { "id": "H1", "title": "On the Mend: science explanation", "url": "https://onthemend.uk/science", "depth": "Public mechanism and practice description", "date": "2026-09-15", "locator": "" }, { "id": "H2", "title": "On the Mend: how it works", "url": "https://onthemend.uk/how-it-works", "depth": "Public sequence and delivery description; paid sessions not inspected", "date": "2026-09-15", "locator": "Three phases; month-by-month expectations" }, { "id": "T1", "title": "Supplied video transcript attributed to Taylor", "url": null, "depth": "User-supplied text assessed; original post and audiovisual fidelity unverified", "date": "2026-09-14", "locator": "Short claim-specific excerpts shown for review; full text remains in the private research record", "availability": "supplied-only" }, { "id": "T2", "title": "Taylor: approach and background", "url": "https://starjessetaylor.com/about.html", "depth": "Public page; includes allowing emotion and meditation", "date": "2026-09-14", "locator": "" }, { "id": "T3", "title": "Taylor: coaching", "url": "https://starjessetaylor.com/services.html", "depth": "Public offer; private delivery not inspected", "date": "2026-09-15", "locator": "" }, { "id": "T4", "title": "Taylor: terms", "url": "https://starjessetaylor.com/terms.html", "depth": "Public terms, dated 28 April 2026", "date": "2026-09-15", "locator": "Nonrefundability and commitment framing; licensed-care boundary" }, { "id": "R1", "title": "CFS Recovery: public program", "url": "https://cfsrecovery.com/", "depth": "Public-source audit dated 7 September; source update pending", "date": "2026-09-07", "locator": "" }, { "id": "R2", "title": "CFS Recovery: the recovery system", "url": "https://cfsrecovery.com/how-it-works/our-system/", "depth": "Public source previously captured and assessed in the 7 September audit", "date": "2026-09-07", "locator": "Understand, Recalibrate, Rebuild; public-source audit source CR-SYSTEM" }, { "id": "E1", "title": "Repeated checking and memory confidence: van den Hout & Kindt (2003)", "url": "https://pubmed.ncbi.nlm.nih.gov/12600401/", "depth": "Original abstract and task description; independent task L10", "date": "2026-09-15", "locator": "Healthy volunteers; virtual checking; immediate memory confidence, not illness" }, { "id": "E2", "title": "Active relief learning: Zhang et al. (2018)", "url": "https://elifesciences.org/articles/31949", "depth": "Primary design, results and discussion; independent task L14", "date": "2026-09-15", "locator": "Thermal pain; active escape versus yoked relief; minute-scale analgesia" }, { "id": "E3", "title": "Operant pain sensitization: Hölzl et al. (2005)", "url": "https://pubmed.ncbi.nlm.nih.gov/15836965/", "depth": "Abstract and rationale; full-method review pending; independent task L13", "date": "2026-09-15", "locator": "Experimental contingencies can shape pain sensitivity in either direction" }, { "id": "E4", "title": "Mindfulness acceptance dismantling: Lindsay et al. (2018)", "url": "https://pubmed.ncbi.nlm.nih.gov/29040891/", "depth": "Abstract and author-manuscript results excerpts; independent task L18", "date": "2026-09-15", "locator": "153 stressed adults; 15 lessons; monitor+accept versus monitor-only and coping control" }, { "id": "E5", "title": "Interoceptive exposure versus breathing: Craske et al. (1997)", "url": "https://pubmed.ncbi.nlm.nih.gov/9051281/", "depth": "Original abstract; independent task L06", "date": "2026-09-15", "locator": "38 panic/agoraphobia patients; component comparison within treatment packages" }, { "id": "E7", "title": "ACT versus relaxation for OCD: Twohig et al. (2010)", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC2948415/", "depth": "Abstract, intervention and discussion; independent task L09", "date": "2026-09-15", "locator": "79 adults; eight sessions; ACT package, not values alone; three-month follow-up" }, { "id": "E8", "title": "Post-exertional muscle findings: Appelman et al. (2024)", "url": "https://doi.org/10.1038/s41467-023-44432-3", "depth": "Primary pages 1 and 6; independent task L28", "date": "2026-09-15", "locator": "25 long-COVID patients with PEM; exercise challenge and physiological observations; not an individual classifier" }, { "id": "E9", "title": "Back-pain MBSR/CBT trial: Cherkin et al. (2016)", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC4914381/", "depth": "Abstract, outcomes, harms and limitations; independent task L21", "date": "2026-09-15", "locator": "342 adults; package benefits; temporary adverse experiences did not establish necessary healing" }, { "id": "E10", "title": "Judicious safety behavior during exposure: Blakey et al. (2019)", "url": "https://pubmed.ncbi.nlm.nih.gov/30481681/", "depth": "Original abstract; independent task L05", "date": "2026-09-15", "locator": "60 adults with spider fear; both arms improved, nonsignificance is not equivalence" }, { "id": "E11", "title": "Respiratory and cognitive training in panic: Meuret et al. (2010)", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC3327286/", "depth": "Abstract, mechanisms and limitations; independent task L08", "date": "2026-09-15", "locator": "41 panic/agoraphobia patients; distinct plausible physiological/cognitive routes" }, { "id": "R3", "title": "CFS Recovery: flare-ups and recovery", "url": "https://cfsrecovery.com/blog/flare-ups-required-for-recovery/", "depth": "Public lesson previously captured and assessed in the 7 September audit", "date": "2026-09-07", "locator": "CR-FLARES: adaptation and expansion claims; not a clinical study" }, { "id": "R4", "title": "CFS Recovery: practitioner-facing measurement methods", "url": "https://cfsrecovery.com/for-practitioners/", "depth": "Public protocol assessed in the 7 September audit", "date": "2026-09-07", "locator": "Uncontrolled design and SF-36/PEM limitations" }, { "id": "G4", "title": "Gupta 2002: amygdalar conditioning hypothesis", "url": "https://pubmed.ncbi.nlm.nih.gov/12445517/", "depth": "Original abstract and publication metadata", "date": "2026-09-15", "locator": "Medical Hypotheses; explicitly proposed for a subset, not a treatment trial" }, { "id": "PR1", "title": "PRT: randomized chronic-back-pain trial", "url": "https://doi.org/10.1001/jamapsychiatry.2021.2669", "depth": "Clinical methods, results, mediation and discussion reviewed", "locator": "151 adults; physician session plus eight individual therapy sessions, four weeks; one-year outcomes", "date": "2026-09-16" }, { "id": "PR2", "title": "PRT: trial treatment supplement", "url": "https://cpb-us-e1.wpmucdn.com/sites.dartmouth.edu/dist/2/2150/files/2021/03/Ashar-2021-PRT-supplementary-materials.pdf", "depth": "Clinical methods/results and treatment appendices read", "locator": "Appendices I–II: assessment, evidence gathering, somatic tracking and exposure; pagination differs from journal version", "date": "2026-09-16" }, { "id": "PR3", "title": "PRT Center: patient and practitioner FAQ", "url": "https://www.painreprocessingtherapy.com/pain-reprocessing-therapy-faqs", "depth": "Complete current public FAQ text reviewed", "locator": "Medical assessment, mixed pain, scope of practice and coaching; paid delivery not observed", "date": "2026-09-16" }, { "id": "PR4", "title": "PRT: same-cohort five-year follow-up", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12311821/", "depth": "Full research letter, table and disclosures read", "locator": "113/151 retained; not independent replication; supplementary analyses not audited", "date": "2026-09-16" }, { "id": "P4", "title": "Primal Trust: pacing and monthly review", "url": "/program-audits/primal-trust/#practice-progression", "depth": "Direct re-reading of authorized August 2026 curriculum captures; concise paraphrase, no course files redistributed", "date": "2026-09-17", "locator": "FAQ 2024 pp. 2–3, 9; Module 1 Lesson 3 chronic-stress checklist p. 3; overview lesson 1036592 captured transcript lines 44–48." }, { "id": "P5", "title": "Primal Trust: practice choice and continuing onward", "url": "/program-audits/primal-trust/#practice-progression", "depth": "Direct re-reading of authorized August 2026 curriculum captures; concise paraphrase, no course files redistributed", "date": "2026-09-17", "locator": "Module 4 workbook p. 30; Module 5 workbook p. 22; Module 7 workbook pp. 9–10, 16–17; lesson 1091271 captured transcript lines 14–27." }, { "id": "P6", "title": "Primal Trust: Level 2 readiness and shared target", "url": "/program-audits/primal-trust/#practice-progression", "depth": "Direct re-reading of authorized August 2026 curriculum captures; concise paraphrase, no course files redistributed", "date": "2026-09-17", "locator": "Module 7 Regulate Quick Start Guide p. 6; Module 6 workbook pp. 20, 24; overview lesson 1036592 captured transcript lines 44–46." }, { "id": "P7", "title": "Primal Trust: illness, regulation and ongoing care", "url": "/program-audits/primal-trust/#practice-progression", "depth": "Direct re-reading of authorized August 2026 captures; provider account, not clinical evidence", "date": "2026-09-17", "locator": "Lesson 1036599 captured transcript lines 17–21; FAQ 2024 pp. 6–8. The FAQ’s reported improvements are provider claims, not verified causal effects." }, { "id": "P8", "title": "Primal Trust: later retained access and pacing update", "url": "/program-audits/primal-trust/#practice-progression", "depth": "Bounded independent re-reading on 22 September 2026; source version correction, not a live-portal or clinical review", "date": "2026-09-22", "locator": "source:pt:portal:faqs, captured 2026-08-31T05:44:12.932Z (August 30 local), lines 358–389. Immediate access replaces the older weekly release; order and 1–2 weeks per module remain recommended. SHA-256 9a16282645b823da0214f972e875f606c57c46376f5727e73db817abd5d7bf0d." }, { "id": "P9", "title": "Primal Trust: Level 1, Module 3, Lesson 4, Eye Yoga Tools", "url": "https://portal-of-primal-trust.simplerosites.com/courses/69885-level-1-regulate-brain-body-neural/lessons/1036624-lesson-4-vagus-toning-eye-yoga-tools", "depth": "Retained paid-curriculum transcript, captured August 19, 2026; attribution rechecked September 24; course login required", "date": "2026-09-24", "locator": "source:pt:lesson:69885:1036624. The lesson calls these functional neurology-based exercises. It teaches gaze stabilization, smooth pursuit, near–far gaze and panoramic focus/defocus, followed by a Rosenberg gaze-hold exercise. The retained text verifies what is taught, not its proposed mechanisms or clinical effects." }, { "id": "P10", "title": "Primal Trust: Level 1, Module 5, Lesson 5.1, Hanna Somatics Exercises", "url": "https://portal-of-primal-trust.simplerosites.com/courses/69885-level-1-regulate-brain-body-neural/lessons/1076021-lesson-5-1-hanna-somatics-exercises-red", "depth": "Retained paid-curriculum transcript, captured August 19, 2026; attribution rechecked September 24; course login required", "date": "2026-09-24", "locator": "source:pt:lesson:69885:1076021. The lesson names Thomas Hanna and teaches Red Light, Green Light and Dark Vice movements, including pandiculation. This is a named Level 1 lesson, not an attribution inferred from another program or only from a bonus library." } ], "practices": [ { "id": "visualization", "name": "Rehearse a different experience", "description": "Imagine a memory, situation or future response; sometimes paired with words or movement.", "domain": "Attention / expectation", "category": "attention" }, { "id": "interrupt", "name": "Interrupt and reframe a symptom loop", "description": "Notice a familiar reaction, use a script or new interpretation, and redirect the next response.", "domain": "Attention / interpretation", "category": "attention" }, { "id": "exposure", "name": "Revisit feared situations or triggers", "description": "Approach selected cues, activities or experiences gradually. A feared cue and a physiological hazard are not interchangeable.", "domain": "Learning / activity", "category": "activity" }, { "id": "body", "name": "Observe or allow bodily sensations", "description": "Attention may be curious, accepting, directed toward emotional processing, or used to monitor threat. The stance and next action matter.", "domain": "Attention / emotion", "category": "attention" }, { "id": "breathing", "name": "Change breathing", "description": "Use a prescribed breathing pattern. Techniques, intensity and contraindications can differ substantially.", "domain": "Bodily input / attention", "category": "body" }, { "id": "meditation", "name": "Meditate or practice mindfulness", "description": "Sustain attention, notice thoughts, or allow experience. Programs give this different purposes and importance.", "domain": "Attention / stance", "category": "attention" }, { "id": "eye-movement", "name": "Practice eye movements and focus", "description": "Keep the eyes on a target while moving the head, track a moving target, or shift between near, far and panoramic focus. Programs may attach different explanations to these actions.", "domain": "Bodily input / attention", "category": "body" }, { "id": "movement", "name": "Use somatic movement", "description": "Use deliberate bodily movements and notice contraction, release or other sensations. The specific movement and its explanation vary by program.", "domain": "Activity / bodily input", "category": "body" }, { "id": "emotion", "name": "Allow or process emotion", "description": "Feel emotion, explore unresolved experience, or work with protective parts. These are different procedures, not one mechanism.", "domain": "Emotion / meaning", "category": "emotion" }, { "id": "pacing", "name": "Rest and establish a baseline", "description": "Organize demand, rest and routine around a repeatable level of activity. Definitions and progression rules differ.", "domain": "Activity / context", "category": "activity" }, { "id": "capacity", "name": "Rebuild activity and participation", "description": "Expand physical, cognitive or social activity, with varying ideas about readiness and setbacks.", "domain": "Activity / function", "category": "activity" }, { "id": "identity", "name": "Rework roles, values and boundaries", "description": "Name what matters, notice people-pleasing or protective roles, and try a different choice. This differs from denying a diagnosis.", "domain": "Identity / relationships", "category": "identity" }, { "id": "coaching", "name": "Receive coaching and community support", "description": "Use guidance, group sessions, peer examples or accountability while applying the practices.", "domain": "Relationship / delivery", "category": "support" }, { "id": "orienting", "name": "Orient to surroundings or use self-touch", "description": "Notice the surrounding environment or use a self-contact exercise. Structured eye-movement and focus exercises have their own entry.", "domain": "Bodily input / attention", "category": "body" }, { "id": "illness-language", "name": "Change illness or recovery language", "description": "Change how you describe illness or recovery, or how much conversation centers on it. Do not assume every course forbids saying you are ill.", "domain": "Identity / meaning", "category": "identity" } ], "checks": { "origin": { "title": "An initiating event does not settle what maintains illness now.", "status": "unresolved", "explanation": "A virus, injury or stressful event can precede persistent illness without proving that the original pathology and its consequences have ended. The mapped materials do not establish the proposed shared cause for an individual.", "alternatives": [ "Ongoing pathology or residual injury", "Environmental or treatment effects", "Learning and physiological constraints operating together" ], "test": "What independent observations would show that this maintaining process is present, and distinguish it from continuing pathology?", "evidence": [], "job": "Separates how an illness began from processes that might now be changeable. This can turn a confusing history into a candidate target for action.", "balance": "A coherent origin story can create hope; treating it as settled can prematurely close investigation of continuing illness.", "fit": "A useful formulation names a specific present process and remains revisable. Persistence alone, a personality description or a clinician’s uncertainty does not identify that process.", "support": "Learning studies show that responses can be acquired and modified. This is a reason to investigate persistence mechanisms, not evidence that the initiating event is over or that this program’s origin story applies.", "supportSources": [ "E3" ] }, "maintenance": { "title": "Nervous-system involvement is not causal sufficiency.", "status": "unresolved", "explanation": "A system can influence symptoms without being their dominant maintainer or the common cause of several diseases. The exact disease-level bridge is not established by this source map; a full condition-specific evidence review remains needed.", "alternatives": [ "Peripheral and central processes can coexist", "Symptoms, function and disease activity can change separately", "A person can benefit without this being the primary mechanism" ], "test": "Which measured outcome changes, in which population, and is the proposed mediator independently measured?", "evidence": [ "E8" ], "job": "Gives practice a target: reducing a proposed maintaining response rather than treating every symptom as an unrelated event.", "balance": "A target may reduce helplessness; a master-cause story may displace care or turn limited agency into responsibility for disease.", "fit": "Ask what the assessment actually establishes in this condition and illness phase. A mixed formulation can retain both physiological treatment and work on symptom responses.", "support": "These sources propose a learned maintaining response as the target of practice. The inspected material does not directly establish that response as the dominant cause of the illnesses claimed. Evidence for a neural influence, a particular treatment benefit or a physiological alternative must be assessed separately.", "supportSources": [], "sourceNotes": [ { "id": "E8", "role": "Rival explanation / transfer boundary", "note": "Physiological findings are relevant to alternatives; they are not affirmative evidence for the program’s proposed learned maintaining mechanism." } ] }, "attention": { "title": "The kind of engagement matters.", "status": "unresolved", "explanation": "Specific checking can sustain doubt; attention can also support exposure, acceptance or useful monitoring. These narrower findings do not establish this program’s entire symptom-to-alarm loop.", "alternatives": [ "Threat monitoring or ritualized checking", "Curious or equanimous observation", "Scheduled measurement with a defined decision", "Attention to a signal requiring appropriate care" ], "test": "Specify the target, stance, purpose, frequency and action that follows. Does that process predict the outcome beyond prior symptoms?", "evidence": [ "E1", "E4", "E5" ], "job": "Helps someone notice whether a repetitive response is adding fear, doubt or restriction, and try a different relationship to the experience.", "balance": "Less compulsive checking may free attention. A blanket ban on attention may remove useful observation, body trust or communication about care.", "fit": "Distinguish a chosen observation from an urgent ritual. Compare purpose, frequency, stance and the action that follows; track burden and participation separately from sensation intensity.", "support": "Repeated checking reduced memory confidence in a laboratory task; interoceptive exposure and acceptance have bounded evidence in other settings. These findings support distinctions between kinds of attention, not this whole loop.", "supportSources": [ "E1", "E4", "E5" ] }, "practice": { "title": "Changing a response is a testable possibility.", "status": "unresolved", "explanation": "Adjacent learning and psychological studies justify testing specified components. They do not validate the proprietary bundle, its named neural mechanism, or transfer to every advertised condition. Program efficacy and component mechanism need separate assessment.", "alternatives": [ "Specific learning or physiological effects", "Expectancy, relationship and routine", "Natural history, concurrent care or reporting changes" ], "test": "What changes first, compared with an appropriate control, and does that change explain later benefit?", "evidence": [ "E3", "E7", "E11" ], "job": "Offers a repeatable action and an opportunity to learn a different response.", "balance": "Practice may build a skill, routine or sense of agency. Excessive workload or pressure to reproduce a prescribed state may add strain.", "fit": "Specify which skill and outcome are being tried, whether the person wants that goal, and how dose and limits can change. More confidence or better technique alone does not establish a health benefit.", "support": "Learning can alter pain sensitivity experimentally; specific psychological and breathing packages have condition-specific findings. That supports testing components, without identifying a proprietary mechanism or the best bundle.", "supportSources": [ "E3", "E7", "E11" ] }, "recovery": { "title": "Improvement does not prove the whole explanation.", "status": "unresolved", "explanation": "A symptom report, greater participation and a change in disease activity are different outcomes. Even a controlled benefit would not by itself establish every link in the program’s mechanism story. This map does not complete an efficacy review of each program.", "alternatives": [ "Symptom benefit without disease modification", "Function changes despite continued symptoms", "Effects of co-treatment, support or natural history" ], "test": "Separate symptoms, function, objective disease measures, burden and durability; retain nonresponders and adverse outcomes.", "evidence": [ "E9" ], "job": "Connects the daily work to a hoped-for change in life rather than an endless exercise routine.", "balance": "A credible goal can organize effort; a broad recovery promise can make smaller benefits invisible or make nonresponse feel like personal failure.", "fit": "Name the desired change: symptoms, chosen participation, disease activity, burden or durability. Benefits and losses in different outcomes should not cancel each other invisibly.", "support": "Some multicomponent psychological interventions improve selected chronic back-pain outcomes. This map has not completed an efficacy review of each commercial program or established transfer across diseases.", "supportSources": [ "E9" ] }, "relief": { "title": "Relief is not evidence of long-term harm.", "status": "overbroad", "explanation": "Relief can reinforce an action, and experimental contingencies can shape pain sensitivity. The additional inference that any calming teaches the brain to produce more symptoms is unsupported as a general rule. Active relief learning can reduce acute pain; longer-term effects still depend on the contingency and context.", "alternatives": [ "A rigid ritual prevents corrective learning", "Calming makes participation possible", "Effective treatment reduces an ongoing harmful input", "Relief and durable learning coexist" ], "test": "Measure the action–consequence contingency and later symptoms separately. Compare useful coping with compulsive checking rather than grouping all relief together.", "evidence": [ "E2", "E3", "E10", "E11" ], "job": "Questions whether a relief-seeking ritual is making life depend on repeatedly neutralizing a sensation.", "balance": "More freedom from a ritual may help. Rejecting relief itself may remove useful treatment or the support needed to participate.", "fit": "Ask what action relief reinforces and what happens later. Can the person use it flexibly, or does an escalating rule take over? Immediate relief alone cannot decide.", "support": "Operant learning can shape pain sensitivity. Active relief learning also reduced acute experimental pain, and some safety behaviors did not undermine exposure in a bounded study. The relevant contingency must be specified.", "supportSources": [ "E2", "E3", "E10", "E11" ] }, "identity": { "title": "Identity may influence choices without causing the illness.", "status": "unresolved", "explanation": "Examining values or boundaries may be worthwhile. Inferring a hidden wish, conflict or protective identity from persistent illness does not independently establish causation. Illness can also change identity and relationships.", "alternatives": [ "Identity patterns precede illness", "Illness or social responses change identity", "Both directions operate", "The pattern is not relevant to this person" ], "test": "Can the proposed pattern be assessed independently of outcome, and can the person reject the interpretation while retaining support?", "evidence": [], "job": "Invites someone to examine whether an unwanted role, boundary or self-description restricts choices they care about.", "balance": "New boundaries or a broader identity may be valuable. Searching for hidden motives can produce blame or pressure to deny illness and support needs.", "fit": "A concrete pattern that the person independently recognizes and wants to change is a stronger reason to explore than persistent symptoms. No validated personality or illness-stage matching rule is established here.", "support": "Values and role exploration can be chosen for their own practical goals. These records do not establish that a protective identity causes disease or that changing it treats illness.", "supportSources": [] }, "worsening": { "title": "Worsening has more than one explanation.", "status": "overbroad", "explanation": "Challenge-related distress can occur, but worsening is not a specific marker of useful learning or recovery. Excessive dose, an adverse reaction, disease activity and ordinary fluctuation remain alternatives. Long-COVID PEM research supplies a concrete physiological rival, without classifying every case.", "alternatives": [ "Expected, bounded challenge-related distress", "Dose or practice mismatch", "Post-exertional or other physiological worsening", "Unrelated fluctuation or a new condition" ], "test": "Specify duration, severity, function and review limits before practice. What observation requires reassessment instead of more commitment?", "evidence": [ "E8", "E9" ], "job": "May help someone avoid interpreting every difficult moment as permanent failure.", "balance": "Bounded reassurance may support a chosen challenge; automatic reassurance may normalize injury, PEM or an unsuitable intervention.", "fit": "Specify a review plan in advance and retain deterioration as evidence against the plan. Illness phase, physiological load and delayed functional loss matter; this map cannot set clinical thresholds.", "support": "Trials report some temporary adverse experiences, and challenging practice can be uncomfortable. Worsening is not a specific recovery marker; long-COVID PEM research gives a concrete physiological alternative.", "supportSources": [ "E8", "E9" ] }, "nonresponse": { "title": "A missing skill cannot be inferred from failure alone.", "status": "unresolved", "explanation": "Unnoticed checking or an unresolved pattern could matter in an individual formulation. If nonresponse is its only evidence, the explanation becomes circular. Fidelity and the proposed process must be assessed independently.", "alternatives": [ "A relevant but unmeasured behavior", "Insufficient or unsuitable delivery", "The mechanism is absent or not decisive", "The treatment does not help despite accurate practice" ], "test": "What finding would count against the formulation? Can the practitioner be wrong and the participant leave without a fault label?", "evidence": [], "job": "Prompts a check of whether the intended skill or a relevant pattern was actually addressed.", "balance": "A missed obstacle may be worth exploring. If every disappointing result proves a hidden obstacle, the framework becomes immune to correction.", "fit": "Observe the proposed behavior independently; allow accurate practice with no benefit. The person must be able to decline further identity work or checking analysis without losing support.", "support": "A missed skill or unrecognized habit is a possible individual formulation. The available records do not establish either from treatment failure alone.", "supportSources": [] }, "sequence": { "title": "This arrow describes the offered sequence.", "status": "description", "explanation": "The source supports this order of teaching. It does not establish that the sequence is biologically necessary or superior to another sequence.", "alternatives": [ "Another order may be suitable", "Some components may be unnecessary", "The sequence may need individual adaptation" ], "test": "Would a matched comparison or participant-level evaluation support the need for this order?", "evidence": [], "job": "Organizes workload and prepares someone for a potentially more demanding stage.", "balance": "A manageable order may reduce overwhelm. A rigid sequence may require unnecessary work or make a mismatch seem like a failure to complete earlier stages.", "fit": "Ask what readiness means, which components can be omitted, and whether the plan can change. A source describing a sequence is not a comparison showing it is necessary.", "support": "The linked provider source supports the offered order. This is source evidence about teaching, not a trial of the order’s superiority.", "supportSources": [] }, "values": { "title": "Participation need not wait for complete symptom relief.", "status": "unresolved", "explanation": "An ACT package improved OCD outcomes in a trial, but values alone were not isolated. That supports a bounded practical possibility; it neither establishes Taylor’s program efficacy nor makes every activity appropriate for chronic illness.", "alternatives": [ "Values-based participation with medical limits", "Participation supported by symptom relief", "The chosen activity or dose is unsuitable" ], "test": "Does chosen participation improve without unacceptable burden? Measure that separately from symptom elimination.", "evidence": [ "E7" ], "job": "Makes personally meaningful activity a goal even while uncomfortable experience is present.", "balance": "Chosen participation may enlarge life; imposed activity can ignore limits or make rest feel like failure.", "fit": "Ask whether this is the person’s own goal, whether it fits current capacity, and whether support or symptom relief would make it more workable.", "support": "An ACT package improved OCD outcomes in a trial; values alone were not isolated. This supports a bounded practical possibility, not Taylor’s efficacy or transfer to ME/CFS.", "supportSources": [ "E7" ] }, "pandiculation": { "title": "Motor learning does not identify the cause of PEM.", "status": "unresolved", "explanation": "The source links pandiculation to motor-cortex patterns underlying PEM. Demonstrating a change in movement or muscle tension would not establish that this pattern maintains PEM or that altering it improves exertional tolerance. The named bridge requires its own evidence.", "alternatives": [ "A movement practice changes comfort without changing PEM", "Motor and peripheral physiological processes coexist", "The dose exceeds current physiological capacity", "A different intervention component accounts for change" ], "test": "Does the specific practice change the proposed motor process, then improve measured delayed exertional response relative to a suitable comparator, without accumulating harm?", "evidence": [ "E8" ], "job": "Provides a concrete way to explore habitual movement and muscular effort.", "balance": "A movement practice might change comfort or control. It may also exceed capacity; a motor explanation can incorrectly stand in for a cause of PEM.", "fit": "Measure movement effects and delayed exertional outcomes separately. A reduction in tension does not establish safer exertion or a reset of the process maintaining PEM.", "support": "The offer describes a motor-learning rationale. This review has not established a direct trial linking its pandiculation procedure to the proposed PEM mechanism.", "supportSources": [ "E8" ] }, "prt-1": { "title": "Not separately manipulated; pain can reasonably signal pathology.", "status": "unresolved", "explanation": "Not separately manipulated; pain can reasonably signal pathology.", "alternatives": [ "The proposed process contributes alongside other processes", "Relationship, expectancy or another component contributes", "Changes in symptoms alter the interpretation, rather than only the reverse" ], "test": "Repeated measures of appraisal and fear alongside independent clinical assessment.", "evidence": [ "PR1", "PR2" ], "job": "Makes the meaning of pain a possible target for change, so that fear need not govern every movement or activity.", "balance": "A less threatening interpretation may make a chosen action more approachable. Categorical reassurance can also pressure someone to dismiss bodily information or doubt themselves when pain persists.", "fit": "Distinguish the person’s interpretation, their fear, their activity and the pain itself. Medical assessment can consider mixed contributions; fear or symptom variability does not by itself identify pain as noninjurious.", "support": "The supplement explicitly teaches this link. It is a plausible formulation, but the trial did not separately manipulate this step or establish that every pain experience signifies learned fear.", "supportSources": [ "PR2" ] }, "prt-2": { "title": "Reciprocal mediation; not proof fear is necessary or sufficient, or explains all chronic pain.", "status": "unresolved", "explanation": "Reciprocal mediation; not proof fear is necessary or sufficient, or explains all chronic pain.", "alternatives": [ "The proposed process contributes alongside other processes", "Relationship, expectancy or another component contributes", "Changes in symptoms alter the interpretation, rather than only the reverse" ], "test": "Manipulate appraisal while holding contact and exposure comparable.", "evidence": [ "PR1", "PR2" ], "job": "Makes the meaning of pain a possible target for change, so that fear need not govern every movement or activity.", "balance": "A less threatening interpretation may make a chosen action more approachable. Categorical reassurance can also pressure someone to dismiss bodily information or doubt themselves when pain persists.", "fit": "Distinguish the person’s interpretation, their fear, their activity and the pain itself. Medical assessment can consider mixed contributions; fear or symptom variability does not by itself identify pain as noninjurious.", "support": "Exploratory changes in harm beliefs correlated with pain changes. Reverse mediation also appeared; the analysis does not settle which change caused the other.", "supportSources": [ "PR2" ] }, "prt-3": { "title": "Component-specific efficacy untested; not equivalent to ignoring or generic body scanning.", "status": "unresolved", "explanation": "Component-specific efficacy untested; not equivalent to ignoring or generic body scanning.", "alternatives": [ "The proposed process contributes alongside other processes", "Relationship, expectancy or another component contributes", "Changes in symptoms alter the interpretation, rather than only the reverse" ], "test": "Dismantle tracking, reappraisal and positive affect with equal credibility.", "evidence": [ "PR1", "PR2" ], "job": "Offers a repeatable action and an opportunity to learn a different response.", "balance": "Practice may build a skill, routine or sense of agency. Excessive workload or pressure to reproduce a prescribed state may add strain.", "fit": "Specify which skill and outcome are being tried, whether the person wants that goal, and how dose and limits can change. More confidence or better technique alone does not establish a health benefit.", "support": "This component was included in the successful trial package. Its independent contribution, compared with an equally credible treatment without it, was not isolated.", "supportSources": [ "PR2" ] }, "prt-4": { "title": "No universal safe-to-expose classifier; relief does not prove absence of peripheral contribution.", "status": "unresolved", "explanation": "No universal safe-to-expose classifier; relief does not prove absence of peripheral contribution.", "alternatives": [ "The proposed process contributes alongside other processes", "Relationship, expectancy or another component contributes", "Changes in symptoms alter the interpretation, rather than only the reverse" ], "test": "Measure expected harm, actual activity and immediate/delayed consequences prospectively.", "evidence": [ "PR1", "PR2" ], "job": "Offers a repeatable action and an opportunity to learn a different response.", "balance": "Practice may build a skill, routine or sense of agency. Excessive workload or pressure to reproduce a prescribed state may add strain.", "fit": "Specify which skill and outcome are being tried, whether the person wants that goal, and how dose and limits can change. More confidence or better technique alone does not establish a health benefit.", "support": "This component was included in the successful trial package. Its independent contribution, compared with an equally credible treatment without it, was not isolated.", "supportSources": [ "PR2" ] }, "prt-5": { "title": "Belief revision is not independent validation of a structural-versus-central diagnosis.", "status": "unresolved", "explanation": "Belief revision is not independent validation of a structural-versus-central diagnosis.", "alternatives": [ "The proposed process contributes alongside other processes", "Relationship, expectancy or another component contributes", "Changes in symptoms alter the interpretation, rather than only the reverse" ], "test": "Independent diagnostic assessment; retain disconfirming observations.", "evidence": [ "PR1", "PR2" ], "job": "Offers a way to revise a frightening interpretation after a different experience.", "balance": "Recognizing modifiability may reduce fear. Treating a response as proof that pathology is absent can close assessment too soon.", "fit": "Preserve improvement as a meaningful outcome while keeping causal interpretation open. A transient response does not independently validate a central-versus-peripheral diagnosis.", "support": "The manual incorporates symptom changes into the patient’s evidence sheet; reverse mediation is compatible with pain improvement changing beliefs.", "supportSources": [ "PR2" ] }, "prt-6": { "title": "Selected community sample, expert providers, unmatched contact; no component isolation or disease-modification test.", "status": "conditional", "explanation": "This is direct support for the combined treatment in selected adults with primary chronic back pain. Contact time was not matched to another psychotherapy. Components, diagnostic accuracy, inflammatory disease modification and transfer to ME/CFS were not tested.", "alternatives": [ "Several treatment components jointly contribute", "Expectancy, clinician contact and reporting effects contribute", "The package works through a different mechanism than its explanation" ], "test": "Independent active-comparator and ordinary-provider replication; separate pain, function, harms and durability.", "evidence": [ "PR1", "PR4" ], "job": "Offers an evidence-backed treatment possibility for discussion in the studied clinical context.", "balance": "Substantial pain relief and improved disability were observed for some participants. The schedule required a physician visit and eight therapy sessions; ordinary commercial delivery and prices were not evaluated.", "fit": "Check how assessment, clinician expertise and delivery compare with the trial. It reported no PRT adverse events through spontaneous reports, which does not establish zero risk. This trial cannot select a safe responder from personality or symptom variability.", "support": "In the randomized trial, 33/50 assigned to PRT reported pain of 0–1/10 after treatment, compared with 10/51 assigned to open-label placebo and 5/50 to usual care. Group benefits persisted at one year.", "supportSources": [ "PR1", "PR4" ] } }, "clusters": [ { "id": "alarm", "name": "Retrain a learned alarm", "description": "Repeated rehearsal or changed responses are presented as altering learned protection. The exact target and practice vary." }, { "id": "stabilize", "name": "Stabilize, then rebuild capacity", "description": "A staged account organizes rest, regulation, readiness and re-engagement. Similar stage names do not imply similar safety rules." }, { "id": "body", "name": "Work with bodily and emotional protection", "description": "Somatic, emotional or parts work is presented as reaching patterns that thought-based work may miss." }, { "id": "participation", "name": "Change how you live with experience", "description": "Values, identity, boundaries or chosen participation change the relationship to symptoms; disease claims differ." } ], "programs": [ { "id": "primal-trust", "name": "Primal Trust", "kind": "Multilevel course and practice community", "audience": "People seeking help with persistent symptoms and stress/trauma patterns", "portrait": "A combined system of brain retraining, regulation and somatic work, with deeper work on protective patterns, identity and relationships.", "offer": "ABC practice, breathing, eye-movement exercises, somatic movement and presencing, pacing and later identity/parts work; the surrounding library also contains spiritual and energetic explanations.", "coverage": "Accessible Level 1, Level 2 and selected library. Earlier bounded audit independently reproduced; expanded synthesis still needs independent and human safety review.", "nuance": "Both levels are presented as working on regulation, and Level 1 tools continue during optional deeper work. The course also acknowledges infection and bodily illness, uncertainty about causal order, and continuing medical care. This map isolates its learned-threat account; it is not its complete physiology, a symptom-only ladder or evidence that every symptom is learned.", "sources": [ "P1", "P2", "P3", "P4", "P5", "P6", "P7", "P9", "P10" ], "practices": [ { "id": "visualization", "note": "Rehearse a desired experience using imagery within the Choose/Create part of ABC; the curriculum offers several visualization options.", "sources": [ "P2" ] }, { "id": "interrupt", "note": "ABC: notice a habitual symptom reaction, interrupt it, shift into bodily/breath attention, then choose or imagine a different response. This is not the only attention strategy taught.", "sources": [ "P2" ] }, { "id": "body", "note": "Somatic tracking/presencing: stay with sensation with curiosity or less fear; alternate with resources or the environment. Distinct from ABC redirection. Tracking has prerequisite and structural-damage cautions.", "sources": [ "P2" ] }, { "id": "breathing", "note": "Examples include toned exhalation, slow breathing, box breathing and advanced activation/holds. These are physiologically different; advanced practices have specific cautions and exclusions.", "sources": [ "P2" ] }, { "id": "emotion", "note": "Notice a feeling separately from its story; explore it through bodily presencing and, later, parts/protective-pattern work. Feeling an emotion and proving it maintains disease are different claims.", "sources": [ "P3" ] }, { "id": "pacing", "note": "Use rest, smaller activity doses and adjustments. The reviewed menu also includes movement expectations; a PEM-specific prospective progression rule remains unresolved.", "sources": [ "P2" ] }, { "id": "identity", "note": "Later Level 2: explore protective parts, people-pleasing and an Adult Main Personality; practice values and different relational choices. Some teaching interprets persistent illness as an unconscious protective rule.", "sources": [ "P3" ] }, { "id": "coaching", "note": "Practice/community setting.", "sources": [ "P1" ] }, { "id": "meditation", "note": "Guided meditations and somatic-presencing sessions occur in the reviewed curriculum.", "sources": [ "P2" ] }, { "id": "illness-language", "note": "Some reviewed teaching discourages detailed symptom/diagnosis talk and redirects recovery-focused attention. That does not establish a program-wide ban on saying “I am sick.”", "sources": [ "P3" ] }, { "id": "eye-movement", "note": "Level 1, Module 3 teaches gaze stabilization (watch a target while moving the head), smooth pursuit (follow a moving target), near–far gaze and panoramic focus/defocus. The lesson calls these functional neurology-based exercises and also adds a Rosenberg gaze-hold exercise. It gives dose-reduction and stopping guidance while also describing some initial symptoms as expected. These are the course’s instructions and explanations; their inclusion does not establish the proposed health effects.", "sources": [ "P9" ] }, { "id": "movement", "note": "Level 1, Module 5, Lesson 5.1 teaches Hanna Somatics: Red Light, Green Light and Dark Vice movements, including pandiculation. Participants are guided through arching, curling and releasing while noticing contraction and relaxation. This is a specific curriculum lesson; the wider movement menu contains other practices with different cautions.", "sources": [ "P10" ] }, { "id": "orienting", "note": "Environmental orienting, self-touch and grounding appear in the inspected toolkit. The structured eye-movement exercises are listed separately under “Practice eye movements and focus.”", "sources": [ "P2" ] } ], "nodes": [ { "id": "n0", "label": "Stress history and threat learning", "kind": "origin", "summary": "The early curriculum emphasizes accumulated stress and threat learning.", "details": [ "This is an attributed starting point in a selected explanation, not a finding that every initiating illness or exposure has ended.", "Lesson 1036599 lists infection and exposure among possible causes, acknowledges uncertainty about causal order and emphasizes regulation as something the person can influence. FAQ pp. 6–8 allows continued bodily support and medical care. Omitting those influences from this selected map must not imply the provider denies them." ], "sources": [ "P1", "P7" ], "practiceIds": [] }, { "id": "n1", "label": "Learned threat / dysregulation", "kind": "mechanism", "summary": "The proposed shared target of both levels is a continuing threat or dysregulation response.", "details": [ "Level 1 offers top-down and bottom-up tools; Level 2 is said to address deeper protective programming while those tools continue.", "A taught neural explanation, the experience of feeling regulated and a measured mechanism are different things.", "The course also proposes that dysregulation can impair immune and other bodily functions. Its acknowledgment of interacting processes does not establish those broad causal claims or identify what maintains an individual illness." ], "sources": [ "P1", "P6", "P7" ], "practiceIds": [] }, { "id": "n2", "label": "Persistent symptoms", "kind": "outcome", "summary": "Physical symptoms are one outcome that the course asks participants to notice.", "details": [ "The monthly worksheet also tracks behavior. Later teaching asks about changes in thoughts, emotions and daily choices rather than judging progress only by symptoms.", "Neither symptoms alone nor behavioral change independently verifies the proposed illness mechanism." ], "sources": [ "P4", "P5" ], "practiceIds": [] }, { "id": "n3", "label": "Level 1: regulation toolkit", "kind": "practice", "summary": "A cumulative Level 1 repertoire, introduced across seven modules and adapted over time.", "details": [ "Practice families below summarize the inspected curriculum; they are not a complete reproduction of individual exercises or a prescription.", "Breathing includes toned exhalation, slower breathing/coherence, box and alternate-nostril techniques, plus advanced activation and breath-hold options with separate cautions.", "Module 3 teaches eye-movement and focus exercises under a functional-neurology explanation. Module 5 separately teaches Hanna Somatics movements and pandiculation. The wider bodily toolkit includes environmental orienting, self-touch, grounding and tremor-based work. ABC combines awareness/interruption, bodily attention and chosen imagery or action.", "Somatic tracking and emotional presencing deliberately attend to experience in a different way from redirecting rumination. These are not interchangeable instructions.", "The course includes introductory emotion/protective-pattern work in Level 1; Level 2 deepens it. The surrounding library expands the menu further." ], "sources": [ "P2", "P4", "P5", "P9", "P10" ], "practiceIds": [ "interrupt", "visualization", "body", "breathing", "orienting", "eye-movement", "movement", "emotion", "meditation", "pacing" ] }, { "id": "n4", "label": "Level 2: deeper pattern work", "kind": "practice", "summary": "Deeper work on protective parts, attachment, identity and relationships, alongside Level 1 practice.", "details": [ "The Level 1 overview says this stage is not for everyone. The later quick-start guide more strongly invites progression once someone knows the tools; these invitations differ in emphasis.", "The guide says mastery of self-regulation is not required. Module 6 asks participants to keep their daily regulation toolkit active during Level 2.", "The offered target is more lasting regulation, not an unrelated identity project. That proposed mechanism and its illness-level effects remain to be tested." ], "sources": [ "P3", "P6" ], "practiceIds": [ "identity", "emotion" ] }, { "id": "n5", "label": "Regulation and wider recovery", "kind": "outcome", "summary": "Broader participation, ongoing self-regulation and hoped-for recovery.", "details": [ "Continuing onward can mean remaining with Level 1, joining deeper work or practicing outside membership.", "Finishing content, maintaining useful habits, symptom relief, functional change and disease change are separate endpoints. The captured certificate page has a title but no exposed substantive completion criteria." ], "sources": [ "P4", "P5" ], "practiceIds": [] }, { "id": "changed", "label": "A more regulated response", "kind": "mechanism", "summary": "A more regulated way of responding is a proposed result of either level.", "details": [ "The course describes greater capacity, less automatic fear and more conscious choice. It does not reduce the goal to exercises becoming unconscious.", "The sources do not provide a single objective threshold that certifies this state or establishes that pathology has resolved." ], "sources": [ "P5", "P6" ], "practiceIds": [] } ], "edges": [ { "id": "primal-trust-e1", "fromNode": "n0", "toNode": "n1", "claim": "Stress history can leave a learned threat response.", "check": "origin", "sources": [ "P1" ], "attribution": "Researcher synthesis of named sources", "meaning": "The early curriculum frames accumulated stress and threat learning as routes into ongoing dysregulation. Later protective-identity work is a separate part of this account.", "relation": "causal" }, { "id": "primal-trust-e2", "fromNode": "n1", "toNode": "n2", "claim": "Dysregulation maintains persistent illness patterns.", "check": "maintenance", "sources": [ "P1" ], "attribution": "Researcher synthesis of named sources", "meaning": "Primal Trust presents ongoing dysregulation as helping maintain chronic symptoms and illness patterns.", "relation": "causal" }, { "id": "primal-trust-e3", "fromNode": "n2", "toNode": "n1", "claim": "Symptom reactions can reinforce threat.", "check": "attention", "sources": [ "P1", "P2" ], "attribution": "Researcher synthesis of named sources", "meaning": "Fearful or habitual reactions to symptoms are described as adding threat and keeping the pattern active.", "relation": "causal" }, { "id": "primal-trust-e4", "fromNode": "n3", "toNode": "changed", "claim": "Level 1 practices are offered to shift threat and regulation.", "check": "practice", "sources": [ "P2", "P5", "P6" ], "attribution": "Researcher synthesis of named sources", "meaning": "The program combines brain retraining, bodily regulation and somatic attention to build capacity and change habitual responses. Those tools remain available while later work is added.", "relation": "change" }, { "id": "primal-trust-e5", "fromNode": "n4", "toNode": "changed", "claim": "Level 2 is also offered to change the regulation pattern.", "check": "identity", "sources": [ "P3", "P6" ], "attribution": "Researcher synthesis of named sources", "meaning": "Deeper parts, attachment and identity work is presented as changing protective programming and enabling lasting regulation. Participants continue using Level 1 tools. This is a second route to the same proposed target, not a separate sequential health outcome.", "relation": "change" }, { "id": "primal-trust-e6", "fromNode": "changed", "toNode": "n5", "claim": "Regulation and retraining support recovery.", "check": "recovery", "sources": [ "P1" ], "attribution": "Researcher synthesis of named sources", "meaning": "Changing regulation and learned responses is presented as supporting broader recovery.", "relation": "change" }, { "id": "primal-trust-e7", "fromNode": "n2", "toNode": "n4", "claim": "Continuing illness may prompt deeper identity work.", "check": "nonresponse", "sources": [ "P3", "P5", "P6" ], "attribution": "Researcher synthesis of named sources", "meaning": "Some teaching considers trauma/protective patterns when someone feels stuck. The re-read FAQ also asks about behavioral gains, practice duration, lifestyle and recurring triggers; it mentions therapy as an option. Persistent symptoms alone are not an explicit rule requiring Level 2, and the overview says deeper work is not for everyone.", "relation": "interpretation" }, { "id": "primal-trust-e8", "fromNode": "n3", "toNode": "n4", "claim": "Level 1 practices precede the Level 2 curriculum.", "check": "sequence", "sources": [ "P4", "P6" ], "attribution": "Curriculum sequence reconstruction", "meaning": "Level 1 introduces the tools before Level 2. The quick-start guide asks for familiarity, not mastery of regulation, and Module 6 keeps the toolkit active during deeper work. The introductory overview allows people without a trauma history to move toward participation without this stage.", "relation": "sequence" } ], "clusters": [ "alarm", "stabilize", "body", "participation" ], "adaptation": { "observed": "Self-paced modules, monthly symptom and behavior review, simplified and fuller routines, choosing tools for current needs, and optional deeper work. Level 2 requires familiarity with Level 1 tools, not complete mastery of regulation.", "unknown": "No validated score-to-practice algorithm, symptom-free graduation threshold, or program-wide criterion for rejecting the mechanism after nonresponse was found in the re-read sources. Practice-specific cautions exist; their presence does not supply a universal illness-triage rule." }, "graphLayout": { "version": "topology-1", "width": 1100, "height": 700, "nodes": [ { "id": "n0", "x": 25, "y": 285, "width": 196, "height": 86 }, { "id": "n1", "x": 260, "y": 285, "width": 196, "height": 86 }, { "id": "n2", "x": 260, "y": 560, "width": 196, "height": 86 }, { "id": "n3", "x": 510, "y": 55, "width": 196, "height": 86 }, { "id": "changed", "x": 820, "y": 285, "width": 196, "height": 86 }, { "id": "n4", "x": 510, "y": 530, "width": 196, "height": 86 }, { "id": "n5", "x": 820, "y": 560, "width": 196, "height": 86 } ], "edges": [ { "id": "primal-trust-e1", "paths": [ { "points": [ [ 221, 328 ], [ 260, 328 ] ], "kind": "claim", "arrow": true } ], "badge": [ 240, 328 ] }, { "id": "primal-trust-e2", "paths": [ { "points": [ [ 358, 371 ], [ 358, 560 ] ], "kind": "claim", "arrow": true } ], "badge": [ 358, 465 ] }, { "id": "primal-trust-e3", "paths": [ { "points": [ [ 260, 603 ], [ 236, 603 ], [ 236, 351 ], [ 260, 351 ] ], "kind": "claim", "arrow": true } ], "badge": [ 236, 465 ] }, { "id": "primal-trust-e4", "paths": [ { "points": [ [ 456, 306 ], [ 495, 306 ], [ 495, 240 ], [ 584, 240 ] ], "kind": "argument", "arrow": false }, { "points": [ [ 608, 141 ], [ 608, 216 ] ], "kind": "argument", "arrow": false }, { "points": [ [ 632, 240 ], [ 918, 240 ], [ 918, 285 ] ], "kind": "claim", "arrow": true } ], "badge": [ 608, 240 ] }, { "id": "primal-trust-e5", "paths": [ { "points": [ [ 456, 350 ], [ 495, 350 ], [ 495, 425 ], [ 584, 425 ] ], "kind": "argument", "arrow": false }, { "points": [ [ 608, 530 ], [ 608, 449 ] ], "kind": "argument", "arrow": false }, { "points": [ [ 632, 425 ], [ 850, 425 ], [ 850, 371 ] ], "kind": "claim", "arrow": true } ], "badge": [ 608, 425 ] }, { "id": "primal-trust-e6", "paths": [ { "points": [ [ 970, 371 ], [ 970, 560 ] ], "kind": "claim", "arrow": true } ], "badge": [ 970, 465 ] }, { "id": "primal-trust-e7", "paths": [ { "points": [ [ 456, 603 ], [ 483, 603 ], [ 483, 573 ], [ 510, 573 ] ], "kind": "claim", "arrow": true } ], "badge": [ 483, 605 ] }, { "id": "primal-trust-e8", "paths": [ { "points": [ [ 706, 98 ], [ 1070, 98 ], [ 1070, 675 ], [ 608, 675 ], [ 608, 616 ] ], "kind": "claim", "arrow": true } ], "badge": [ 1070, 395 ] } ], "relations": [ { "edgeId": "primal-trust-e4", "targetNode": "n1", "x": 608, "y": 240, "radius": 24 }, { "edgeId": "primal-trust-e5", "targetNode": "n1", "x": 608, "y": 425, "radius": 24 } ], "regions": [] }, "practiceLoop": { "title": "How the course asks someone to practice and continue", "boundary": "A reconstruction of the course’s guidance, not a tested decision algorithm. Arrows describe invitations and review points, not biological causation or mandatory steps.", "nodes": [ { "id": "learn", "label": "Learn the Level 1 toolkit", "kind": "learning", "summary": "Learn Level 1 at a manageable pace. The later retained FAQ permits immediate access while recommending the module order and 1–2 weeks per module.", "details": [ "The older 2024 FAQ suggests at least 2–3 months, longer with cognitive difficulty, and promotes a two-week-per-module pace. Its claim of better outcomes at 14 weeks is a provider assertion, not a validated optimal dose.", "The introduction asks for thorough practice and mastery of a module’s tools or ideas before moving on. This is different from requiring complete self-regulation before Level 2. The later retained FAQ permits immediate access while recommending order and pacing." ], "sources": [ "P4", "P2", "P5", "P8", "P9", "P10" ], "practiceIds": [ "interrupt", "visualization", "body", "breathing", "orienting", "eye-movement", "movement", "emotion", "meditation", "pacing" ] }, { "id": "practice", "label": "Practice in daily life", "kind": "practice", "summary": "Use the tools while responding to experiences and everyday needs.", "details": [ "Earlier tools continue as new ones are added. Simplified and more extensive routines are offered.", "The program promotes sustained practice, but the schedules and biological explanations are not independently established prescriptions.", "Both Level 1 and Level 2 are said to affect regulation and symptoms; deeper work supplements the toolkit." ], "sources": [ "P5", "P6", "P9", "P10" ], "practiceIds": [ "interrupt", "visualization", "body", "breathing", "orienting", "eye-movement", "movement", "emotion", "meditation", "pacing" ] }, { "id": "review", "label": "Notice what changes", "kind": "review", "summary": "The worksheet asks for monthly physical-symptom and behavior ratings.", "details": [ "Later guidance also asks about thoughts, emotions, relationships and daily life. It discourages using physical symptoms as the only progress indicator.", "Monthly review is an explicit worksheet cadence, not an exclusive allowed frequency for health monitoring. The checklist is not established here as a validated measurement instrument.", "Interpreting behavioral gains as proof of neural rewiring goes beyond what those ratings directly show." ], "sources": [ "P4", "P5" ], "practiceIds": [] }, { "id": "adapt", "label": "Choose and adjust tools", "kind": "choice", "summary": "Select tools for current needs; not every practice is meant for every day.", "details": [ "The course encourages creating a workable routine, pacing, rest and changing tools over time.", "The review-to-adjustment arrow joins these documented instructions. No formal score threshold, per-tool efficacy test or automated switching rule was found.", "The audit should not replace this missing rule with its own unvalidated treatment-selection algorithm." ], "sources": [ "P5" ], "practiceIds": [] }, { "id": "deeper", "label": "Optional Level 2 work", "kind": "practice", "summary": "Explore deeper protective patterns while keeping Level 1 tools.", "details": [ "The Level 1 overview says this stage is not for everyone. The later quick-start guide more strongly invites progression once someone knows the tools; these invitations differ in emphasis.", "The guide says mastery of self-regulation is not required. Module 6 asks participants to keep their daily regulation toolkit active during Level 2.", "The offered target is more lasting regulation, not an unrelated identity project. That proposed mechanism and its illness-level effects remain to be tested." ], "sources": [ "P6", "P3" ], "practiceIds": [ "identity", "emotion" ] }, { "id": "life", "label": "Continue with more choice", "kind": "participation", "summary": "Carry the skills into values, relationships and everyday life.", "details": [ "The course describes ongoing self-regulation and conscious choices, including continuing outside membership. This is a direction of travel, not a symptom-free graduation rule.", "A more automatic habit may be part of learning, but the stated aim also includes awareness and deliberate choice.", "Administrative course completion, leaving membership and ending practice should not be collapsed into one health endpoint." ], "sources": [ "P5" ], "practiceIds": [] }, { "id": "reassess", "label": "Reassess the commitment", "kind": "review", "summary": "Later teaching proposes at least six months of practice, then reassessment.", "details": [ "This is the program’s proposed horizon, not evidence that someone must continue for six months despite harm. Practice-specific cautions elsewhere remain relevant.", "We did not find a program-wide criterion here for distinguishing a delayed benefit from a wrong formulation or ineffective intervention.", "Cancellation and continuing independently are possible. That does not supply an empirical rule for when the health explanation should be revised." ], "sources": [ "P4", "P5" ], "practiceIds": [] } ], "edges": [ { "id": "learn-practice", "from": "learn", "to": "practice", "label": "At a manageable pace", "detail": "Learn and practice the accumulating tools; introduction and module summaries encourage pacing and familiarity before further material.", "sources": [ "P4", "P5" ] }, { "id": "practice-review", "from": "practice", "to": "review", "label": "Monthly worksheet", "detail": "Repeat the symptom and behavior checklist after one month and monthly thereafter. Broader progress reflection is also taught.", "sources": [ "P4", "P5" ] }, { "id": "review-adapt", "from": "review", "to": "adapt", "label": "Reflect, then adjust", "detail": "The map connects progress reflection with the separate invitation to choose tools for current needs. This is a synthesis of guidance, not a documented if-score-then-action algorithm.", "sources": [ "P5" ] }, { "id": "adapt-practice", "from": "adapt", "to": "practice", "label": "Return to chosen tools", "detail": "Not all tools are needed daily. The course encourages adapting the routine and continuing practices over time.", "sources": [ "P5" ] }, { "id": "learn-deeper", "from": "learn", "to": "deeper", "label": "Familiarity, not mastery", "detail": "The quick-start guide invites Level 2 once someone knows how to use the tools; the introductory overview says deeper trauma work is not necessary for everyone.", "sources": [ "P6" ] }, { "id": "deeper-practice", "from": "deeper", "to": "practice", "label": "Keep Level 1 alongside", "detail": "Module 6 explicitly asks participants to maintain their daily regulation toolkit during Level 2.", "sources": [ "P6" ] }, { "id": "practice-life", "from": "practice", "to": "life", "label": "Use skills beyond exercises", "detail": "Practices are framed as supporting life and choices. Continuing outside membership is explicitly acknowledged. This is not a measured recovery transition.", "sources": [ "P5" ] }, { "id": "review-reassess", "from": "review", "to": "reassess", "label": "Review over months", "detail": "The later FAQ proposes a six-month practice commitment before reassessing its usefulness, alongside the separate monthly progress worksheet. It is not a ban on earlier review or a reason to continue despite harm. No specific failure, graduation or model-rejection threshold is supplied there.", "sources": [ "P5" ] } ] }, "coupledModel": { "modelId": "primal-trust-coupled", "source": "/research/coupled-models/data.json", "status": "Current integrated display. Earlier nodes, edges and practiceLoop below remain as source-assessment records; their numbers do not label the new map." } }, { "id": "dnrs", "name": "DNRS", "kind": "Structured self-directed course", "audience": "Multiple chronic symptoms and conditions", "portrait": "Daily rehearsals and graduated exercises organized around changing a learned protective brain response.", "offer": "Video teaching, a manual, repeated practice and optional coaching/community. Current copy includes both brain-based and body-based work.", "coverage": "Current public offer, homepage and FAQ. Paid curriculum not inspected.", "nuance": "The FAQ presents retraining as reaching a neurological cause beyond symptom management, while advising continued medical care. Its current hybrid language cannot establish what the earlier program taught.", "sources": [ "D1", "D2", "D3" ], "practices": [ { "id": "visualization", "note": "Use visualization during repeated retraining exercises. Detailed script choices and individualized changes were not inspected in the paid course.", "sources": [ "D3" ] }, { "id": "interrupt", "note": "Notice and interrupt a learned stress response, then practice an alternative. The public sample does not expose every step or distinguish all forms of redirection from thought suppression.", "sources": [ "D2" ] }, { "id": "exposure", "note": "Repeat graduated exercises around selected triggers. The public description names progression; it does not show all criteria for distinguishing a feared cue from a harmful exposure.", "sources": [ "D3" ] }, { "id": "coaching", "note": "Optional coaching and community.", "sources": [ "D1" ] } ], "nodes": [ { "id": "n0", "label": "Stressors, trauma or exposure", "kind": "origin" }, { "id": "n1", "label": "Learned limbic / stress response", "kind": "mechanism" }, { "id": "n2", "label": "Persistent symptoms and sensitivity", "kind": "outcome" }, { "id": "n3", "label": "Visualization + graduated practice", "kind": "practice" }, { "id": "n4", "label": "New patterns, regulation, recovery", "kind": "outcome" }, { "id": "changed", "label": "A new, less reactive pattern", "kind": "mechanism" } ], "edges": [ { "id": "dnrs-e1", "fromNode": "n0", "toNode": "n1", "claim": "Initiating stressors train a persistent response.", "check": "origin", "sources": [ "D3" ], "attribution": "Direct source paraphrase", "meaning": "DNRS describes stressors as teaching the brain a protective stress response that can persist after the initiating circumstances.", "relation": "causal" }, { "id": "dnrs-e2", "fromNode": "n1", "toNode": "n2", "claim": "The learned response maintains broad symptoms.", "check": "maintenance", "sources": [ "D2", "D3" ], "attribution": "Researcher synthesis of named sources", "meaning": "It proposes that the learned limbic response can keep multiple physical symptoms and sensitivities going.", "relation": "causal" }, { "id": "dnrs-e3", "fromNode": "n2", "toNode": "n1", "claim": "Reactions to symptoms can sustain the loop.", "check": "attention", "sources": [ "D3" ], "attribution": "Direct source paraphrase", "meaning": "Symptoms and the reactions to them are described as inputs that help keep the stress response active.", "relation": "causal" }, { "id": "dnrs-e4", "fromNode": "n3", "toNode": "changed", "claim": "Daily rehearsal changes the learned response.", "check": "practice", "sources": [ "D2", "D3" ], "attribution": "Researcher synthesis of named sources", "meaning": "Repeated rehearsal and graduated practice are intended to replace the established response with a less reactive pattern.", "relation": "change" }, { "id": "dnrs-e5", "fromNode": "changed", "toNode": "n4", "claim": "Retraining enables recovery beyond temporary relief.", "check": "recovery", "sources": [ "D1", "D3" ], "attribution": "Researcher synthesis of named sources", "meaning": "DNRS presents changing the learned response as a route to lasting regulation and recovery, beyond symptom management.", "relation": "change" } ], "clusters": [ "alarm" ], "adaptation": { "observed": "Graduated practice, daily commitment and optional coaching are advertised.", "unknown": "Paid scripts, alternative explanatory options and individual decision rules have not been inspected. Do not infer either a ban on alternatives or validated personalization." }, "graphLayout": { "version": "topology-1", "width": 1100, "height": 535, "nodes": [ { "id": "n0", "x": 25, "y": 210, "width": 196, "height": 86 }, { "id": "n1", "x": 260, "y": 210, "width": 196, "height": 86 }, { "id": "n2", "x": 260, "y": 405, "width": 196, "height": 86 }, { "id": "n3", "x": 510, "y": 35, "width": 196, "height": 86 }, { "id": "changed", "x": 775, "y": 210, "width": 196, "height": 86 }, { "id": "n4", "x": 775, "y": 405, "width": 196, "height": 86 } ], "edges": [ { "id": "dnrs-e1", "paths": [ { "points": [ [ 221, 253 ], [ 260, 253 ] ], "kind": "claim", "arrow": true } ], "badge": [ 240, 253 ] }, { "id": "dnrs-e2", "paths": [ { "points": [ [ 358, 296 ], [ 358, 405 ] ], "kind": "claim", "arrow": true } ], "badge": [ 358, 350 ] }, { "id": "dnrs-e3", "paths": [ { "points": [ [ 260, 448 ], [ 236, 448 ], [ 236, 276 ], [ 260, 276 ] ], "kind": "claim", "arrow": true } ], "badge": [ 236, 355 ] }, { "id": "dnrs-e4", "paths": [ { "points": [ [ 456, 253 ], [ 584, 253 ] ], "kind": "argument", "arrow": false }, { "points": [ [ 608, 121 ], [ 608, 229 ] ], "kind": "argument", "arrow": false }, { "points": [ [ 632, 253 ], [ 775, 253 ] ], "kind": "claim", "arrow": true } ], "badge": [ 608, 253 ] }, { "id": "dnrs-e5", "paths": [ { "points": [ [ 873, 296 ], [ 873, 405 ] ], "kind": "claim", "arrow": true } ], "badge": [ 873, 350 ] } ], "relations": [ { "edgeId": "dnrs-e4", "targetNode": "n1", "x": 608, "y": 253, "radius": 24 } ], "regions": [] } }, { "id": "gupta", "name": "Gupta Program", "kind": "Structured app/course with coaching", "audience": "ME/CFS, long COVID and a broad condition list", "portrait": "Retraining combines a named brain-alarm explanation with mindfulness, breathwork and somatic practices.", "offer": "Guided daily exercises, education and coaching; the current offer also names vagus-nerve work.", "coverage": "Three current public pages. Paid curriculum and claimed program trials not fully audited here.", "nuance": "The detailed account explicitly accepts real physical effects, then often locates their root upstream in an overprotective brain. Its no-blame language matters, but does not validate that causal hierarchy.", "sources": [ "G1", "G2", "G3" ], "practices": [ { "id": "interrupt", "note": "Use the named retraining process repeatedly to change reactions to symptoms and triggers. Full individualized scripts were not inspected.", "sources": [ "G2" ] }, { "id": "breathing", "note": "Breathwork is a named component.", "sources": [ "G3" ] }, { "id": "meditation", "note": "Practice mindfulness alongside retraining, rather than treating meditation as the whole intervention. Detailed dose and adaptation remain uninspected.", "sources": [ "G3" ] }, { "id": "body", "note": "Somatic practices are named alongside retraining. Exact instructions for attending, ignoring or shifting between sensations are not resolved by this public sample.", "sources": [ "G1", "G3" ] }, { "id": "coaching", "note": "Coach support accompanies the course.", "sources": [ "G1" ] } ], "nodes": [ { "id": "n0", "label": "Infection, injury, exposure or stress", "kind": "origin" }, { "id": "n1", "label": "Amygdala / insula remain on alert", "kind": "mechanism" }, { "id": "n2", "label": "Stress, immune changes and symptoms", "kind": "outcome" }, { "id": "n3", "label": "Retraining + calming practices", "kind": "practice" }, { "id": "n4", "label": "Rebalanced systems and recovery", "kind": "outcome" }, { "id": "changed", "label": "A less reactive alarm response", "kind": "mechanism" } ], "edges": [ { "id": "gupta-e1", "fromNode": "n0", "toNode": "n1", "claim": "A trigger leaves the brain in high alert.", "check": "origin", "sources": [ "G2", "G3" ], "attribution": "Direct source paraphrase", "meaning": "Gupta proposes that infection, injury, exposure or stress can leave the amygdala and insula sensitized to danger.", "relation": "causal" }, { "id": "gupta-e2", "fromNode": "n1", "toNode": "n2", "claim": "Persistent alarm drives physical disruptions.", "check": "maintenance", "sources": [ "G3" ], "attribution": "Direct source paraphrase", "meaning": "The continuing brain alarm is said to drive stress-system and immune changes, producing real physical symptoms.", "relation": "causal" }, { "id": "gupta-e3", "fromNode": "n2", "toNode": "n1", "claim": "Detected symptoms reactivate the alarm.", "check": "attention", "sources": [ "G3" ], "attribution": "Direct source paraphrase", "meaning": "The brain is described as detecting the symptoms it has helped produce and responding with another alarm.", "relation": "causal" }, { "id": "gupta-e4", "fromNode": "n3", "toNode": "changed", "claim": "Practice retrains the alarm response.", "check": "practice", "sources": [ "G2" ], "attribution": "Direct source paraphrase", "meaning": "Retraining and supporting practices are meant to teach the alarm system a different response.", "relation": "change" }, { "id": "gupta-e5", "fromNode": "changed", "toNode": "n4", "claim": "Brain-level change allows wider recovery.", "check": "recovery", "sources": [ "G1", "G2" ], "attribution": "Researcher synthesis of named sources", "meaning": "Once that response changes, the program proposes that wider bodily systems can rebalance and recovery can follow.", "relation": "change" } ], "clusters": [ "alarm", "stabilize" ], "adaptation": { "observed": "The public package combines retraining with multiple supporting practices and coaching.", "unknown": "The public brain-alarm account is comparatively strong; exact paid adaptation, disagreement and selection rules remain unseen." }, "graphLayout": { "version": "topology-1", "width": 1100, "height": 535, "nodes": [ { "id": "n0", "x": 25, "y": 210, "width": 196, "height": 86 }, { "id": "n1", "x": 260, "y": 210, "width": 196, "height": 86 }, { "id": "n2", "x": 260, "y": 405, "width": 196, "height": 86 }, { "id": "n3", "x": 510, "y": 35, "width": 196, "height": 86 }, { "id": "changed", "x": 775, "y": 210, "width": 196, "height": 86 }, { "id": "n4", "x": 775, "y": 405, "width": 196, "height": 86 } ], "edges": [ { "id": "gupta-e1", "paths": [ { "points": [ [ 221, 253 ], [ 260, 253 ] ], "kind": "claim", "arrow": true } ], "badge": [ 240, 253 ] }, { "id": "gupta-e2", "paths": [ { "points": [ [ 358, 296 ], [ 358, 405 ] ], "kind": "claim", "arrow": true } ], "badge": [ 358, 350 ] }, { "id": "gupta-e3", "paths": [ { "points": [ [ 260, 448 ], [ 236, 448 ], [ 236, 276 ], [ 260, 276 ] ], "kind": "claim", "arrow": true } ], "badge": [ 236, 355 ] }, { "id": "gupta-e4", "paths": [ { "points": [ [ 456, 253 ], [ 584, 253 ] ], "kind": "argument", "arrow": false }, { "points": [ [ 608, 121 ], [ 608, 229 ] ], "kind": "argument", "arrow": false }, { "points": [ [ 632, 253 ], [ 775, 253 ] ], "kind": "claim", "arrow": true } ], "badge": [ 608, 253 ] }, { "id": "gupta-e5", "paths": [ { "points": [ [ 873, 296 ], [ 873, 405 ] ], "kind": "claim", "arrow": true } ], "badge": [ 873, 350 ] } ], "relations": [ { "edgeId": "gupta-e4", "targetNode": "n1", "x": 608, "y": 253, "radius": 24 } ], "regions": [] } }, { "id": "cfs-health", "name": "CFS Health", "kind": "Holistic recovery coaching", "audience": "ME/CFS, long COVID and fatigue-related illness", "portrait": "A coached progression from a repeatable baseline toward more capacity and ordinary life.", "offer": "Education, routine, rest, movement, mindset and group support; nervous-system regulation helps organize the recovery account.", "coverage": "Current public offer plus previously reviewed public podcast transcripts. Paid coaching not observed.", "nuance": "The reviewed teaching rejects fixed graded-exercise increments and stresses flexible baseline work. This is a substantive difference from a blanket push-through rule. It still needs a validated way to distinguish readiness from physiological limits.", "sources": [ "C1", "C2", "C3", "C4" ], "practices": [ { "id": "pacing", "note": "Establish a repeatable baseline with planned rest, small activities and maintenance periods; reduce activity on worse days rather than impose fixed increments.", "sources": [ "C1", "C3" ] }, { "id": "capacity", "note": "Progress from restoration and maintenance toward individually chosen activity and ordinary life. Public teaching allows adjustment; safe delayed-effect thresholds remain unresolved.", "sources": [ "C1", "C3" ] }, { "id": "identity", "note": "Work on acceptance, boundaries, perfectionism and a life beyond recovery work. One audited lesson makes acceptance a prerequisite for improvement; this is stronger than optional values exploration.", "sources": [ "C1", "C4" ] }, { "id": "coaching", "note": "Coaching, community and team support.", "sources": [ "C1" ] }, { "id": "illness-language", "note": "Shift emphasis from symptom/recovery preoccupation to wellbeing and daily life. This is not evidence of a blanket ban on stating a diagnosis.", "sources": [ "C4" ] } ], "nodes": [ { "id": "n0", "label": "Illness, stress and push–crash cycles", "kind": "origin" }, { "id": "n1", "label": "Depleted capacity / protective state", "kind": "mechanism" }, { "id": "n2", "label": "Symptoms and restricted activity", "kind": "outcome" }, { "id": "n3", "label": "Restore a repeatable baseline", "kind": "practice" }, { "id": "n4", "label": "Recondition and rebuild life", "kind": "practice" }, { "id": "n5", "label": "Greater capacity and recovery", "kind": "outcome" }, { "id": "changed", "label": "A steadier, repeatable baseline", "kind": "mechanism" } ], "edges": [ { "id": "cfs-health-e1", "fromNode": "n0", "toNode": "n1", "claim": "Stress and repeated overextension keep capacity low.", "check": "origin", "sources": [ "C2", "C3" ], "attribution": "Researcher synthesis of named sources", "meaning": "CFS Health links illness and repeated push–crash patterns to depleted capacity and a continuing protective state.", "relation": "causal" }, { "id": "cfs-health-e2", "fromNode": "n1", "toNode": "n2", "claim": "The protective state helps explain symptoms.", "check": "maintenance", "sources": [ "C2" ], "attribution": "Researcher synthesis of named sources", "meaning": "This protective state is offered as an explanation for symptoms and limited capacity.", "relation": "causal" }, { "id": "cfs-health-e3", "fromNode": "n3", "toNode": "n4", "claim": "Baseline restoration precedes reconditioning.", "check": "sequence", "sources": [ "C1", "C3" ], "attribution": "Researcher synthesis of named sources", "meaning": "The advertised route establishes and maintains a baseline before expanding activity.", "relation": "sequence" }, { "id": "cfs-health-e4", "fromNode": "n3", "toNode": "changed", "claim": "Restoration and regulation change readiness.", "check": "practice", "sources": [ "C1", "C2" ], "attribution": "Researcher synthesis of named sources", "meaning": "Restoration, routine and regulation are intended to make the person more ready for reconditioning.", "relation": "change" }, { "id": "cfs-health-e5", "fromNode": "n4", "toNode": "n5", "claim": "Progressive participation rebuilds capacity.", "check": "recovery", "sources": [ "C1", "C3" ], "attribution": "Researcher synthesis of named sources", "meaning": "Gradually rebuilding participation is proposed to increase capacity and support recovery.", "relation": "change" } ], "clusters": [ "stabilize", "participation" ], "adaptation": { "observed": "Baseline maintenance, individual goals and reducing activity on worse days are described; fixed-increment GET is explicitly criticized.", "unknown": "Practice flexibility does not settle claims about protective physiology or acceptance as a prerequisite. Delayed-worsening thresholds and paid decision rules remain unresolved." }, "graphLayout": { "version": "topology-1", "width": 1100, "height": 650, "nodes": [ { "id": "n0", "x": 55, "y": 75, "width": 196, "height": 86 }, { "id": "n1", "x": 430, "y": 75, "width": 196, "height": 86 }, { "id": "n2", "x": 805, "y": 75, "width": 196, "height": 86 }, { "id": "n3", "x": 80, "y": 410, "width": 196, "height": 86 }, { "id": "changed", "x": 420, "y": 325, "width": 196, "height": 86 }, { "id": "n4", "x": 420, "y": 510, "width": 196, "height": 86 }, { "id": "n5", "x": 805, "y": 510, "width": 196, "height": 86 } ], "edges": [ { "id": "cfs-health-e1", "paths": [ { "points": [ [ 251, 118 ], [ 430, 118 ] ], "kind": "claim", "arrow": true } ], "badge": [ 340, 118 ] }, { "id": "cfs-health-e2", "paths": [ { "points": [ [ 626, 118 ], [ 805, 118 ] ], "kind": "claim", "arrow": true } ], "badge": [ 716, 118 ] }, { "id": "cfs-health-e3", "paths": [ { "points": [ [ 276, 475 ], [ 340, 475 ], [ 340, 553 ], [ 420, 553 ] ], "kind": "claim", "arrow": true } ], "badge": [ 340, 515 ] }, { "id": "cfs-health-e4", "paths": [ { "points": [ [ 276, 435 ], [ 340, 435 ], [ 340, 368 ], [ 420, 368 ] ], "kind": "claim", "arrow": true } ], "badge": [ 340, 395 ] }, { "id": "cfs-health-e5", "paths": [ { "points": [ [ 616, 553 ], [ 805, 553 ] ], "kind": "claim", "arrow": true } ], "badge": [ 716, 553 ] } ], "relations": [], "regions": [ { "x": 15, "y": 15, "width": 1070, "height": 175, "title": "Proposed account of symptoms", "note": "" }, { "x": 15, "y": 235, "width": 1070, "height": 390, "title": "Offered restoration and rebuilding", "note": "The sampled claims do not fully connect this progression to the account above." } ] } }, { "id": "somia", "name": "Somia / Jen Mann & Karden Rabin", "kind": "Staged course and coaching membership", "audience": "Broad persistent-symptom and chronic-illness audience", "portrait": "A sequenced combination of retraining, body-based work and emotional or protective-pattern work.", "offer": "Stabilize, then recondition, then expand life; coaching and community accompany the sequence.", "coverage": "Current public pathway and an earlier public-post audit. Paid lessons unseen.", "nuance": "The current page credits brain retraining, then presents deeper patterns as its missing complement. It also allows adjustment, says not to do everything, and advises ongoing healthcare.", "sources": [ "S1", "S2" ], "practices": [ { "id": "interrupt", "note": "Interrupt learned symptom responses.", "sources": [ "S1" ] }, { "id": "body", "note": "Use body-based awareness within stabilization and reconditioning; the public sample leaves many exact instructions and titration decisions unseen.", "sources": [ "S1" ] }, { "id": "emotion", "note": "Explore emotional and protective patterns through parts and body-oriented work. Public descriptions name the processes; complete session instructions are not available here.", "sources": [ "S1" ] }, { "id": "exposure", "note": "Gradually recondition reactions to selected movement, food, places or emotions. 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