Guided graded exercise self-help for chronic fatigue syndrome: Patient experiences and perceptions

Purpose: This study explored patient experiences of Guided graded Exercise Self-help delivered as part of a randomised controlled trial for people with chronic fatigue syndrome/myalgic encephalomyelitis, which found that Guided graded Exercise Self-help was better than specialist medical care at reducing fatigue and improving physical functioning. Methods: Semi-structured interviews were conducted with patients reporting improvement (n=9) and deteriorated (n = 10), and analysed using a thematic “constant comparison”. Results: The improved group described more facilitators to doing Guided graded Exercise Self-help, and were more likely to describe high levels of self-motivation, whilst the deteriorated group described more barriers to Guided graded Exercise Self-help (including worse exacerbation of symptoms after Guided graded Exercise Self-help, greater interference from comorbid conditions and obstacles to Guided graded Exercise Self-help in their lives), and had been ill for longer. Having the capacity to do Guided graded Exercise Self-help was important; of note, those with relatively lower levels of functioning sometimes had more time and space in their lives to support their Guided graded Exercise Self-help engagement. We identified an important ‘indeterminate phase’ early on, in which participants did not initially improve. Conclusions: Guided graded Exercise Self-help may be improved by targeting those most likely to improve, and education about the indeterminate phase

Demonstratives in discourse

This volume explores the use of demonstratives in the structuring and management of discourse, and their role as engagement expressions, from a crosslinguistic perspective. It seeks to establish which types of discourse-related functions are commonly encoded by demonstratives, beyond the well-established reference-tracking and deictic uses, and also investigates which members of demonstrative paradigms typically take on certain functions. Moreover, it looks at the roles of non-deictic demonstratives, that is, members of the paradigm which are dedicated e.g. to contrastive, recognitional, or anaphoric functions and do not express deictic distinctions. Several of the studies also focus on manner demonstratives, which have been little studied from a crosslinguistic perspective. The volume thus broadens the scope of investigation of demonstratives to look at how their core functions interact with a wider range of discourse functions in a number of different languages. The volume covers languages from a range of geographical locations and language families, including Cushitic and Mande languages in Africa, Oceanic and Papuan languages in the Pacific region, Algonquian and Guaykuruan in the Americas, and Germanic, Slavic and Finno-Ugric languages in the Eurasian region. It also includes two papers taking a broader typological approach to specific discourse functions of demonstratives

Demonstratives in discourse

This volume explores the use of demonstratives in the structuring and management of discourse, and their role as engagement expressions, from a crosslinguistic perspective. It seeks to establish which types of discourse-related functions are commonly encoded by demonstratives, beyond the well-established reference-tracking and deictic uses, and also investigates which members of demonstrative paradigms typically take on certain functions. Moreover, it looks at the roles of non-deictic demonstratives, that is, members of the paradigm which are dedicated e.g. to contrastive, recognitional, or anaphoric functions and do not express deictic distinctions. Several of the studies also focus on manner demonstratives, which have been little studied from a crosslinguistic perspective. The volume thus broadens the scope of investigation of demonstratives to look at how their core functions interact with a wider range of discourse functions in a number of different languages. The volume covers languages from a range of geographical locations and language families, including Cushitic and Mande languages in Africa, Oceanic and Papuan languages in the Pacific region, Algonquian and Guaykuruan in the Americas, and Germanic, Slavic and Finno-Ugric languages in the Eurasian region. It also includes two papers taking a broader typological approach to specific discourse functions of demonstratives

Demonstratives in discourse

This volume explores the use of demonstratives in the structuring and management of discourse, and their role as engagement expressions, from a crosslinguistic perspective. It seeks to establish which types of discourse-related functions are commonly encoded by demonstratives, beyond the well-established reference-tracking and deictic uses, and also investigates which members of demonstrative paradigms typically take on certain functions. Moreover, it looks at the roles of non-deictic demonstratives, that is, members of the paradigm which are dedicated e.g. to contrastive, recognitional, or anaphoric functions and do not express deictic distinctions. Several of the studies also focus on manner demonstratives, which have been little studied from a crosslinguistic perspective. The volume thus broadens the scope of investigation of demonstratives to look at how their core functions interact with a wider range of discourse functions in a number of different languages. The volume covers languages from a range of geographical locations and language families, including Cushitic and Mande languages in Africa, Oceanic and Papuan languages in the Pacific region, Algonquian and Guaykuruan in the Americas, and Germanic, Slavic and Finno-Ugric languages in the Eurasian region. It also includes two papers taking a broader typological approach to specific discourse functions of demonstratives

Demonstratives in discourse

This volume explores the use of demonstratives in the structuring and management of discourse, and their role as engagement expressions, from a crosslinguistic perspective. It seeks to establish which types of discourse-related functions are commonly encoded by demonstratives, beyond the well-established reference-tracking and deictic uses, and also investigates which members of demonstrative paradigms typically take on certain functions. Moreover, it looks at the roles of non-deictic demonstratives, that is, members of the paradigm which are dedicated e.g. to contrastive, recognitional, or anaphoric functions and do not express deictic distinctions. Several of the studies also focus on manner demonstratives, which have been little studied from a crosslinguistic perspective. The volume thus broadens the scope of investigation of demonstratives to look at how their core functions interact with a wider range of discourse functions in a number of different languages. The volume covers languages from a range of geographical locations and language families, including Cushitic and Mande languages in Africa, Oceanic and Papuan languages in the Pacific region, Algonquian and Guaykuruan in the Americas, and Germanic, Slavic and Finno-Ugric languages in the Eurasian region. It also includes two papers taking a broader typological approach to specific discourse functions of demonstratives

Demonstratives in discourse

This volume explores the use of demonstratives in the structuring and management of discourse, and their role as engagement expressions, from a crosslinguistic perspective. It seeks to establish which types of discourse-related functions are commonly encoded by demonstratives, beyond the well-established reference-tracking and deictic uses, and also investigates which members of demonstrative paradigms typically take on certain functions. Moreover, it looks at the roles of non-deictic demonstratives, that is, members of the paradigm which are dedicated e.g. to contrastive, recognitional, or anaphoric functions and do not express deictic distinctions. Several of the studies also focus on manner demonstratives, which have been little studied from a crosslinguistic perspective. The volume thus broadens the scope of investigation of demonstratives to look at how their core functions interact with a wider range of discourse functions in a number of different languages. The volume covers languages from a range of geographical locations and language families, including Cushitic and Mande languages in Africa, Oceanic and Papuan languages in the Pacific region, Algonquian and Guaykuruan in the Americas, and Germanic, Slavic and Finno-Ugric languages in the Eurasian region. It also includes two papers taking a broader typological approach to specific discourse functions of demonstratives

Demonstratives in discourse

This volume explores the use of demonstratives in the structuring and management of discourse, and their role as engagement expressions, from a crosslinguistic perspective. It seeks to establish which types of discourse-related functions are commonly encoded by demonstratives, beyond the well-established reference-tracking and deictic uses, and also investigates which members of demonstrative paradigms typically take on certain functions. Moreover, it looks at the roles of non-deictic demonstratives, that is, members of the paradigm which are dedicated e.g. to contrastive, recognitional, or anaphoric functions and do not express deictic distinctions. Several of the studies also focus on manner demonstratives, which have been little studied from a crosslinguistic perspective. The volume thus broadens the scope of investigation of demonstratives to look at how their core functions interact with a wider range of discourse functions in a number of different languages. The volume covers languages from a range of geographical locations and language families, including Cushitic and Mande languages in Africa, Oceanic and Papuan languages in the Pacific region, Algonquian and Guaykuruan in the Americas, and Germanic, Slavic and Finno-Ugric languages in the Eurasian region. It also includes two papers taking a broader typological approach to specific discourse functions of demonstratives

Demonstratives in discourse

This volume explores the use of demonstratives in the structuring and management of discourse, and their role as engagement expressions, from a crosslinguistic perspective. It seeks to establish which types of discourse-related functions are commonly encoded by demonstratives, beyond the well-established reference-tracking and deictic uses, and also investigates which members of demonstrative paradigms typically take on certain functions. Moreover, it looks at the roles of non-deictic demonstratives, that is, members of the paradigm which are dedicated e.g. to contrastive, recognitional, or anaphoric functions and do not express deictic distinctions. Several of the studies also focus on manner demonstratives, which have been little studied from a crosslinguistic perspective. The volume thus broadens the scope of investigation of demonstratives to look at how their core functions interact with a wider range of discourse functions in a number of different languages. The volume covers languages from a range of geographical locations and language families, including Cushitic and Mande languages in Africa, Oceanic and Papuan languages in the Pacific region, Algonquian and Guaykuruan in the Americas, and Germanic, Slavic and Finno-Ugric languages in the Eurasian region. It also includes two papers taking a broader typological approach to specific discourse functions of demonstratives

Demonstratives in discourse

This volume explores the use of demonstratives in the structuring and management of discourse, and their role as engagement expressions, from a crosslinguistic perspective. It seeks to establish which types of discourse-related functions are commonly encoded by demonstratives, beyond the well-established reference-tracking and deictic uses, and also investigates which members of demonstrative paradigms typically take on certain functions. Moreover, it looks at the roles of non-deictic demonstratives, that is, members of the paradigm which are dedicated e.g. to contrastive, recognitional, or anaphoric functions and do not express deictic distinctions. Several of the studies also focus on manner demonstratives, which have been little studied from a crosslinguistic perspective. The volume thus broadens the scope of investigation of demonstratives to look at how their core functions interact with a wider range of discourse functions in a number of different languages. The volume covers languages from a range of geographical locations and language families, including Cushitic and Mande languages in Africa, Oceanic and Papuan languages in the Pacific region, Algonquian and Guaykuruan in the Americas, and Germanic, Slavic and Finno-Ugric languages in the Eurasian region. It also includes two papers taking a broader typological approach to specific discourse functions of demonstratives

Demonstratives in discourse

This volume explores the use of demonstratives in the structuring and management of discourse, and their role as engagement expressions, from a crosslinguistic perspective. It seeks to establish which types of discourse-related functions are commonly encoded by demonstratives, beyond the well-established reference-tracking and deictic uses, and also investigates which members of demonstrative paradigms typically take on certain functions. Moreover, it looks at the roles of non-deictic demonstratives, that is, members of the paradigm which are dedicated e.g. to contrastive, recognitional, or anaphoric functions and do not express deictic distinctions. Several of the studies also focus on manner demonstratives, which have been little studied from a crosslinguistic perspective. The volume thus broadens the scope of investigation of demonstratives to look at how their core functions interact with a wider range of discourse functions in a number of different languages. The volume covers languages from a range of geographical locations and language families, including Cushitic and Mande languages in Africa, Oceanic and Papuan languages in the Pacific region, Algonquian and Guaykuruan in the Americas, and Germanic, Slavic and Finno-Ugric languages in the Eurasian region. It also includes two papers taking a broader typological approach to specific discourse functions of demonstratives