Chronic Fatigue Syndrome
A Moral Exploration of Illness and Accountability
DOI:
https://doi.org/10.55016/ojs/muj.v3i1.79259Keywords:
Chronic fatigue syndrome, Myalgic Encephalomyelitis, Post-viral fatigue syndrome, Post-exertional malaise, Long COVID, Psychosomatic illness, Functional somatic syndromes, Neurological disorders, Immune dysfunction, Psychogenic explanations of illness, Health CommunicationsAbstract
Chronic fatigue syndrome (CFS) is a complex and often debilitating condition characterized by persistent fatigue accompanied by a variety of additional symptoms that often include muscle pain, cognitive impairment, and post-exertional malaise. Despite affecting millions worldwide, CFS remains poorly understood and frequently stigmatized. This paper explores historical and contemporary social perceptions of CFS, framing them within broader discussions of health, morality, and personal responsibility. By drawing on parallels to conditions like neurasthenia and hysteria, this research examines how societal values—particularly those shaped by the Protestant ethic and eugenics—have influenced perceptions of illness and morality. It highlights how attributing unverifiable illnesses to personal responsibility affects societal attitudes toward those with CFS. Additionally, this paper explores the gendered dimensions of CFS, historically linked to women yet increasingly recognized in men. Recent developments, including the condition’s overlap with long COVID-19, emphasize the ongoing need for research and improved treatment strategies.
References
Cho, H. J., Menezes, P. R., Hotopf, M., Bhugra, D., & Wessely, S. (2009). Comparative epidemiology of chronic fatigue syndrome in Brazilian and British primary care: prevalence and recognition. The British journal of psychiatry: the journal of mental science, 194(2), 117–122. https://doi.org/10.1192/bjp.bp.108.051813
Crawford, R. (2006). Health as a meaningful social practice. Health (London, England : 1997), 10(4), 401–420. https://doi.org/10.1177/1363459306067310
Evengård, B., Schacterle, R. S., & Komaroff, A. L. (1999). Chronic fatigue syndrome: new insights and old ignorance. Journal of Internal Medicine, 246(5), 455–469. https://doi.org/10.1046/j.1365-2796.1999.00513.x
Franssen, G. (2020). Narratives of undiagnosability: Chronic Fatigue Syndrome life-writing and the indeterminacy of illness memoirs. Philosophy, Psychiatry & Psychology, 27(4), 403–418. https://doi.org/10.1353/ppp.2020.0052
Friedman K. J. (2019). Advances in ME/CFS: Past, present, and future. Frontiers in Pediatrics, 7(131), 1-8. https://doi-org.ezproxy.lib.ucalgary.ca/10.3389/fped.2019.00131
Graves, B. S., Patel, M., Newgent, H., Parvathy, G., Nasri, A., Moxam, J., Gill, G. S., Sawhney, V., & Gupta, M. (2024). Chronic Fatigue Syndrome: Diagnosis, treatment, and future direction. Cureus, 16(10), e70616. https://doi.org/10.7759/cureus.70616
Hardy, K. A. (2022). Butchering the fat body: Enacting and engaging fatness in an American “anti-obesity” campaign. Fat Studies, 11(1), 36–56. https://doi.org/10.1080/21604851.2021.1906528
Hunt, A. (2018). Risk and Moralization in Everyday Life. In Risk and Morality (pp. 165–192). University of Toronto Press. https://doi.org/10.3138/9781442679382-010
Hwang, J. H., Lee, J. S., Oh, H. M., Lee, E. J., Lim, E. J., & Son, C. G. (2023). Evaluation of viral infection as an etiology of ME/CFS: A systematic review and meta-analysis. Journal of translational medicine, 21(1), 1-10. https://doi-org.ezproxy.lib.ucalgary.ca/10.1186/s12967-023-04635-0
Manu, P. (2004). The psychopathology of functional somatic syndromes : neurobiology and illness behavior in chronic fatigue syndrome, fibromyalgia, Gulf War illness, irritable bowel, and premenstrual dysphoria. Haworth Medical Press.
Marland, H. (2001). "'Uterine Mischief': W.S. Playfair and his Neurasthenic Patients". In Cultures of Neurasthenia. Leiden, The Netherlands: Brill. https://doi-org.ezproxy.lib.ucalgary.ca/10.1163/9789004333406_007
McEvedy, C. P., & Beard, A. W. (1970). Royal Free Epidemic of 1955: A Reconsideration. BMJ, 1(5687), 7–11. https://doi.org/10.1136/bmj.1.5687.7
Porter, R. (2001). "Nervousness, Eighteenth and Nineteenth Century Style: From Luxury to Labour". In Cultures of Neurasthenia. Leiden, The Netherlands: Brill. https://doi-org.ezproxy.lib.ucalgary.ca/10.1163/9789004333406_003
Radley, A., & Billig, M. (1996). Accounts of health and illness: Dilemmas and representations. Sociology of Health & Illness, 18(2), 220–240. https://doi.org/10.1111/1467-9566.ep10934984
Schofield, A.T. (1902). The force of mind, or, The mental factor in medicine. London: J. & A. Churchill. https://wellcomecollection.org/works/bb5b9py6
Schofield, A.T. (1903). Nerves in disorder; a plea for rational treatment. New York, London, Funk & Wagnalls. https://archive.org/details/nervesindisorder00scho/page/4/mode/1up
Seiden, H. (1987, Dec 31). Getting a handle on 'Yuppie Flu' disease. Toronto Star https://ezproxy.lib.ucalgary.ca/login?qurl=https%3A%2F%2Fwww.proquest.com%2Fnewspapers%2Fgetting-handle-on-yuppie-flu-disease%2Fdocview%2F435696192%2Fse-2%3Faccountid%3D9838
Unger, E. R., Lin, J. S., Brimmer, D. J., Lapp, C. W., Komaroff, A. L., Nath, A., Laird, S., & Iskander, J. (2016). CDC grand rounds: Chronic Fatigue Syndrome - Advancing research and clinical education. MMWR. Morbidity and mortality weekly report, 65(50-51), 1434–1438. https://doi-org.ezproxy.lib.ucalgary.ca/10.15585/mmwr.mm655051a4
Wilson, P. K. (2024, March 1). Eugenics. Encyclopedia Britannica. https://www.britannica.com/science/eugenics-genetics
World Health Organization. (n.d). Chronic fatigue syndrome. Retrieved February 13, 2024, from https://www.who.int/standards/classifications/frequently-asked-questions/chronic-fatigue-syndrome
Yuppie flu' debilitating. (1989, Mar 29). Edmonton Journal. https://ezproxy.lib.ucalgary.ca/login?qurl=https%3A%2F%2Fwww.proquest.com%2Fnewspapers%2Fyuppie-flu-debilitating%2Fdocview%2F251464808%2Fse-2%3Faccountid%3D9838
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Jennifer McMurray

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Copyright Policy
The Motley Undergraduate Journal is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 Share-Alike License. Under this license, users are free to share (copy, distribute and transmit) and remix (adapt) the contribution, including for commercial purposes, providing that the original work is properly cited. Under Creative Commons, authors retain copyright in their articles.
Author Self Archiving Policy
Authors are permitted to post their work online in institutional/disciplinary repositories or on their own websites. Pre-print versions posted online should include a citation and link to the final published version in The Motley Undergraduate Journal as soon as the issue is available; post-print versions (including the final publisher's PDF) should include a citation and link to the journal's website.