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Chronic fatigue syndrome is an illness with a long history of controversies. For years, many professionals within the medical community did not recognize CFS as a real condition, nor was there agreement on its prevalence. There has been much disagreement over the pathophysiology of chronic fatigue syndrome, how it should be diagnosed, and how to treat it. The diagnosis itself is controversial, and its etiology is still not fully understood. Competing ways to describe the condition(s) have been used over the years in different parts of the world and the name itself has been criticized for trivializing the illness. A major divide still exists over funding for research and treatment of physiological versus psychological and psychosocial aspects of the illness. The division is especially great between ME patient groups and psychological and psychosocial treatment advocates in the United Kingdom