A Review and Expert Opinion on the Neuropsychiatric Assessment of Motor Functional Neurological Disorders, 2020, Perez, Stone, Hallett et al

Paywall, https://neuro.psychiatryonline.org/doi/10.1176/appi.neuropsych.19120357
Sci hub, https://sci-hub.tw/10.1176/appi.neuropsych.19120357

 

Are we seeing a lot of work being done in order to develop a stereotype? What then happens to those people who fit in with that stereotype who then develop a life threatening medical condition?

I repeat here the example of a friend on mainland Europe, who had a complex medical history, displaying stress and anxiety. She had severe chest pain whenever bending forward after open heart surgery. She might be seen to fall into the functional or MUS stereotype. It took a lot of doctors visits, a period of psychotherapy and some doctor hopping before she got agreement for a simple chest X- ray that revealed the eleven inch long stainless steel surgical instrument left in her chest cavity. Fortunately she had refused the repeated instructions to exercise through the pain so her heart, lungs and diaphragm had not been badly bruised or punctured.

 

Just imagine what would have happened if they had done an MRI instead of an x-ray. How long did she have this metal surgical tool inside her chest? I hope she got lots and lots of money in compensation.

 

It was eight months from the surgery to getting an X-ray, not sure how long then to getting it taken out. It took a number of years to sort the compensation, but what annoyed them most was the hospital never apologised.

 

"expert"

This is basically where 99% of the "work" has focused on for the last several decades to absolute failure. How much more "evaluation" is warranted? With experts like this... Seriously just take random people off the streets and give them responsibility over this and they would absolutely do a better job. At least they would actually listen instead of waiting for their cue to gaslight.

They even have the explanation for why failure is so disastrous but can't see it:

Those two things are closely related. You can't solve a problem by rejecting reality and substituting your own. Keep trying with your magical stuff and for sure one day magic will occur. Never change, just keep doing the same things you've been doing, the exact same way you've always done it, it's guaranteed to succeed as long as you define success as nothing.

These people are smart, SMART:

They contradict themselves entirely within the first two paragraphs. Clinical history is not important, now here's a narrative review of clinical history. Go ahead and cherry-pick stuff for several decades more, I'm sure it will work by brute force and sheer gumption. Ridiculous.