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Cognitive Complaints in Motor Functional Neurological (Conversion) Disorders: A Focused Review and Clinical Perspective, 2020, Perez et al

Discussion in 'Other psychosomatic news and research' started by Andy, Jun 5, 2020.

  1. Andy

    Andy Committee Member

    Messages:
    22,583
    Location:
    Hampshire, UK
    Paywall, https://journals.lww.com/cogbehavne...gnitive_Complaints_in_Motor_Functional.1.aspx
    Not available via Sci hub at time of posting.
     
    Andy, Jun 5, 2020
    #1
    Cheshire, Simbindi, Hutan and 1 other person like this.
  2. Hutan

    Hutan Moderator Staff Member

    Messages:
    28,287
    Location:
    Aotearoa New Zealand
    Oh, for goodness sake. To paraphrase:

    'Several studies' and our three carefully chosen and perhaps not even real 'illustrative clinical cases' found no cognitive dysfunction, even though patients report it. Other studies did find impairments, but let's ignore those.

    Let's ignore the possibility that someone now functioning at an average level might still have suffered a major loss of function; they may have been above-average before. Let's ignore that as it's not really possible to rule it out.

    Let's ignore the possibility that our particular tests might not be measuring the same thing as the patient has a problem with.

    Let's ignore the possibility that the dysfunction might only occur under certain circumstances, such as after physical and mental exertion, or, in the case of cognitive dysfunction caused by psychotropic medicine, at certain times of the dosing schedule.

    Let's ignore all of those things and go ahead and test a patient. And, if they report cognitive dysfunction and we don't find it with our particular test at that particular time, then let's slap a label of hypochondria or hysteria or liar on them. And treat them accordingly.
     
    Hutan, Jun 5, 2020
    #2
    ukxmrv, Mithriel, Cheshire and 12 others like this.
  3. rvallee

    rvallee Senior Member (Voting Rights)

    Messages:
    13,158
    Location:
    Canada
    But. Why? This is not a game. There are actual human lives at stake, millions of them. This requires science, not stories from people with no perspective on the matter. Our own narratives are ignored, why would the narratives of people with no personal experience be of any use when they explicitly reject, without reliable evidence or reason, the patients' narratives as being delusional?

    Take this seriously or don't take it at all. Especially from an imaginary basis like conversion disorder, which to this day has no evidence whatsoever to support. Leave the story telling to people with a valid perspective and either do actual science or do nothing at all, please. For millions of people's sake.
     
    rvallee, Jun 5, 2020
    #3
    Cheshire, Amw66, Sean and 4 others like this.
  4. Simbindi

    Simbindi Senior Member (Voting Rights)

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    2,746
    Location:
    Somerset, England
    Simbindi, Jun 6, 2020
    #4
    Andy and Hutan like this.
  5. Amw66

    Amw66 Senior Member (Voting Rights)

    Messages:
    6,600
    I havnt read this, but if dynorod take their time to attend a blocked drain I might get there later today.

    Out of interest, how many were female?
     
    Amw66, Jun 6, 2020
    #5

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