Editorial: New framework for the continuum of concussion and functional neurological disorder, 2024, Burke and Silverberg

[Andy]

Over the past 20 years, scientific investigation and public awareness of concussion has expanded exponentially. This has represented a critical swing of the pendulum for a field that previously had been somewhat ignored by the medical establishment, research funders and health policy-makers. Although substantial progress has been made in better identification and management of acute concussion, many knowledge gaps remain.1 One of the largest ongoing conundrums surrounds the 15%–30% of patients who experience persistent postconcussion symptoms (PPCS) that can last months to years.2 3 This editorial explores how better understanding the continuum between concussion/PPCS and functional neurological disorder (FND) could advance concussion care and research.

Open access, https://bjsm.bmj.com/content/early/2024/12/06/bjsports-2024-108154

 

[rvallee]

This is just an advertorial for the same old psychobehavioral ideology, as is tradition presented as some innovative novel innovation. There isn't a single sentence in this editorial that hasn't been written hundreds of times over the last century in some form or another. It's far closer to some promotional campaign by a corporate lobby than any serious thought. Very similar to thinks like greenwashing from polluting industries.

Theology is less boringly repetitive than this, and all they do is tell the same stories in different ways. All these quacks do here is repeat the exact same sophistry, again and again. Never changing anything other than a few label and terminology updates that are the only differences with the same junk written a century. Including the traditional "we've changed, we keep innovating, we swears!"

And even from the first paragraph, it's entirely presented as something that works, but in a "imagine a world in which this would work" format, that it "could" advance care and research, except for the fact that it literally never has, and has not updated anything other than variations in language and expression format since its very first day.

It even has the traditional psychobehavioral junk argument that it's not psychological, it's just not physical and definitely perpetuated by psychology and behavior.