Functional Neurological Disorders - A Common but Often Unrecognized Diagnosis 2023 Barth and Gegusch

Discussion in 'Other psychosomatic news and research' started by Andy, Apr 13, 2023.

  1. Andy

    Andy Committee Member

    Messages:
    22,394
    Location:
    Hampshire, UK
    Functional neurological disorders are frequent and diverse in the clinical presentation. Psychological factors are part of the development and perpetuation of symptoms; psychiatric comorbidities may be present, but are not an obligatory diagnostic criterion. The diagnosis is primarily made on the basis of anamnesis and positive clinical signs. The commonness and reversibility of the symptoms should be emphasised in the clinical consultation, and the positive clinical signs should be demonstrated. Science-based explanations as well as the bio-psycho-social model can help patients to understand their diagnosis, which is relevant for a successful therapeutic outcome. It is recommended to use the neutral and descriptive term "functional neurological disorder". Treatment of the potentially reversible disease will be interdisciplinary and multimodal.

    Paywall, https://econtent.hogrefe.com/doi/10.1024/1661-8157/a003997
     
    Michelle, Hutan, DokaGirl and 2 others like this.
  2. Creekside

    Creekside Senior Member (Voting Rights)

    Messages:
    1,064
    That sounds like a lot of meaningless buzzwords mashed together, and you can't prove anything positive or negative about it because everything about it--qualities, mechanisms, etc--are all lacking in clear definition. Might as well write a paper arguing that certain colours have salty or heroic aspects.

    Isn't FND just a category of "something's wrong but we don't know what or why" and has some treatments that some people claim success with, but can't really prove because there's nothing actually measurable?
     
    TruthSeeker, EzzieD, obeat and 6 others like this.
  3. rvallee

    rvallee Senior Member (Voting Rights)

    Messages:
    12,998
    Location:
    Canada
    And the difference is... ?
    Sometimes they just say the quiet part out loud.
    And again. "Neutral" as a way of saying "BS" without admitting so. When you have to lie to sick people, you are wrong. Full stop. It's never right to do this. Never has, never will. So much for duty of candor.

    Still zero evidence that anything they do is any better than having patients snort healing crystals, or sing in the shower, or whatever.
     
    Gradzy, TruthSeeker, EzzieD and 8 others like this.
  4. Hutan

    Hutan Moderator Staff Member

    Messages:
    27,984
    Location:
    Aotearoa New Zealand
    Oh, don't get me started on the 'singing in the shower' treatment. According to some, you are setting quite a high bar in terms of treatment efficacy.

    As @rvalle noted:
    Ha

    (sorry, edited after posting)
     
  5. Sean

    Sean Moderator Staff Member

    Messages:
    7,605
    Location:
    Australia
    anamnesis

    That is, taking a patient's history.

    Why use that word when there is a perfectly good plain language version?

    Science-based explanations as well as the bio-psycho-social model

    So science-based explanations and the bio-psycho-social model are not the same?
     
    TruthSeeker, Mithriel, EzzieD and 6 others like this.
  6. rvallee

    rvallee Senior Member (Voting Rights)

    Messages:
    12,998
    Location:
    Canada
    Just as same and distinct as the relationship between the mind and the body. Not dualist. You're the dualist.

    Words mean nothing in this ideology. They are weapons used to manipulate and coerce, to manufacture the illusion of consent. Even though consent on false pretenses is explicitly considered as invalid. It's like getting someone's signature, then filling in the details after the fact and calling it a contract. Invalid. Not in healthcare, though. There, it's encouraged and nurtured.

    Except this ideology is fundamental to modern healthcare. Which means... yeah. It's going to be imperative that in order to fix medicine, truth will have to be enforced. Just the same as with legal and accounting professions. Lying in those professions is strictly forbidden and can be cause for termination, expulsion, and lawsuits. Or worse. Also in finance, but only when there is fiduciary duty.

    Money is better protected than people, literally has more rights.
     
    ToneAl, Sean, TruthSeeker and 3 others like this.

Share This Page