Functional neurological disorder is a feminist issue.
Autor: | McLoughlin C; Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK., Hoeritzauer I; Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK., Cabreira V; Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK.; Neurology Department, Centro Hospitalar Universitário de São João, Porto, Portugal., Aybek S; Department of Clinical Neuroscience, Hopitaux Universitaires de Geneve, Geneva, Switzerland.; Department of Clinical Neuroscience, Inselspital Universitatsspital Bern Universitatsklinik fur Neurologie, Bern, Switzerland., Adams C; Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts, USA.; Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA., Alty J; College of Health and Medicine, University of Tasmania, Hobart, Tasmania, Australia.; Neurology, Royal Hobart Hospital, Hobart, Tasmania, Australia., Ball HA; Bristol Medical School, University of Bristol Faculty of Health Sciences, Bristol, UK.; Neurology, North Bristol NHS Trust, Westbury on Trym, UK., Baker J; Randwick Specialist Centre, Private Practice, Randwick, New South Wales, Australia.; College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia., Bullock K; Department of Psychiatry and Behavioral Sciences, Stanford School of Medicine, Stanford, California, USA., Burness C; Neurology, Walton Centre NHS Foundation Trust, Liverpool, UK., Dworetzky BA; Department of Neurology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA., Finkelstein S; Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.; Department of Neurology, Massachusetts General Hospital, Boston, Massachusetts, USA., Garcin B; Department of Neurology, Hopital Avicenne, Bobigny, France., Gelauff J; Department of Neurology, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands., Goldstein LH; Department of Psychology, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK., Jordbru A; Faculty of Humanities, Sport and Educational Science, University of South-Eastern Norway, Kongsberg, Norway., Huys AM; Department of Neurology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK., Laffan A; Neurology, St. James's Hospital, Dublin, Ireland., Lidstone SC; University Health Network and the University of Toronto, Toronto, Ontario, Canada., Linden SC; Department of Health, Ethics and Society, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands., Ludwig L; Department of Clinical Psychology and Psychotherapy, University of Hamburg, Hamburg, Germany., Maggio J; Department of Neurology, Massachusetts General Hospital, Boston, Massachusetts, USA.; Department of Physical Therapy and Functional Neurological Disorder Unit and Research Program, Massachusetts General Hospital, Boston, Massachusetts, USA., Morgante F; Neurosciences Research Centre, Molecular and Clinical Sciences Research Institute, St George's University Hospitals NHS Foundation Trust, London, UK.; Department of Experimental and Clinical Medicine, University of Messina, Messina, Italy., Mallam E; The Rosa Burden Centre, Southmead Hospital, North Bristol NHS Trust, Bristol, UK., Nicholson C; Therapy Services, National Hospital for Neurology & Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UK., O'Neal M; Department of Neurology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA., O'Sullivan S; Neurology, National Hospital for Neurology and Neurosurgery, London, UK., Pareés I; Movement Disorders Program, Neurology Deparment Hospital Ruber Internacional, Madrid, Spain.; Movement Disorders Unit, Neurology Department, Hospital Ramón y Cajal, Madrid, Spain., Petrochilos P; University College London Hospitals NHS Foundation Trust, London, UK., Pick S; Section of Cognitive Neuropsychiatry, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK., Phillips W; Department of Neurology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK., Roelofs K; Donders Institute for Brain Cognition and Behaviour: Donders Centre for Cognitive Neuroimaging, Radboud University Nijmegen, Nijmegen, The Netherlands.; Behavioural Science Institute, Radboud University Nijmegen, Nijmegen, Netherlands., Newby R; Neurology, Teaching Hospitals NHS Foundation Trust, Sheffield, UK., Stanton B; Neurology, King's College Hospital, London, UK., Gray C; Neurology Psychotherapy Service, Sheffield Teaching Hospital, Academic Neurology Unit, The University of Sheffield, Sheffield, UK., Joyce EM; Neuropsychiatry, UCL Queen Square Institute of Neurology, London, UK., Tijssen MA; Expertise Center Movement Disorders Groningen, University Medical Centre Groningen, Groningen, The Netherlands., Chalder T; Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, Kings College London, London, UK., McCormick M; Physician assistant/patient with FND, FNDRecovery.com, -, Monument CO, USA., Gardiner P; Psychological Therapy in Primary Care, University of Dundee, Dundee, UK.; enhance-cbt.com therapist, NeuroSpecialist Physiotherapist, Stirling, UK., Bègue I; Department of Psychiatry, Geneva University Hospitals, Geneve, Switzerland., Tuttle MC; Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.; Department of Psychiatry, Functional Neurological Disorder Unit, Massachusetts General Hospital, Boston, Massachusetts, USA., Williams I; Neuropsychology, Department of Clinical Neurosciences, NHS Lothian, Edinburgh, UK., McRae S; Department of Clinical Neurosciences, NHS Lothian, Edinburgh, UK., Voon V; Psychiatry, University of Cambridge, Cambridge, UK.; Institute of Science and Technology for Brain-Inspired Intelligence, Fudan University, Shanghai, China., McWhirter L; Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK laura.mcwhirter@ed.ac.uk. |
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Jazyk: | angličtina |
Zdroj: | Journal of neurology, neurosurgery, and psychiatry [J Neurol Neurosurg Psychiatry] 2023 Oct; Vol. 94 (10), pp. 855-862. Date of Electronic Publication: 2023 Mar 28. |
DOI: | 10.1136/jnnp-2022-330192 |
Abstrakt: | Functional neurological disorder (FND) is a common and disabling disorder, often misunderstood by clinicians. Although viewed sceptically by some, FND is a diagnosis that can be made accurately, based on positive clinical signs, with clinical features that have remained stable for over 100 years. Despite some progress in the last decade, people with FND continue to suffer subtle and overt forms of discrimination by clinicians, researchers and the public. There is abundant evidence that disorders perceived as primarily affecting women are neglected in healthcare and medical research, and the course of FND mirrors this neglect. We outline the reasons why FND is a feminist issue, incorporating historical and contemporary clinical, research and social perspectives. We call for parity for FND in medical education, research and clinical service development so that people affected by FND can receive the care they need. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY. Published by BMJ.) |
Databáze: | MEDLINE |
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