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[Psychiatric Perspectives on Functional Neurological Disorder (Functional Neurological Symptom Disorder)].

Authors: Yuki, Mashima;

[Psychiatric Perspectives on Functional Neurological Disorder (Functional Neurological Symptom Disorder)].

Abstract

Functional neurological disorders (FND), also termed functional neurological symptom disorders in the DSM-5-TR, are characterized by motor or sensory abnormalities lacking neurological explanation. Historically, this condition has been linked to hysteria. The concept of conversion-a psychological mechanism wherein repressed unconscious conflicts manifest as physical symptoms-remains widely accepted, though its validity has yet to be proven. Consequently, diagnosing FND no longer requires identifying psychological factors. Instead, the diagnosis is established based on positive neurological signs that lack an organic explanation. While the understanding of FND is evolving toward a biopsychosocial model, no standardized biological treatment currently exists, highlighting the necessity for psychosocial assessment and intervention. A comprehensive, individualized assessment of the patient's pathological narrative is preferred, in which traditional interpretations of conversion remain relevant. Cognitive behavioral therapy and psychodynamic therapy have been shown to be effective, yet accessibility remains limited, and patients with FND often exhibit reduced engagement. Even in clinical settings with restricted access to structured psychotherapy, the principles of Pierre Janet and Morita therapy can be effectively applied in treatment. Psychiatry is increasingly acknowledged as pivotal in refining treatment methodologies in clinical practice, with careful attention to the complexities of the mind.

Related Organizations
Keywords

Conversion Disorder, Humans, Nervous System Diseases

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
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