Functional neurological disorder is a feminist issue

Caoimhe McLoughlin; Ingrid Hoeritzauer; Verónica Cabreira; Selma Aybek; Caitlin Adams; Jane Alty; Harriet A. Ball; Janet Baker; Kim Bullock; Chrissie Burness; Barbara A. Dworetzky; Sara Finkelstein; Béatrice Garcin; Jeannette Gelauff; Laura H. Goldstein; Anika Jordbru; Anne-Catherine Ml Huys; Aoife Laffan; Sarah C. Lidstone; Stefanie Caroline Linden; Lea Ludwig; Julie Maggio; Francesca Morgante; Elizabeth Mallam; Clare Nicholson; Mary O'Neal; Suzanne O'Sullivan; Isabel Pareés; Panayiota Petrochilos; Susannah Pick; Wendy Phillips; Karin Roelofs; Rachel Newby; Biba Stanton; Cordelia Gray; Eileen M. Joyce; Marina A. J. Tijssen; Trudie Chalder; Maxanne McCormick; Paula Gardiner; Indrit Bègue; Margaret C. Tuttle; Isobel Williams; Sarah McRae; Valerie Voon; Laura McWhirter

doi:10.1136/jnnp-2022-330192

Functional neurological disorder is a feminist issue

Caoimhe McLoughlin
, Ingrid Hoeritzauer
, Verónica Cabreira
, Selma Aybek
, Caitlin Adams
, Jane Alty
, Harriet A. Ball
, Janet Baker
, Kim Bullock
, Chrissie Burness
, Barbara A. Dworetzky
, Sara Finkelstein
, Béatrice Garcin
, Jeannette Gelauff
, Laura H. Goldstein
, Anika Jordbru
, Anne-Catherine Ml Huys
, Aoife Laffan
, Sarah C. Lidstone
, Stefanie Caroline Linden

Lea Ludwig, Julie Maggio, Francesca Morgante, Elizabeth Mallam, Clare Nicholson, Mary O'Neal, Suzanne O'Sullivan, Isabel Pareés, Panayiota Petrochilos, Susannah Pick, Wendy Phillips, Karin Roelofs, Rachel Newby, Biba Stanton, Cordelia Gray, Eileen M. Joyce, Marina A. J. Tijssen, Trudie Chalder, Maxanne McCormick, Paula Gardiner, Indrit Bègue, Margaret C. Tuttle, Isobel Williams, Sarah McRae, Valerie Voon, Laura McWhirter (Lead / Corresponding author)

Postgraduate Medicine

Research output: Contribution to journal › Review article › peer-review

61 Citations (Scopus)

224 Downloads (Pure)

Abstract

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.

Original language	English
Pages (from-to)	855-862
Number of pages	8
Journal	Journal of Neurology, Neurosurgery and Psychiatry
Volume	94
Issue number	10
Early online date	28 Mar 2023
DOIs	https://doi.org/10.1136/jnnp-2022-330192
Publication status	Published - 1 Oct 2023

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

conversion disorder
functional neurological disorder
neuropsychiatry
somatisation disorder

ASJC Scopus subject areas

Clinical Neurology
Psychiatry and Mental health
Surgery

Access to Document

10.1136/jnnp-2022-330192Licence: CC BY

Final Published VersionFinal published version, 632 KBLicence: CC BY

Cite this

McLoughlin, C., Hoeritzauer, I., Cabreira, V., Aybek, S., Adams, C., Alty, J., Ball, H. A., Baker, J., Bullock, K., Burness, C., Dworetzky, B. A., Finkelstein, S., Garcin, B., Gelauff, J., Goldstein, L. H., Jordbru, A., Huys, A.-C. M., Laffan, A., Lidstone, S. C., ... McWhirter, L. (2023). Functional neurological disorder is a feminist issue. Journal of Neurology, Neurosurgery and Psychiatry, 94(10), 855-862. https://doi.org/10.1136/jnnp-2022-330192

@article{affba57b6d2340e59c74cae4c6fc195a,

title = "Functional neurological disorder is a feminist issue",

abstract = "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.",

keywords = "conversion disorder, functional neurological disorder, neuropsychiatry, somatisation disorder",

author = "Caoimhe McLoughlin and Ingrid Hoeritzauer and Ver{\'o}nica Cabreira and Selma Aybek and Caitlin Adams and Jane Alty and Ball, \{Harriet A.\} and Janet Baker and Kim Bullock and Chrissie Burness and Dworetzky, \{Barbara A.\} and Sara Finkelstein and B{\'e}atrice Garcin and Jeannette Gelauff and Goldstein, \{Laura H.\} and Anika Jordbru and Huys, \{Anne-Catherine Ml\} and Aoife Laffan and Lidstone, \{Sarah C.\} and Linden, \{Stefanie Caroline\} and Lea Ludwig and Julie Maggio and Francesca Morgante and Elizabeth Mallam and Clare Nicholson and Mary O'Neal and Suzanne O'Sullivan and Isabel Pare{\'e}s and Panayiota Petrochilos and Susannah Pick and Wendy Phillips and Karin Roelofs and Rachel Newby and Biba Stanton and Cordelia Gray and Joyce, \{Eileen M.\} and Tijssen, \{Marina A. J.\} and Trudie Chalder and Maxanne McCormick and Paula Gardiner and Indrit B{\`e}gue and Tuttle, \{Margaret C.\} and Isobel Williams and Sarah McRae and Valerie Voon and Laura McWhirter",

note = "Funding Information: This paper represents research part- funded (LHG, SP, TC) by the National Institute for Health and Care Research (NIHR) Maudsley Biomedical Research Centre at the South London and Maudsley NHS Foundation Trust, King{\textquoteright}s College London and the Medical Research Council (SP). LMcW receives funding from the Scottish government Chief Scientist{\textquoteright}s office. IH receives funding from an NHS Research Scotland clinical fellowship. CM and VC received funding from the European Union{\textquoteright}s Horizon 2020 research and innovation programme under the Marie Sk{\l}odowska- Curie grant agreement No 956673. Copyright: {\textcopyright} Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY. Published by BMJ.",

year = "2023",

month = oct,

day = "1",

doi = "10.1136/jnnp-2022-330192",

language = "English",

volume = "94",

pages = "855--862",

journal = "Journal of Neurology, Neurosurgery and Psychiatry",

issn = "0022-3050",

publisher = "BMJ Publishing Group",

number = "10",

}

McLoughlin, C, Hoeritzauer, I, Cabreira, V, Aybek, S, Adams, C, Alty, J, Ball, HA, Baker, J, Bullock, K, Burness, C, Dworetzky, BA, Finkelstein, S, Garcin, B, Gelauff, J, Goldstein, LH, Jordbru, A, Huys, A-CM, Laffan, A, Lidstone, SC, Linden, SC, Ludwig, L, Maggio, J, Morgante, F, Mallam, E, Nicholson, C, O'Neal, M, O'Sullivan, S, Pareés, I, Petrochilos, P, Pick, S, Phillips, W, Roelofs, K, Newby, R, Stanton, B, Gray, C, Joyce, EM, Tijssen, MAJ, Chalder, T, McCormick, M, Gardiner, P, Bègue, I, Tuttle, MC, Williams, I, McRae, S, Voon, V & McWhirter, L 2023, 'Functional neurological disorder is a feminist issue', Journal of Neurology, Neurosurgery and Psychiatry, vol. 94, no. 10, pp. 855-862. https://doi.org/10.1136/jnnp-2022-330192

TY - JOUR

T1 - Functional neurological disorder is a feminist issue

AU - McLoughlin, Caoimhe

AU - Hoeritzauer, Ingrid

AU - Cabreira, Verónica

AU - Aybek, Selma

AU - Adams, Caitlin

AU - Alty, Jane

AU - Ball, Harriet A.

AU - Baker, Janet

AU - Bullock, Kim

AU - Burness, Chrissie

AU - Dworetzky, Barbara A.

AU - Finkelstein, Sara

AU - Garcin, Béatrice

AU - Gelauff, Jeannette

AU - Goldstein, Laura H.

AU - Jordbru, Anika

AU - Huys, Anne-Catherine Ml

AU - Laffan, Aoife

AU - Lidstone, Sarah C.

AU - Linden, Stefanie Caroline

AU - Ludwig, Lea

AU - Maggio, Julie

AU - Morgante, Francesca

AU - Mallam, Elizabeth

AU - Nicholson, Clare

AU - O'Neal, Mary

AU - O'Sullivan, Suzanne

AU - Pareés, Isabel

AU - Petrochilos, Panayiota

AU - Pick, Susannah

AU - Phillips, Wendy

AU - Roelofs, Karin

AU - Newby, Rachel

AU - Stanton, Biba

AU - Gray, Cordelia

AU - Joyce, Eileen M.

AU - Tijssen, Marina A. J.

AU - Chalder, Trudie

AU - McCormick, Maxanne

AU - Gardiner, Paula

AU - Bègue, Indrit

AU - Tuttle, Margaret C.

AU - Williams, Isobel

AU - McRae, Sarah

AU - Voon, Valerie

AU - McWhirter, Laura

N1 - Funding Information: This paper represents research part- funded (LHG, SP, TC) by the National Institute for Health and Care Research (NIHR) Maudsley Biomedical Research Centre at the South London and Maudsley NHS Foundation Trust, King’s College London and the Medical Research Council (SP). LMcW receives funding from the Scottish government Chief Scientist’s office. IH receives funding from an NHS Research Scotland clinical fellowship. CM and VC received funding from the European Union’s Horizon 2020 research and innovation programme under the Marie Skłodowska- Curie grant agreement No 956673. Copyright: © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY. Published by BMJ.

PY - 2023/10/1

Y1 - 2023/10/1

N2 - 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.

AB - 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.

KW - conversion disorder

KW - functional neurological disorder

KW - neuropsychiatry

KW - somatisation disorder

UR - https://www.scopus.com/pages/publications/85152201145

U2 - 10.1136/jnnp-2022-330192

DO - 10.1136/jnnp-2022-330192

M3 - Review article

C2 - 36977553

SN - 0022-3050

VL - 94

SP - 855

EP - 862

JO - Journal of Neurology, Neurosurgery and Psychiatry

JF - Journal of Neurology, Neurosurgery and Psychiatry

IS - 10

ER -

Functional neurological disorder is a feminist issue

Abstract

UN SDGs

Keywords

ASJC Scopus subject areas

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