Article ID: CBB778393839

Conversion Disorder and/or Functional Neurological Disorder: How Neurological Explanations Affect Ideas of Self, Agency, and Accountability (2020)

unapi

An estimated 15% of patients seen by neurologists have neurological symptoms, such as paralysis, tremors, dystonia, or seizures, that cannot be medically explained. For a long time, such patients were diagnosed as having conversion disorder (CD) and referred to psychiatrists, but for the last two decades or so, neurologists have started to pay more serious attention to this patient group. Instead of maintaining the commonly used label of conversion disorder – which refers to Freud’s idea that traumatic events can be converted into deviant behaviour – these neurologists use the term functional neurological disorder (FND) and explain that the problems are due to abnormal central nervous system functioning. The situation that some patients with medically unexplained neurological symptoms are diagnosed with CD and treated by psychiatrists while others are diagnosed with FND and stay under the control of neurologists provides a unique case for analysing how neurological and psychological explanations affect subjectivity. In this article, I compare patient reports from English-language websites from the past 15 years to find out how minds, bodies, brains, and selves act and interact in the accounts of both patient groups. I conclude that the change in label from CD to FND has not only influenced ideas of medically unexplained disorders, but also affected ideas of the self and the body; of self-control and accountability.

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Article Susanne Schregel; Tineke Broer (2020) Introduction: Contested Narratives of the Mind and the Brain: Neuro/Psychological Knowledge in Popular Debates and Everyday Life. History of the Human Sciences (pp. 3-11). unapi

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Authors & Contributors
Ayres, José Ricardo de Carvalho Mesquita
Brenninkmeijer, Jonna
De Kock, Liesbet
Frederickson, Kathleen
Kurcgant, Daniela
Lanska, Douglas J.
Journals
Journal of the History of the Neurosciences
NTM: Zeitschrift für Geschichte der Naturwissenschaften, Technik und Medizin
East Asian Science, Technology, and Medicine
História, Ciências, Saúde---Manguinhos
History of Psychiatry
History of the Human Sciences
Publishers
University of California Press
Cornell University Press
New York University Press
Palgrave Macmillan
University of California, Davis
University of Durham (United Kingdom)
Concepts
Subjectivity
Mind and body
Neurological diseases
Medicine
Neurology
Psychiatry
People
Darwin, Charles Robert
Duchenne de Boulogne, Guillaume Benjamin
Kraepelin, Emil
Lee, Vernon (Violet Paget)
Machen, Arthur
Mitscherlich, Alexander
Time Periods
21st century
19th century
20th century
20th century, late
20th century, early
18th century
Places
Germany
China
Finland
Turkey
United States
London (England)
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