Functional neurological disorder is a feminist issue

Author:

McLoughlin Caoimhe,Hoeritzauer Ingrid,Cabreira VerónicaORCID,Aybek Selma,Adams Caitlin,Alty JaneORCID,Ball Harriet AORCID,Baker Janet,Bullock Kim,Burness Chrissie,Dworetzky Barbara A,Finkelstein Sara,Garcin Béatrice,Gelauff Jeannette,Goldstein Laura HORCID,Jordbru Anika,Huys Anne-Catherine ML,Laffan Aoife,Lidstone Sarah CORCID,Linden Stefanie CarolineORCID,Ludwig Lea,Maggio Julie,Morgante Francesca,Mallam Elizabeth,Nicholson ClareORCID,O’Neal Mary,O‘Sullivan Suzanne,Pareés Isabel,Petrochilos PanayiotaORCID,Pick SusannahORCID,Phillips Wendy,Roelofs Karin,Newby Rachel,Stanton Biba,Gray Cordelia,Joyce Eileen M,Tijssen Marina AJORCID,Chalder TrudieORCID,McCormick Maxanne,Gardiner Paula,Bègue Indrit,Tuttle Margaret C,Williams Isobel,McRae Sarah,Voon Valerie,McWhirter LauraORCID

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.

Funder

Medical Research Council

EU H2020 Marie Skłodowska-Curie Innovative Training Network

National Institute for Health and Care Research (NIHR) Maudsley Biomedical Research Centre

South London and Maudsley NHS Foundation Trust

NHS Research Scotland clinical fellowship

Scottish Government Chief Scientist’s Office

Publisher

BMJ

Subject

Psychiatry and Mental health,Neurology (clinical),Surgery

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