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Multimodal Protocol for Assessing Metacognition and Self-Regulation in Adults with Learning Difficulties
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Published on: September 27, 2020

Conversion disorder: a problematic diagnosis.

Timothy R J Nicholson1, Jon Stone, Richard A A Kanaan

  • 1Section of Cognitive Neuropsychiatry, Department of Psychological Medicine, Institute of Psychiatry, London, UK.

Journal of Neurology, Neurosurgery, and Psychiatry
|November 2, 2010
PubMed
Summary
This summary is machine-generated.

Diagnosing conversion disorder remains challenging due to difficulties in distinguishing psychological symptoms from neurological conditions and excluding malingering. Current diagnostic criteria for conversion disorder have limited clinical value, necessitating simplified approaches and interdisciplinary collaboration.

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Area of Science:

  • Neuroscience
  • Psychiatry
  • Psychology

Background:

  • Conversion disorder diagnosis is complex, differing psychological symptoms from neurological disease.
  • The psychological mechanisms and differentiation from feigning (conscious simulation) remain unclear.
  • Misdiagnosis of neurological disease as conversion disorder is a concern, especially for psychiatrists.

Purpose of the Study:

  • To highlight theoretical and practical issues in diagnosing conversion disorder.
  • To evaluate the clinical utility of current diagnostic criteria.
  • To suggest simplified criteria for improved diagnosis and management.

Main Methods:

  • Review of diagnostic challenges and existing literature.
  • Analysis of psychological and neurological assessment methods.
  • Exploration of emerging neurobiological and imaging techniques.

Main Results:

  • Current diagnostic requirements for psychological stressors and exclusion of feigning have limited clinical value.
  • Psychological precipitants are not consistently found in all cases.
  • Neurobiological and imaging studies offer preliminary insights but require further research.

Conclusions:

  • Simplified diagnostic criteria are needed for conversion disorder.
  • Enhanced cooperation between neurology and psychiatry is crucial for patient management.
  • Future research into the neurobiology of conversion disorder may refine understanding.