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Published on: July 24, 2019
From psychogenic movement disorder to functional movement disorder: it's time to change the name
Mark J Edwards1, Jon Stone, Anthony E Lang
1Sobell Department of Motor Neuroscience and Movement Disorders, University College London (UCL) Institute of Neurology, UCL, London, United Kingdom.
Abstract:
Successive attempts at rebranding may be behind at least some of the proliferation of terms we have at our disposal when describing patients with what are now most often referred to as "psychogenic," "conversion," or "somatoform" symptoms. The most popular term in the movement disorder literature, "psychogenic," provides the aetiology of the disorder within the name, indicating that the symptoms are "born of the mind." Here we argue that it is logical to stop using a term that defines the disorder with regard to a poorly defined aetiology that is not supported by current evidence, and, instead, to use a broad term-functional-not as a "polite eponym" but as a term that is freer from such assumptions and does not reinforce dualistic thinking. The main argument for change is not political or even practical, but scientific.
Insights
The terms "psychogenic," "conversion," and "somatoform" symptoms are confusing. Researchers propose using the term "functional" to describe these symptoms, avoiding assumptions about their origin.
Area of Science:
- Neurology
- Psychiatry
- Medical Terminology
Background:
- Multiple terms like "psychogenic," "conversion," and "somatoform" are used for symptoms originating in the mind.
- The term "psychogenic" implies a mental origin, which is not always supported by evidence.
Purpose of the Study:
- To advocate for the discontinuation of terms like "psychogenic," "conversion," and "somatoform" symptoms.
- To propose the adoption of the term "functional" as a broader, evidence-based descriptor.
Main Methods:
- Literature review and conceptual analysis of medical terminology.
- Argumentation based on scientific evidence and avoidance of dualistic thinking.
Main Results:
- Current terminology is often based on poorly defined etiologies.
- The term "functional" offers a more neutral and scientifically sound alternative.
Conclusions:
- Adopting the term "functional" is a scientifically driven change.
- This shift aims to reduce confusion and avoid reinforcing outdated mind-body dualism.
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