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.

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  • This shift aims to reduce confusion and avoid reinforcing outdated mind-body dualism.

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