划分FND:针对功能性运动障碍和功能性发作的向治疗方法的差异
1Brand University of Applied Sciences Hamburg, Lilienstraße 5-9, Hamburg, 20095, Germany; Technical University Berlin, Hardenbergstraße 16-18, Berlin, 10623, Germany.
功能神经障碍 (FND) 治疗根据症状类型划分,运动症状接受物理治疗,发作接受心理治疗. 这种分歧反映了历史上的心身二元论,并影响了诊断的一致性.
科学领域:
- 神经学 神经学
- 医学社会学 医学社会学
- 医学哲学 医学哲学
背景情况:
- 功能神经障碍 (FND),以前的歇斯底里症,提出了诊断和治疗的挑战.
- 生物医学话语塑造了对FND的理解和管理.
- 历史假设,包括心身二元论,可能会影响当前的FND治疗范式.
研究的目的:
- 分析不同的治疗方法如何制定FND的不同版本.
- 检查FND治疗的理由,诊断逻辑和历史影响.
- 发现FND管理的临床推理中的不一致性.
主要方法:
- 对11篇关于FND治疗的叙事评论 (2016-2025) 的定性分析.
- 应用安妮玛丽·莫尔 (Annemarie Mol) 的行为概念来理解疾病的治疗生产.
- 密切阅读分析治疗理由,诊断逻辑和历史塑造.
主要成果:
- 诊断FND依赖于运动和症状的身体症状.
- 功能运动症状越来越多地用物理治疗来治疗,强调重新训练.
- 功能性发作是通过心理治疗来管理的,特别是CBT,专注于情绪和行为.
结论:
- 在FND管理中存在治疗分歧,以身体治疗运动症状,以心理治疗发作.
- 这种分歧隐含地反映了历史上的心身二元论,尽管有神经学诊断.
- 这种不一致性使人们对FND的诊断连贯性提出了疑问,并延续了关于体质症状的过时假设.
更多相关视频
14:14Targeting Neuronal Fiber Tracts for Deep Brain Stimulation Therapy Using Interactive, Patient-Specific Models
Published on: August 12, 2018
08:23A Multimodal Imaging- and Stimulation-based Method of Evaluating Connectivity-related Brain Excitability in Patients with Epilepsy
Published on: November 13, 2016
相关概念视频
Epilepsy and Seizures: Overview
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
Antiepileptic Drugs: Modulators of Neurotransmitter Release Mediated by SV2A Protein
SV2A is a transmembrane glycoprotein located predominantly in the brain, modulating the release of neurotransmitters for neuronal communication. Both levetiracetam and brivaracetam exhibit a high affinity for...
Seizures: Classification
Seizures are typically classified into two main categories: focal and generalized seizures.
Focal Seizures
Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:
Antiepileptic Drugs: Glutamate Antagonists
Antiepileptic Drugs: GABAergic Pathway Potentiators
The key GABA pathway potentiators used in epilepsy management are as follows.
Benzodiazepines are a well-known class of drugs used for...
Antiepileptic Drugs: Sodium Channel Blockers
Sodium channel blockers modulate ion channels, particularly voltage-gated sodium channels. They block only sodium ion movement.
Among the most commonly prescribed antiepileptic drugs are...
