Functional neurological disorder is a feminist issue

J Neurol Neurosurg Psychiatry. 2023 Oct;94(10):855-862. doi: 10.1136/jnnp-2022-330192. Epub 2023 Mar 28.

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.

Keywords: conversion disorder; functional neurological disorder; neuropsychiatry; somatisation disorder.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Biomedical Research*
  • Conversion Disorder*
  • Female
  • Humans
  • Nervous System Diseases* / diagnosis
  • Nervous System Diseases* / epidemiology
  • Nervous System Diseases* / therapy