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dc.contributor.authorOnofrj, Marco
dc.contributor.authorAjdinaj, Paola
dc.contributor.authorDigiovanni, Anna
dc.contributor.authorMalek, Naveed
dc.contributor.authorMartinotti, Giovanni
dc.contributor.authorFerro, Filippo Maria
dc.contributor.authorRusso, Mirella
dc.contributor.authorThomas, Astrid
dc.contributor.authorSensi, Stefano Luca
dc.date.accessioned2023-04-03T11:15:02Z
dc.date.available2023-04-03T11:15:02Z
dc.date.issued2023-03-17
dc.identifier.citationOnofrj , M , Ajdinaj , P , Digiovanni , A , Malek , N , Martinotti , G , Ferro , F M , Russo , M , Thomas , A & Sensi , S L 2023 , ' Functional Neurologic Disorders, disorders to be managed by neurologists, or are neurologists wandering in a dangerous field with inadequate resources? ' , Frontiers in Psychiatry , vol. 14 , 1120981 , pp. 1-16 . https://doi.org/10.3389/fpsyt.2023.1120981
dc.identifier.issn1664-0640
dc.identifier.otherJisc: 993751
dc.identifier.urihttp://hdl.handle.net/2299/26146
dc.description© 2023 Onofrj, Ajdinaj, Digiovanni, Malek, Martinotti, Ferro, Russo, Thomas and Sensi. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). https://creativecommons.org/licenses/by/4.0/
dc.description.abstractIn recent years, some neurologists reconsidered their approach to Medically Unexplained Symptoms and proposed Functional Neurologic Disorders (FND) as a new entity, claiming that neurology could offer alternative treatment options to the psychotherapies provided in psychiatry settings. FNDs, for this purpose, should include only the disorders listed as Conversion from the Somatic Symptom and Related Disorders (SSRD) group. The present review analyzes the rationale of this position and challenges the arguments provided for its support. The review also discusses the systematization of these disorders as provided by public health systems. It outlines risks stemming from economic support and public funding uncertainty, given their negligible epidemiological dimensions resulting from the parcellation of SSRD. The review underlines the unresolved issue of Factitious Disorders, which are in the same SSRD category of the international classification but are, nonetheless, overlooked by the theoretical proponents of the FND entity. Comorbidity with other psychiatric disorders is also analyzed. We propose a model that supports the continuum between different SSRD conditions, including Factitious Disorders. The model is based on the emergence of feigned death reflex and deception from frontal lobe dysfunction. Finally, the paper summarizes the wealth of historical psychiatric and psychodynamic approaches and critical reviews. The study also puts in context the categorization and interpretation efforts provided by the most eminent researchers of the past century.en
dc.format.extent16
dc.format.extent1367599
dc.language.isoeng
dc.relation.ispartofFrontiers in Psychiatry
dc.subjectPsychiatry
dc.subjectsomatic symptom and related disorders
dc.subjectfactitious disorder
dc.subjectutilization behavior
dc.subjectdeception
dc.subjecthysteria
dc.subjectPsychiatry and Mental health
dc.titleFunctional Neurologic Disorders, disorders to be managed by neurologists, or are neurologists wandering in a dangerous field with inadequate resources?en
dc.contributor.institutionSchool of Life and Medical Sciences
dc.contributor.institutionDepartment of Clinical, Pharmaceutical and Biological Science
dc.description.statusPeer reviewed
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=85152562324&partnerID=8YFLogxK
rioxxterms.versionofrecord10.3389/fpsyt.2023.1120981
rioxxterms.typeOther
herts.preservation.rarelyaccessedtrue


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