Human Motor Control Section, Medical Neurology Branch, National Institutes of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD 20892-1428, USA.
Psychosomatics. 2011 Mar-Apr;52(2):109-16. doi: 10.1016/j.psym.2010.12.017.
There are a host of vague terms to describe psychologically-mediated symptoms that mimic neurological disease, such as "functional," "non-organic," "psychogenic," or "medically unexplained." None of these terms has a direct translation in psychiatric classification, and psychiatrists are often faced with patients who do not believe in a psychological origin for their symptoms.
Within the framework of psychogenic movement disorders, we discuss the roadblocks to effective collaboration and treatment in these patients and the current state of the literature regarding diagnosis and treatment.
We describe the approach to these patients from the perspective of neurology and psychiatry, illustrating the differences in terminology and categorization.
Psychogenic movement disorders represent a unique opportunity for these fields to collaborate in the care of a potentially curable but significantly disabling disorder.
有许多模糊的术语来描述模仿神经疾病的心理介导症状，例如“功能性”、“非器质性”、“心因性”或“医学无法解释”。这些术语在精神科分类中都没有直接的翻译，精神科医生经常会遇到不相信自己的症状有心理起源的患者。
在心因性运动障碍的框架内，我们讨论了这些患者有效协作和治疗的障碍，以及关于诊断和治疗的当前文献状况。
我们从神经病学和精神病学的角度描述了对这些患者的处理方法，说明了术语和分类的差异。
心因性运动障碍为这些领域在治疗一种潜在可治愈但严重致残的疾病的护理方面提供了独特的合作机会。
