Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK.
Neurology Department, Centro Hospitalar Universitário de São João, Porto, Portugal.
J Neurol Neurosurg Psychiatry. 2023 Oct;94(10):855-862. doi: 10.1136/jnnp-2022-330192. Epub 2023 Mar 28.
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.
功能性神经疾病（FND）是一种常见且使人丧失能力的疾病，常常被临床医生误解。尽管有些人对此持怀疑态度，但 FND 是一种可以根据阳性临床体征准确做出的诊断，其临床特征 100 多年来一直保持稳定。尽管在过去十年中取得了一些进展，但 FND 患者仍然受到临床医生、研究人员和公众的微妙和明显的歧视。有大量证据表明，被认为主要影响女性的疾病在医疗保健和医学研究中被忽视，而 FND 的发展过程反映了这种忽视。我们从历史和当代临床、研究和社会角度出发，阐述了为什么 FND 是一个女权主义问题。我们呼吁在医学教育、研究和临床服务发展方面平等对待 FND，以便 FND 患者能够得到他们所需的护理。
