Changing the culture of care for children and adolescents with functional neurological disorder.

Children and adolescents Clinical ethics Cultural change Functional neurological disorder (FND) Functional seizures Stigma

Journal

Epilepsy & behavior reports
ISSN: 2589-9864
Titre abrégé: Epilepsy Behav Rep
Pays: United States
ID NLM: 101750909

Informations de publication

Date de publication:
2021
Historique:
received: 27 07 2021
revised: 31 08 2021
accepted: 15 09 2021
entrez: 11 11 2021
pubmed: 12 11 2021
medline: 12 11 2021
Statut: epublish

Résumé

As members of a multidisciplinary team of professionals who treat children and adolescents with functional neurological (conversion) disorder (FND), we highlight the pressing need to develop an FND-informed culture of care that takes into account recent advances in our understanding of this group of patients. Stories of clinical encounters in health care settings from around the world-told by children and adolescents with FND, their parents, and health professionals-portray an outdated culture of care characterized by iatrogenic stigma, erosion of empathy and compassion within the clinician-patient relationship, and a lack of understanding of FND and its complex neurobiology. After a brief exploration of the outdated culture, we share our

Identifiants

pubmed: 34761194
doi: 10.1016/j.ebr.2021.100486
pii: S2589-9864(21)00060-5
pmc: PMC8567196
doi:

Types de publication

Journal Article

Langues

eng

Pagination

100486

Informations de copyright

© 2021 The Author(s).

Déclaration de conflit d'intérêts

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

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Auteurs

Kasia Kozlowska (K)

Department of Psychological Medicine, The Children's Hospital at Westmead, Westmead, NSW, Australia.
University of Sydney Medical School, Sydney, NSW, Australia.
Westmead Institute for Medical Research, Westmead, NSW, Australia.

Tyson Sawchuk (T)

University of Calgary, Cumming School of Medicine, Department of Pediatrics, AB, Canada.
Alberta Children's Hospital Research Institute, Calgary, AB, Canada.
Alberta Children's Hospital, Calgary, AB, Canada.

Jeff L Waugh (JL)

Division of Child Neurology, Department of Pediatrics, University of Texas Southwestern, Dallas, TX, USA.
Division of Neurology and Neurotherapeutics, University of Texas Southwestern, Dallas, TX, USA.

Helene Helgeland (H)

Department of Child and Adolescent Mental Health in Hospitals, Oslo University Hospital, Oslo, Norway.

Janet Baker (J)

Speech Pathology, Flinders University, Adelaide, SA, Australia.
University of Technology Sydney, Sydney, NSW, Australia.

Stephen Scher (S)

University of Sydney Medical School, Sydney, NSW, Australia.
Department of Psychiatry, Harvard Medical School and McLean Hospital, Belmont, MA, USA.

Aaron D Fobian (AD)

Department of Psychiatry and Behavioral Neurobiology, University of Alabama at Birmingham (UAB), Birmingham, AL, USA.

Classifications MeSH