The challenge of functional neurological disorder – views of patients, doctors and medical students
Purpose This study aims to explore views and attitudes of doctors, patients and medical students in regard to Functional Neurological Disorders (FND), a common presentation in neurological and psychiatric practice. Design/methodology/approach We conducted semi-structured interviews with 11 clinician...
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| Veröffentlicht in: | The journal of mental health training, education, and practice education, and practice, 2021-01, Vol.16 (2), p.123-138 |
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| container_title | The journal of mental health training, education, and practice |
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| creator | Hutchinson, Gareth Linden, Stefanie Caroline |
| description | Purpose
This study aims to explore views and attitudes of doctors, patients and medical students in regard to Functional Neurological Disorders (FND), a common presentation in neurological and psychiatric practice.
Design/methodology/approach
We conducted semi-structured interviews with 11 clinicians and obtained online questionnaires from 21 patients and 75 medical students. We applied thematic analysis.
Findings
The clinician and patient surveys highlighted the importance of the therapeutic relationship and need for transparent communication. However, patients criticised excessive reliance on online resources in doctor–patient communication. They also emphasised the relevance of triggering life events, which was not a prominent theme for clinicians. Medical students had only scant knowledge of the concept of functional neurological disorder.
Practical implications
A good therapeutic relationship is considered central for outcome of FND by both clinicians and patients. The survey of medical students has identified considerable gaps in undergraduate medical education in FND. The patient survey can inform recommendations for the explanation of aetiological models and treatment options in clinical practice.
Originality/value
This is the first study exploring the attitudes of clinicians, medical students and patients to FND. The study highlights potential areas of disagreement between these groups. |
| doi_str_mv | 10.1108/JMHTEP-06-2020-0036 |
| format | Article |
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This study aims to explore views and attitudes of doctors, patients and medical students in regard to Functional Neurological Disorders (FND), a common presentation in neurological and psychiatric practice.
Design/methodology/approach
We conducted semi-structured interviews with 11 clinicians and obtained online questionnaires from 21 patients and 75 medical students. We applied thematic analysis.
Findings
The clinician and patient surveys highlighted the importance of the therapeutic relationship and need for transparent communication. However, patients criticised excessive reliance on online resources in doctor–patient communication. They also emphasised the relevance of triggering life events, which was not a prominent theme for clinicians. Medical students had only scant knowledge of the concept of functional neurological disorder.
Practical implications
A good therapeutic relationship is considered central for outcome of FND by both clinicians and patients. The survey of medical students has identified considerable gaps in undergraduate medical education in FND. The patient survey can inform recommendations for the explanation of aetiological models and treatment options in clinical practice.
Originality/value
This is the first study exploring the attitudes of clinicians, medical students and patients to FND. The study highlights potential areas of disagreement between these groups.</description><identifier>ISSN: 1755-6228</identifier><identifier>EISSN: 2042-8707</identifier><identifier>DOI: 10.1108/JMHTEP-06-2020-0036</identifier><language>eng</language><publisher>Brighton: Emerald Publishing Limited</publisher><subject>Anxiety Disorders ; Clinical medicine ; Control Groups ; Cultural Differences ; Deception ; Diagnostic Tests ; Ethics ; Etiology ; Health education ; Interrater Reliability ; Interviews ; Medical education ; Medical students ; Mental Disorders ; Negative Attitudes ; Neurological disorders ; Neurology ; Online Surveys ; Patient care planning ; Patient communication ; Patient satisfaction ; Patients ; Physician patient relationships ; Physicians ; Polls & surveys ; Professional attitudes ; Psychiatric services ; Psychiatry ; Questionnaires ; Semi Structured Interviews ; Social networks ; Symptoms (Individual Disorders) ; Therapeutic alliances</subject><ispartof>The journal of mental health training, education, and practice, 2021-01, Vol.16 (2), p.123-138</ispartof><rights>Emerald Publishing Limited</rights><rights>Emerald Publishing Limited 2020</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c320t-8fc6df6e0adb88b7ecef956d8c7e07f55efec6d80194283e045b0c82eca1ddfc3</citedby><cites>FETCH-LOGICAL-c320t-8fc6df6e0adb88b7ecef956d8c7e07f55efec6d80194283e045b0c82eca1ddfc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.emerald.com/insight/content/doi/10.1108/JMHTEP-06-2020-0036/full/html$$EHTML$$P50$$Gemerald$$H</linktohtml><link.rule.ids>314,780,784,967,11635,12846,21695,27924,27925,30999,52689,53244</link.rule.ids></links><search><creatorcontrib>Hutchinson, Gareth</creatorcontrib><creatorcontrib>Linden, Stefanie Caroline</creatorcontrib><title>The challenge of functional neurological disorder – views of patients, doctors and medical students</title><title>The journal of mental health training, education, and practice</title><description>Purpose
This study aims to explore views and attitudes of doctors, patients and medical students in regard to Functional Neurological Disorders (FND), a common presentation in neurological and psychiatric practice.
Design/methodology/approach
We conducted semi-structured interviews with 11 clinicians and obtained online questionnaires from 21 patients and 75 medical students. We applied thematic analysis.
Findings
The clinician and patient surveys highlighted the importance of the therapeutic relationship and need for transparent communication. However, patients criticised excessive reliance on online resources in doctor–patient communication. They also emphasised the relevance of triggering life events, which was not a prominent theme for clinicians. Medical students had only scant knowledge of the concept of functional neurological disorder.
Practical implications
A good therapeutic relationship is considered central for outcome of FND by both clinicians and patients. The survey of medical students has identified considerable gaps in undergraduate medical education in FND. The patient survey can inform recommendations for the explanation of aetiological models and treatment options in clinical practice.
Originality/value
This is the first study exploring the attitudes of clinicians, medical students and patients to FND. The study highlights potential areas of disagreement between these groups.</description><subject>Anxiety Disorders</subject><subject>Clinical medicine</subject><subject>Control Groups</subject><subject>Cultural Differences</subject><subject>Deception</subject><subject>Diagnostic Tests</subject><subject>Ethics</subject><subject>Etiology</subject><subject>Health education</subject><subject>Interrater Reliability</subject><subject>Interviews</subject><subject>Medical education</subject><subject>Medical students</subject><subject>Mental Disorders</subject><subject>Negative Attitudes</subject><subject>Neurological disorders</subject><subject>Neurology</subject><subject>Online Surveys</subject><subject>Patient care planning</subject><subject>Patient communication</subject><subject>Patient satisfaction</subject><subject>Patients</subject><subject>Physician patient relationships</subject><subject>Physicians</subject><subject>Polls & surveys</subject><subject>Professional attitudes</subject><subject>Psychiatric services</subject><subject>Psychiatry</subject><subject>Questionnaires</subject><subject>Semi Structured Interviews</subject><subject>Social networks</subject><subject>Symptoms (Individual Disorders)</subject><subject>Therapeutic alliances</subject><issn>1755-6228</issn><issn>2042-8707</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kbFOwzAQhi0EEqXwBCyWWDFcnMRxR1QVCgLBUGbLtc9tqjQudgJi4x14Q56EhLAwMJ1O938n3XeEnCZwkSQgL-8e5ovZEwPBOHBgAKnYIyMOGWeygGKfjJIiz5ngXB6Soxg3ACKT2WREcLFGata6qrBeIfWOurY2TelrXdEa2-ArvypN19gy-mAx0K-PT_pa4lvs0zvdlFg38ZxabxofItW1pVu0P0xsWttPj8mB01XEk986Js_Xs8V0zu4fb26nV_fMpBwaJp0R1gkEbZdSLgs06Ca5sNIUCIXLc3TYJSQkk4zLFCHLl2AkR6MTa51Jx-Rs2LsL_qXF2KiNb0N3SlQ8h6wDOwNdKh1SJvgYAzq1C-VWh3eVgOp9qsGnAqF6n6r32VF8oHCLQVf2H-jPE9JvsxB7Uw</recordid><startdate>20210122</startdate><enddate>20210122</enddate><creator>Hutchinson, Gareth</creator><creator>Linden, Stefanie Caroline</creator><general>Emerald Publishing Limited</general><general>Emerald Group Publishing Limited</general><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>CJNVE</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GNUQQ</scope><scope>HEHIP</scope><scope>K6X</scope><scope>M0P</scope><scope>M2M</scope><scope>M2R</scope><scope>M2S</scope><scope>PQEDU</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope></search><sort><creationdate>20210122</creationdate><title>The challenge of functional neurological disorder – views of patients, doctors and medical students</title><author>Hutchinson, Gareth ; Linden, Stefanie Caroline</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c320t-8fc6df6e0adb88b7ecef956d8c7e07f55efec6d80194283e045b0c82eca1ddfc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Anxiety Disorders</topic><topic>Clinical medicine</topic><topic>Control Groups</topic><topic>Cultural Differences</topic><topic>Deception</topic><topic>Diagnostic Tests</topic><topic>Ethics</topic><topic>Etiology</topic><topic>Health education</topic><topic>Interrater Reliability</topic><topic>Interviews</topic><topic>Medical education</topic><topic>Medical students</topic><topic>Mental Disorders</topic><topic>Negative Attitudes</topic><topic>Neurological disorders</topic><topic>Neurology</topic><topic>Online Surveys</topic><topic>Patient care planning</topic><topic>Patient communication</topic><topic>Patient satisfaction</topic><topic>Patients</topic><topic>Physician patient relationships</topic><topic>Physicians</topic><topic>Polls & surveys</topic><topic>Professional attitudes</topic><topic>Psychiatric services</topic><topic>Psychiatry</topic><topic>Questionnaires</topic><topic>Semi Structured Interviews</topic><topic>Social networks</topic><topic>Symptoms (Individual Disorders)</topic><topic>Therapeutic alliances</topic><toplevel>online_resources</toplevel><creatorcontrib>Hutchinson, Gareth</creatorcontrib><creatorcontrib>Linden, Stefanie Caroline</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>British Nursing Index</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Education Collection</collection><collection>ProQuest Central Korea</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Health Research Premium Collection</collection><collection>ProQuest Central Student</collection><collection>Sociology Collection</collection><collection>British Nursing Index</collection><collection>Education Database</collection><collection>Psychology Database</collection><collection>Social Science Database</collection><collection>Sociology Database</collection><collection>ProQuest One Education</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><jtitle>The journal of mental health training, education, and practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hutchinson, Gareth</au><au>Linden, Stefanie Caroline</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The challenge of functional neurological disorder – views of patients, doctors and medical students</atitle><jtitle>The journal of mental health training, education, and practice</jtitle><date>2021-01-22</date><risdate>2021</risdate><volume>16</volume><issue>2</issue><spage>123</spage><epage>138</epage><pages>123-138</pages><issn>1755-6228</issn><eissn>2042-8707</eissn><abstract>Purpose
This study aims to explore views and attitudes of doctors, patients and medical students in regard to Functional Neurological Disorders (FND), a common presentation in neurological and psychiatric practice.
Design/methodology/approach
We conducted semi-structured interviews with 11 clinicians and obtained online questionnaires from 21 patients and 75 medical students. We applied thematic analysis.
Findings
The clinician and patient surveys highlighted the importance of the therapeutic relationship and need for transparent communication. However, patients criticised excessive reliance on online resources in doctor–patient communication. They also emphasised the relevance of triggering life events, which was not a prominent theme for clinicians. Medical students had only scant knowledge of the concept of functional neurological disorder.
Practical implications
A good therapeutic relationship is considered central for outcome of FND by both clinicians and patients. The survey of medical students has identified considerable gaps in undergraduate medical education in FND. The patient survey can inform recommendations for the explanation of aetiological models and treatment options in clinical practice.
Originality/value
This is the first study exploring the attitudes of clinicians, medical students and patients to FND. The study highlights potential areas of disagreement between these groups.</abstract><cop>Brighton</cop><pub>Emerald Publishing Limited</pub><doi>10.1108/JMHTEP-06-2020-0036</doi><tpages>16</tpages></addata></record> |
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| identifier | ISSN: 1755-6228 |
| ispartof | The journal of mental health training, education, and practice, 2021-01, Vol.16 (2), p.123-138 |
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| source | Emerald A-Z Current Journals; Applied Social Sciences Index & Abstracts (ASSIA); Standard: Emerald eJournal Premier Collection |
| subjects | Anxiety Disorders Clinical medicine Control Groups Cultural Differences Deception Diagnostic Tests Ethics Etiology Health education Interrater Reliability Interviews Medical education Medical students Mental Disorders Negative Attitudes Neurological disorders Neurology Online Surveys Patient care planning Patient communication Patient satisfaction Patients Physician patient relationships Physicians Polls & surveys Professional attitudes Psychiatric services Psychiatry Questionnaires Semi Structured Interviews Social networks Symptoms (Individual Disorders) Therapeutic alliances |
| title | The challenge of functional neurological disorder – views of patients, doctors and medical students |
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