The role of psychiatrists in diagnosing conversion disorder: a mixed-methods analysis

Richard A Kanaan,1,2 David Armstrong,3 Simon Wessely2 1Department of Psychiatry, University of Melbourne, Austin Health, Heidelberg, VIC, Australia; 2Department of Psychological Medicine, King’s College London, Institute of Psychiatry, Weston Education Centre, Denmark Hill, 3Department of...

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Autores principales:	Kanaan RA, Armstrong D, Wessely S
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	Functional Neurological Disorders classification qualitative research survey psychiatric formulation Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/de17b7722bd9478fae329aa5b4cd09f4
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spelling	oai:doaj.org-article:de17b7722bd9478fae329aa5b4cd09f42021-12-02T00:19:57ZThe role of psychiatrists in diagnosing conversion disorder: a mixed-methods analysis1178-2021https://doaj.org/article/de17b7722bd9478fae329aa5b4cd09f42016-05-01T00:00:00Zhttps://www.dovepress.com/the-role-of-psychiatrists-in-diagnosing-conversion-disorder-a-mixed-me-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Richard A Kanaan,1,2 David Armstrong,3 Simon Wessely2 1Department of Psychiatry, University of Melbourne, Austin Health, Heidelberg, VIC, Australia; 2Department of Psychological Medicine, King’s College London, Institute of Psychiatry, Weston Education Centre, Denmark Hill, 3Department of General Practice, King’s College London, Capital House, London, UK Objective: Since DSM-5 removed the requirement for a psychosocial formulation, neurologists have been able to make the diagnosis of conversion disorder without psychiatric input. We sought to examine whether neurologists and specialist psychiatrists concurred with this approach.Design: We used mixed methods, first surveying all the neurologists in the UK and then interviewing the neuropsychiatrists in a large UK region on the role of psychiatrists in diagnosing conversion disorder.Results: Of the surveyed neurologists, 76% did not think that psychiatrists were essential for the diagnosis and 71% thought that psychiatrists did not even consider conversion disorder when referred a case. The neuropsychiatrists who were interviewed held complex models of conversion disorder. They believed all cases could be explained psychosocially in theory, but the nature of the diagnostic encounter often prevented it in practice; all felt that psychosocial formulation could be very helpful and some felt that it was essential to diagnosis.Conclusion: Although neurologists do not think psychiatrists are required for diagnosing conversion disorder, specialist psychiatrists disagree, at least in some cases. Keywords: functional neurological disorders, classification, qualitative research, survey, psychiatric formulationKanaan RAArmstrong DWessely SDove Medical PressarticleFunctional Neurological Disordersclassificationqualitative researchsurveypsychiatric formulationNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2016, Iss Issue 1, Pp 1181-1184 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Functional Neurological Disorders classification qualitative research survey psychiatric formulation Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Functional Neurological Disorders classification qualitative research survey psychiatric formulation Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Kanaan RA Armstrong D Wessely S The role of psychiatrists in diagnosing conversion disorder: a mixed-methods analysis
description	Richard A Kanaan,1,2 David Armstrong,3 Simon Wessely2 1Department of Psychiatry, University of Melbourne, Austin Health, Heidelberg, VIC, Australia; 2Department of Psychological Medicine, King’s College London, Institute of Psychiatry, Weston Education Centre, Denmark Hill, 3Department of General Practice, King’s College London, Capital House, London, UK Objective: Since DSM-5 removed the requirement for a psychosocial formulation, neurologists have been able to make the diagnosis of conversion disorder without psychiatric input. We sought to examine whether neurologists and specialist psychiatrists concurred with this approach.Design: We used mixed methods, first surveying all the neurologists in the UK and then interviewing the neuropsychiatrists in a large UK region on the role of psychiatrists in diagnosing conversion disorder.Results: Of the surveyed neurologists, 76% did not think that psychiatrists were essential for the diagnosis and 71% thought that psychiatrists did not even consider conversion disorder when referred a case. The neuropsychiatrists who were interviewed held complex models of conversion disorder. They believed all cases could be explained psychosocially in theory, but the nature of the diagnostic encounter often prevented it in practice; all felt that psychosocial formulation could be very helpful and some felt that it was essential to diagnosis.Conclusion: Although neurologists do not think psychiatrists are required for diagnosing conversion disorder, specialist psychiatrists disagree, at least in some cases. Keywords: functional neurological disorders, classification, qualitative research, survey, psychiatric formulation
format	article
author	Kanaan RA Armstrong D Wessely S
author_facet	Kanaan RA Armstrong D Wessely S
author_sort	Kanaan RA
title	The role of psychiatrists in diagnosing conversion disorder: a mixed-methods analysis
title_short	The role of psychiatrists in diagnosing conversion disorder: a mixed-methods analysis
title_full	The role of psychiatrists in diagnosing conversion disorder: a mixed-methods analysis
title_fullStr	The role of psychiatrists in diagnosing conversion disorder: a mixed-methods analysis
title_full_unstemmed	The role of psychiatrists in diagnosing conversion disorder: a mixed-methods analysis
title_sort	role of psychiatrists in diagnosing conversion disorder: a mixed-methods analysis
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/de17b7722bd9478fae329aa5b4cd09f4
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The role of psychiatrists in diagnosing conversion disorder: a mixed-methods analysis

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