Mark Micale’s paper “On the ‘Disappearance’ of Hysteria” is a very neat piece of scholarship I do not agree with at all.
Here’s why it’s useful, and an alternate perspective.
So to start with, Micale is a historian who has done some very interesting work examining historical sources about “Hysteria”, the grossly-named disorder we now know as FND.
This particular paper, like his book “Hysterical Men”, is agnostic about what Hysteria “really is.” For the most part, he doesn’t really deal w that question.
What he examines is what people THOUGHT Hysteria was, and how they got there.
We’re also about to experience a global pandemic unprecedented in our lifetimes!
So why should you care about Functional Neurological Disorder?
👇👀
This thread isn’t meant to take away from the current focus on COVID-19. It’s an extremely dangerous development and it’s of course right that we take it seriously and prioritize it as we’re doing. 👍
But if you have room for something that looks grim at first but turns out to be an opportunity for positive change...
To respond to Dr Tuller’s first question: how is FND different from other neurological disorders?
In some ways, it’s not! It creates real disability, with symptoms often comparable to other neuro disorders like MS, and the source of that dysfunction is the brain.
This is part of why some patients have argued against an exclusively psychological formulation: because it’s not just a subjective belief that you have, say, a gait disorder. You actually do.