Limits to truth-telling: Neurologists' communication in conversion disorder

Patient Education and Counseling

Volumn 77, Issue 2, 2009, Pages 296-301

  Kanaan, Richard ^a   Armstrong, David ^a   Wessely, Simon ^a  

^a KING'S COLLEGE LONDON   (United Kingdom)

Author keywords

Conversion disorder; Deception; Factitious disorder; Hysteria; Malingering; Neurology; Truth telling

Indexed keywords

ADULT; ARTICLE; CLINICAL PRACTICE; CONSULTATION; CONVERSION DISORDER; DOCTOR PATIENT RELATION; FEMALE; HUMAN; INTERPERSONAL COMMUNICATION; INTERVIEW; MALE; MEDICAL SPECIALIST; PRIORITY JOURNAL; PSYCHOLOGICAL ASPECT; QUALITATIVE ANALYSIS; UNITED KINGDOM;

ADULT; COMMUNICATION; CONVERSION DISORDER; DIAGNOSIS, DIFFERENTIAL; FEMALE; GREAT BRITAIN; HUMANS; INTERVIEWS AS TOPIC; MALE; MIDDLE AGED; NEUROLOGY; PHYSICIAN-PATIENT RELATIONS; TRUTH DISCLOSURE;

EID: 70350070736     PISSN: 07383991     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.pec.2009.05.021     Document Type: Article

References (28)

1. Mitchell A.J. Reluctance to disclose difficult diagnoses: a narrative review comparing communication by psychiatrists and oncologists. Support Care Cancer 15 (2007) 819-828
2. Higgs R. On telling patients the truth. In: Lockwood M. (Ed). Moral dilemmas in modern medicine (1985), Oxford University Press, Oxford p. [vii, 260]
3. Gillon R. Telling the truth and medical ethics. Br Med J (Clin Res Ed) 291 (1985) 1556-1557
4. Kanaan R.A. Ethical issues in the management of somatoform disorders. Psychiatry 6 (2007) 63-66
5. Shorter E. From paralysis to fatigue: a history of psychosomatic illness in the modern era (1992), Free Press, New York
6. Hallett M. Psychogenic movement disorders: a crisis for neurology. Curr Neurol Neurosci Rep 6 (2006) 269-271
7. Nettleton S., Watt I., O'Malley L., and Duffey P. Understanding the narratives of people who live with medically unexplained illness. Patient Educ Couns 56 (2005) 205-210
8. Stone J., Carson A., and Sharpe M. Functional symptoms in neurology: management. J Neurol Neurosur Ps 76 (2005) i13-21
9. Carson A.J., Stone J., Warlow C., and Sharpe M. Patients whom neurologists find difficult to help. J Neurol Neurosur Ps 75 (2004) 1776-1778
10. Kanaan R., Armstrong D., Barnes P., and Wessely S. In the Psychiatrist's Chair: how Neurologists understand Conversion Disorder. Brain (2009)
11. Aybek S., Kanaan R.A., and David A.S. The neuropsychiatry of conversion disorder. Curr Opin Psychiatr 21 (2008) 275-280
12. Stone J., Wojcik W., Durrance D., Carson A., Lewis S., MacKenzie L., Warlow C.P., and Sharpe M. What should we say to patients with symptoms unexplained by disease? The "number needed to offend". Brit Med J 325 (2002) 1449-1450
13. Kinetz E. Is hysteria real? Brain images say yes (2006), The New York Times, New York
14. Kanaan R, Wessely S. Factitious disorders in neurology: an analysis of reported cases. Psychosomatics; in press, Brain 2009; doi:10.1093/brain/awp060.
15. Wessely S. "To tell or not to tell": the problem of medically unexplained symptoms. In: Zeman A., and Emanuel L.L. (Eds). Ethical dilemmas in neurology (1999), Saunders, London 41-53
16. Glaser B.G., and Strauss A.L. Discovery of grounded theory: strategies for qualitative research (1967), Weidenfeld and Nicolson [S. l.]
17. Radunovic A., Mitsumoto H., and Leigh P.N. Clinical care of patients with amyotrophic lateral sclerosis. Lancet Neurol 6 (2007) 913-925
18. Kanaan R, Armstrong D, Barnes P, Wessely S. In the Psychiatrist's Chair: how Neurologists understand Conversion Disorder. Brain; in press.
19. GMC. Consent: patients and doctors making decisions together (2008), General Medical Council, London
20. Bakhurst D. On lying and deceiving. J Med Ethics 18 (1992) 63-66
21. WHO. The ICD-10 classification of mental and behavioural disorders (1992), World Health Organisation, Geneva
22. APA. Diagnostic and statistical manual of mental disorders: DSM-IV. 4th ed. (1994), American Psychiatric Association, Washington, DC
23. Wessely S. Discrepancies between diagnostic criteria and clinical practice. In: Halligan P., Bass C., and Marshall J. (Eds). Contemporary approaches to the study of hysteria (2001), OUP, Oxford
24. Bass C., and Halligan P.W. Illness related deception: social or psychiatric problem?. J Roy Soc Med 100 (2007) 81-84
25. Kroenke K. Efficacy of treatment for somatoform disorders: a review of randomized controlled trials. Psychosom Med 69 (2007) 881-888
26. Bass C. Somatization disorder: the need for effective intervention studies. Gen Hosp Psychiat 16 (1994) 379-380
27. Salmon P., Ring A., Dowrick C.F., and Humphris G.M. What do general practice patients want when they present medically unexplained symptoms, and why do their doctors feel pressurized?. J Psychosom Res 59 (2005) 255-260 [discussion 61-2]
28. Salmon P., Peters S., and Stanley I. Patients' perceptions of medical explanations for somatisation disorders: qualitative analysis. Brit Med J 318 (1999) 372-376