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Funktionelle neurologische Störungen: Update und Beispiel einer integrierten stationären Behandlung unter Nutzung der Spiegeltherapie

  • A. JoosEmail author
  • R. Halmer
  • N. Leiprecht
  • K. Schörner
  • C. Lahmann
  • C. Blahak
Kurzbeiträge
  • 43 Downloads

Somatoforme Störungen finden sich bei mindestens 20 % der Patienten in der hausärztlichen Versorgung [28]; ebenso häufig sind funktionelle neurologische Störungen (FNS) in neurologischen Praxen [10, 57]; zudem finden sie sich bei ca. 10 % stationärer neurologischer Patienten [50]. Die Kombination organischer neurologischer Störungen (wie z. B. Multiple Sklerose, Epilepsie) und funktioneller Symptome stellt eine spezifische Herausforderung dar [27].

Aufgrund begrenzter Reliabilität und Validität sind psychische Faktoren für die Diagnose einer FNS keine conditio sine qua non mehr entsprechend des „Diagnostic and Statistical Manual of Mental Disorders“, 5. Auflage (DSM‑5; [2]), und die „International Classification of Diseases“, 11. Revision (ICD-11) geht denselben Weg1. Damit wird mit einer über 100 Jahre alten Tradition gebrochen: Das psychoanalytische Konversionsmodell ging von unbewussten Konflikten aus; selten wird allerdings beachtet, dass schon Breuer und Freud die disponierte und...

Functional neurological disorders: update and example of integrated inpatient treatment including mirror therapy

Notes

Interessenkonflikt

A. Joos, R. Halmer, N. Leiprecht, K. Schörner, C. Lahmann und C. Blahak geben an, dass kein Interessenkonflikt besteht.

Supplementary material

Video 1: Funktionelle Defizite – am Behandlungsbeginn

Video 2: Spiegeltherapie

Video 3: Restitutio – Ende stationärer neurologischer Rehabilitation

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Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2019

Authors and Affiliations

  • A. Joos
    • 1
    • 2
    Email author
  • R. Halmer
    • 2
  • N. Leiprecht
    • 2
  • K. Schörner
    • 2
  • C. Lahmann
    • 1
  • C. Blahak
    • 3
    • 4
  1. 1.Zentrum für Psychische Erkrankungen, Klinik für Psychosomatische Medizin und Psychotherapie, Universitätsklinikum Freiburg, Medizinische FakultätUniversität FreiburgFreiburgDeutschland
  2. 2.Psychotherapeutische NeurologieKliniken SchmiederGailingenDeutschland
  3. 3.Klinik für Neurologie und NeurogeriatrieOrtenau-Klinikum Lahr-EttenheimLahrDeutschland
  4. 4.Neurologische Klinik, UniversitätsMedizin MannheimUniversität HeidelbergMannheimDeutschland

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