A global neuronal workspace model of functional neurological disorders.

IF 8.3 2区医学 Q1 Medicine Dialogues in Clinical Neuroscience Pub Date : 2024-01-01 Epub Date: 2024-05-20 DOI:10.1080/19585969.2024.2340131

Lionel Naccache, Esteban Munoz-Musat

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Abstract

We introduce here a general model of Functional Neurological Disorders based on the following hypothesis: a Functional Neurological Disorder could correspond to a consciously initiated voluntary top-down process causing involuntary lasting consequences that are consciously experienced and subjectively interpreted by the patient as involuntary. We develop this central hypothesis according to Global Neuronal Workspace theory of consciousness, that is particularly suited to describe interactions between conscious and non-conscious cognitive processes. We then present a list of predictions defining a research program aimed at empirically testing their validity. Finally, this general model leads us to reinterpret the long-debated links between hypnotic suggestion and functional neurological disorders. Driven by both scientific and therapeutic goals, this theoretical paper aims at bringing closer the psychiatric and neurological worlds of functional neurological disorders with the latest developments of cognitive neuroscience of consciousness.

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功能性神经紊乱的全局神经元工作区模型。

我们在此介绍一种基于以下假设的功能性神经障碍性疾病的一般模型：功能性神经障碍性疾病可能与有意识启动的自上而下的自愿过程相对应，该过程会导致非自愿的持久后果，而这些后果被患者有意识地体验和主观地解释为非自愿的。我们根据意识的全局神经元工作空间理论提出了这一核心假设，该理论特别适用于描述有意识和无意识认知过程之间的相互作用。然后，我们提出了一系列预测，并确定了一项研究计划，旨在对其有效性进行实证检验。最后，这一一般模型将引导我们重新解释长期争论不休的催眠暗示与功能性神经失调之间的联系。在科学和治疗目标的驱动下，这篇理论性论文旨在拉近功能性神经紊乱的精神和神经世界与意识认知神经科学最新发展的距离。

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来源期刊

Dialogues in Clinical Neuroscience Medicine-Psychiatry and Mental Health

CiteScore

19.30

自引率

1.20%

发文量

期刊介绍： Dialogues in Clinical Neuroscience (DCNS) endeavors to bridge the gap between clinical neuropsychiatry and the neurosciences by offering state-of-the-art information and original insights into pertinent clinical, biological, and therapeutic aspects. As an open access journal, DCNS ensures accessibility to its content for all interested parties. Each issue is curated to include expert reviews, original articles, and brief reports, carefully selected to offer a comprehensive understanding of the evolving landscape in clinical neuroscience. Join us in advancing knowledge and fostering dialogue in this dynamic field.