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    An exploration of functional neurological sensory disorders from a psychotherapeutic perspective; Symptom causation and potential implications for the therapeutic relationship

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    hdip_kirwan_j_2019.pdf (446.6Kb)
    Author
    Kirwan, Jennifer
    Date
    2019
    Degree
    Higher Diploma in Arts in Counselling and Psychotherapy
    URI
    https://esource.dbs.ie/handle/10788/3769
    Publisher
    Dublin Business School
    Rights holder
    http://esource.dbs.ie/copyright
    Rights
    Items in Esource are protected by copyright. Previously published items are made available in accordance with the copyright policy of the publisher/copyright holder.
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    Abstract
    Functional Neurological Sensory Disorders (FNSDs) are one of the most common presentations in outpatient neurology clinics and FNSDs are associated with considerable disability and healthcare cost. Despite its prevalence, there are still misconceptions amongst healthcare professionals regarding etiological theories of FNSDs, which results in widespread public stigma of the people who live with the condition. In this theoretical dissertation, the literature surrounding etiological theories is examined and a case is put forward for the integration and use of biological, psychological and social models by psychotherapists. The literature is also explored to examine potential implications for the establishment of a successful psychotherapeutic alliance when a person has a diagnosis of Functional Neurological Symptom Disorder (FNSD). In the absence of research, the concepts of bias, stigma, transference and counter-transference are explored. Unique points to consider in the psychotherapeutic assessment and treatment of a person with a diagnosis of FNSD are raised, and suggestions for future directions of research are put forward.
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