It is generally recognized that functional components may be present wherever there is organic disease, neurological or otherwise. Such functional material can at times dominate the picture to such a degree that it is possible for the physician to overlook otherwise significant signs of physical disease. This paper is not intended as a criticism of diagnostic failure. It is rather a plea for a closer working relationship between psychiatry and neurology. We hope to highlight the need for viewing the patient as a whole, interrelating physical and psychiatric problems. Limited investigation is inadequate insurance when dealing with patients. The importance of multiple examinations as well as reasonable competence in neurology must be stressed.
Over a period of several years our experience has been to note that a fair number of alleged psychiatric cases are ultimately diagnosed as neurological. We feel that there have been enough such instances to warrant a
Tissenbaum MJ, Harter HM, Friedman AP. ORGANIC NEUROLOGICAL SYNDROMES DIAGNOSED AS FUNCTIONAL DISORDERS. JAMA. 1951;147(16):1519–1521. doi:10.1001/jama.1951.03670330011004
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: