Comment

'Pseudo-Destigmatization' leads to the 'Euphemistic Treadmill'

Anton Scamvougeras
Neuropsychiatrist
Conflict of interest:  No

Many thanks for this engaging and necessary discussion. This relates closely to the debate going on about the causation of 'functional' conditions, as one's understanding of causation to a very great extent begets nomenclature.

A colleague and I have attempted to lay out the challenges the 'functional neurological disorder' field currently faces regarding the understanding and nomenclature of these conditions (1).

We used the term 'Pseudo-Destigmatization' to describe changes in nomenclature and understanding that are made for ideological reasons, rather than being based on a valid reflection of the conditions themselves. In essence it is 'Pseudo-Destigmatization' that leads to the 'Euphemistic Treadmill' that you elegantly describe.

Literature:
1. Scamvougeras A, Castle D. Functional Neurological Disorders: Challenging the Mainstream Agnostic Causative Position. The Canadian Journal of Psychiatry 2024; 69(7): 487-492. doi:10.1177/07067437241245957

Publisert: 19.02.2025