Exploring the Autism and Functional Neurological Disorder Association: Considerations from Biopsychosocial, Neuropsychological and Computational Models

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Bibliographic Details
Title: Exploring the Autism and Functional Neurological Disorder Association: Considerations from Biopsychosocial, Neuropsychological and Computational Models
Language: English
Authors: Richard H. Cole (ORCID 0000-0002-3473-0808), Lily Smythe (ORCID 0009-0009-9689-4806), Mark J. Edwards, Francesca Happé (ORCID 0000-0001-9226-4000), Timothy R. Nicholson
Source: Autism: The International Journal of Research and Practice. 2026 30(2):269-284.
Availability: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com
Peer Reviewed: Y
Page Count: 16
Publication Date: 2026
Document Type: Journal Articles
Reports - Evaluative
Descriptors: Autism Spectrum Disorders, Neurological Impairments, Symptoms (Individual Disorders), Physical Health, Mental Health, Neurology, Psychiatry, Psychomotor Skills, Psychological Patterns, Cognitive Processes, Sensory Integration, Responses, Influences, Models, Prediction
DOI: 10.1177/13623613251393504
ISSN: 1362-3613
1461-7005
Abstract: Evidence is accumulating regarding an association between autism and functional neurological disorder, a common cause for a wide range of neurological symptoms affecting motor, sensory and cognitive systems. Symptoms can include paralysis, tremors, sensory disturbance, vision loss and dizziness. Functional neurological disorder exists at the complex intersection of physical and mental health, neurology and psychiatry, and body and mind. Despite a recent resurgence in clinical and scientific interest, functional neurological disorder has lagged behind other causes of neurological symptoms in research, service development and acceptance. The nature of the association between autism and functional neurological disorder remains uncertain, but several plausible mechanisms can be identified from overlapping areas of research, highlighting endogenous factors such as atypical interoception, motor function, emotional processing and sensorimotor integration, alongside exogenous influences including adversity, healthcare inequality and stigma. This review first provides an overview of functional neurological disorder through various explanatory frameworks before applying biopsychosocial, neuropsychological and computational perspectives to conceptualise its intersection with autism. It then considers how this association might be understood and explores how services could be adapted to better recognise and support autistic individuals with functional neurological disorder across the diagnostic and treatment pathway.
Abstractor: As Provided
Entry Date: 2026
Accession Number: EJ1494563
Database: ERIC
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Description
Abstract:Evidence is accumulating regarding an association between autism and functional neurological disorder, a common cause for a wide range of neurological symptoms affecting motor, sensory and cognitive systems. Symptoms can include paralysis, tremors, sensory disturbance, vision loss and dizziness. Functional neurological disorder exists at the complex intersection of physical and mental health, neurology and psychiatry, and body and mind. Despite a recent resurgence in clinical and scientific interest, functional neurological disorder has lagged behind other causes of neurological symptoms in research, service development and acceptance. The nature of the association between autism and functional neurological disorder remains uncertain, but several plausible mechanisms can be identified from overlapping areas of research, highlighting endogenous factors such as atypical interoception, motor function, emotional processing and sensorimotor integration, alongside exogenous influences including adversity, healthcare inequality and stigma. This review first provides an overview of functional neurological disorder through various explanatory frameworks before applying biopsychosocial, neuropsychological and computational perspectives to conceptualise its intersection with autism. It then considers how this association might be understood and explores how services could be adapted to better recognise and support autistic individuals with functional neurological disorder across the diagnostic and treatment pathway.
ISSN:1362-3613
1461-7005
DOI:10.1177/13623613251393504