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Involuntary Emotional Expression Disorder

Published online by Cambridge University Press:  07 November 2014

Peter V. Rabins*
Affiliation:
Dr. Rabins is professor and vice chair for academic affairs and director of the Division of Geriatric and Neuropsychiatry in the Department of Psychiatry at, Johns Hopkins University School of Medicine, in Baltimore, Maryland
Jeffrey L. Cummings
Affiliation:
Dr. Cummings is Augustus S. Rose professor of neurology and professor of psychiatry and biobehavioral sciences at the David Geffen School of Medicine at the, University of California, Los Angeles (UCLA)
*
Johns Hopkins University School of Medicine, 600 North Wolfe St, Baltimore, MD 21287. Tel: 410-955-6736; Fax:, 410-614-1094; Email:, [email protected]

Extract

Involuntary emotional expression disorder (IEED), a distressing and potentially debilitating condition characterized by uncontrollable episodes of laughing and/or crying, causes extensive social and occupational dysfunction amongst patients. However, despite affecting more than one million people worldwide, IEED is often overlooked or misdiagnosed, and current treatments are compromised by uncertain efficacy. In this supplement we review the epidemiology and pathophysiology of IEED, and discuss new pharmacologic interventions which may afford opportunities for symptom control amongst IEED sufferers.

Although the uncontrollable episodes of emotion which characterize IEED were first described more than a century ago, a bewildering profusion of terminology has since confused and hampered the efforts of physicians to recognize and treat this condition. In the first article, John E. Duda, MD, examines the history of IEED in the medical literature, and evaluates the prevalence of the condition amongst patients in whom emotional or affective motor control has become dysregulated, either as a result of brain damage from neurological disease or as a result of brain injury.

Type
Research Article
Copyright
Copyright © Cambridge University Press 2007

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