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Sociological and cultural aspects of Tourette syndrome : ウィキペディア英語版 | Sociological and cultural aspects of Tourette syndrome
Sociological and cultural aspects of Tourette syndrome (also Tourette's syndrome, Tourette's or TS), include legal, advocacy and health insurance issues, awareness of notable individuals with Tourette syndrome, and treatment of TS in the media and popular culture. Tourette syndrome is an inherited neurological disorder with onset in childhood, characterized by the presence of motor and phonic tics. Tourette's is a misunderstood and stigmatizing condition, often mentioned in the popular media. Tourette syndrome was once considered a rare and bizarre syndrome. It is no longer considered rare, but is often undetected because of the wide range of severity, with most cases classified as mild.〔Scahill L, Williams S, Schwab-Stone M, Applegate J, Leckman JF. Disruptive behavior problems in a community sample of children with tic disorders. ''Adv Neurol.'' 2006;99:184–90. PMID 16536365〕 Tourette's is defined as part of a spectrum of tic disorders, which includes provisional and chronic tics.〔〔Black, KJ. (Tourette Syndrome and Other Tic Disorders. ) ''eMedicine'' (22 March 2006). Retrieved on 7 June 2006.〕 With increased knowledge of the full range of severity of Tourette syndrome—including milder cases—it has shifted from a condition only recognized in its most severe and impairing forms, to one recognized as a condition which is often mild, and which may be associated with some advantages and some disadvantages. ==Legal and insurance issues== There is no reason to believe that persons with Tourette's have diminished capacity in regards to understanding legal issues. Examples of federal legislation which protects some rights of individuals with TS in the United States include the Individuals with Disabilities Education Act (IDEA) and the Americans with Disabilities Act (ADA).〔 Legal and other advocacy information regarding the challenges associated with TS can be found on the website of the Tourette Syndrome Association.〔(Living with TS:Adult Issues ). Tourette Syndrome Association. Retrieved 7 October 2013.〕 A review of all cases tried in state and federal courts in the US between 1985 and 2003 (civil rights, criminal, education, family, labor, and social security) found that TS was implicated in only about 150 cases, 21 of which were criminal, over 18 years. The authors concluded that TS "rarely leads to criminal behavior, but patients with TS who have behavioral comorbidities are at risk of being involved with the legal system".〔Jankovic J, Kwak C, Frankoff R. Tourette's syndrome and the law. ''J Neuropsychiatry Clin Neurosci.'' 2006 Winter;18(1):86–95. PMID 16525075〕
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