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In his paper, Mark Solms highlights Freud’s profound neuroscientific insights as they relate to functional neurological disorders (FND). These include Freud’s view of hysteria as a disorder at the level of ideas and his related emphasis on the importance of function in our comprehension of the mind, his understanding of hierarchical processing, and his recognition that these processes are based on fundamental biological needs, as captured in his concepts of drives and energy. While I endorse these interpretations and their illumination of Freud as a foresighted neuroscientific thinker, I question the extent to which they are specific to psychoanalysis. Instead, I argue that Freud’s distinctively psychoanalytic contribution to the theory of hysteria lies in his emphasis on repression. Thus, while modern Bayesian approaches to FND vindicate much of Freud’s neuroscientific understanding of the disorder, they do not yet incorporate its specifically psychoanalytic dimension – something that would require assigning a central role to repression in the process.