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Encyclopedia > Fugue state

A Fugue state, is a state of mind characterized by abandonment of personal identity, along with the memories, personality and other identifying characteristics of individuality. The Fugue state is a condition of Dissociative Fugue (formerly Psychogenic Fugue) (DSM-IV Dissociative Disorders 300.13[1]). Image File history File links Broom_icon. ... Image File history File links Emblem-important. ... Fugue State Press (established 1992) is an small New York City literary publisher, specializing in the experimental novel. ... Look up Identity in Wiktionary, the free dictionary. ... For computer memory, see computer storage. ... Personality may refer to: // Personality psychology, a branch of psychology which studies personality and individual differences Personality development, the study of human personality development over time Personality disorders, a class of mental disorders that is characterized by long-lasting rigid patterns of thought and actions. ... The Diagnostic and Statistical Manual published by the American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision, also known as DSM-IV-TR is a manual published by the American Psychiatric Association and includes all currently recognized mental health disorders. ...

Contents

Clinical definition

The etiology of the fugue state is related to Dissociative Amnesia, (DSM-IV Codes 300.12[2]) which has several other subtypes[3]: Selective Amnesia, Generalised Amnesia, Continuous Amnesia, Systematised Amnesia, in addition to the subtype Dissociative Fugue[1]. This article is about the medical term. ... Psychogenic Amnesia is a form of amnesia popularized by popular culture, particularly film. ... The Diagnostic and Statistical Manual published by the American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision, also known as DSM-IV-TR is a manual published by the American Psychiatric Association and includes all currently recognized mental health disorders. ...


Unlike retrograde amnesia (which is popularly referred to simply as "amnesia", the state where someone completely forgets who they are), Dissociative Amnesia is not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication, DSM-IV Codes 291.1 & 292.83) or a neurological or other general medical condition (e.g., Amnestic Disorder due to a head trauma, DSM-IV Codes 294.0)[4]. It is a complex neuropsychological process[5]. Retrograde amnesia is a form of amnesia where someone will be unable to recall events that occurred before the onset of amnesia. ... Psychogenic Amnesia is a form of amnesia popularized by popular culture, particularly film. ... The Diagnostic and Statistical Manual published by the American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision, also known as DSM-IV-TR is a manual published by the American Psychiatric Association and includes all currently recognized mental health disorders. ... The Diagnostic and Statistical Manual published by the American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision, also known as DSM-IV-TR is a manual published by the American Psychiatric Association and includes all currently recognized mental health disorders. ...


As the person experiencing a Dissociative fugue may have recently suffered the reappearance of an event or person representing an earlier life trauma, the emergence of an armoring or defensive personality seems to be for some, a logical apprehension of the situation.


Therefore, the terminology fugue state may carry a slight linguistic distinction from Dissociative Fugue, the former implying a greater degree of motion. For the purposes of this article then, a fugue state would occur while one is acting out a Dissociative Fugue. Dissociation is a state of acute mental decompensation in which certain thoughts, emotions, sensations, and/or memories are compartmentalized because they are too overwhelming for the conscious mind to integrate. ...


The DSM-IV defines Dissociative Fugue[1] as: The Diagnostic and Statistical Manual of Mental Disorders, published by the American Psychiatric Association, is the handbook used most often in diagnosing mental disorders in the United States and other countries. ...

  • sudden, unexpected travel away from home or one's customary place of work, with inability to recall one's past,
  • confusion about personal identity, or the assumption of a new identity, or
  • significant distress or impairment.

The Merck Manual [6] defines Dissociative Fugue as: The Merck Manual of Diagnosis and Therapy (often referred to simply as The Merck Manual) is one of the worlds most widely used medical textbooks. ...

One or more episodes of amnesia in which the inability to recall some or all of one's past and either the loss of one's identity or the formation of a new identity occur with sudden, unexpected, purposeful travel away from home.

In support of this definition, the Merck Manual [6] further defines Dissociative Amnesia as: Psychogenic Amnesia is a form of amnesia popularized by popular culture, particularly film. ...

An inability to recall important personal information, usually of a traumatic or stressful nature, that is too extensive to be explained by normal forgetfulness.

Prevalence and onset

It has been estimated that approximately 0.2 percent of the population experiences Dissociative Fugue, although prevalence increases significantly following a stressful life event, such as wartime experience or some other disaster[6]. Other life stressors may trigger a Dissociative Fugue, such as financial difficulties, personal problems or legal issues. The causes of Dissociative Fugue are similar to those of Dissociative Amnesia and Dissociative Identity Disorder. Dissociative fugue is often mistaken for malingering, because both conditions may occur under circumstances that a person might understandably wish to evade. However, Dissociative Fugue occurs spontaneously and is not faked. Malingering is a state in which a person feigns illness because it removes him from accountability for his actions, gives him an excuse to avoid responsibilities, or reduces his exposure to a known hazard, such as a dangerous job assignment. Many fugues seem to represent a disguised wish fulfillment (for example, an escape from overwhelming stresses, such as divorce or financial ruin). Other fugues are related to feelings of rejection or separation, or they may protect the person from suicidal or homicidal impulses. Psychogenic Amnesia is a form of amnesia popularized by popular culture, particularly film. ... Dissociative Identity Disorder (DID), as defined by the American Psychiatric Associations Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR), is a mental condition whereby a single individual evidences two or more distinct identities or personalities, each with its own pattern of perceiving and interacting with the environment. ... Malingering is a medical and psychological term that refers to an individual fabricating or exaggerating the symptoms of mental or physical disorders for a variety of motives, including getting financial compensation (often tied to fraud), avoiding work, obtaining drugs, getting lighter criminal sentences, or simply to attract attention or sympathy. ...


Similar to Dissociative Amnesia, the Dissociative Fugue usually affects personal memories from the past, rather than encyclopedic or abstract knowledge. A Dissociative Fugue therefore does not imply any overt seeming or "crazy" behaviour. Psychogenic Amnesia is a form of amnesia popularized by popular culture, particularly film. ...


Diagnosis

Some disorders have similar symptoms. The clinician, therefore, in his diagnostic attempt has to differentiate against the following disorders which need to be ruled out to establish a precise diagnosis: dementia, head trauma, substance intoxication, early symptoms of neurological disorders (eg multiple sclerosis) may resemble conversion symptoms[4]. Similarly, other psychological disorders may manifest symptoms similar to Dissocative Fugues. These include bipolar disorder, schizophrenia and major depressive disorder. For other uses, see Bipolar. ...


Treatment and prognosis

Most Dissociative Fugues last for hours or days or months, unresolved and may return. Dissociative Fugue is treated much the same as Dissociative Amnesia and Dissociative Identity Disorder, and treatment is therapy aimed at helping the person restore lost memories as soon as possible[4]. Most people who suffer Dissociative Fugues regain most or all of their prior memories; however, efforts to restore memories of the fugue period usually are unsuccessful. Psychogenic Amnesia is a form of amnesia popularized by popular culture, particularly film. ... Dissociative Identity Disorder (DID), as defined by the American Psychiatric Associations Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR), is a mental condition whereby a single individual evidences two or more distinct identities or personalities, each with its own pattern of perceiving and interacting with the environment. ...


The goal of treatment is to help the person come to terms with the stress or trauma that triggered the fugue. Treatment also aims to develop new coping methods to prevent further fugue episodes. The best treatment approach depends on the individual and the severity of his or her symptoms, but most likely will include some combination of the following treatment methods:

  • Psychotherapy[7][8] — Psychotherapy, a type of counseling, is the main treatment for dissociative disorders. This treatment uses techniques designed to encourage communication of conflicts and increase insight into problems.
  • Cognitive therapy — This type of therapy focuses on changing dysfunctional thinking patterns and resulting feelings and behaviors.
  • Medication — There is no medication to treat the dissociative disorders themselves. However, a person with a dissociative disorder who also suffers from depression or anxiety might benefit from treatment with a medication such as an antidepressant or anti-anxiety medicine.
  • Family therapy — This helps to teach the family about the disorder and its causes, as well as to help family members recognize symptoms of a recurrence.
  • Creative therapies (art therapy, music therapy) — These therapies allow the patient to explore and express his or her thoughts and feelings in a safe and creative way.
  • Clinical hypnosis — This is a treatment method that uses intense relaxation, concentration and focused attention to achieve an altered state of consciousness (awareness), allowing people to explore thoughts, feelings and memories they might have hidden from their conscious minds. The use of hypnosis for treating dissociative disorders is controversial due to the risk of creating false memories.

Psychotherapy is an interpersonal, relational intervention used by trained psychotherapists to aid clients in problems of living. ... This article is about Becks Cognitive Therapy. ... Psychopharmacology is the study of the effects of any psychoactive drug that acts upon the mind by affecting brain chemistry. ... Family therapy, also referred to as couple and family therapy and family systems therapy, is a branch of psychotherapy that works with families and couples in intimate relationships to nurture change and development. ... Art therapy was invented by the great philosopher David Chapelle of the enlightenent era. ... Music therapy is the clinical and evidence-based use of music interventions to accomplish individualized goals within a therapeutic relationship by a qualified professional who has completed an approved music therapy program. ... Hypnotherapy is therapy that is undertaken with a subject in hypnosis. ...

See also

The Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) is a semistuctured interview for making most of the major DSM-IV Axis I psychiatric diagnoses. ... The Diagnostic and Statistical Manual published by the American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision, also known as DSM-IV-TR is a manual published by the American Psychiatric Association and includes all currently recognized mental health disorders. ... Dissociative disorders are defined as conditions that involve disruptions or breakdowns of memory, awareness, identity and/or perception. ... The Diagnostic and Statistical Manual published by the American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision, also known as DSM-IV-TR is a manual published by the American Psychiatric Association and includes all currently recognized mental health disorders. ... Dissociative Identity Disorder (DID), as defined by the American Psychiatric Associations Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR), is a mental condition whereby a single individual evidences two or more distinct identities or personalities, each with its own pattern of perceiving and interacting with the environment. ... The Diagnostic and Statistical Manual published by the American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision, also known as DSM-IV-TR is a manual published by the American Psychiatric Association and includes all currently recognized mental health disorders. ... Psychogenic Amnesia is a form of amnesia popularized by popular culture, particularly film. ... The Diagnostic and Statistical Manual published by the American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision, also known as DSM-IV-TR is a manual published by the American Psychiatric Association and includes all currently recognized mental health disorders. ... Depersonalization is an alteration in the perception or experience of the self so that one feels detached from, and as if one is an outside observer of, ones mental processes or body. ... The Diagnostic and Statistical Manual published by the American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision, also known as DSM-IV-TR is a manual published by the American Psychiatric Association and includes all currently recognized mental health disorders. ... Dissociation is a state of acute mental decompensation in which certain thoughts, emotions, sensations, and/or memories are compartmentalized because they are too overwhelming for the conscious mind to integrate. ...

References

  1. ^ a b c Dissociative Fugue (formerly Psychogenic Fugue) ( DSM-IV 300.13, Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition)
  2. ^ Dissociative Amnesia, DSM-IV Codes 300.12 ( Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition )
  3. ^ Dissociative Amnesia, DSM-IV Code 300.12 ( PsychNet-UK.com )
  4. ^ a b c Complete List of DSM-IV Codes ( PsychNet-UK.com )
  5. ^ Background to Dissociation ( The Pottergate Centre for Dissociation & Trauma )
  6. ^ a b c Merck Manual 1999 section 15 (Psychiatric Disorders), chapter 188 (Dissociative Disorders)
  7. ^ The Psychoanalytic Psychotherapy of Dissociative Identity Disorder in the Context of Trauma Therapy ( Psychoanalytic Inquiry, 2000 )
  8. ^ International Psychoanalytical Association (IPA)

The novel Alias Grace, by Margret Atwood The Merck Manual of Diagnosis and Therapy (often referred to simply as The Merck Manual) is one of the worlds most widely used medical textbooks. ... This article is about the year. ...


External links


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Fugue state - Wikipedia, the free encyclopedia (952 words)
A fugue state is therefore similar in nature to the concept of dissociative identity disorder (DID) (formerly called multiple-personality disorder) although DID is widely understood to have its conception in a long-term life event (such as a traumatic childhood), where sufficient time is given for alternate personality representations to form and take hold.
As the person experiencing a fugue state may have recently suffered an amnesic onset—perhaps a head trauma, or the reappearance of an event or person representing an earlier life trauma—the emergence of a "new" personality seems to be for some, a logical apprehension of the situation.
Unlike a dissociative identity disorder, a fugue is usually considered to be a malingering disorder, resolving to remove the experiencer from responsibility for their actions, or from situations imposed upon them by others.
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