Dissociative fugue | |
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Other names | Fugue state, psychogenic fugue |
Specialty | Psychiatry, Neurology |
Dissociative fugue (/fjuːɡ/ FYOOG), formerly called a fugue state or psychogenic fugue,[1] is a rare psychiatric phenomenon characterized by reversible amnesia for one's identity in conjunction with unexpected wandering or travel. This is sometimes accompanied by the establishment of a new identity and the inability to recall personal information prior to the presentation of symptoms.[2] Dissociative fugue is a mental and behavioral disorder[3] that is classified variously as a dissociative disorder,[1] a conversion disorder,[3] and a somatic symptom disorder. It is a facet of dissociative amnesia, according to the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5).
After recovery from a fugue state, previous memories usually return intact, and further treatment is unnecessary. An episode of fugue is not characterized as attributable to a psychiatric disorder if it can be related to the ingestion of psychotropic substances, to physical trauma, to a general medical condition, or to dissociative identity disorder,[clarification needed] delirium, or dementia.[4] Fugues are precipitated by a series of long-term traumatic episodes. It is most commonly associated with childhood victims of sexual abuse who learn to dissociate memory of the abuse (dissociative amnesia).
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