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{{ClinPsy}}
  
{{ClinPsy}}
   
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==Definition==
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The [[DSM-IV]] defines Dissociative Fugue as:
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* Sudden, unexpected travel away from home or one's customary place of work, with inability to recall one's past,
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* Confusion about personal identity, or the assumption of a new identity,
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* Or, significant distress or impairment.
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==Description==
 
The ''[[Merck Manual]]'' <ref name="Merck">[[Merck Manual]] [[1999]] section 15 (Psychiatric Disorders), chapter 188 (Dissociative Disorders)</ref> defines ''Dissociative Fugue'' as:
  
The ''[[Merck Manual]]'' <ref name="Merck">[[Merck Manual]] [[1999]] section 15 (Psychiatric Disorders), chapter 188 (Dissociative Disorders)</ref> defines ''Dissociative Fugue'' as:
   
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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. Sudden neurological damage would thus seem to fit more closely the onset of a fugue state.
  
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. Sudden neurological damage would thus seem to fit more closely the onset of a fugue state.
   
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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.
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As the person experiencing a ''fugue state'' may have recently suffered an amnesic onset&#8212;perhaps a head trauma, or the reappearance of an event or person representing an earlier life trauma&#8212;the emergence of a "new" personality seems to be for some, a logical apprehension of the situation.
   
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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''.
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Interestingly, in music the word ''fugue'' implies multiple instruments (voices) that introduce the melody (personality traits) sequentially (thus suggesting [[motion]]), possibly later playing simultaneously with combinations of counter-melodies (counter-traits). There is almost certainly a [[linguistic]] relationship between these ideas (most likely the psychological notion was so named after the musical notion).
  
   
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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, ''fugue state'' would be the situation of ''acting out'' a ''dissociative fugue''.
  
   
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==Prevalence and onset==
  
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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<ref name="Merck"/>. Other life stressors may trigger a fugue state, such as financial difficulties, personal problems or legal issues. 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. In this sense, fugues seem to be the result of a repressed wish-fulfillment. Similar to dissociative amnesia, the fugue state usually affects personal memories from the past, rather than encyclopedic or abstract knowledge. A fugue state therefore does not imply any overt seeming or "crazy" behaviour.
  
   
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==Prognosis==
  
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Fugues are usually brief and self-limiting, often ending after a short duration by their very nature, in particular once the stressor that caused the fugue has been sufficiently removed. A person may simply "wake up" from their fugue activity and find themself surrounded by seemingly unknown people in an unfamiliar surrounding, wondering why or how they got there.
 
   
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{{main|Dissociative fugue: History of the disorder}}.
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Most people who suffer dissociative fugues regain most or all of their prior memories, although attempts to restore "intra-fugue" memories (those that occurred during the fugue state) are almost always unsuccessful. Since fugues are usually brief, people tend to suffer few after-effects, although with longer more complex fugues, people may have trouble adjusting to their past life, particularly dependant on their intra-fugue behaviour. For example, someone being charged with a crime whilst in a fugue may have serious consequences.
  
   
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{{main|Dissociative fugue:Theoretical approaches}}.
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==In general and popular culture==
  
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Non-psychologists more commonly use the term "fugue state" to refer to the state of mind attained by a gifted [[musician]] (or other [[artist]]) or [[athlete]] where the person attains a high degree of focus and attention to their art or actions. This is also a dissociation from one's surroundings, to concentrate on the work at hand, and frequently euphoria or a mild "high". Other names for the same basic concept include:
  
   
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{{main|Dissociative fugue:Epidemiology}}.
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* The mental state called "[[Flow (psychology)|flow]]".
  
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* Being ''in the zone''.
  
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* [[Hyperfocus]]
  
   
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{{main|Dissociative fugue:Risk factors}}.
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==In film==
  
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* ''[[Nurse Betty]]'': a [[2000 in film|2000]] [[comedy film]] depicting a waitress who experiences a fugue state from the stress of murder.
  
   
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{{main|Dissociative fugue:Etiology}}.
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* The main character in ''[[Lost Highway]]'' can also be described as going through a fugue dissociative state.
  
   
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{{main|Dissociative fugue:Diagnosis & evaluation}}.
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==References==
  
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{{main|Dissociative fugue:Comorbidity}}.
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{{main|Dissociative fugue:Treatment}}.
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{{main|Dissociative fugue:Prognosis}}.
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{{main|Dissociative fugue:Service user page}}.
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{{main|Dissociative fugue:Carer page}}.
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{{
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==Bibliography==
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==Key Texts – Books==
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==Additional material – Books==
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==Key Texts – Papers==
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==Additional material - Papers==
 
<references/>
  
<references/>
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==External links==
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<http://www.mental-health-matters.com/disorders/dis_details.php?disID=38/>
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<http://www.merck.com/mmhe/sec07/ch106/ch106c.html/>
   
 
[[Category:Abnormal psychology]]
  
[[Category:Abnormal psychology]]
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[[pl:Fuga (psychiatria)]]
  
[[pl:Fuga (psychiatria)]]
 
[[ru:Диссоциативная фуга]]
  
[[ru:Диссоциативная фуга]]
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{{enWP|Fugue state}}
  
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''': Academic support materials'''
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*[[ Dissociative fugue: Academic: Lecture slides]]
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*[[ Dissociative fugue: Academic: Lecture notes]]
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*[[ Dissociative fugue: Academic: Lecture handouts]]
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*[[ Dissociative fugue: Academic: Multimedia materials]]
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*[[ Dissociative fugue: Academic: Other academic support materials]]
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*[[ Dissociative fugue: Academic: Anonymous fictional case studies for training]]
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  ⚫
{{enWP|Fugue state]]

Revision as of 11:00, 15 June 2006

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Definition

The DSM-IV defines Dissociative Fugue as:

  • 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.


Description

The Merck Manual [1] defines Dissociative Fugue as:

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 [1] further defines Dissociative amnesia as:

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

In the field of psychology, a fugue state is usually defined by the term dissociative fugue and from the definitions above it is etiologically related to dissociative amnesia (which in popular culture is usually simply called amnesia, the state where someone completely forgets who they are).

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. Sudden neurological damage would thus seem to fit more closely the onset of a fugue state.

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.

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.



Main article: Dissociative fugue: History of the disorder.
Main article: Dissociative fugue:Theoretical approaches.
Main article: Dissociative fugue:Epidemiology.
Main article: Dissociative fugue:Risk factors.
Main article: Dissociative fugue:Etiology.
Main article: Dissociative fugue:Diagnosis & evaluation.
Main article: Dissociative fugue:Comorbidity.
Main article: Dissociative fugue:Treatment.
Main article: Dissociative fugue:Prognosis.
Main article: Dissociative fugue:Service user page.
Main article: Dissociative fugue:Carer page.


{{

Bibliography

Key Texts – Books

Additional material – Books

Key Texts – Papers

Additional material - Papers

  1. ↑ 1.0 1.1 Merck Manual 1999 section 15 (Psychiatric Disorders), chapter 188 (Dissociative Disorders)

External links

<http://www.mental-health-matters.com/disorders/dis_details.php?disID=38/>

<http://www.merck.com/mmhe/sec07/ch106/ch106c.html/>

nl:Dissociatieve fugue ru:Диссоциативная фуга

: Academic support materials

  • Dissociative fugue: Academic: Lecture slides
  • Dissociative fugue: Academic: Lecture notes
  • Dissociative fugue: Academic: Lecture handouts
  • Dissociative fugue: Academic: Multimedia materials
  • Dissociative fugue: Academic: Other academic support materials
  • Dissociative fugue: Academic: Anonymous fictional case studies for training

{{enWP|Fugue state]]

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