Psychogenic Fugue States

Riether, Anne Marie; Stoudemire, Alan

doi:10.1097/00007611-198805000-00006

Cited by 16 publications

(4 citation statements)

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“…Loewenstein, 1991). The relation between different types of stressful conditions and the onset of psychogenic fugue has been supported by a recent review of the literature that noted that recall of unpleasant memories, psychological or physical trauma, financial problems, and the desire to escape punishment are common antecedents to fugue episodes (Riether & Stoudemire, 1988).…”

Section: Concept Of Dissociationmentioning

confidence: 98%

“…With respect to the DSM–III–R criteria, the previous criterion of an “assumption of a new identity (partial or complete)” was deleted and instead the less restrictive phrasing “and loss of personal identity or an assumption of new identity” was added to the first criterion. This decision was made because most reported cases of fugue show various levels of identity confusion and amnesia, rather than the clear adoption of a new identity (Keller & Shaywitz, 1986; Riether & Stoudemire, 1988; Venn, 1984).…”

Section: Concept Of Dissociationmentioning

confidence: 99%

See 1 more Smart Citation

Disintegrated experience: The dissociative disorders revisited.

Spiegel¹,

Cardeña²

1991

Journal of Abnormal Psychology

485

235

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We present proposed changes to the dissociative disorders section of the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders and review the concept of pathological and nonpathological dissociation, including empirical findings on the relations between trauma and dissociative phenomenology and between dissociation and hypnosis. The most important proposals include the creation of two new diagnostic entities, brief reactive dissociative disorder and transient dissociative disturbance, and the readoption of the criterion of amnesia for a multiple personality disorder diagnosis. We conclude that further work on dissociative processes will provide an important link between clinical and experimental approaches to human cognition, emotion, and personality.

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Section: Concept Of Dissociationmentioning

confidence: 98%

Section: Concept Of Dissociationmentioning

confidence: 99%

Disintegrated experience: The dissociative disorders revisited.

Spiegel¹,

Cardeña²

1991

Journal of Abnormal Psychology

485

235

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show abstract

“…Since the time of Janet there have been a number of clinical reports of associations between exposure to traumatic stress and symptoms which we describe today as dissociation (Braun, 1984;Spiegel, 1984). Amnestic episodes and fugue states have frequently been observed on the battlefield (Geleerd, Hacker, & Rapaport, 1945;Riether & Stoudemire, 1988). Other symptoms, such as depersonalization and derealization, have been associated with extremely stressful situations (Krystal, 1969;Meninger, 1963).…”

mentioning

confidence: 99%

Trauma‐related dissociative states and long‐term psychopathology in posttraumatic stress disorder

Bremner¹,

Brett²

1997

Journal of Traumatic Stress

106

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Dissociative responses to trauma have been hypothesized to be associated with long-term increases in psychopathology. The purpose of this study was to eramine dissociative responses to premilitary, combat-related and postmilitary traumatic events and long-term psychopathology in Vietnam combat veterans with (n = 34) and without (n = 28) posttraumatic stress disorder (PTSD). PTSD patients reported higher levels of dissociative states at the time of combat-related traumatic events than non-PTSD patients. Higher levels of dissociative states persisted in PTSD patients in the form of higher levels of dissociative states in response to postmilitary traumatic events. In addition, dissociative responses to combat trauma were associated with higher long-term general dissociative symptomatology as measured by scores on the Dissociative Experience Scale, as well as increases in the number of flashbacks since the time of the war: These findings are consistent with previous formulations that dissociation in the face of trauma is a marker of long-term p.ychopathology.

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“…The dissociative fugues began several years after a TBI, a well-known risk factor 1 2. Limited functional imaging data have associated dissociative fugue with limbic as well as right frontal and temporal hypometabolism 3 4.…”

Section: Discussionmentioning

confidence: 99%