What Is Dissociative Fugue?

分离的狡猾，以前称为王子州或心理曲线，是一个分离艾尼西亚的亚型。它涉及对个人自传信息的记忆丧失，与意外和突然的旅行相结合，有时建立新的身份。

What Is Dissociative Fugue?

“神游”这个词来自拉丁语“flight," which reflects the nature of dissociative fugue in that involves an element of traveling or wondering away from one's present situation.

Dissociative fugue is a form of reversible amnesia that involves personality, memories, and personal identity. This type of temporary amnesia may last hours, days, weeks, months, or longer. It involves wandering or unplanned travel, in which the person may establish a new identity in a new location very different from their old life.

While dissociative fugue used to be diagnosed as a separate disorder in the精神疾病诊断与统计手册（DSM-IV），在新的更新的DSM-5中，它是一个分离事件的亚型。一般来说，解离性障碍涉及身份，感知，意识和记忆的障碍。

Symptoms of Dissociative Fugue

What are the symptoms of dissociative fugue? They potentially include all of the following depending on the case:

During the Fugue State

If you're in the midst of a fugue state, you may exhibit the following symptoms:

• Confusion about your identity
• Appearing to be unsure about your past
• Feeling confronted if challenged about your identity

However, it's important to note that a person in the middle of dissociative fugue may not show any outward signs that suggest they are experiencing mental illness. That is because, from the perspective of the person, the new identity is their actual identity. It is only when this becomes challenged that issues may present themselves.

After the Fugue State Ends

Once a dissociative fugue state has passed, you may experience symptoms like:

• Feelings ofdepression
• 悲伤的时期
• Feelings of shame
• Discomfort or anger
• Feelings of distress about being in an unfamiliar place
• Feeling as though you have lost time

Diagnosis of Dissociative Fugue

How is dissociative fugue diagnosed?

DSM-IV中的诊断

When it was originally included as a separate disorder in the DSM-IV, the following criteria needed to be met for diagnosis:

• Sudden or unexpected travel away from one's home or work
• 无法记住你过去的经历
• Confusion about your identity and taking on a new one
• 对这些问题的显着痛苦和损害

然而，重要的是要知道分离的狡猾，因为它在中间的人可能不会显示任何向外迹象，因此可能很难识别。因此，只有当击牙击球突然或逐渐时，通常是诊断。

Diagnosis In the DSM-5

自DSM-5的释放以来，分离的曲线现在是分离敏捷症（一种疾病）的亚型，是指消失艾尼斯的症状伴随着有目的的旅行或困惑的徘徊。

下面列出了所有其他亚型：在这种情况下可能存在的不同类型的胃血包括：

• Localized amnesia
• 选择性艾尼西亚
• Generalized amnesia
• Continuous amnesia
• 系统化的艾尼西亚

Diagnostic Exclusions

如果击牙状态与以下任何条件或情况直接相关，则不会诊断解离击球队：

• Ingestion of精神药物
• A general medication condition
• Dissociative identity disorder
• Diagnosis ofdelirium
• Diagnosis ofdementia
• Head trauma
• 摄入药物或酒精
• 癫痫诊断

Furthermore, in very rare cases, people may feign dissociative fugue for legal or other reasons.

Methods of Diagnosis

An assessment for dissociative fugue would generally start with a medical and neurological examination. If indicated, a neuroimaging study such as an MRI of the brain or additional testes such as anelectroencephalogram (EEG)排除像癫痫一样的东西会被执行。一旦实际原因被排除，精神科医生或心理学家将管理一系列评估工具，并进行面试，以评估症状是否因涉及曲线的诊断而最适合占症状。

Causes of Dissociative Fugue

解离魔术的原因是什么？以下是一些相关原因的列表。通常，这些情况涉及重要或重复创伤的历史：

• Childhood sexual abuse
• 暴力体验（例如，强奸，酷刑）
• Combat violence
• Suicide attempt
• Automobile accident
• Natural disasters
• 犯凶杀案

虽然在初始创伤后可能看起来很好，但早期创伤的提醒可能导致触发解剖曲线。例如，在生活中稍后看到你的施虐者或经历一个让你提醒你早期活动的事件（例如，在参与悲惨的火灾后看到一只小火）。

In addition, there is evidence that there may be a genetic link as family members of person's with dissociative disorders are more likely to experience dissociation.

Treatment of Dissociative Fugue

The duration of the forgotten events can vary. Some episodes resolve rapidly, while others can persist for years. There may be multiple episodes.

因此，治疗的目标是双重的：

1. To help recover your identity and develop coping strategies to prevent the same thing from happening again.
2. To help you come to terms and cope with the original trauma that triggered the episode.

Treatment

There are a number of different types of treatment that can be employed with a person who has experienced dissociative fugue;

• Psychotherapy to gain insight into thinking patterns
• Medication for related depression and anxiety
• Family therapy to ensure you receive support
• Art therapy to explore feelings in a safe way
• Clinical hypnosis
• Eye movement desensitization and reprocessing(EMDR) to treat flashbacks, and symptoms of post-traumatic stress
• 辩证行为治疗(DBT) to help with managing potentially overwhelming feelings
• Meditation and/or relaxation techniques to manage symptoms and monitor your internal state.

不幸的是，没有治疗潜在问题，分离曲线可能发生多次。

预防

The best prevention involves treating the underlying problem and/or removing the threat that caused the episode.

应对解剖曲线

Coping with dissociative fugue can be challenging since most people with the condition do not know that they have it. However, if you've experienced it in the past, there are things you can do to prevent recurrence:

• 接受治疗以应对与伪造有关的症状
• Deal with the underlying issue that caused the fugue through therapy
• Obtain the support of family members to help you notice when you are at risk of fugue
• Try to reduce or eliminate potential triggers of a dissociative fugue
• 练习冥想或其他技巧，以帮助管理您的内部状态
• Find a creative outlet, such as painting or drawing, for your emotions
• 如果您是医生的焦虑或抑郁症的药物，请务必定期服用药物

Helping Someone With Dissociative Fugue

How can you help someone who has been diagnosed with dissociative fugue? Below are some suggestions.

• 参加治疗以了解他们的问题以及如何提供支持。
• 认识到潜在的触发，对那些人敏感，以及它们如何影响体验分离的人的人。
• Make sure that the person is receiving adequate care and taking all prescribed medications as directed by the psychiatrist.

What to Do If Someone Seems Confused

There can be many reasons a person might seem confused about their surroundings or identity, and as dissociative fugue is relatively rare, it is not likely to be first on the list. If you have concern for someone's well-being, mental state, or safety, it is best to notify their physician or bring them to an emergency room.

A Word From Verywell

需要更多的研究来识别如何最好地处理这种复杂和相对罕见的精神病问题。如果你或你认识的人居住在分离的诡辩中，就知道你并不孤单，其他人经历过同样的事情。如果您还没有，请确保您正在接受正确的处理，以防止同样的事情再次发生。