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'''Dissociative fugue''' ({{IPAc-en|f|juː|ɡ}} {{respell|FYOOG}}), previously referred to as a '''fugue state''' or '''psychogenic fugue''',<ref name="DSM-IV_300.13"> | '''Dissociative fugue''' ({{IPAc-en|f|juː|ɡ}} {{respell|FYOOG}}), previously referred to as a '''fugue state''' or '''psychogenic fugue''',<ref name="DSM-IV_300.13">{{Cite web |title=PsychiatryOnline |url=http://www.psychiatryonline.com/content.aspx?aID=9744 |archive-url=https://web.archive.org/web/20070928080517/http://www.psychiatryonline.com/content.aspx?aID=9744 |archive-date=2007-09-28 |access-date=2026-05-08 |website=www.psychiatryonline.com}}</ref><ref name=":1" /> is a rare psychiatric condition characterized by reversible [[amnesia]] regarding one's identity, often accompanied by unexpected travel or wandering. In some cases, individuals may assume a new identity and be unable to recall personal information from before the onset of symptoms.<ref>{{Cite book |last=Goldstein |first=E. Bruce |title=Cognitive psychology : connecting mind, research, and everyday experience |date=2019 |isbn=978-1-337-40827-1 |edition=5E |location=Boston, MA, USA |oclc=1055681278|publisher=[[Cengage]]}}</ref> It is classified as a [[mental disorder|mental]] and [[Abnormal behavior|behavioral]] [[Disorder (medicine)|disorder]]<ref name="Sartorius">Drs; {{cite web |last1=Sartorius |first1=Norman |author-link=Norman Sartorius |last2=Henderson |first2=A.S. |last3=Strotzka |first3=H. |last4=Lipowski |first4=Z. |last5=Yu-cun |first5=Shen |last6=You-xin |first6=Xu |last7=Strömgren |first7=E. |last8=Glatzel |first8=J. |last9=Kühne |first9=G.-E. |last10=Misès |first10=R. |last11=Soldatos |first11=C.R. |last12=Pull |first12=C.B. |last13=Giel |first13=R. |last14=Jegede |first14=R. |last15=Malt |first15=U. |title=The ICD-10 Classification of Mental and Behavioural Disorders Clinical descriptions and diagnostic guidelines |url=https://www.who.int/classifications/icd/en/bluebook.pdf |access-date=3 July 2021 |website=www.who.int [[World Health Organization]] |publisher=[[Microsoft Word]] |pages=111 |via=[[Microsoft Bing]] |agency=bluebook.doc |last16=Nadzharov |first16=R.A. |last17=Smulevitch |first17=A.B. |last18=Hagberg |first18=B. |last19=Perris |first19=C. |last20=Scharfetter |first20=C. |last21=Clare |first21=A. |last22=Cooper |first22=J.E. |last23=Corbett |first23=J.A. |last24=Griffith Edwards |first24=J. |last25=Gelder |first25=M. |last26=Goldberg |first26=D. |last27=Gossop |first27=M. |last28=Graham |first28=P. |last29=Kendell |first29=R.E. |last30=Marks |first30=I. |last31=Russell |first31=G. |last32=Rutter |first32=M. |last33=Shepherd |first33=M. |last34=West |first34=D.J. |last35=Wing |first35=J. |last36=Wing |first36=L. |last37=Neki |first37=J.S. |last38=Benson |first38=F. |last39=Cantwell |first39=D. |last40=Guze |first40=S. |last41=Helzer |first41=J. |last42=Holzman |first42=P. |last43=Kleinman |first43=A. |last44=Kupfer |first44=D.J. |last45=Mezzich |first45=J. |last46=Spitzer |first46=R. |last47=Lokar |first47=J.}}</ref> and is [[Nosology|variously categorized]] as a [[dissociative disorder]],<ref name="DSM-IV_300.13" /> a [[conversion disorder]],<ref name="Sartorius" /> or a [[somatic symptom disorder]]. According to the ''[[Diagnostic and Statistical Manual of Mental Disorders]]'' ([[DSM-5]]), dissociative fugue is a subset of [[dissociative amnesia]]. | ||
Recovery from a fugue state typically results in the restoration of prior memories, and additional treatment is generally unnecessary. Episodes are not considered dissociative fugue if attributable to [[Psychoactive drug|psychotropic substances]], physical trauma, general medical conditions, or disorders such as [[dissociative identity disorder]],{{clarify|reason=Confusing. Is disassociative identity disorder not a psychiatric disorder? Is there a difference between a psychiatric condition and a psychiatric disorder?|date=May 2017}} [[delirium]], or [[dementia]].<ref name="DSM5">{{cite book |author=American Psychiatric Association |url=https://archive.org/details/diagnosticstatis0005unse |title=Diagnostic and statistical manual of mental disorders : DSM-5 |publisher=American Psychiatric Association |year=2013 |isbn=9780890425541 |location=Washington, D.C. |url-access=registration}}</ref> Dissociative fugue is often triggered by prolonged traumatic experiences and is most frequently associated with individuals who experienced [[Child sexual abuse|childhood sexual abuse]], during which they developed dissociative amnesia to suppress memories of the abuse.{{ | Recovery from a fugue state typically results in the restoration of prior memories, and additional treatment is generally unnecessary. Episodes are not considered dissociative fugue if attributable to [[Psychoactive drug|psychotropic substances]], physical trauma, general medical conditions, or disorders such as [[dissociative identity disorder]],{{clarify|reason=Confusing. Is disassociative identity disorder not a psychiatric disorder? Is there a difference between a psychiatric condition and a psychiatric disorder?|date=May 2017}} [[delirium]], or [[dementia]].<ref name="DSM5">{{cite book |author=American Psychiatric Association |url=https://archive.org/details/diagnosticstatis0005unse |title=Diagnostic and statistical manual of mental disorders : DSM-5 |publisher=American Psychiatric Association |year=2013 |isbn=9780890425541 |location=Washington, D.C. |url-access=registration}}</ref> Dissociative fugue is often triggered by prolonged traumatic experiences and is most frequently associated with individuals who experienced [[Child sexual abuse|childhood sexual abuse]], during which they developed dissociative amnesia to suppress memories of the abuse.<ref>{{Cite journal |last1=Raval |first1=Chintan Madhusudan |last2=Upadhyaya |first2=Sunnetkumar |last3=Panchal |first3=Bharat Navinchandra |date=2015 |title=Dissociative fugue: Recurrent episodes in a young adult |journal=Industrial Psychiatry Journal |volume=24 |issue=1 |pages=88–90 |doi=10.4103/0972-6748.160944 |doi-access=free |issn=0972-6748 |pmc=4525440 |pmid=26257491}}</ref><ref>{{Cite web |date=2023-09-06 |title=Dissociative fugue: Symptoms, examples, and treatment |url=https://www.medicalnewstoday.com/articles/dissociative-fugue |access-date=2026-05-08 |website=www.medicalnewstoday.com |language=en}}</ref> | ||
==Signs and symptoms== | ==Signs and symptoms== | ||
Symptoms of dissociative fugue include mild confusion during the episode and, following recovery, possible feelings of [[Major depressive disorder|depression]], grief, shame, discomfort, or post-fugue [[anger]].<ref>The Merck Manual</ref> A key feature of the condition is the loss of | Symptoms of dissociative fugue include mild confusion during the episode and, following recovery, possible feelings of [[Major depressive disorder|depression]], grief, shame, discomfort, or post-fugue [[anger]].<ref>The Merck Manual</ref> A key feature of the condition is the loss of one's identity.<ref>{{Cite web |title=What Is Dissociative Fugue? |url=https://www.webmd.com/mental-health/dissociative-fugue |access-date=2019-11-08 |website=WebMD |language=en}}</ref> | ||
==Diagnosis== | ==Diagnosis== | ||
{{More citations needed|section|date=November 2021}} | {{More citations needed|section|date=November 2021}} | ||
Before dissociative fugue can be diagnosed, either [[dissociative amnesia]] or [[dissociative identity disorder]] must be diagnosed.<ref>{{Cite web |title=Dissociative Fugue: What It Is, Causes, Symptoms & Treatment |url=https://my.clevelandclinic.org/health/symptoms/22836-dissociative-fugue |access-date=2023-11-07 |website=Cleveland Clinic |language=en}}</ref> The only difference between dissociative amnesia, dissociative identity disorder and dissociative ''fugue'' is that the person affected by the latter travels or wanders. This traveling or wandering is typically associated with the amnesia-induced identity or the person's physical surroundings.<ref>{{Cite book |title=Diagnostic And Statistical Manual of Mental Disorders |publisher=American Psychiatric Association |year=2013 |isbn=978-0-89042-555-8 |edition=5th |pages=290–298}}</ref> | Before dissociative fugue can be diagnosed, either [[dissociative amnesia]] or [[dissociative identity disorder]] must be diagnosed.<ref name=":1">{{Cite web |title=Dissociative Fugue: What It Is, Causes, Symptoms & Treatment |url=https://my.clevelandclinic.org/health/symptoms/22836-dissociative-fugue |access-date=2023-11-07 |website=Cleveland Clinic |language=en}}</ref> The only difference between dissociative amnesia, dissociative identity disorder and dissociative ''fugue'' is that the person affected by the latter travels or wanders. This traveling or wandering is typically associated with the amnesia-induced identity or the person's physical surroundings.<ref>{{Cite book |title=Diagnostic And Statistical Manual of Mental Disorders |publisher=American Psychiatric Association |year=2013 |isbn=978-0-89042-555-8 |edition=5th |pages=290–298}}</ref> | ||
Sometimes dissociative fugue cannot be diagnosed until the patient returns to their pre-fugue identity and is distressed to find themselves in unfamiliar circumstances, sometimes with awareness of "lost time". The diagnosis is usually made retroactively when a doctor reviews the history and collects information that documents the circumstances before the patient left home, the travel itself, and the establishment of an alternative life.<ref>[https://www.anxietyfoundation.com/unveiling-the-mystery-of-dissociative-fugue-insights-into-a-rare-disorder/ Dissociative fugue]</ref> | Sometimes dissociative fugue cannot be diagnosed until the patient returns to their pre-fugue identity and is distressed to find themselves in unfamiliar circumstances, sometimes with awareness of "lost time". The diagnosis is usually made retroactively when a doctor reviews the history and collects information that documents the circumstances before the patient left home, the travel itself, and the establishment of an alternative life.<ref>[https://www.anxietyfoundation.com/unveiling-the-mystery-of-dissociative-fugue-insights-into-a-rare-disorder/ Dissociative fugue]</ref> | ||
Functional amnesia can also be situation-specific, varying from all forms and variations of trauma or generally violent experiences, with the person experiencing severe memory loss for a particular trauma. Committing homicide, experiencing or committing a violent crime such as [[rape]] or torture, experiencing combat violence, attempting suicide, and being in automobile accidents and natural disasters have all induced cases of situation-specific amnesia.<ref name=":0">{{Cite journal |last=Kopelman |first=M. D. |date=2002-10-01 |title=Disorders of memory |journal=Brain |volume=125 |issue=10 |pages=2152–2190 |doi=10.1093/brain/awf229|doi-access=free |pmid=12244076 }}</ref><ref>{{Cite journal |last1=Arrigo |first1=Jean Maria |last2=Pezdek |first2=Kathy |date=October 1997 |title=Lessons From the Study of Psychogenic Amnesia |url=http://journals.sagepub.com/doi/10.1111/1467-8721.ep10772916 |journal=Current Directions in Psychological Science |language=en |volume=6 |issue=5 |pages=148–152 |doi=10.1111/1467-8721.ep10772916 |issn=0963-7214|url-access=subscription }}</ref> In these unusual cases, care must be exercised in interpreting cases of [[ | Functional amnesia can also be situation-specific, varying from all forms and variations of trauma or generally violent experiences, with the person experiencing severe memory loss for a particular trauma. Committing homicide, experiencing or committing a violent crime such as [[rape]] or torture, experiencing combat violence, attempting suicide, and being in automobile accidents and natural disasters have all induced cases of situation-specific amnesia.<ref name=":0">{{Cite journal |last=Kopelman |first=M. D. |date=2002-10-01 |title=Disorders of memory |journal=Brain |volume=125 |issue=10 |pages=2152–2190 |doi=10.1093/brain/awf229|doi-access=free |pmid=12244076 }}</ref><ref>{{Cite journal |last1=Arrigo |first1=Jean Maria |last2=Pezdek |first2=Kathy |date=October 1997 |title=Lessons From the Study of Psychogenic Amnesia |url=http://journals.sagepub.com/doi/10.1111/1467-8721.ep10772916 |journal=Current Directions in Psychological Science |language=en |volume=6 |issue=5 |pages=148–152 |doi=10.1111/1467-8721.ep10772916 |issn=0963-7214|url-access=subscription }}</ref> In these unusual cases, care must be exercised in interpreting cases of [[dissociative amnesia]] when there are compelling motives to feign memory deficits for legal or financial reasons.<ref name=":0" /> However, although some fraction of dissociative amnesia cases can be explained in this fashion, it is generally acknowledged that true cases are not uncommon. Both global and situationally specific amnesia are often distinguished from the organic amnesic syndrome, in that the capacity to store new memories and experiences remains intact. Given the very delicate and oftentimes dramatic nature of memory loss in such cases, there usually is a concerted effort to help the person recover their identity and history. This will sometimes allow the subject to recover spontaneously, when particular cues are encountered. | ||
===Definition=== | ===Definition=== | ||
The cause of the fugue state is related to [[Psychogenic amnesia|dissociative amnesia]] (code 300.12 of the [[DSM-IV codes]]<ref>{{cite web |url=http://www.psychiatryonline.com/content.aspx?aID=9708 |archive-url=https://web.archive.org/web/20070928075634/http://www.psychiatryonline.com/content.aspx?aID=9708 |url-status=dead |archive-date=2007-09-28 |title=Dissociative Amnesia, DSM-IV Codes 300.12 ( Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition ) |publisher=Psychiatryonline.com |access-date=2011-11-28 }}</ref>), which has several other subtypes:<ref>[http://www.psychnet-uk.com/dsm_iv/dissociative_amnesia.htm Dissociative Amnesia, DSM-IV Code 300.12 ( PsychNet-UK.com )] {{webarchive |url=https://web.archive.org/web/20101128192837/http://www.psychnet-uk.com/dsm_iv/dissociative_amnesia.htm |date=November 28, 2010 }}</ref> [[selective amnesia]], | The cause of the fugue state is related to [[Psychogenic amnesia|dissociative amnesia]] (code 300.12 of the [[DSM-IV codes]]<ref>{{cite web |url=http://www.psychiatryonline.com/content.aspx?aID=9708 |archive-url=https://web.archive.org/web/20070928075634/http://www.psychiatryonline.com/content.aspx?aID=9708 |url-status=dead |archive-date=2007-09-28 |title=Dissociative Amnesia, DSM-IV Codes 300.12 ( Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition ) |publisher=Psychiatryonline.com |access-date=2011-11-28 }}</ref>), which has several other subtypes:<ref>[http://www.psychnet-uk.com/dsm_iv/dissociative_amnesia.htm Dissociative Amnesia, DSM-IV Code 300.12 ( PsychNet-UK.com )] {{webarchive |url=https://web.archive.org/web/20101128192837/http://www.psychnet-uk.com/dsm_iv/dissociative_amnesia.htm |date=November 28, 2010 }}</ref> [[selective amnesia]], generalized amnesia, continuous amnesia, and systematized amnesia, in addition to the subtype "dissociative fugue".<ref name="DSM-IV_300.13"/> | ||
Unlike [[retrograde amnesia]] (which is popularly referred to simply as "amnesia", the state where someone forgets events before brain damage), 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 Code 294.0).<ref name="PsychNet-UK.com">[http://www.psychnet-uk.com/dsm_iv/_misc/complete_tables.htm Complete List of DSM-IV Codes ( PsychNet-UK.com )] {{webarchive |url=https://web.archive.org/web/20110106174809/http://www.psychnet-uk.com/dsm_iv/_misc/complete_tables.htm |date=January 6, 2011 }}</ref> It is a complex neuropsychological process.<ref>{{cite web |url=http://www.dissociation.co.uk/background.asp |title=Background to Dissociation ( The Pottergate Centre for Dissociation & Trauma ) |publisher=Dissociation.co.uk |access-date=2011-11-28 |url-status=dead |archive-url=https://web.archive.org/web/20120114165147/http://www.dissociation.co.uk/background.asp |archive-date=2012-01-14 }}</ref> | Unlike [[retrograde amnesia]] (which is popularly referred to simply as "amnesia", the state where someone forgets events before brain damage), 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 Code 294.0).<ref name="PsychNet-UK.com">[http://www.psychnet-uk.com/dsm_iv/_misc/complete_tables.htm Complete List of DSM-IV Codes ( PsychNet-UK.com )] {{webarchive |url=https://web.archive.org/web/20110106174809/http://www.psychnet-uk.com/dsm_iv/_misc/complete_tables.htm |date=January 6, 2011 }}</ref> It is a complex neuropsychological process.<ref>{{cite web |url=http://www.dissociation.co.uk/background.asp |title=Background to Dissociation ( The Pottergate Centre for Dissociation & Trauma ) |publisher=Dissociation.co.uk |access-date=2011-11-28 |url-status=dead |archive-url=https://web.archive.org/web/20120114165147/http://www.dissociation.co.uk/background.asp |archive-date=2012-01-14 }}</ref> | ||
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As the person experiencing a dissociative fugue may have recently experienced the reappearance of an event or person representing an earlier trauma, the emergence of an armoring or defensive personality seems to be for some, a logical defense strategy in the situation.<ref>{{Cite journal |last1=Raval |first1=Chintan Madhusudan |last2=Upadhyaya |first2=Sunnetkumar |last3=Panchal |first3=Bharat Navinchandra |date=2015 |title=Dissociative fugue: Recurrent episodes in a young adult |journal=Industrial Psychiatry Journal |language=en |volume=24 |issue=1 |pages=88–90 |doi=10.4103/0972-6748.160944 |doi-access=free |issn=0972-6748 |pmc=4525440 |pmid=26257491}}</ref><ref>Angothu, H., & Pabbathi, L. (2016). Recurrent episodes of dissociative fugue. ''Indian Journal of Psychological Medicine, 38''(2), 160-162. <nowiki>https://doi.org/10.4103/0253-7176.178815</nowiki></ref> | As the person experiencing a dissociative fugue may have recently experienced the reappearance of an event or person representing an earlier trauma, the emergence of an armoring or defensive personality seems to be for some, a logical defense strategy in the situation.<ref>{{Cite journal |last1=Raval |first1=Chintan Madhusudan |last2=Upadhyaya |first2=Sunnetkumar |last3=Panchal |first3=Bharat Navinchandra |date=2015 |title=Dissociative fugue: Recurrent episodes in a young adult |journal=Industrial Psychiatry Journal |language=en |volume=24 |issue=1 |pages=88–90 |doi=10.4103/0972-6748.160944 |doi-access=free |issn=0972-6748 |pmc=4525440 |pmid=26257491}}</ref><ref>Angothu, H., & Pabbathi, L. (2016). Recurrent episodes of dissociative fugue. ''Indian Journal of Psychological Medicine, 38''(2), 160-162. <nowiki>https://doi.org/10.4103/0253-7176.178815</nowiki></ref> | ||
Therefore, the terminology "fugue state" may carry a slight linguistic distinction from "[[dissociation (psychology)|dissociative]] fugue", the former implying a greater degree of "motion".<ref>{{Cite web |title=Amnesia Concepts In Psychology |url=https://scales.arabpsychology.com/2022/11/19/amnesia-2/ |access-date=2023-02-21 |language=en-US}}</ref> For the purposes of this article, then, a "fugue state" occurs while one is "acting out" a "dissociative fugue". | Therefore, the terminology "fugue state" may carry a slight linguistic distinction from "[[dissociation (psychology)|dissociative]] fugue", the former implying a greater degree of "motion".<ref>{{Cite web |last1=Looti |first1=Mohammad |title=Amnesia Concepts In Psychology |date=19 November 2022 |url=https://scales.arabpsychology.com/2022/11/19/amnesia-2/ |access-date=2023-02-21 |language=en-US}}</ref> For the purposes of this article, then, a "fugue state" occurs while one is "acting out" a "dissociative fugue". | ||
The ''[[DSM-IV|DSM-IV{{Hair space}}]]''<ref name="DSM-IV_300.13"/> defines "dissociative fugue" as: | The ''[[DSM-IV|DSM-IV{{Hair space}}]]''<ref name="DSM-IV_300.13"/> defines "dissociative fugue" as: | ||
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*Jody Roberts, a reporter for the ''[[Tacoma News Tribune]]'', disappeared in 1985, only to be found 12 years later in [[Sitka, Alaska]], living under the name of "Jane Dee Williams". While there were some initial suspicions that she had been faking amnesia, some experts have come to believe that she genuinely experienced a protracted fugue state.<ref>{{cite web |url=http://www.juneauempire.com/stories/071797/amnesia.html |title=Experts say that Roberts may indeed have amnesia |publisher=Juneau Empire |date=1997-07-17 |access-date=2011-11-28 |archive-url=https://web.archive.org/web/20111120191115/http://juneauempire.com/stories/071797/amnesia.html |archive-date=2011-11-20 |url-status=dead }}</ref> | *Jody Roberts, a reporter for the ''[[Tacoma News Tribune]]'', disappeared in 1985, only to be found 12 years later in [[Sitka, Alaska]], living under the name of "Jane Dee Williams". While there were some initial suspicions that she had been faking amnesia, some experts have come to believe that she genuinely experienced a protracted fugue state.<ref>{{cite web |url=http://www.juneauempire.com/stories/071797/amnesia.html |title=Experts say that Roberts may indeed have amnesia |publisher=Juneau Empire |date=1997-07-17 |access-date=2011-11-28 |archive-url=https://web.archive.org/web/20111120191115/http://juneauempire.com/stories/071797/amnesia.html |archive-date=2011-11-20 |url-status=dead }}</ref> | ||
*David Fitzpatrick, who had dissociative fugue disorder, was profiled in the UK on [[Channel 5 (UK)|Five]]'s television series ''[[Extraordinary People (2005 TV series)|Extraordinary People]]''. He entered a fugue state on December 4, 2005, and was working on regaining his entire life's memories at the time of his appearance in his episode of the documentary series.<ref>{{cite web|url=http://five.tv/programmes/extraordinarypeople/manwithnopast/|title=Shows|work=Five|access-date=2008-04-03|archive-date=2007-04-03|archive-url=https://web.archive.org/web/20070403055810/http://www.five.tv/programmes/extraordinarypeople/manwithnopast/|url-status=dead}}</ref> | *David Fitzpatrick, who had dissociative fugue disorder, was profiled in the UK on [[Channel 5 (UK)|Five]]'s television series ''[[Extraordinary People (2005 TV series)|Extraordinary People]]''. He entered a fugue state on December 4, 2005, and was working on regaining his entire life's memories at the time of his appearance in his episode of the documentary series.<ref>{{cite web|url=http://five.tv/programmes/extraordinarypeople/manwithnopast/|title=Shows|work=Five|access-date=2008-04-03|archive-date=2007-04-03|archive-url=https://web.archive.org/web/20070403055810/http://www.five.tv/programmes/extraordinarypeople/manwithnopast/|url-status=dead}}</ref> | ||
*Hannah Upp, a teacher originally from [[Salem, Oregon]],<ref name="oregonlive1">{{cite news|author=The Associated Press |url=http://www.oregonlive.com/news/index.ssf/2008/09/missing_oregon_teacher_rescued.html |title=Update: Missing Oregon teacher rescued from Long Island Sound |publisher=OregonLive.com |date= 2008-09-16|access-date=2013-11-16}}</ref> was given a diagnosis of dissociative fugue<ref name="Aviv">{{Cite magazine|url=https://www.newyorker.com/magazine/2018/04/02/how-a-young-woman-lost-her-identity|title=How a Young Woman Lost Her Identity|last=Aviv|first=Rachel|date=2018-03-26|magazine=The New Yorker|access-date=2018-03-30|language=en|issn=0028-792X}}</ref> after she had disappeared from her [[New York City|New York]] home in August 2008 and was rescued from | *[[Disappearance of Hannah Upp|Hannah Upp]], a teacher originally from [[Salem, Oregon]],<ref name="oregonlive1">{{cite news|author=The Associated Press |url=http://www.oregonlive.com/news/index.ssf/2008/09/missing_oregon_teacher_rescued.html |title=Update: Missing Oregon teacher rescued from Long Island Sound |publisher=OregonLive.com |date= 2008-09-16|access-date=2013-11-16}}</ref> was given a diagnosis of dissociative fugue<ref name="Aviv">{{Cite magazine|url=https://www.newyorker.com/magazine/2018/04/02/how-a-young-woman-lost-her-identity|title=How a Young Woman Lost Her Identity|last=Aviv|first=Rachel|date=2018-03-26|magazine=The New Yorker|access-date=2018-03-30|language=en|issn=0028-792X}}</ref> after she had disappeared from her [[New York City|New York]] home in August 2008 and was rescued from [[New York Harbor]] 20 days later. News coverage at the time focused on her refusal to speak to detectives right after she was found<ref name="oregonlive1"/> and the fact that she was seen checking her email at [[Apple Store]]s while she was missing.<ref>{{cite web|url=http://gothamist.com/2008/10/05/hannah_upp_updates_her_status_remem.php|title=Hannah Upp Updates Her Status, Remembers Little|work=Gothamist|url-status=dead|archive-url=https://web.archive.org/web/20150322192925/http://gothamist.com/2008/10/05/hannah_upp_updates_her_status_remem.php|archive-date=2015-03-22}}</ref><ref>{{Cite news|last1=Marx|first1=Rebecca Flint|last2=Didziulis|first2=Vytenis|date=2009-02-27|title=A Life, Interrupted|language=en-US|work=The New York Times|url=https://www.nytimes.com/2009/03/01/nyregion/thecity/01miss.html|access-date=2021-11-19|issn=0362-4331}}</ref><ref>{{cite news | url=https://www.foxnews.com/story/missing-new-york-city-school-teacher-spotted-in-apple-store/ | work=Fox News | title=Missing New York City School Teacher Spotted in Apple Store | date=2008-09-09 | access-date=2018-12-05 | archive-url=https://web.archive.org/web/20131222090229/http://www.foxnews.com/story/2008/09/09/missing-new-york-city-school-teacher-spotted-in-apple-store/ | archive-date=2013-12-22 | url-status=live }}</ref> This coverage has since led to criticism of the often "condemning and discrediting"<ref name="Aviv"/> attitude toward dissociative conditions. On September 3, 2013, she went into another fugue, disappearing from her new job as a teacher's assistant{{Hair space}}<ref>{{cite web|last=Mimica |first=Mila |url=http://www.nbcwashington.com/news/local/Montgomery-Co-Woman-Reported-Missing-222271051.html |title=Md. Woman With Rare Form of Amnesia Located |publisher=NBC4 Washington |date=2013-09-05 |access-date=2013-11-16}}</ref> at Crossway Community Montessori in [[Kensington, Maryland]]. She was found unharmed two days later on September 5, 2013, in [[Wheaton, Maryland]].<ref>{{cite web |url=http://www.wusa9.com/news/article/273588/158/Missing-woman-found-in-Wheaton |title=Hannah Upp of Kensington found in Wheaton, Md. |publisher=wusa9.com |date=2013-09-05 |access-date=2013-11-16 |url-status=dead |archive-url=https://web.archive.org/web/20131213132119/http://www.wusa9.com/news/article/273588/158/Missing-woman-found-in-Wheaton |archive-date=2013-12-13 }}</ref> On September 14, 2017, she went missing again, having last been seen near Sapphire Beach in her home in [[Saint Thomas, U.S. Virgin Islands|St. Thomas]] right before the arrival of [[Hurricane Maria]] that month.<ref>{{cite news| url=http://www.virginislandsdailynews.com/news/community-asked-to-help-search-for-missing-teacher-hannah-upp/article_7dfc62df-1c0b-5e8c-95d3-19b4b5a5fe7b.html | work=Virgin Island Daily News | title=Community asked to help search for missing teacher Hannah Upp | date=September 19, 2017}}</ref> Her mother and a group of friends searched for her in the Virgin Islands and surrounding areas;<ref>{{Cite news|url=http://www.virginislandsdailynews.com/news/hannah-upp-s-mother-asks-for-help-in-the-search/article_c0341432-d2bd-5fa7-a4a2-1ee6e6301261.html|title=Hannah Upp's mother asks for help in the search for her missing daughter|first=Suzanne |last=Carlson|work=The Virgin Islands Daily News|access-date=2018-03-30|language=en}}</ref> {{as of|lc=y|2026}}, she remains missing.<ref>{{cite web|url=https://www.aetv.com/real-crime/what-happened-to-hannah-upp-the-mystery-around-the-young-womans-disappearance-continues|title=What Happened to Hannah Upp? The Mystery Around the Young Woman's Disappearance Continues |date=30 March 2021 }}</ref> | ||
*Jeff Ingram appeared in [[Denver]] in 2006 with no memory of his name or where he was from. After his appearance on national television, to appeal for help identifying himself, his fiancée called Denver police identifying him. The episode was diagnosed as dissociative fugue. As of December 2012, Ingram had experienced three incidents of amnesia: in 1994, 2006, and 2007.<ref>{{cite web|url=https://www.npr.org/2012/12/14/167187734/for-man-with-amnesia-love-repeats-itself |title=For Man With Amnesia, Love Repeats Itself |publisher=NPR |date=2012-12-13 |access-date=2013-11-16}}</ref> | *Jeff Ingram appeared in [[Denver]] in 2006 with no memory of his name or where he was from. After his appearance on national television, to appeal for help identifying himself, his fiancée called Denver police identifying him. The episode was diagnosed as dissociative fugue. As of December 2012, Ingram had experienced three incidents of amnesia: in 1994, 2006, and 2007.<ref>{{cite web|url=https://www.npr.org/2012/12/14/167187734/for-man-with-amnesia-love-repeats-itself |title=For Man With Amnesia, Love Repeats Itself |publisher=NPR |date=2012-12-13 |access-date=2013-11-16}}</ref> | ||
*[[Doug Bruce]] "came to" on a subway train claiming to have no memory of his name or where he was from, nor any identification documents. | *[[Doug Bruce]] "came to" on a subway train claiming to have no memory of his name or where he was from, nor any identification documents. | ||
*[[Bruneri-Canella case]] | *The [[Bruneri-Canella case]] involves the alleged reappearance of a man who had gone missing in World War I. | ||
*[[Agatha Christie]] (possibly).<ref name="disfugue">{{cite magazine |date=17 March 2012 |title=Dissociative Fugue |url=http://www.psychologytoday.com/blog/hide-and-seek/201203/dissociative-fugue-the-mystery-agatha-christie |magazine=[[Psychology Today]] |access-date=17 March 2013 }}</ref> Following a spate of traumatic and stressful events, Christie went missing in 1926, and was found at a spa hotel, having checked in under another name; when found, she claimed to be suffering from amnesia. Historian [[Lucy Worsley]] posited <ref>{{cite web|url=https://www.bbc.co.uk/programmes/p0d9c9v5|title=Agatha Christie: Lucy Worsley on the Mystery Queen}}</ref> that Christie's behavior could be explained by Christie having experienced a fugue state. | *[[Agatha Christie]] (possibly).<ref name="disfugue">{{cite magazine |date=17 March 2012 |title=Dissociative Fugue |url=http://www.psychologytoday.com/blog/hide-and-seek/201203/dissociative-fugue-the-mystery-agatha-christie |magazine=[[Psychology Today]] |access-date=17 March 2013 }}</ref> Following a spate of traumatic and stressful events, Christie went missing in 1926, and was found at a spa hotel, having checked in under another name; when found, she claimed to be suffering from amnesia. Historian [[Lucy Worsley]] posited<ref>{{cite web|url=https://www.bbc.co.uk/programmes/p0d9c9v5|title=Agatha Christie: Lucy Worsley on the Mystery Queen}}</ref> that Christie's behavior could be explained by Christie having experienced a fugue state. | ||
*[[Lizzie Borden]], who may have murdered her father and stepmother under | *[[Lizzie Borden]], who may have murdered her father and stepmother under fugue state. | ||
==See also== | ==See also== | ||
{{Portal|Psychology}} | {{Portal|Psychology}} | ||
*[[Depersonalization|Depersonalization disorder]] | *[[Depersonalization-derealization disorder|Depersonalization derealization disorder]] | ||
*[[Dromomania]], a similar historical diagnosis involving a strong desire to wander or travel | *[[Dromomania]], a similar historical diagnosis involving a strong desire to wander or travel | ||
*[[Structured Clinical Interview for DSM-IV]] | *[[Structured Clinical Interview for DSM-IV]] | ||
| Line 99: | Line 84: | ||
== External links == | == External links == | ||
*{{Commons-inline}} | |||
*"[http://www.merck.com/mmhe/sec07/ch106/ch106c.html Dissociative Fugue]" from the [[Merck & Co.]] website. | *"[http://www.merck.com/mmhe/sec07/ch106/ch106c.html Dissociative Fugue]" from the [[Merck & Co.]] website. | ||
{{Medical resources | {{Medical resources | ||
| | | DiseasesDB = | ||
| | | ICD11 = {{ICD11|6B61.0}} | ||
| | | ICD10 = {{ICD10|F|44|1|f|40}} | ||
| | | ICD9 = {{ICD9|300.13}} | ||
| | | ICDO = | ||
| | | OMIM = | ||
| | | MedlinePlus = | ||
| | | eMedicineSubj = | ||
| | | eMedicineTopic = | ||
| | | MeshID = | ||
| ICD10CM = {{ICD10CM|F44.1}} | |||
}} | }} | ||
{{Mental and behavioral disorders|selected = neurotic}} | {{Mental and behavioral disorders|selected = neurotic}} | ||