Recovery from an eating disorder involves far more than establishing a healthy relationship with food. It requires breaking old habits and learning new skills to cope with the ups and downs of life. It takes strength, dedication and patience to face the inevitable challenges.
Dissociative Disorders By Dissociative fugue is one or more episodes of amnesia in which an individual cannot recall some or all of his or her past. Confusion about personal identity or assumption of a new identity partial or complete. The disturbance does not occur exclusively during the course of dissociative identity disorder and is not due to the direct physiological effects of a substance e.
The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. The length of a fugue may range from hours to weeks or months, occasionally longer.
During the fugue, the person may appear normal and attract no attention. The person may assume a new name, identity, and domicile and may engage in complex social interactions. However, at some point, confusion about his identity or the return of the original identity may make the person aware of amnesia or cause distress.
The prevalence of dissociative fugue has been estimated at 0. Persons with dissociative identity disorder frequently exhibit fugue behaviors. The person often has no symptoms or is only mildly confused during the fugue.
However, when the fugue ends, depression, discomfort, grief, shame, intense conflict, and suicidal or aggressive impulses may appear—i. Failure to remember events of the fugue may cause confusion, distress, or even terror.
A fugue in progress is rarely recognized. It is suspected when a person seems confused over his identity, puzzled about his past, or confrontational when his new identity or the absence of an identity is challenged.
Sometimes the fugue cannot be diagnosed until the person abruptly returns to his pre-fugue identity and is distressed to find himself in unfamiliar circumstances. The diagnosis is usually made retroactively based on the history with documentation of the circumstances before travel, the travel itself, and the establishment of an alternate life.
Although dissociative fugue can recur, patients with frequent apparent fugues usually have dissociative identity disorder.
Most fugues are brief and self-limited.
Unless behavior has occurred before or during the fugue that has its own complications, impairment is usually mild and short-lived. If the fugue was prolonged and complications due to behavior before or during the fugue are significant, the person may have considerable difficulties—e.
In the rare case in which the person is still in the fugue, recovering information possibly with help from law enforcement and social services personnel about his true identity, figuring out why it was abandoned, and facilitating its restoration are important. Treatment involves methods such as hypnosis or drug-facilitated interviews.
However, efforts to restore memory of the fugue period are often unsuccessful. A psychiatrist may help the person explore inner and interpersonal patterns of handling the types of situations, conflicts, and moods that precipitated the fugue to prevent subsequent fugue behavior.
This page is here on PsychCentral for historical purposes only.
Dissociative fugue is now considered a specifier within the disorder dissociative amnesia.Dissociative identity disorder, formerly referred to as multiple personality disorder, is a condition wherein a person's identity is fragmented into two or more distinct personality states.
Eating Disorders Dissociative Disorders Impulse Control Disorders Speech Problems Terrorism & War Healthcare Health Insurance Health Policy & Advocacy Health Sciences the way a person resolves the crisis will determine their personal identity and future development.
Identity Impairment and the Eating Disorders: Content and Organization of the Self-Concept in Women with Anorexia Nervosa and Bulimia Nervosa Karen Farchaus Stein* and Colleen Cortey The University of Michigan, MI, USA Objective: The cognitive model of the self-concept was used to.
Sexual and Gender Identity Disorders. Sexual disorders and gender identity disorders have been discussed, defined, and studied in psychiatric circles for over a century.
People with disorders were once called “deviants,” and treatments were ineffective. Sexual orientation, gender identity linked to eating disorders Date: May 12, Source: Washington University in St. Louis Summary: Transgender and non-transgender lesbian, gay and bisexual.
Eating Disorders Introduction to Eating Disorders. We live in an image conscious culture, which urges all of us (especially women) to improve our appearance.