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心因性或解离性神游症:5例临床研究

Psychogenic or dissociative fugue: a clinical investigation of five cases.

作者信息

Coons P M

机构信息

Department of Psychiatry, Indiana University School of Medicine, Indianapolis 46202, USA.

出版信息

Psychol Rep. 1999 Jun;84(3 Pt 1):881-6. doi: 10.2466/pr0.1999.84.3.881.

Abstract

Dissociative fugue (formerly psychogenic fugue) is a rare and little understood dissociative disorder. Following a review of the pertinent literature, five cases of dissociative fugue are described. These cases were systematically studied with a comprehensive history, mental status examination, physical and neurological evaluation, review of previous medical and psychiatric records, and psychological testing including MMPI, WAIS-R, electroencephalogram, and Dissociative Experiences Scale. An unexpected finding was that, in some cases, associated criminal activity may allow the person with dissociative fugue to continue to function in spite of their loss of memory and original identity.

摘要

分离性神游症(原称心因性神游症)是一种罕见且鲜为人知的分离性障碍。在回顾相关文献后,描述了5例分离性神游症病例。对这些病例进行了系统研究,包括全面的病史、精神状态检查、体格和神经学评估、查阅既往医疗和精神科记录,以及心理测试,包括明尼苏达多相人格调查表(MMPI)、韦氏成人智力量表修订版(WAIS-R)、脑电图和分离体验量表。一个意外发现是,在某些情况下,尽管分离性神游症患者丧失了记忆和原有的身份,但相关的犯罪活动可能使他们能够继续正常生活。

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