Roaldset J O, Christiansen T W
Psykiatrisk poliklinikk, Sentralsjukehuset i Møre og Romsdal, Alesund.
Tidsskr Nor Laegeforen. 1998 Oct 20;118(25):3977-8.
Psychogenic (dissociative) amnesia is a psychiatric disorder characterised by a sudden loss of memory which is too extensive to be explained by ordinary forgetfulness, but which has no organic disease or explanation. Psychogenic amnesia is categorised among the dissociative disorders in DSM-IV and ICD-10 and begins suddenly, usually after severe psychosocial stress. The prognosis is good with complete recovery, and there is seldom relapse. This article describes a man, 45 years of age, who developed severe depression and amnesia following a very troublesome divorce. He did not talk, he communicated by signs and gestures, and he isolated himself in his mother's home. After being admitted to a psychiatric ward he became anorectic and developed erosive eoesophagitis/gastroduodenitis. Initially he was given perfenazin (Trilafon) 24 mg/day. The psychiatric treatment produced no results for the first three weeks, but the patient gradually recovered when the therapist and the patient recapitulated the conflicts associated with the divorce, using documents from the patient's lawyer as a guide. This method is called "therapeutic anamnesis" and is similar in many ways to psychiatric treatment of post-traumatic stress reactions.
心因性（解离性）失忆症是一种精神障碍，其特征为突然失忆，失忆程度严重到无法用普通的遗忘来解释，且不存在器质性疾病或其他可解释的原因。心因性失忆症在《精神疾病诊断与统计手册》第四版（DSM-IV）和《国际疾病分类》第十版（ICD-10）中被归类为解离性障碍，通常在严重的社会心理压力后突然发病。预后良好，可完全康复，很少复发。本文描述了一名45岁男性，在经历了一场非常麻烦的离婚后出现了严重的抑郁和失忆症状。他不说话，通过手势交流，并将自己隔离在母亲家中。入院到精神科病房后，他出现厌食，并患上了糜烂性食管炎/胃十二指肠炎症。最初，他每天服用24毫克奋乃静（三氟拉嗪）。在最初的三周里，精神科治疗没有效果，但当治疗师和患者以患者律师提供的文件为指导，回顾与离婚相关的冲突时，患者逐渐康复。这种方法被称为“治疗性回忆”，在很多方面与创伤后应激反应的精神科治疗相似。
