blog




  • Essay / Dissociative Fugue - 2011

    Dissociative FugueDissociative occurs when there is a loss of connection in a person's memory, thoughts, and sense of identity. The severity of dissociation ranges from mild dissociation to a very common form that appears in examples such as: dreaming, driving on a familiar route and realizing you don't remember the last few miles, or getting "lost" in a book . More severe and chronic forms are multiple personality disorder, now called dissociative identity disorder, and other dissociative disorders (Livingston, 2004). In this article I will focus on dissociative fugue. This dissociative disorder is very rare and can appear in a person suddenly and with warning. The individual travels far from home or work and leaves a previous life behind. In extremely rare cases, they assume a new identity. The individual suffers from amnesia and has no conscious knowledge or understanding of why he left or how he got to where he is. These “trips” can last from a few hours to several months. Fugue comes from the Latin fugere which means flight. Dissociative fugue differs from dissociative identity disorder because while a person assumes a new identity with dissociative fugue, it does not coincide with other identities as with dissociative identity disorder. Disabling Attributes This disorder can be very disabling because these bouts of flight occur at unpredictable times. This can make it difficult for a person to maintain a job if they have the opportunity to take off without remembering or knowing why. The possibility of assuming a new identity is also present, making it very difficult to develop strong relationships. They are seen as unreliable employees and lack the coping skills needed to manage emotions. Individuals reported that if the support group included people with complex dissociative disorders and those who did not, this was problematic. A person should keep this in mind when trying to find a support group that is right for them (Livingston, 2004). Rehabilitation Implications Outcomes for people with dissociative fugue are good. A rehabilitation counselor must provide appropriate advice and support to their client. With appropriate treatment, individuals with dissociative fugue can achieve the same goals as an individual without a dissociative disorder. Rehabilitation counselors must also ensure that clients have received the appropriate medical examinations and medications to treat the secondary symptoms of dissociative fugue. If all of this is followed, the advisor-client relationship should be successful..