To address these issues, clinicians need a practical, brief screening device that can be used across settings, referral questions, symptom clusters, and client characteristics. Accordingly, an increasing number of instruments are becoming available to assess response style and symptom validity in psycholegal settings. Persons with incentives to distort, exaggerate, or manufacture symptoms pervade forensic practice. In particular, we examine the role of state dependent memory (wherein memories are difficult to recall unless the conditions at encoding and recall are similar), and discuss how advances in the neurobiology of state-dependent memory (SDM) gleaned from animal studies might be translated to humans. In this article, we present clinical, cognitive, and neurobiological perspectives on memory research relevant to DA. The question of why memory for some traumatic experiences is compromised while other comparably traumatic experiences are remembered perfectly well, both within and across individuals, has puzzled clinicians for decades. These memory abnormalities are often the source of debilitating psychopathologies such as anxiety, depression and social dysfunction. In susceptible individuals, overwhelming traumatic stress often results in severe abnormalities of memory processing, manifested either as the uncontrollable emergence of memories (flashbacks) or as an inability to remember events (dissociative amnesia, DA) that are usually, but not necessarily, related to the stressful experience. © Copyright 2015 Physicians Postgraduate Press, Inc. This entire article is available in Full Text to registered users. This case shows a need for early diagnosis and psychological support for these patients in a timely manner. It becomes prudent for health care professionals to make themselves aware of this disorder to prevent misdiagnosis and unnecessary investigations. The prevalence of dissociative fugue disorder is very low, estimated at 0.2%. Severely traumatized patients with a history of sexual abuse are highly likely to use dissociation as a primary psychological defense. The onset is usually sudden and predicated by a traumatic or stressful life event. Per the DSM-5, dissociative amnesia with dissociative fugue is the “purposeful travel or bewildered wandering that is associated with amnesia for identity or for other important autobiographical information.” As the name fugue implies, the condition involves psychological flight from an overwhelming situation. Dissociative fugue is a subtype of dissociative amnesia.
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