The Experts below are selected from a list of 255 Experts worldwide ranked by ideXlab platform
V. Balanzá Martínez - One of the best experts on this subject based on the ideXlab platform.
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P01-152 Post-traumatic stress disorder associated to long-term Dissociative Fugue: A case report
European Psychiatry, 2009Co-Authors: A. Tatay Manteiga, L. Laguna Sopena, M. Lloret Diez-canseco, T. Merino Magán, S. Cepeda Díez, V. Balanzá MartínezAbstract:Aims Since the end of 19th century, mental health professionals have noticed that individuals who have experienced traumatic situations often present Dissociative symptoms, such as amnesia or Fugue states. Dissociation is a defensive mechanism that allows an individual to separate from conscience the psychological distress produced by the trauma. Our aim was to remark the association between Post-traumatic Stress Disorder (PTSD) and long-term Dissociative disorders through the study of a clinical case. Method A clinical case was followed and reviewed to illustrate this relationship. Results Ten years ago, a 49-year-old man was diagnosed of PTSD after having witnessed several colleagues burnt in a tragic accident at work and having helped the emergency fire brigade to rescue other victims. His symptoms required treatment with antidepressants and psychotherapy, and fully remitted after one year. Nevertheless, during the last year, he has presented two Dissociative amnesia episodes lasting for three days each, which were examined by a neurology service. More recently, he has suffered a ten-day episode of Dissociative Fugue, which required psychiatric hospitalization. Although the patient has been asymptomatic during a decade, it is remarkable that he has presented three Dissociative episodes in a short period of time. One of them, the Fugue state, is interesting because of its long duration and its relatively low prevalence in the general population. Conclusions This clinical case allows us to appreciate the long-term relationships between psychological trauma and dissociation, in addition to the well-known short-term effects.
A. Martinuzzi - One of the best experts on this subject based on the ideXlab platform.
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EPA-0516 – Neuropsychological, psychological and psychopathological variability emerging in the assessment of 4 cases of Dissociative amnesia
European Psychiatry, 2014Co-Authors: S. Pizzighello, S. Piccoli, A. Vestri, A. MartinuzziAbstract:Functional or Dissociative amnesia is defined as an inability to recall information that cannot be explained by manifest organic brain damage and that is usually related to stressful or traumatic events. Apart from Dissociative, other terminologies (such hysterical, medically unexplained, psychogenic…) have been employed along years to identify categories of amnesia that lack of an identifiable organic substrate. With the present poster, we aim to describe the profile of 4 patients (3 males and 1 female) who were admitted in our Centre for an unexpected episode of confusion, disorientation, dissociation with severe amnesia. In all cases information about personal identity was partially or globally lost. Once completed the assessment, no clear organic cause was identified and these cases went considered as episodes of Dissociative amnesia. In accordance to DSM-IV-TR, two of them were further classified as cases of Dissociative Fugue. At the time of admission they were evaluated with global assessment including cognitive scales (LCF Level of Cognitive Functioning, MMSE Mini Mental State Examination, ENB-2 Esame neuropsicologico breve-2), psychological interviews and psychopathological tests (MMPI Minnesota Multiphasic Personality Inventory). Assessment showed that performance at cognitive tests was markedly variegated between all patients, in line with literature. Noteworthy, marked impairment was observed in patients who later presented underlying concurrent neurological signs: a probable autoimmune process in one case and a soft hemiparesis in the other. This suggests the importance of an exhaustive assessment and prolonged analyses to understand the complex interaction of the so-called dichotomy functional-biological.
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epa 0516 neuropsychological psychological and psychopathological variability emerging in the assessment of 4 cases of Dissociative amnesia
European Psychiatry, 2014Co-Authors: S. Pizzighello, S. Piccoli, A. Vestri, A. MartinuzziAbstract:Functional or Dissociative amnesia is defined as an inability to recall information that cannot be explained by manifest organic brain damage and that is usually related to stressful or traumatic events. Apart from Dissociative, other terminologies (such hysterical, medically unexplained, psychogenic…) have been employed along years to identify categories of amnesia that lack of an identifiable organic substrate. With the present poster, we aim to describe the profile of 4 patients (3 males and 1 female) who were admitted in our Centre for an unexpected episode of confusion, disorientation, dissociation with severe amnesia. In all cases information about personal identity was partially or globally lost. Once completed the assessment, no clear organic cause was identified and these cases went considered as episodes of Dissociative amnesia. In accordance to DSM-IV-TR, two of them were further classified as cases of Dissociative Fugue. At the time of admission they were evaluated with global assessment including cognitive scales (LCF Level of Cognitive Functioning, MMSE Mini Mental State Examination, ENB-2 Esame neuropsicologico breve-2), psychological interviews and psychopathological tests (MMPI Minnesota Multiphasic Personality Inventory). Assessment showed that performance at cognitive tests was markedly variegated between all patients, in line with literature. Noteworthy, marked impairment was observed in patients who later presented underlying concurrent neurological signs: a probable autoimmune process in one case and a soft hemiparesis in the other. This suggests the importance of an exhaustive assessment and prolonged analyses to understand the complex interaction of the so-called dichotomy functional-biological.
Aneta Dudel - One of the best experts on this subject based on the ideXlab platform.
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Dissociative Fugue in a maternity ward patient--a case report
Psychiatria polska, 2011Co-Authors: Maria Załuska, Renata Zurko, Michał Kuroń, Grzegorz Jakiel, Aneta DudelAbstract:AIM To pay attention to the role of stress connected with delivery, obstetric history, as to the pathologies in the infant as predictors of Dissociative disturbances in the patient of the maternity ward. METHOD The case analysis. CASE DESCRIPTION The thirty-year-old woman with secondary education, married and employed had left the maternity ward with her baby unnoticed on the fourth day after giving birth. The patient didn't remember this fact after finding her and the infant by the police. The patient had no genetic predisposition in her history and had suffered head injury in her childhood. Her mother lost two of her siblings (miscarriage and early death of infant). The patient miscarried her first pregnancy, and then she had waited several years for the baby. The second pregnancy was at risk, the labor was premature and the infant was born with palatoschisis. In the maternity ward, the patient had difficulties with feeding the baby. She experienced fear about the baby's life, as well as the feeling of being neglected by the staff. In the psychiatry ward, the patient did not reveal any symptoms of mental illness. A memory gap covered the period of her flight. She had shown interest in her child and was motivated to nurse him by herself. The tendency to use immature defence mechanisms (denial and suppression), as well as mild cognitive dysfunctions were observed in psychological testing. Dissociative Fugue was diagnosed. CONCLUSIONS The interaction of past and present traumatic experiences with cognitive dysfunctions and immature defence mechanisms could influence the patient's ability to cope with fear about the child negatively. It led consequently to Dissociative loss of memory with disintegration of perception, identity, and conscious control over the behaviour in the Fugue. The case shows a need for early diagnosing and providing psychological support to patients of the maternity ward, especially those laden with multiple stress factors.
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P01-407 - Dissociative Fugue of the patient of maternity ward - A case report
European Psychiatry, 2011Co-Authors: Maria Załuska, Michał Kuroń, Grzegorz Jakiel, R. Żurko, Aneta DudelAbstract:SUMMARY. Introduction: The Dissociative Fugue is a sudden and unexpected flight accompanied by loss of memory, disturbances of own identity, as well as impairment of functioning. It is usually triggered by severe stress. It needs to be discerned from disturbances caused by somatic illnesses, psychoactive substances use, depression, psychosis, and Dissociative identity disorders. Objective: to pay attention to the role of delivery-related stress in connection with obstetric history, and the pathologies in the infant as predictors of Dissociative disturbances in the patient of the maternity ward. Method : The case analysis . Case description : A thirty-year-old woman with secondary education, married and employed had left the maternity ward with her baby unnoticed on the fourth day after delivery . The patient didn't remember this fact after finding her and the infant by the police. The patient had no genetic predisposition in her history. She had suffered head injury in her childhood. Her mother lost two of her siblings (miscarriage and early death of infant). The patient miscarried her first pregnancy, and then she had waited several years for the baby. The second pregnancy was at risk, the labor was premature and the infant was born with palatoschisis. In the maternity ward, the patient had difficulties with feeding the baby. She experienced fear about the baby's life, as well as the feeling of being neglected by the staff. In the psychiatry ward, the patient did not reveal any symptoms of mental illness. A memory gap covered the period of her flight. She had shown interest in her child and was motivated to nurse him by herself. The tendency to use immature defence mechanisms (denial and suppression), as well as mild cognitive dysfunctions were observed in psychological testing. Dissociative Fugue was diagnosed. Conclusions . The interaction of past and present traumatic experiences with cognitive dysfunctions and immature defence mechanisms could influence the patient's ability to cope with fear about the child negatively. It led consequently to Dissociative loss of memory with
A. Tatay Manteiga - One of the best experts on this subject based on the ideXlab platform.
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P01-152 Post-traumatic stress disorder associated to long-term Dissociative Fugue: A case report
European Psychiatry, 2009Co-Authors: A. Tatay Manteiga, L. Laguna Sopena, M. Lloret Diez-canseco, T. Merino Magán, S. Cepeda Díez, V. Balanzá MartínezAbstract:Aims Since the end of 19th century, mental health professionals have noticed that individuals who have experienced traumatic situations often present Dissociative symptoms, such as amnesia or Fugue states. Dissociation is a defensive mechanism that allows an individual to separate from conscience the psychological distress produced by the trauma. Our aim was to remark the association between Post-traumatic Stress Disorder (PTSD) and long-term Dissociative disorders through the study of a clinical case. Method A clinical case was followed and reviewed to illustrate this relationship. Results Ten years ago, a 49-year-old man was diagnosed of PTSD after having witnessed several colleagues burnt in a tragic accident at work and having helped the emergency fire brigade to rescue other victims. His symptoms required treatment with antidepressants and psychotherapy, and fully remitted after one year. Nevertheless, during the last year, he has presented two Dissociative amnesia episodes lasting for three days each, which were examined by a neurology service. More recently, he has suffered a ten-day episode of Dissociative Fugue, which required psychiatric hospitalization. Although the patient has been asymptomatic during a decade, it is remarkable that he has presented three Dissociative episodes in a short period of time. One of them, the Fugue state, is interesting because of its long duration and its relatively low prevalence in the general population. Conclusions This clinical case allows us to appreciate the long-term relationships between psychological trauma and dissociation, in addition to the well-known short-term effects.
S. Pizzighello - One of the best experts on this subject based on the ideXlab platform.
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EPA-0516 – Neuropsychological, psychological and psychopathological variability emerging in the assessment of 4 cases of Dissociative amnesia
European Psychiatry, 2014Co-Authors: S. Pizzighello, S. Piccoli, A. Vestri, A. MartinuzziAbstract:Functional or Dissociative amnesia is defined as an inability to recall information that cannot be explained by manifest organic brain damage and that is usually related to stressful or traumatic events. Apart from Dissociative, other terminologies (such hysterical, medically unexplained, psychogenic…) have been employed along years to identify categories of amnesia that lack of an identifiable organic substrate. With the present poster, we aim to describe the profile of 4 patients (3 males and 1 female) who were admitted in our Centre for an unexpected episode of confusion, disorientation, dissociation with severe amnesia. In all cases information about personal identity was partially or globally lost. Once completed the assessment, no clear organic cause was identified and these cases went considered as episodes of Dissociative amnesia. In accordance to DSM-IV-TR, two of them were further classified as cases of Dissociative Fugue. At the time of admission they were evaluated with global assessment including cognitive scales (LCF Level of Cognitive Functioning, MMSE Mini Mental State Examination, ENB-2 Esame neuropsicologico breve-2), psychological interviews and psychopathological tests (MMPI Minnesota Multiphasic Personality Inventory). Assessment showed that performance at cognitive tests was markedly variegated between all patients, in line with literature. Noteworthy, marked impairment was observed in patients who later presented underlying concurrent neurological signs: a probable autoimmune process in one case and a soft hemiparesis in the other. This suggests the importance of an exhaustive assessment and prolonged analyses to understand the complex interaction of the so-called dichotomy functional-biological.
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epa 0516 neuropsychological psychological and psychopathological variability emerging in the assessment of 4 cases of Dissociative amnesia
European Psychiatry, 2014Co-Authors: S. Pizzighello, S. Piccoli, A. Vestri, A. MartinuzziAbstract:Functional or Dissociative amnesia is defined as an inability to recall information that cannot be explained by manifest organic brain damage and that is usually related to stressful or traumatic events. Apart from Dissociative, other terminologies (such hysterical, medically unexplained, psychogenic…) have been employed along years to identify categories of amnesia that lack of an identifiable organic substrate. With the present poster, we aim to describe the profile of 4 patients (3 males and 1 female) who were admitted in our Centre for an unexpected episode of confusion, disorientation, dissociation with severe amnesia. In all cases information about personal identity was partially or globally lost. Once completed the assessment, no clear organic cause was identified and these cases went considered as episodes of Dissociative amnesia. In accordance to DSM-IV-TR, two of them were further classified as cases of Dissociative Fugue. At the time of admission they were evaluated with global assessment including cognitive scales (LCF Level of Cognitive Functioning, MMSE Mini Mental State Examination, ENB-2 Esame neuropsicologico breve-2), psychological interviews and psychopathological tests (MMPI Minnesota Multiphasic Personality Inventory). Assessment showed that performance at cognitive tests was markedly variegated between all patients, in line with literature. Noteworthy, marked impairment was observed in patients who later presented underlying concurrent neurological signs: a probable autoimmune process in one case and a soft hemiparesis in the other. This suggests the importance of an exhaustive assessment and prolonged analyses to understand the complex interaction of the so-called dichotomy functional-biological.