www.lesswrong.com/posts/L8YFcCw5ex3qjLyoJ/outrunning-your-headlights
1 correction found
there is a formal psychiatric condition specified in the DSM-V describing sudden awakening followed by distress and retrograde amnesia for one's own identity.
This misdescribes dissociative fugue. In DSM-5, fugue is a specifier of dissociative amnesia centered on purposeful travel or bewildered wandering with autobiographical/identity amnesia—not simply “sudden awakening followed by distress.”
Full reasoning
The footnote appears to be referring to dissociative fugue, but the description given does not match how DSM-5-based sources define it.
Public medical references describing DSM-5 say dissociative fugue is a type/specifier of dissociative amnesia involving purposeful travel or bewildered wandering together with amnesia for identity or other important autobiographical information. Merck Manual similarly explains that in dissociative fugue people lose some or all memories of their past and personal identity and typically disappear from their usual environments, sometimes traveling far from home or assuming a new identity.
By contrast, the post's wording says the DSM condition is about "sudden awakening followed by distress and retrograde amnesia for one's own identity." That leaves out the defining fugue feature of wandering/travel and replaces it with "sudden awakening," which is not the core DSM-5 description. Distress can occur when the fugue ends, but it is not the defining description of the diagnosis/specifier.
So the claim is incorrect because it attributes a DSM description that does not match the condition's actual DSM-5-based characterization.
2 sources
- Dissociative Amnesia - Merck Manual Consumer Version
A dissociative fugue is a specific type of dissociative amnesia... In dissociative fugue, people lose some or all memories of their past, their personal identities, and they typically disappear from their usual environments, leaving their family and job.
- A Case of Dissociative Amnesia With Dissociative Fugue and Treatment With Psychotherapy
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.'