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Further Studies on Pathological Wandering (Fugues with the Impulse to Wander)

Published online by Cambridge University Press:  08 February 2018

E. Stengel
E. Stengel*
Affiliation:
Royal Edinburgh Hospital for Mental and Nervous Disorders
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Extract

The range of psycho-pathological conditions for which the term “fugue” has been used has increased considerably and is still increasing. Originally the term was chosen to denote transitory abnormal behaviour characterized by aimless wandering and more or less marked alteration of consciousness, usually but not necessarily followed by amnesia. At present it is used for a variety of different symptoms, some of which have little in common; the psychiatrist using the term has to define what kind of fugue he means if he wishes to avoid misunderstanding and confusion. The reasons for the great popularity of the term are manifold. It is short, handy, vague, and has even a distinguished foreign flavour. But there are other reasons apart from those virtues. When the psychological mechanisms underlying abnormal behaviour were first studied two were regarded as responsible for the origin of fugues: dissociation and escape. From that time dates the tendency to describe as fugue nearly every condition of transitory alteration of consciousness which can be understood as the result of those mechanisms. Thus a remarkable change of conception has taken place; while the term “fugue” originally described a certain type of abnormal behaviour characterized by running away and wandering under a strong impulse and associated with clouding or narrowing of consciousness, it later came to be used, in addition, as the description of various results of the psychological mechanism of escape, without regard for the resulting behaviour. Obviously the fact that fugue means escape invited that change of conception. Considering the grèat number of neurotic and psychotic symptoms in the origin of which the two mechanisms mentioned above are supposed to play a part, there are hardly any limits to the use of the term. It is not intended to survey the whole literature on what has been called fugues; a few instances from current text-books and recent articles will demonstrate for how many conditions the term has been used in recent years.

Type
Part I.—Original Articles
Information
Journal of Mental Science , Volume 89 , Issue 375 , April 1943 , pp. 224 - 241
Copyright
Copyright © Royal College of Psychiatrists, 1943 

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References

Abraham, W. (1924), Selected Papers on Psycho-analysis. London, 1927.Google Scholar
Bleuler, E. (1937), Lehrbuch der Psychiatrie. Berlin.CrossRefGoogle Scholar
Bumke, E. (1929), Lehrbuch der Geisteskrankheiten. Berlin.CrossRefGoogle Scholar
Culpin, M. (1931), Recent Advances in the Study of the Psychoneuroses. London.Google Scholar
Diethelm, O. (1936), Treatment in Psychiatry. London and New York.CrossRefGoogle Scholar
Freud, S. (1917), Collected Papers, 4.Google Scholar
Gordon, R. G., Harris, N. G., and Rees, J. R. (1936), Introduction to Medical Psychology. London.Google Scholar
Henderson, D. K. (1918), “Psychoses of War,” Rev. Neur. Psychiatr. Google Scholar
Henderson, D. K. and Gillespie, R. D. (1940), A Text-book of Psychiatry. London.Google Scholar
Hinsie, E. L., and Shatzky, K. (1940), Dictionary of Medical Psychology. London.Google Scholar
Janet, P. (1907), The Mental State of Hystericals. New York and London.Google Scholar
Jeliffe, S. E. (1932), Psychopathology of Forced Movements and the Oculogyric Crises of Lethargic Encephalitis. New York and Washington.CrossRefGoogle Scholar
Jeliffe, S. E. and White, W. A. (1929), Diseases of the Nervous System. Philadelphia.CrossRefGoogle Scholar
Kraepelin, E. (1913), Psychiatrie, 1, 400.Google Scholar
Mapother, E., and Lewis, A. (1941), “Psychological Medicine,” in Price's Text-book o Medicine. London.Google Scholar
Muncie, W. (1939), Psychobiology and Psychiatry. London.Google Scholar
Noyes, A. P., and Haydon, E. M. (1941), A Text-book of Psychiatry. London.CrossRefGoogle Scholar
Palmer, D. (1941), J. Nerv. Ment. Dis., 94, 421.CrossRefGoogle Scholar
Reitman, F. (1942), J. Ment. Sci., 88, 518.CrossRefGoogle Scholar
Sadler, W. (1936), Theory and Practice of Psychiatry. London.CrossRefGoogle Scholar
Sargant, W., and Slater, E. (1941), Proc. Roy. Soc. Med., 34, 757.CrossRefGoogle Scholar
Stengel, E. (1930), Z. Neur., 127, 441.Google Scholar
Stengel, E. (1939), Brit. J. Med. Psych., 18, 250.CrossRefGoogle Scholar
Stengel, E. (1941), J. Ment. Sci., 87, 572.CrossRefGoogle Scholar
Strecker, E. A., and Ebaugh, F. G. (1935), Practical Clinical Psychiatry. Philadelphia.Google Scholar
Wilson, H. (1942), Brit. Med. J. Google Scholar
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