Hostname: page-component-76fb5796d-dfsvx Total loading time: 0 Render date: 2024-04-25T10:17:16.837Z Has data issue: false hasContentIssue false
  • English
  • Français

Missing memories of death: Dissociative amnesia in the bereaved the day after a cancer death

Published online by Cambridge University Press:  08 June 2015

Mayumi Ishida ,
Hideki Onishi ,
Hiroaki Toyama ,
Chizuko Tsutsumi ,
Chieko Endo ,
Iori Tanahashi ,
Takao Takahashi  and
Yosuke Uchitomi
Mayumi Ishida*
Affiliation:
Department of Psycho-Oncology, Saitama Medical University International Medical Center, Saitama, Japan
Hideki Onishi
Affiliation:
Department of Psycho-Oncology, Saitama Medical University International Medical Center, Saitama, Japan
Hiroaki Toyama
Affiliation:
Department of Psycho-Oncology, Saitama Medical University International Medical Center, Saitama, Japan
Chizuko Tsutsumi
Affiliation:
Department of Psycho-Oncology, Saitama Medical University International Medical Center, Saitama, Japan
Chieko Endo
Affiliation:
Department of Psycho-Oncology, Saitama Medical University International Medical Center, Saitama, Japan
Iori Tanahashi
Affiliation:
Department of Psycho-Oncology, Saitama Medical University International Medical Center, Saitama, Japan
Takao Takahashi
Affiliation:
Department of Palliative Medicine, Saitama Medical University International Medical Center, Saitama, Japan
Yosuke Uchitomi
Affiliation:
Innovation Center for Supportive, Palliative, and Psychosocial Care, National Cancer Center, Tokyo, Japan
*
Address correspondence and reprint requests to: Mayumi Ishida, Department of Psycho-Oncology, Saitama Medical University International Medical Center, 1397-1 Yamane, Hidaka-city, Saitama 350-1298, Japan. E-mail: mayumi_i@saitama-med.ac.jp
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

The death of a loved one is one of the most stressful events of life, and such stress affects the physical and psychological well-being of the bereaved. Dissociative amnesia is characterized by an inability to recall important autobiographical information. Dissociative amnesia in the bereaved who have lost a loved one to cancer has not been previously reported. We discuss herein the case of a patient who developed dissociative amnesia the day after the death of here beloved husband.

Method:

A 38-year-old woman was referred for psychiatric consultation because of restlessness and abnormal behavior. Her 44-year-old husband had died of pancreatic cancer the day before the consultation. On the day of the death, she looked upset and began to hyperventilate. The next day, she behaved as if the deceased were still alive, which embarrassed her family. At her initial psychiatric consultation, she talked and behaved as if her husband was still alive and in the hospital.

Results:

Her psychiatric features fulfilled the DSM–V criteria for dissociative amnesia. The death of her husband had been very traumatic for her and was considered to have been one of the causes of this dissociation.

Significance of Results:

This report adds to the list of psychiatric symptoms in the bereaved who have lost a loved one to cancer. In an oncology setting, we should consider the impact of death, the concomitant defense mechanisms, and the background of the families.

Keywords

BereavementDissociationRetrograde amnesiaCancerDefense mechanism
Type
Case Reports
Information
Palliative & Supportive Care , Volume 13 , Issue 6 , December 2015 , pp. 1787 - 1790
Copyright
Copyright © Cambridge University Press 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders, 5th ed. Washington, DC: American Psychiatric Press.Google Scholar
Buckley, T., Bartrop, R., McKinley, S., et al. (2009). Prospective study of early bereavement on psychological and behavioural cardiac risk factors. Internal Medicine Journal, 39(6), 370–378.CrossRefGoogle ScholarPubMed
Cole, M.G. & Dendukuri, N. (2003). Risk factors for depression among elderly community subjects: A systematic review and meta-analysis. The American Journal of Psychiatry, 160(6), 1147–1156.CrossRefGoogle ScholarPubMed
Erlangsen, A., Jeune, B., Bille-Brahe, U., et al. (2004). Loss of partner and suicide risks among oldest old: A population-based register study. Age and Ageing, 33(4), 378–383.CrossRefGoogle ScholarPubMed
Grimby, A. & Johansson, A.K. (2009). Factors related to alcohol and drug consumption in Swedish widows. The American Journal of Hospice and Palliative Care, 26(1), 8–12.CrossRefGoogle ScholarPubMed
Holmes, T.H. & Rahe, R.H. (1967). The Social Readjustment Rating Scale. Journal of Psychosomatic Research, 11(2), 213–218.CrossRefGoogle ScholarPubMed
Ishida, M., Onishi, H., Matsubara, M., et al. (2012). Psychological distress of the bereaved seeking medical counseling at a cancer center. Japanese Journal of Clinical Oncology, 42(6), 506–512.CrossRefGoogle Scholar
Kaplan, H.I. & Sadock, B.J. (1995). Kaplan and Sadock's comprehensive textbook of psychiatry. New York: Lippincott Williams & Wilkins.Google Scholar
Prigerson, H.G., Bierhals, A.J., Kasl, S.V., et al. (1997). Traumatic grief as a risk factor for mental and physical morbidity. The American Journal of Psychiatry, 154(5), 616–623.Google ScholarPubMed
Rousseau, P. (2000). Death denial. Journal of Clinical Oncology, 18(23), 3998–3999.CrossRefGoogle ScholarPubMed
Vos, M.S. & de Haes, J.C. (2007). Denial in cancer patients: An explorative review. Psycho-Oncology, 16(1), 12–25.CrossRefGoogle ScholarPubMed
Zisook, S. & Shear, K. (2009). Grief and bereavement: What psychiatrists need to know. World Psychiatry, 8(2), 67–74.CrossRefGoogle ScholarPubMed