Dissociative Amnesia? It Might be Organic Memory Loss!

This article discusses the possibility of practitioners who mistake organic memory loss for dissociative amnesia. It starts with the case of a young man with complete retrograde amnesia due to a traumatic head injury. Because he did not show any gross neurological abnormalities, a neurologist thought his amnesia had a psychological origin. An extensive neuropsychological examination revealed that the man did have an organic reason for his amnesia. Next, the existence of dissociative memory loss as well as isolated organic retrograde amnesia is considered. While cases of organic memory loss are well‐documented, there is hardly any evidence for dissociative amnesia. It is argued that organic memory loss might be mistakenly taken for dissociative amnesia. In line with the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders, practitioners are advised to rule out the possibility of organic memory loss, before diagnosing a patient with dissociative amnesia. A patient with autobiographical memory loss but without gross neurological abnormalities may be diagnosed with dissociative amnesia, i.e., amnesia with a psychological origin. In this article, I argue that the absence of apparent neurological symptoms does not mean that a patient's amnesia is caused by psychological factors. Only when a medical history, neuropsychological testing, and brain scans rule out a neurological origin of the memory loss, a patient may genuinely suffer from dissociative amnesia. [ABSTRACT FROM AUTHOR]