Which feature is associated with a dissociative amnesia when a fugue state is present?

• A. Recurrent gaps in recall of events
• B. Multiple distinct personalities
• C. Depersonalization
• D. Apparent purposeful travel or bewildered wandering

Answer: (D)

The key idea here is recognizing the fugue specifier of dissociative amnesia. When dissociative amnesia occurs with a fugue state, the defining feature is apparent purposeful travel or bewildered wandering. People may unexpectedly travel away from home or work, move to a new location, and sometimes even assume a new identity, all while being unable to recall past personal information. This travel aspect distinguishes the fugue presentation from plain memory gaps.

Recurrent gaps in recall of events can occur in dissociative amnesia, but without the travel or wandering element, it’s not the fugue scenario. Multiple distinct personalities point to dissociative identity disorder rather than dissociative amnesia with fugue. Depersonalization is a separate dissociative symptom that can occur across disorders but isn’t specifically linked to the wandering/fugue pattern. So, the feature that aligns with dissociative amnesia when a fugue state is present is the apparent purposeful travel or bewildered wandering.