Amnesia: Difference between revisions

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'''Amnesia''' can be described as an inability to later recall the events which occurred under the influence of a substance after it has worn off.<ref>Amnesia (mayoclinic) | https://www.mayoclinic.org/diseases-conditions/amnesia/symptoms-causes/syc-20353360</ref><ref>Drug-induced memory disturbance (medlink) | http://www.medlink.com/article/drug-induced_memory_disturbance</ref><ref>Drug-induced amnesia is a separate phenomenon from sedation: electrophysiologic evidence (ncbi) | https://www.ncbi.nlm.nih.gov/pubmed/11605930</ref> During states of amnesia a person will usually retain a functional long and short-term memory which can still recall events that recently occurred despite those same events failing to be retained in a manner which can later be recalled. As such, a person experiencing amnesia may not obviously appear to be doing so, as they can often carry on normal conversations and perform complex tasks.  
'''Amnesia''' can be described as an inability to later recall the events which occurred under the influence of a substance after it has worn off.<ref>Amnesia (mayoclinic) | https://www.mayoclinic.org/diseases-conditions/amnesia/symptoms-causes/syc-20353360</ref><ref>Drug-induced memory disturbance (medlink) | http://www.medlink.com/article/drug-induced_memory_disturbance</ref><ref>Veselis, R. A., Reinsel, R. A., & Feshchenko, V. A. (2001). Drug-induced Amnesia Is a Separate Phenomenon from SedationElectrophysiologic Evidence. Anesthesiology: The Journal of the American Society of Anesthesiologists, 95(4), 896-907. https://www.ncbi.nlm.nih.gov/pubmed/11605930</ref> During states of amnesia a person will usually retain a functional long and short-term memory which can still recall events that recently occurred despite those same events failing to be retained in a manner which can later be recalled. As such, a person experiencing amnesia may not obviously appear to be doing so, as they can often carry on normal conversations and perform complex tasks.  


This state of mind is commonly referred to as a "blackout", an experience that can be divided into 2 formal categories: "fragmentary" blackouts and "en bloc" blackouts.<ref>Fragmentary and en bloc blackouts: similarity and distinction among episodes of alcohol-induced memory loss | https://www.ncbi.nlm.nih.gov/pubmed/12921196</ref> Fragmentary blackouts, sometimes known as "brownouts", are characterized by having the ability to recall specific events from an intoxicated period but remaining unaware that certain memories are missing until reminded of the existence of those gaps in memory. Studies suggest that fragmentary blackouts are far more common than "en bloc" blackouts.<ref>Experiential aspects of alcohol-induced blackouts among college students. | https://www.ncbi.nlm.nih.gov/pubmed/15083562</ref> In comparison, En bloc blackouts are characterized by a complete inability to later recall any memories from an intoxicated period, even when prompted. It is usually difficult to determine the point at which this type of blackout has ended as sleep typically occurs before this happens.<ref>Alcoholic "blackouts": a review and clinical study of 100 alcoholics | https://www.ncbi.nlm.nih.gov/pubmed/5804804</ref>  
This state of mind is commonly referred to as a "blackout", an experience that can be divided into 2 formal categories: "fragmentary" blackouts and "en bloc" blackouts.<ref>Hartzler, B., & Fromme, K. (2003). Fragmentary and en bloc blackouts: similarity and distinction among episodes of alcohol-induced memory loss. Journal of Studies on Alcohol, 64(4), 547-550. http://dx.doi.org/10.15288/jsa.2003.64.547</ref> Fragmentary blackouts, sometimes known as "brownouts", are characterized by having the ability to recall specific events from an intoxicated period but remaining unaware that certain memories are missing until reminded of the existence of those gaps in memory. Studies suggest that fragmentary blackouts are far more common than "en bloc" blackouts.<ref>White, A. M., Signer, M. L., Kraus, C. L., & Swartzwelder, H. S. (2004). Experiential aspects of alcohol‐induced blackouts among college students. The American journal of drug and alcohol abuse, 30(1), 205-224. https://www.ncbi.nlm.nih.gov/pubmed/15083562</ref> In comparison, En bloc blackouts are characterized by a complete inability to later recall any memories from an intoxicated period, even when prompted. It is usually difficult to determine the point at which this type of blackout has ended as sleep typically occurs before this happens.<ref>Goodwin, D. W., Crane, J. B., & Guze, S. B. (1969). Alcoholic" blackouts": A review and clinical study of 100 alcoholics. American Journal of Psychiatry, 126(2), 191-198. https://doi.org/10.1176/ajp.126.2.191</ref>  


Amnesia is often accompanied by other coinciding effects such as [[disinhibition]], [[sedation]], and [[memory suppression]]. It is most commonly induced under the influence of [[dosage#heavy|heavy]] [[dosage|dosages]] of [[GABAergic]] [[depressant|depressants]], such as [[alcohol]],<ref>Alcohol-Induced Blackout (ncbi) | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2800062/</ref> [[benzodiazepines]],<ref>Anterograde amnesia linked to benzodiazepines (ncbi) | https://www.ncbi.nlm.nih.gov/pubmed/1357612</ref> [[GHB]],<ref>EXPERIENCES OF GAMMA HYDROXYBUTYRATE (GHB) INGESTION: A FOCUS GROUP STUDY (ncbi) | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2257870/</ref> and [[zolpidem]]<ref>Amnesia possibly associated with zolpidem administration (ncbi) | https://www.ncbi.nlm.nih.gov/pubmed/8840378</ref>. However, it can also occur to a much lesser extent under the influence of extremely heavy dosages of [[hallucinogen|hallucinogenic]] compounds such as [[psychedelic|psychedelics]], [[dissociative|dissociatives]], [[Salvia divinorum]], and [[deliriant|deliriants]].
Amnesia is often accompanied by other coinciding effects such as [[disinhibition]], [[sedation]], and [[memory suppression]]. It is most commonly induced under the influence of [[dosage#heavy|heavy]] [[dosage|dosages]] of [[GABAergic]] [[depressant|depressants]], such as [[alcohol]],<ref>Lee, H., Roh, S., & Kim, D. J. (2009). Alcohol-induced blackout. International Journal of Environmental Research and Public Health, 6(11), 2783-2792. https://dx.doi.org/10.3390%2Fijerph6112783</ref> [[benzodiazepines]],<ref>Mejo, S. L. (1992). Anterograde amnesia linked to benzodiazepines. The Nurse Practitioner, 17(10), 44-49. https://www.ncbi.nlm.nih.gov/pubmed/1357612</ref> [[GHB]],<ref>Barker, J. C., Harris, S. L., & Dyer, J. E. (2007). Experiences of gamma hydroxybutyrate (GHB) ingestion: a focus group study. Journal of psychoactive drugs, 39(2), 115-129. https://dx.doi.org/10.1080%2F02791072.2007.10399870</ref> and [[zolpidem]]<ref>Canaday, B. R. (1996). Amnesia possibly associated with zolpidem administration. Pharmacotherapy: The Journal of Human Pharmacology and Drug Therapy, 16(4), 687-689. https://doi.org/10.1002/j.1875-9114.1996.tb03654.x</ref>. However, it can also occur to a much lesser extent under the influence of extremely heavy dosages of [[hallucinogen|hallucinogenic]] compounds such as [[psychedelic|psychedelics]], [[dissociative|dissociatives]], [[Salvia divinorum]], and [[deliriant|deliriants]].
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===Psychoactive substances===
===Psychoactive substances===