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When the Mind Leaves Early: A Bottom Up Neurobiological Account of Acute-State Dissociation

Year: 2026
Type: article
Abstract: This paper explains acute‑state dissociation through a bottom‑up neurobiological lens, showing how trauma conditioning, salience misrouting, and memory‑encoding shutdown create states where individuals appear responsive while evaluative and reflective systems are offline. It integrates research on autobiographical memory, substance‑induced impairment, and consent vulnerability to clarify how alcohol, opioids, ketamine, and stimulants amplify dissociation. The paper highlights clinical implications for assessment, risk, and interpretation, and includes a layman’s terms summary to make the mechanisms accessible to general readers.
Author: Chad, Thomas
Institution: Ottawa University
Language: English
Field: Medicine
Open Access status: green
OpenAlex ID: W7214432116
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Related to: 10