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A case is presented in which common features of fugue were evident, including (1) intense separation anxiety; (2) a close relationship between the fugue and sleep; (3) suicidal impulses; and (4) murderous impulses. These features are discussed in terms of current concepts regarding fugue states; a unified hypothesis of regression to an early phase of the mother-child relationship is proposed to account for such features. This regression hypothesis is an amplification of one proposed earlier by Geleerd (1956).