Memories Of Childhood Sexual Abuse Research Articles

Eye Movement Desensitization and Reprocessing (EMDR) Therapy for Childhood Sexual Abuse Memories in Men Who Have Sexually Offended Against Children: Changes in Perceptions of Abuse and Offending

ABSTRACT Five adult males who had sexually offended against children and had previously been victims of child sex abuse (CSA) were interviewed about their experiences of completing Eye Movement Desensitization and Reprocessing (EMDR) therapy on memories of their CSA. Data were analyzed using Interpretative Phenomenological Analysis. Themes identified encapsulated descriptions of changes in participants’ perspectives of their CSA that led to changes in perspectives of their offending behavior and victims, reduction in sexual preoccupation, increased desire for healthy adult relationships and reduced sexual arousal to children. Therefore EMDR could potentially contribute to the reduction of re-offending in this population.

A Brief Overview of Research into the Forgot-It-All-Along Effect.

People often have difficulties remembering prior episodes of remembering, a phenomenon known as the forgot-it-all-along (FIA) effect. Although the effect was first discovered among victims of spontaneously recovered memories of childhood sexual abuse, laboratory paradigms of the FIA have shown that difficulties in remembering "remembering" can be elicited when the memory was previously recalled in a different context. Although much attention has been paid to establishing the robustness of the FIA phenomenon, little emphasis has been placed on the cognitive mechanisms underlying the effect. The goal of the present review is, therefore, to organize the literature surrounding the FIA effect and to discuss cognitive mechanisms that may explain the effect: source monitoring errors, the Encoding Specificity principle, and dating inaccuracies. By providing a brief overview of the literature surrounding the FIA phenomenon, this review can serve as a guide for how future studies may approach the FIA effect in the context of recovered memories.

The Return of Repression? Evidence From Cognitive Psychology.

The controversy over alleged repressed and recovered memories of childhood sexual abuse (CSA) was among the most contentious ever to embroil psychology and psychiatry. Adapting paradigms from cognitive psychology, my research group tested hypotheses pertinent to repressed memory and false memory interpretations of recovered memories. We tested adults who: (1) report recovering memories of CSA after not having thought about their abuse for years; (2) report never having forgotten their CSA; (3) believe they harbor "repressed" memories of CSA; and (4) deny having been sexually abused. We tested hypotheses about mechanisms that might figure in the inability to recall memories of one's abuse and those that might render one susceptible to developing false memories of abuse. The purpose of this article is to summarize this work. Finally, I draw on the work of Lionel Penrose to speculate about why the popularity of the concept of repressed memories of trauma-or its synonym, dissociative amnesia for trauma-may be rising today.

Replicating remembering “remembering”

ABSTRACT When examining spontaneously recovered memories of childhood sexual abuse, victims report that there had been periods in which they had forgotten the abuse. However, there are sometimes people with whom the victim had spoken about the abuse during the period in which the victim had supposedly forgotten the abuse, suggesting the victim had not forgotten the abuse but the prior recall of the abuse. The underestimation of previous knowledge is termed the forgot-it-all-along effect. The goal of the present study was replicating the results of a laboratory study that had provided a theoretical understanding for the forgot-it-all-along effect by showing that people have difficulties remembering “remembering” when the memory had previously been recalled in a different context. The effect was replicated by using the same neutral context sentences, suggesting the finding was robust. We also extended the experimental design by using positive and negative context sentences, but it did not become smaller when the positive sentences provided the different context or larger when the negative sentences provided the different context. Although the sample sizes were sufficiently large to provide statistical power for the forgot-it-all-along effect, they may not have been sufficiently large to observe the moderation effects of emotional context.

Simulated memory error and blame attribution in cases of child sexual abuse

ABSTRACT The present study utilized simulated memory error and blame attributions to investigate the effects of variations in rehearsal on memory. Specifically, 222 undergraduates read a story about child sexual abuse (CSA) while role-playing as the main character. After reading the story, participants were prompted to blame different characters for the abuse (perpetrator, mother, self, or no one) and rehearse the story (to write out the story while incorporating their blame attributions or to write out the story without adding blame attributions), or not rehearse (to not write out the story). Due to prior research on simulated memory error and memory for CSA, we collected data on participant depression, posttraumatic stress disorder, dissociative tendencies, emotion regulation strategies, and attachment orientation. After a 2-week delay, participants were asked to write out the entire story exactly as they had read it. We found that rehearsal resulted in fewer omission errors, and blame attribution predicted more omission errors. Cognitive reappraisal was associated with more commission errors and fewer omission errors. Males and participants with higher psychopathology scores also made more omission errors. There was also an interaction between different attachment systems when predicting commission errors.

Childhood Sexual Trauma and Antiretroviral Therapy Adherence: A Mixed-Methods Systematic Review.

Childhood sexual abuse (CSA) has been shown to be more prevalent among populations living with HIV. Antiretroviral therapy (ART) adherence is crucial for populations living with HIV as it significantly increases the likelihood of attaining and maintaining viral suppression. Previous findings on the association between CSA and ART adherence have been mixed. The current mixed-methods systematic review aimed to identify quantitative and qualitative studies from CINAHL, PsycInfo, PubMed, and Web of Science examining the relationship between CSA and ART adherence. Authors were also contacted if relevant data were unpublished. Studies had to be published from January 1, 2000 to April 1, 2019, written in English, and examined CSA as an exposure and ART adherence as an outcome. Four domains were combined: 1) childhood sexual abuse; 2) child; 3) antiretroviral; and 4) adherence. Eight quantitative and two qualitative studies were retained. The results showed that four quantitative studies found no association while the other four found factors such as timing of victimization, mental health and gender influenced the association between CSA and ART adherence. Themes emerging from the qualitative studies included use of ART evoking memories of CSA; CSA impacting mental health; and mental health treatment improving ART adherence. Mixed insights included the intricate links between CSA and ART adherence and the role of external factors on the relationship. ART adherence intervention programs may be needed for people who have experienced CSA. However, future studies are needed that will examine the association between CSA and ART adherence and include subgroup analyses.

EMDR Treatment of Childhood Sexual Abuse for a Child Molester: Self-Reported Changes in Sexual Arousal

Expanding on previous findings that eye movement desensitization and reprocessing (EMDR) therapy may alter deviant sexual arousal in adult child molesters with a history of childhood sexual abuse (CSA), this article describes the changes reported following the application of EMDR therapy to the memories of CSA in an adult male who had sexually offended against prepubescent children. The client had previously completed a cognitive behavioral intervention to address his offending behavior. EMDR therapy took place over 11 months and consisted of 32 sessions, including preparation and review phases. The aim of the therapy was to alleviate current reported distress and symptoms of posttraumatic stress disorder (PTSD) related to his memories of CSA. The client reported positive changes in emotional, cognitive, and physiological functioning, consistent with reductions on a range of subscales of the Trauma Symptom Inventory 2 and the Inventory of Altered Self-Capacities. However, on completion of therapy, he also reported a reduction in the frequency and strength of sexual arousal to children, which was maintained at a 3-year follow-up, although this was not a target for treatment. The experiences described during the EMDR process by this client are discussed and related to the adaptive information processing (AIP) model and previous findings on reported changes in sexual arousal in this client group.

Recovered Memories of Child Sexual Abuse: Forgetting to Remember and Remembering to Forget, Part 2: The Nature of Memory and Ordinary Forgetting

This is the second of three articles on recovered memories of child sexual abuse. The phenomenology of recovered memories is distinct from other, non-traumatic, memories and is most usefully considered in the context of the nature of memory and forgetting. A number of experimental paradigms and approaches that attempt to elucidate the mechanisms of recovered memory are described, and the evidence for the creation of false memories is examined and found wanting. The article concludes with a case study. The third article will consider the role of trauma and dissociation in recovered memories of child sexual abuse.

Recovered Memories of Child Sexual Abuse: Forgetting to Remember and Remembering to Forget, Part 3: The Role of Dissociation in Extraordinary Forgetting

This is the third of three articles on recovered memories of child sexual abuse. The results of laboratory studies on memory cannot be generalized to individuals with a history of childhood sexual abuse in whom memory disturbances are prevalent. Trauma is defined and identified as the driver of dissociation. The nature of dissociation and dissociative processes are explored, and the relationship to memory impairment is examined with an emphasis on the mechanisms of compartmentalization and detachment. Memory and the self are inextricably linked, and dissociation results in the fragmentation of autobiographical narrative. Contrary to what is often assumed, memory content is not the appropriate focus of trauma therapy and it is imperative that therapists working with survivors of child sexual abuse are adequately trained.

Recovered Memories of Child Sexual Abuse: Forgetting to Remember and Remembering to Forget, Part 1: A Perennial Controversy

This is the first of three articles on recovered memories of child sexual abuse. The controversy regarding recovered memories of sexual abuse is perennial and numerous clinical studies document the phenomenon. Study designs are variable and a number of methodological issues are explored. The recovery of memory is independent of the veracity of memory and there is consensus among a range of professional organizations that recovered memories are a valid entity. The second and third articles examine various approaches to elucidating the nature of memory and how it is affected by traumatic events.

Healing from Childhood Sexual Abuse: A Meta-Synthesis of Qualitative Studies

ABSTRACTAlthough the global prevalence of childhood sexual abuse (CSA) is very high, the experience of healing after such abuse has not been well documented. The goal of this study was to characterize the healing experience among CSA survivors presented in the literature. Metaethnography was used to synthesize an integrative literature review. The CINAHL, PubMed, PsycINFO, and Web of Science databases were used as data sources. Eight articles that explored healing experiences from CSA, published between 2007 and 2017, were included in the analysis. After performing a quality assessment, line-of-argument synthesis was used to construct the integrating scheme of healing experiences from CSA. CSA healing experiences included dissociating oneself from the memories of CSA, finding peace by creating a comfort zone, disclosure as the start of healing, attempting to establish identity through ongoing self-reflective activities, feeling comfort by sharing experiences and connecting with CSA survivors, and accepting CSA as part of the life history and stepping forward. Healing experiences from CSA synthesized from the analysis focused on personal growth, supporting previous theory on CSA health in the broader literature. A tailored care plan could be developed for CSA survivors who are at varying stages of healing.

Recovered memories of childhood sexual abuse – a controversy continues

Recovered memories of childhood sexual abuse – a controversy continues

Retrieving and Modifying Traumatic Memories: Recent Research Relevant to Three Controversies

The purpose of this article is to review recent research that is relevant to three controversies concerning memory for trauma. First, we briefly review the debate about recovered memories of childhood sexual abuse, summarizing a third interpretation distinct from both the repression and false-memory accounts. Second, we address new findings related to claims that memories of trauma, especially in people with posttraumatic stress disorder, are especially fragmented and disorganized. Third, we discuss research designed to test whether eye movements in eye-movement desensitization and reprocessing therapy are effective.

Deconstructing the lost in the mall study

In their frequently-cited “lost in the mall” study from two decades ago, Loftus and Pickrell claimed their findings “reveal that people can be led to believe that entire events happened to them after suggestions to that effect.” The study continues to be cited by the media and by academics to support claims that adults who recover memories of childhood sexual abuse have been led to believe such claims by therapists. The study parallels claims that parents coach children to falsely accuse and thus alienate the other parent in child custody cases. We describe how laws passed by state legislatures led to the need for a new defense for abuse accusations and how a foundation was established to promote that defense. We report that Loftus, who designed the study to support the new defense, testified over 20 years later that the study results apply only to the 24 subjects and cannot be applied to other populations.

Recovery of Repressed Memories in Fibromyalgia Patients Treated With Hyperbaric Oxygen - Case Series Presentation and Suggested Bio-Psycho-Social Mechanism.

Fibromyalgia Syndrome (FMS) is a condition considered to represent a prototype of central sensitization syndrome, characterized by chronic widespread pain and along with symptoms of fatigue, non-restorative sleep and cognitive difficulties. FMS can be induced by trauma, infection or emotional stress with cumulative evidence that dissociation is relatively frequent in FMS patients. Two randomized controlled trials have shown that hyperbaric oxygen therapy (HBOT) can induce neuroplasticity and be effective in patients suffering from FMS. In this paper we present, for the first time, case series of female fibromyalgia patients who, in the course of HBOT, suddenly recalled repressed traumatic memories of childhood sexual abuse (CSA). The surfacing of the repressed (dissociative) memories decades after the sexual abuse events was sudden and utterly surprising. No psychological intervention was involved. As the memories surfaced, the physical pain related to FMS subsided. In one patient who had brain single photon emission CT (SPECT) before and after HBOT, the prefrontal cortex appeared suppressed before and reactivated after. The 3 cases reported in this article are representative of a total of nine fibromyalgia patients who experienced a retrieval of repressed memory during HBOT. These cases provide insights on dissociative amnesia and suggested mechanism hypothesis that is further discussed in the article. Obviously, prospective studies cannot be planned since patients are not aware of their repressed memories. However, it is very important to keep in mind the possibility of surfacing memories when treating fibromyalgia patients with HBOT or other interventions capable of awakening dormant brain regions.

Psychological counseling and accuracy of memory for child sexual abuse.

Tens of thousands of child sexual abuse (CSA) cases are reported to authorities annually. Although some of the child victims obtain psychological counseling or therapy, controversy exists about the potential consequences for the accuracy of victims' memory of CSA, both in childhood and adulthood. Yet, delaying needed therapeutic intervention may have detrimental effects on the victims' well-being and recovery. To address this controversy, this study examined whether psychological counseling during a CSA prosecution predicts accuracy or inaccuracy of long-term memory for CSA. Participants (N = 71) were CSA victims who took part in a longitudinal study of memory and legal involvement. Data regarding participants' counseling attendance during the prosecution and details of their CSA cases were gathered throughout legal involvement and shortly thereafter (Time 1). Ten to 16 years later (Time 2), participants were questioned about a range of topics, including the alleged abuse. Time 1 counseling attendance significantly predicted more correct answers to abuse-related questions and (for corroborated cases) fewer overreporting responses at Time 2. Counseling was unrelated to underreporting responses. These results held even with other potential influences, such as abuse severity, victim-defendant relationship, posttraumatic stress disorder criteria met, testifying in the case, and delay, were statistically controlled. Although further research is needed, this study provides evidence that psychological counseling received by CSA victims during or shortly after prosecutions may improve later memory for abuse-related information. (PsycINFO Database Record

Recovered memories in clinical practice - a research review.

The problem of recovered memories concerns not only psychiatry, psychology or psychotherapy but it is also an important legal and judicial issue. Clinicians, scientists and lawyers are in unsolved dispute, called "memory wars", concerning the credibility of these memories, especially if they were recovered following specific therapeutic techniques or using self-help books. Many cases of recovered memories of childhood sexual abuse brought legal action against alleged offender. Investigations showed, however, that some of these memories were false. The aim of this article is to try to answer key questions concerning the issue if recovered memories: Is it possible not to remember traumatic experiences? In what conditions the autobiographical memories can be implanted? Is it possible to make a list of therapeutic techniques evoking false memories? What are the characteristics of a patient particularly vulnerable for false memories creation? Answers to the above questions are a ground for considerations concerning creation of favorable conditions for therapeutic work and minimizing mistakes resulting from the risk of implanting false memories.

Choreography, controversy and child sex abuse: Theoretical reflections on a cultural criminological analysis of dance in a pop music video

This article was inspired by the controversy over claims of ‘pedophilia!!!!’ undertones and the ‘triggering’ of memories of childhood sexual abuse in some viewers by the dance performance featured in the music video for Sia’s ‘Elastic Heart’ (2015). The case is presented for acknowledging the hidden and/or overlooked presence of dance in social scientific theory and cultural studies and how these can enhance and advance cultural criminological research. Examples of how these insights have been used within other disciplinary frameworks to analyse and address child sex crime and sexual trauma are provided, and the argument is made that popular cultural texts such as dance in pop music videos should be regarded as significant in analysing and tracing public perceptions and epistemologies of crimes such as child sex abuse.

Breastfeeding in Women Having Experienced Childhood Sexual Abuse.

Childhood sexual abuse (CSA) can have a serious effect on general and obstetric health. Breastfeeding includes several triggers for memories of abuse experiences, which will likely influence decisions about breastfeeding and its implementation in daily life. This is important since breastfeeding improves maternal well-being and bonding with the child. Research aim: As breastfeeding strongly influences the long-term health of children, we investigated experiences with breastfeeding in women with a history of CSA. Data on breastfeeding were collected within a research project designed to compare labor and delivery experiences in women with a history of CSA to women without such antecedents. Data from 85 women having experienced CSA and 170 controls pair-matched for maternal age, children's age, and nationality were evaluated. The clinical record of pregnancy and a self-administered questionnaire were used to collect data. Although the prevalence of breastfeeding was similar in women with and without CSA experiences (96.5% vs. 90.6%), women exposed to CSA more often described complications associated with breastfeeding (77.7% vs. 67.1%, p = .08). Mastitis (49.4% vs. 27.6%, p < .01) and pain (29.4% vs. 18.8%, p = .15) were reported significantly more often by women after CSA. For 20% of women after CSA, breastfeeding was a trigger for memories of CSA. Furthermore, 58% of women with CSA reported dissociation when breastfeeding. In addition to the growing list of potential health consequences of CSA experience, this experience seems to be associated with an increased number of problems when breastfeeding. However, most women with a history of CSA intend to breastfeed despite particular challenges related to CSA. A support protocol tailored to the specific needs of these women during pregnancy and the lactation period may help to improve breastfeeding and the early mother-child relationship.

False Memories in the Laboratory and in Life: Commentary on Brewin and Andrews (2016)

SummaryReviewing laboratory experiments, Brewin and Andrews (this issue) conclude that memory implantation techniques induce full‐blown false autobiographical memories in only 15% of subjects. Does this imply that guided imagery and related methods are unlikely to generate false memories of childhood sexual abuse in adult psychiatric patients? Not necessarily. Although these methods alone may seldom produce false memories, additional factors common in clinical settings are likely to amplify their capacity to do so in psychiatric patients (e.g., belief that repressed memories of trauma can cause symptoms; belief that these methods can recover repressed memories; high scores on dissociation measures). Copyright © 2016 John Wiley &amp; Sons, Ltd.