Memories Of Sexual Abuse Research Articles

Repressed Memories (of Sexual Abuse Against Minors) and Statutes of Limitations in Europe: Status Quo and Possible Alternatives.

One of the most heated debates in psychological science concerns the concept of repressed memory. We discuss how the debate on repressed memories continues to surface in legal settings, sometimes even to suggest avenues of legal reform. In the past years, several European countries have extended or abolished the statute of limitations for the prosecution of sexual crimes. Such statutes force legal actions (e.g., prosecution of sexual abuse) to be applied within a certain period of time. One of the reasons for the changes in statutes of limitations concerns the idea of repressed memory. We argue that from a psychological standpoint, these law reforms can be detrimental, particularly when they are done to endorse unfounded psychological theories. The validity of testimonies is compromised many years after the alleged facts, and abolishing the statute of limitations increases the chance that even more (false) recovered memories of abuse might enter the courtroom. We propose solutions to these changes such as establishing an independent expert committee evaluating claims of sexual abuse.

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.

Suppression and Memory for Childhood Traumatic Events: Trauma Symptoms and Non-Disclosure.

Self-reported lost memory of child sexual abuse (CSA) can be mistaken for "repressed memory." Based on our longitudinal studies of memory and disclosure in child maltreatment victims who are now adults, we discuss findings relevant to "repressed memory cases." We examined relations between self-report of temporarily lost memory of CSA (subjective forgetting) and memory accuracy for maltreatment-related experiences (objective memory). Across two studies involving separate samples, we find evidence for memory suppression rather than repression: (1) Most adults who claimed temporary lost memory of CSA reported memory suppression and clarified that they could have remembered the event if asked; (2) subjective forgetting was positively associated with accurate objective memory for maltreatment-related experiences. Subjective forgetting was also related to increased adult trauma symptoms and related to childhood non-disclosure of CSA. Moreover, trauma-related psychopathology mediated the relation between non-disclosure and subjective forgetting. Implications for psychological theory and repressed memory cases are discussed.

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.

(189) Sexual Abuse and Vesico-Sphincter Dysfunction

Abstract Introduction Even though urologists know that there may be an association between sexual abuse and urinary disorders, finding sexual abuse (SA) is often not part of their standardized questioning. Objective Evaluate the incidence of sexual abuse (SA) in women with vesico-sphincter dysfunction, to understand the cause-and-effect relationship in order to adapt their management. Methods A multi-parametric, cross-sectional study was conducted by a female doctor looking for sexual assault, the latter interviewed 214 women (42 years, extremes 19-75 years), followed by specialists between January 2017 and December 2019. All patients were evaluated by voiding schedule, MHU score (a measure of urinary disability), bladder fibroscopy, and urodynamic workup and spinal MRI to exclude neurological injury. The results are presented in Tables 1 and 2. Results The possible recollection of a memory of sexual abuse leads to a categorical refusal of the urogynecological clinical examination or an attitude of opposition during a urodynamic or proctological examination. No correlation between the painfulness of this memory and the seriousness of what induced it has been demonstrated; sometimes a simple examination may have been experienced as aggression. The observation of a "frozen" perimeter, which does not contract with the effort of restraint and does not relax with the push or the request for relaxation, will draw our attention even more to the fact that it is a hypertonic perimeter. Conclusions Sexual assaults are very frequent and their management is multidisciplinary due to the physical, psychological, or psychosomatic consequences. They concern men as well as women, regardless of the socio-economic context, and this has been shown in all epidemiological studies. This proves the strong causal link between LUTS and sexual abuse. Disclosure No

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.

Safety: From the Paris Morgue to Oxytocin.

On Tuesday April 21, 1896, Freud gave a lecture to the Viennese medical community arguing that "hysteria," as it was then known, was caused by memories of actual physical and sexual abuse suffered in childhood. Freud rightly felt that he had made a major discovery about the science of hysteria, of psychotherapy, and of the mind. However, his idea was ridiculed. Freud's reaction to his detractors was swift: "They can go to hell." Freud withdrew "into a cocoon." When he emerged a year later, he brought with him a new science-the "science" of psychoanalysis, which for all its creativity and imagination, was devoid of science. One of the core concepts that would be sacrificed was safety itself. The "reality" of safety (and thus the reality of danger) was replaced by the "phantasy" of safety (and thus the phantasy of danger). This article reexamines some of the science that psychoanalysis took out. In particular the article looks at early attachment, safety, oxytocin, and the role of the autonomic nervous system. The reintroduction of science to psychotherapy is critical if psychotherapy is to be a science of the mind.

Reflecting on a painful Past

This study examines the role of a local newspaper in shaping a community’s collective memory of child sexual abuse by documenting changing representations of a former rural orphanage and its custodians where such horrific crimes took place. The paper conducts an across-time analysis of news coverage (1944–1954 and 2010–2020) to map these changing representations in their media, policy and social contexts. It extends scholarship around collective memory and temporal reflexivity as a provocation for journalists to acknowledge and engage with their news outlet’s own mediated past (no matter how uncomfortable) when reporting on and interpreting events such as Australia’s Royal Commission into Institutional Responses to Child Sexual Abuse.

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.

Dental care - an emotional and physical challenge for the sexually abused.

The aim was to explicate persistent psychological and bodily memories of sexual abuse and how they are expressed during dental appointments. The participants comprised 13 sexually abused individuals (11 women), who recalled and expressed these experiences during a dental appointment. They were encouraged to describe, in detail, aspects of the appointment which triggered memories of the sexual abuse. The interviews were recorded, transcribed verbatim, and analyzed using Qualitative Content Analysis. The identified overall theme illustrating the latent content was 'An echo of sexual abuse transformed into (dys) functional reactions'. The first category covering the manifest content was 'The inner invisible struggle', with two subcategories: (i) mental inscriptions of the abuse experience; and (ii) consequences of the dental encounter. The second category was 'The discoverable manifestations', with two subcategories: (i) enigmatic communication; and (ii) expressions of bodily memories. The dental appointment arouses similar psychological stressful reactions as the episodes of abuse; both implicit and explicit expressions are recognizable. Dental staff can contribute to disclosure by improved understanding of the strain a dental appointment can cause in patients who have been subjected to sexual abuse and familiarity with the associated bodily expressions.

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 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.

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 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.

“It’s Almost Impossible to Speak about It”: Sexual Abuse, Forgiveness, and the Need for Restitution Rituals

The focus of this research was on ways in which Christian congregations can address the concept of forgiveness when caring for victims of sexual abuse, and to make suggestions for a restitution mass as a possible way for congregations to work with these victims. Interviews with seven women and one man, who were victims of sexual abuse, were analyzed according to inductive thematic analysis. Our focus was on abuse that had occurred outside Church, i.e., not perpetrated by representatives for the Church. The informants described how attending services in Church could trigger their memories of sexual abuse, and they struggled to understand the concept of forgiveness; who they were to forgive and what made their forgiveness good enough. They expressed a need for the Church to offer them a safe space, rituals where their experiences would be acknowledged, and to meet with other victims of sexual abuse. We argue that representatives for the Church need to acquire knowledge about sexual abuse and its consequences before offering care. Further, the presence of victims of sexual abuse in a congregation demands that the congregation create appropriate conditions where the victim’s needs and concerns are put into focus. Addressing forgiveness and offering rituals must be done in such a way that it does not consolidate the victim’s feelings of exclusion, guilt, and shame.

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

Narrative fragmentation in child sexual abuse: The role of age and post-traumatic stress disorder

The present study aimed to assess the effects of age and PTSD on the narrative fragmentation in memories for child sexual abuse. Lexical complexity, cohesion and coherence were analyzed within a group of 86 allegations of children (M=10years; SD=3.7; range: 4–17) who were victims of sexual abuse. Results illustrated that age played an important role in establishing narrative coherence and predicted the level of orientation, the sequence of events and the level of evaluation of the event. Instead, PTSD was related to narrative coherence and cohesion. Therefore, in children, the narrative fragmentation could be an effective diagnostic tool for understanding the effects of PTSD. Moreover in a legal setting the traumatic effects of PTSD on the narrative coherence and cohesion could be significant indices in the evaluation of child testimony.