Memories of childhood sexual abuse: narrative analyses of types, experiences, and processes of remembering

The study explored types of memory for childhood sexual abuse (CSA) in a clinical sample of 30 women and identified factors that led some women (n = 24) to report recovered memories. Questionnaires produced three types of memory: always (n = 6), recovered (n = 14), both (n = 10); however, analysis of narrative data also revealed the use of language that could not be categorized into discrete types. Recovered memories were linked to three categories of experience (cumulative reactions, atypical reactions, and atypical experiences). Subcategories identified specific contexts associated with those experiences. Findings suggest that further research is needed on the phenomenology of memory experiences using language derived from CSA survivors and a better understanding of the long-term process of interpretations of key experiences that result in reports of recovered memories.     

Symptom Overreporting and Recovered Memories of Childhood Sexual Abuse

The authenticity of recovered memories is a much debated issue. Surprisingly, no study has systematically looked at symptom overreporting in people claiming recovered memories of childhood sexual abuse (CSA). In a first sample we administered the Structured Inventory of Malingered Symptomatology (SIMS) to individuals who said they had recovered CSA memories (n=66), individuals who said their CSA had always been accessible (continuous CSA memory group; n=119), and controls who said they had no CSA experiences (n=83). In a second sample individuals reporting recovered (n=45) or continuous (n=45) CSA memories completed the Morel Emotional Numbing Test (MENT). Our aim was to compare these groups with regard to their tendency to overreport symptoms. The results indicate that people with recovered memories do not score higher on the SIMS and the MENT than other CSA survivors suggesting that symptom overreporting is not typical for people reporting recovered memories.     

From Traumatic Memory to Traumatized Remembering: Beyond the Memory Wars, Part 1: Agreement

From the mid-1980s onwards, US courts have seen a dramatic increase in personal injury and criminal cases alleging harm caused by sexual abuse whose memories were ??recovered?? after decades of forgetting. These recovered memory claims were countered by the defense that they were false memories. Three types of personal injury cases have been the center of media attention: (1) adult daughters suing their fathers for alleged childhood incest; (2) families and patients suing psychotherapists for allegedly suggesting false incest memories; and (3) adults suing the Catholic Church alleging sexual abuse by priests. Legal outcomes have been inconsistent in part because scientific controversy has called the reliability of recovered memories into question. This article is the first in a three-part series that provides a forensic framework for understanding the current state of the recovered memory/false memory debate. It briefly describes the reasoning behind inconsistent legal decisions, identifying the minimum scientific issues that must achieve consensus to meet the needs of the legal system. It proposes epistemological criteria for determining whether a consensus has been achieved. It then identifies recovered memory issues about which there is now a consensus. The second article identifies recovered memory issues that lack consensus. The third article argues that the scientific controversy reflected confusion about different memory types. It proposes a phenomenological schema to integrate them and reduce legal confusion. It concludes that there is sufficient consensus about some recovered memory issues to meet minimal legal needs, while more research is needed for others.     

Effects of prior knowledge and expert statement on belief in recovered memories: an international perspective

We tested the hypothesis that beliefs in the purported attributes of recovered memories of child sexual abuse (CSA) are associated with knowledge of the "recovered/false memory debate", and that such beliefs will be related to assessments of the credibility of statements made by participants in a vignette about CSA. Participants from five countries (the United States, Canada, New Zealand, the United Kingdom and Israel) responded to a questionnaire regarding beliefs about recovered memory as well as self-reported exposure to and knowledge of the debate. In addition, they assessed the credibility of statements made by a daughter (reporting recovery of memories of sexual abuse by her father), her father (denying the allegation and accusing the daughter's therapist of implanting in her false "memories" of abuse), and two experts (each supporting one of the two protagonists). We found that prior knowledge of the debate across countries was linked to beliefs in specific attributes of recovered memories and to a subset of the credibility assessments of statements made by the protagonists and their experts. For individuals, however, credibility assessments were unrelated to knowledge of the debate, but they were related to beliefs about memory recovery. Finally, credibility of the protagonists' statements was differentially associated with those made by the daughter's and the father's experts. The results suggest that whereas familiarity with the debate does not affect the credibility of the statements made by the complainant and the accused, expert testimony does, as has been found in prior research. The psycholegal implications of this conclusion are discussed.     

Recounting Graphic Sexual Abuse Memories in Therapy: The Impact on Women's Healing

This retrospective study investigates the impact on women's functioning of recounting during their therapy the graphic details of sexual abuse they had experienced in childhood. Fifty-nine participants residing in Southern Ontario were divided into two groups: those who spent more time (N=19) versus less time (N=40) in therapy recounting graphic abuse details. Results revealed that the group who had spent more time recounting abuse memories: (a) had mean functioning scores that were significantly lower before and during therapy, but that did not significantly differ after therapy; (b) recovered more memories of abuse during therapy, and (c) were more likely to have participated in hypnosis, and to report having been encouraged to remember details of abuse. Participants rated as most therapeutic those approaches that assisted them to increase their understanding of the abuse. Strategies related to acceptance, understanding, and making meaning were most important in promoting healing.     

A dangerous direction: legal intervention in sexual abuse survivor therapy

In this Article, Professors Bowman and Mertz question recent popular and academic commentary that disputes the validity of all delayed-recall memories of childhood sexual abuse. They examine one court's decision to allow a father, accused by his daughter of childhood sexual abuse, to recover malpractice damages from his daughter's therapist in connection with therapy during which the daughter recovered memories of the abuse. The authors argue that such third-party liability is unsound in terms of established principles of tort doctrine and in terms of public policy. After a review of the scientific evidence, the authors further conclude that, although some memories may be inaccurate, delayed-recall memory can also accurately reflect that past abuse occurred. Permitting third-party liability against therapists when accurate memories of abuse surface in therapy gives abusers a weapon to use against their victims. Because such suits exclude the party in privity (the client), they effectively erase the victim's voice. Professors Bowman and Mertz argue that such a novel extension of third-party liability is at best a misuse of the courts' resources and ultimately harms abuse survivors, therapists, and the community far more than it helps any wrongfully accused parents.     

Degrees of Memory of Childhood Sexual Abuse Among Women Survivors in Therapy

Past and current memory for childhood sexual abuse reported by a clinical sample of 160 women survivors was assessed utilizing a structured clinical interview. Response alternatives for memory were ordered along a continuum. To minimize treatment effects, participants were interviewed as early in therapy as possible. Fairly complete recollection both in the past and currently was reported by 26.3% of the sample, 36.9% apparently lost and subsequently recovered sexual abuse memories, and 36.9% endorsed intermediate degrees of memory. Only 2.5% indicated a decrease in degree of recollection over time. Age at onset was the only abuse characteristic found to differentiate participants with fairly complete memory from the rest of the sample. Findings are interpreted as illustrating that conclusions about memory for abuse are highly dependent on the way inquiries are conceptualized and worded.     

Perceptions of repressed memories: A reappraisal

College students read a trial summary of a sexual abuse case. The victim in the case either claimed that (a) her memory for the abuse had been repressed for 20 years and only recently recovered during therapy, or (b) she consciously remembered the abuse for 20 years but never discussed it until recently in therapy. Participants were significantly more likely to convict the defendant when the testimony was described as nonrepressed (67%) versus repressed (58%). This effect was not modified by the age of the victim at the time the alleged abuse occurred (either 3, 8, or 13 years of age), although the younger and older victims were significantly less believable than the 8-year-old victim. Compared to female participants, male participants were significantly less likely to convict the defendant and rated the victim as significantly less believable. These findings are discussed in the context of recent research on juror reactions to repressed memory testimony.     

Semantic and Episodic Autobiographical Memory Recall for Memories Not Directly Associated with Childhood Sexual Abuse

A pattern of overgeneral autobiographical memory recall for memories not directly associated with the abuse has been found in previous research. However, studies with a non psychiatric population are limited. In a non psychiatric student population sample, this study will use two methods of accessing autobiographical memory, The Children's Autobiographical Memory Inventory (CAMI) and the Autobiographical Memory Task (AMT). Contrary to the predictions, this study did not find that episodic recall to the AMT was less specific and episodic recall to the CAMI contained greater detail for both the abuse group and the trauma control group compared to a no trauma control group. Significant differences were found between groups on personal semantic recall with the CSA group reporting significantly lower semantic recall than the two control groups. These findings are relevant to therapeutic interventions as well as having potential implications for interviewing and obtaining statements to be used as evidence.     

Simulations of child sexual abuse interviews using avatars paired with feedback improves interview quality

We tested whether simulated child sexual abuse (CSA) interviews with computer-generated child avatars could improve interview quality. Feedback was provided not only on question types, as in previous research, but also on whether the conclusions drawn by the interviewers were correct. Twenty-one psychology students (average age M = 24.5) interviewed four different avatars which had a simulated story of either abuse or non-abuse. The participants were randomly divided into two groups: one received feedback on question types and conclusions after each simulated interview and the other one did not receive any feedback. Avatars revealed pre-defined ‘memories’ as a function of algorithms formulated based on previous empirical research on children's suggestibility. The feedback group used more open-ended and fewer closed questions. They also made more correct conclusions and found more correct details in the last two interviews compared to the no-feedback group. Feedback on both the question types and conclusions in simulated CSA interviews with avatars can improve the quality of investigative interviews in only one hour. The implications for training practice were discussed.     

The use of multiple informants to assess children's maltreatment experiences

Most researchers rely exclusively on the reports of protective service workers to determine children's abuse history. In this report, information about children's maltreatment experiences is obtained from protective service workers and three supplementary sources of data: parents, medical records, and clinical observations. Fifty-six children from 34 families receiving protective services for verified reports of physical abuse, neglect, sexual abuse, and/or emotional maltreatment participated in the study, with most children known to have experienced more than one type of abuse. The supplementary data provided important information about the range and severity of children's maltreatment experiences. Review of the parent and medical record data led to identification of 28 children who had additional types of maltreatment experiences that were not reported by their protective services workers—nine cases of physical abuse, two cases of neglect, five cases of sexual abuse, and 12 cases of emotional maltreatment. Supplementary data also revealed information about incidents of specific types of abuse that were more severe than those reported by the children's protective service workers in an additional 24 cases. A method was devised to synthesize information provided from the different sources of data examined in this report to derive 0–4 point ratings of four categories of maltreatment experiences: (1) physical abuse, (3) neglect, (3) sexual abuse, and (4) emotional maltreatment. The Kappa reliability coefficients for each of these scales were .88, .73, .83, and .90, respectively. Data demonstrating the relationship between these maltreatment ratings and various indices of the children's socioemotional and cognitive functioning were also presented to provide preliminary support for the validity of these scales. The findings from this study suggest that multiple sources of data should be examined in order to obtain accurate assessments of children's maltreatment experiences, and that independent raters can synthesize discrepant data to obtain reliable and valid estimates of children's abuse history. Clinical and methodological issues relevant to the improved assessment of children's maltreatment experiences are also discussed.     

Sexual Trauma and Psychological Injuries: What Experts Need to Know

This article was written to introduce readers to the bodies of work that inform experts who conduct evaluations of plaintiffs or offer generic testimony in cases involving claims of psychological injuries in the aftermath of sexual trauma, including childhood sexual abuse, adult sexual assault, and sexual harassment. In addition to summarizing the research literatures on those three areas of maltreatment, it reviews what mental health experts should know about our laws, about professional standards for evaluations, and about other relevant areas of research, such as assessment of posttraumatic stress symptoms, disclosures by young children, “normal” childhood sexual behaviors, “repressed” or “recovered” memories, memory and trauma, memory distortions, and resilience.     

What Makes Recovered-Memory Testimony Compelling to Jurors?

Little is known about how jurors arrive at verdicts in cases involving recovered memories of childhood sexual abuse. Study 1 investigated mock jurors' reactions to the recovered-memory testimony of an alleged victim when a therapist intervened with hypnosis, suggestion, or symptom management. When a therapist used hypnosis, jurors viewed the victim's recovered-memory testimony as particularly accurate and credible, and favored the victim in their verdicts. In Study 2, mock jurors were presented with a therapist who was sued for allegedly influencing a client's recall of false memories of abuse. In this case, however, jurors viewed therapists who used hypnosis or suggestion as more likely to have created false memories, more responsible for having caused harm, and less competent, and tended not to favor these therapists in their verdicts. We discuss these seemingly contradictory findings in terms of how culturally formed expectancies about hypnosis produce different causal explanations depending on the focus of a trial.     

Perspectives of young adult males who displayed harmful sexual behaviour during adolescence on motive and treatment

ABSTRACT

Few studies have examined the subjective experiences of young people following interventions for sexually abusive behaviour. To learn more about how this population experienced these interventions and how these interventions, affect their adult life, 22 adult males (m?=?22 years) who were assessed as teenagers (m?=?15 years) for sexually abusing children or peers were interviewed, on average six years after the assessment of their offence. Three main themes were identified: something sexual happened (recalling memories of the sexual acts and motives of the behaviour), societal actions (interventions offered), and life has been affected (memories and feelings associated with the abuse still being present). Seven respondents (32%), who all had a cognitive disability, had sexually reoffended by follow-up. If the respondents received interventions that focused on their abusive behaviour, they were likely to find the interventions helpful. Interventions that did not address abusive behaviour, were perceived as less helpful for dealing with their behaviour, and the short- and long-term consequences associated with this behaviour. Respondents reported feelings of sadness and guilt associated with their sexually abusive behaviour and these feelings remained into adulthood. These findings suggest that interventions for this population need to address the individual needs of the adolescent as well as sexual behaviour problems. In addition, interventions should include opportunities for follow-up.     

Violent behavior in female inmates: possible predictors

Research findings have been equivocal regarding the relationship between experiencing trauma and exhibiting violent behavior in women. This study seeks to determine predictors of violent behavior in female inmates utilizing various conceptualizations of traumatic experiences. Results indicate a significant univariate relationship between experiencing more frequent physical abuse experiences, both interpersonal and noninterpersonal types of trauma, and both physical and sexual assaults with frequency of engagement in violent behavior. The regression model explained approximately 21.0% of the variance in violent behavior. Furthermore, frequency of physical abuse experiences was a significant predictor of frequency of engagement in violent behavior and explained 12.74% of unique variance. These results suggest that the frequency of physical abuse experiences may serve as a risk factor for women's violent behavior. Although more research is needed, it appears that addressing the potential for violence in women who experience abuse may be an appropriate target of treatment.     

How to induce resistance to the misinformation effect? Characteristics of positive feedback in the reinforced self-affirmation procedure

ABSTRACT

The memory misinformation effect consists in the inclusion in witness testimonies of information from sources other than the given event. In the present article, research which aims to make people resistant to misinformation is presented. It is based on reinforced self-affirmation (RSA), a method designed to enhance participants’ self-confidence and therefore make them more willing to rely on their own memories instead of external sources. RSA includes self-affirmation and positive feedback. In the present research, the efficacy of various kinds of positive feedback was explored. The results of Experiment 1 suggested that positive feedback relating to memory (MemRSA) is effective in reducing the misinformation effect, while positive feedback relating to general cognitive ability is not. In Experiment 2, the superiority of MemRSA over inefficient feedback relating to attention was demonstrated. In Experiment 3, MemRSA was again effective, and more effective than inducing convictions about the independence of judgements, but this also reduced the misinformation effect. The results are discussed from the perspective of witnesses who remember the correct information yet rely on external sources due to a lack of confidence in t aforementioned heir memories.     

Rural�CUrban Migration and Experience of Childhood Abuse in the Young Thai Population

Evidence suggests that certain migrant populations are at increased risk of abusive behaviors. It is unclear whether this may also apply to Thai rural-urban migrants, who may experience higher levels of psychosocial adversities than the population at large. The study aims to examine the association between migration status and the history of childhood sexual, physical, and emotional abuse among young Thai people in an urban community. A population-based cross-sectional survey was conducted in Northern Bangkok on a representative sample of 1052 young residents, aged 16-25?years. Data were obtained concerning: 1) exposures-migration (defined as an occasion when a young person, born in a more rural area moves for the first time into Greater Bangkok) and age at migration. 2) outcomes-child abuse experiences were assessed with an anonymous self report adapted from the Conflict Tactics Scales (CTS). There were 8.4%. 16.6% and 56.0% reporting sexual, physical, and emotional abuse, respectively. Forty six percent of adolescents had migrated from rural areas to Bangkok, mostly independently at the age of 15 or after to seek work. Although there were trends towards higher prevalences of the three categories of abuse among early migrants, who moved to Bangkok before the age of 15, being early migrants was independently associated with experiences of physical abuse (OR 1.9 95%CI 1.1-3.2) and emotional abuse (OR 2.0, 95%CI 1.3-3.0) only. Our results suggest that rural-urban migration at an early age may place children at higher risk of physical and emotional abuse. This may have policy implications for the prevention of childhood abuse particularly among young people on the move.     

No One Type of Intimate Partner Abuse: Exploring Physical and Non-Physical Abuse Among Intimate Partners

Although research into intimate partner abuse has expanded throughout the past several decades and increased our understanding of this multi-faceted phenomenon, the vast majority of empirical work is still focused almost exclusively on physical violence—against women in particular. Although a crucial issue in our society, physical violence against women is only one facet in an array of possible abusive behaviors toward an intimate partner. Researchers have long acknowledged the existence of multiple forms of non-physical abuse. These types of abuse have received little research attention, however, and are commonly lumped together simply as “non-physical” or “emotional” abuse. There is no reason to believe, however, that all forms of non-physical abuse are the same, whether in intensity, frequency, or co-existence with physical violence. The current study attempts to disentangle the multiple types of nonviolent abuse to examine prevalence, differences by sex, and its relationships to physical abuse. Using Tjaden and Thoennes’ (1998) survey data, this study examines the prevalence of different types of non-physical abuse, both in the general population and among those experiencing physical violence Findings indicate that non-physical partner abuse is more common than physical and that non-physical abuse does not show striking sex differences, as is commonly believed. There is strong evidence that some types of non-physical abuse serve as clear risk factors for physical abuse and may increase risk of more frequent violence among those already being abused. These relationships do not, however, differ by sex. Implications for future research are discussed.

Child Abuse and the Experience of Violence in College Dating Relationships: Examining the Moderating Effect of Gender and Race

Prior research suggests that being abused during childhood significantly increases one’s risk for the involvement in violent intimate relationships across the life course. The current study contributes to the literature by using a large sample of college students to explore the moderating effects of race and gender on the relationship between child abuse and later experiences of intimate partner violence. Results indicate that for both men and women, child abuse increases the risk for dating violence. Findings also suggest that specific race and gender combinations moderate the relationship between child abuse and later experiences of IPV, specifically regarding the risk for mutual or bidirectional violence. Implications for prevention and intervention and directions for future research are discussed.     

A comparison of memory for homicide, non-homicidal violence, and positive life experiences

Defendants commonly claim amnesia for their criminal actions especially in cases involving extreme violence. While some claims are malingered or result from physiological factors, other cases may represent genuine partial or complete amnesia resulting from the psychological distress and/or extreme emotion associated with the perpetration of the crime. Fifty Canadian homicide offenders described their memories of their homicide, a non-homicide violent offense, and their most positive adulthood life experience. Self-reported and objective measures of memories for these events revealed that homicides were recalled with the greatest level of detail and sensory information. Although dissociative tendencies were associated with a self-reported memory loss, objective measures of memory quality did not reflect this perceived impairment, suggesting a failure of meta-memory. Recollections of positive life events were superior to those of non-homicidal violence, possibly due to greater impact and meaning attached to such experiences. Findings suggest that memory for homicide typically is enhanced by the powerful emotion associated with its perpetration.