During the past few years, the popular press has reported many stories about adults who suddenly remember having been abused as children. Some media reports have emphasized the unusual circumstances or content of such "recovered memories" while other reports have declared that the "recovery" of memories of abuse is false for a variety of reasons. Little in the press, however, has dealt with the science relating to memories of childhood trauma.
Is it possible to forget childhood trauma?
People forget names, dates, faces, and even entire events all the time.
But is it possible to forget terrible experiences such as being raped?
Or beaten? The answer is yes - under certain circumstances. For more
than a hundred years, doctors, scientists, and other observers have
reported the connection between trauma and forgetting. But only in the
past 10 years have scientific studies demonstrated a connection between
childhood trauma and amnesia. Most scientists agree that memories from
infancy and early childhood - under the age of two or three - are
unlikely to be remembered. Research shows that many adults who remember
being sexually abused as children experienced a period when they did not
remember the abuse. Scientists also have studied child victims at the
time of a documented traumatic event, such as sexual abuse, and then
measured how often the victims forget these events as they become
adults. They discovered that some people do forget the traumatic
experiences they had in childhood, even though it was established fact
that the traumatic events occurred.
What makes people remember a traumatic event after such a
long delay?
At the time of a traumatic event, the mind makes many associations with
the feelings, sights, sounds, smells, taste, and touch connected with
the trauma. Later, similar sensations may trigger a memory of the event.
While some people first remember past traumatic events during therapy,
most people begin having traumatic memories out side therapy. A variety
of experiences can trigger the recall. Reading stories about other
people's trauma, watching television programs that depict traumatic
events similar to the viewer's past ex perience, experiencing a
disturbing event in the present, or sitting down with family and
reminiscing about a terrible shared episode - for some people, these
kinds of experiences can open the floodgates of frightful and horrible
memories.
Are recovered memories always accurate?
Scientists believe that recovered memories - including recovered
memories of childhood trauma - are not always accurate. When people
remember childhood trauma and later say their memory was wrong, there is
no way to know which memory was accurate - the one that claims the
trauma happened or the one that claims it did not.
How might false memories develop?
A great deal of laboratory research involving normal people in everyday
situations demonstrates that memory is not perfect. Evidence shows that
memory can be influenced by other people and situations; that people can
make up stories to fill in memory gaps, and that people can be persuaded
to believe they heard, saw or experienced events that did not really
happen. Studies also reveal that people who have inaccurate memories can
strongly believe they are true.
What kind of treatment is helpful for problems associated
with early trauma?
Trauma - focused treatments do work, though not all the time and not for
every person. It is important for doctors, psychotherapists, and other
health - care providers to begin a treatment plan by taking a complete
medical and psychiatric history, including a history of physical and
psychological trauma. Knowledge about details of traumatic experiences
and some of their possible effects can help professional caregivers
formulate a treatment approach that might reduce symptoms and improve
daily functioning.
How does trauma-focused therapy work?
The point of trauma - focused therapy is not to make people remember all
the disturbing things that ever happened to them. People do not need to
remember every detail in order to heal. Rather, the goal of
psychotherapy is to help people gain authority over their trauma -
related memories and feelings so that they can get on with their lives.
To do this, people often have to talk in detail about their past
experiences. Through talking, they are able to acknowledge the trauma -
remember it, feel it, think about it, share it, and put it in
perspective. At the same time, to prevent the past from continuing to
influence the present negatively, it is vital to focus on the present,
since the goal of treatment is to help individuals live healthier, more
functional lives in the here and now.
What is the therapist's role in uncovering traumatic
memories?
Just as it is harmful for people to believe that something horrible
happened to them when nothing did, it is equally harmful for people to
believe that nothing happened when something bad did occur. Ultimately,
the individual involved - not the therapist - must reach a conclusion
about what happened in the past. Good therapy shouldn't create or
reinforce false beliefs, whether the beliefs are of having been abused
or of not having been abused. Competent therapists realize their job is
not to convince someone about a certain set of beliefs, but to let
reality unfold for each person according to the individual's own
experience, interpretation, and understanding. Helpful psychotherapy
provides a neutral, supportive environment for understanding oneself and
one's past.
Are there things a therapist should not do?
Every profession has specific standards of conduct for its
practitioners. Based on the current state of knowledge, it is safe to
say that some practices are risky. First, a therapist should not
automatically assume that certain symptoms mean a person has been
abused. Since the same symptoms can often point to a variety of causes,
symptoms alone can't provide a proper indication of childhood trauma.
Encouraging people to imagine they were traumatized when they have no
memory of a traumatic event may promote inaccurate memories. Encouraging
such memories under the influence of hypnosis or sodium amytal - 'truth
serum' - can further increase the risk of inaccuracies. It also is not
appropriate for a therapist to instruct patients to pursue a particular
course of action, such as suing or confronting the alleged perpetrator
or severing all family ties.
What should I do if I think I may have been
abused?
People sometimes suspect they may have been abused as a child, but they
can't clearly remember events or are told things that contradict their
memories. Trained therapists can provide individuals with the
opportunity to look objectively at their suspicions, consider
alternative explanations for their feelings, and become informed about
the way memory works or can become distorted. Thus the goal of therapy
is to address client - generated concerns about possible childhood
sexual abuse, to help clarify the issues related to such concerns, to
resolve leftover feelings or ways of behaving that may be due to such
traumatic ex periences or concerns, and to help each client shift his or
her focus from the past to the pres ent and beyond.
Why is it important to get help for problems related to
traumatic childhood events?
Traumas and adversities in childhood may leave scars that last into
adulthood and put a person at risk for a variety of difficulties. This
is true for all kinds of early traumas, including accidents, disasters,
and witnessing violence directed at others, but it is especially true
for child abuse and neglect, the victims of which have been studied
extensively. Not all childhood trauma survivors ex perience difficulties
in adulthood. However, for many people, it may be important to come to
terms with past traumatic events. People who have been in treatment can
gain relief from anxiety and depression and are able to stop focusing on
the disturbing memories and feelings associated with traumatic childhood
events.
For more information, contact your state mental health or
social work association, psychological or psychiatric association, or
victims' service or sexual assault crisis agency.
This pamphlet is based on a document entitled "Childhood Trauma
Remembered:
A Report on the Current Scientific Knowledge Base and its Applications,"
prepared
by the International Society for Traumatic Stress Studies. If you would
like to
receive a copy, contact The International Society for Traumatic Stress
Studies.
Cover art: Beebe's Birthday ©1993 by Ami Simms. This wall quilt
features over 180
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made the
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The International Society For Traumatic Stress
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phone 847-480-9028
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