"Recovered-memory" therapy: profession at a turning point.

Abstract:

:Six hundred Massachusetts-registered psychiatrists were surveyed for their opinions on items plausibly related to the production of false memories of childhood sexual abuse. One hundred fifty-four psychiatrists completed the written questionnaire. A majority of respondents (69%) endorsed the following statement: "The numbers of false accusations of childhood sexual abuse, appearing to emerge from the psychotherapy of adults, constitute a real problem needing public acknowledgment as such by the mental health professions." Nevertheless, a substantial minority endorsed the following practices: 37% endorsed searching for childhood roots of presenting complaints; 36% endorsed validation (expressed belief) of the patient's memories as an essential part of therapy; 36% believed in appropriateness of affect as an indicator of truth in memories; 36% believed in the therapeutic value of abreaction; 26% would refer presumed survivors of abuse to specialists in incest recovery; 18% believed in ritual abuse as an important cause of posttraumatic stress disorder (PTSD) and dissociative disorders; 18% trusted symptom checklists as indicators of sexual abuse histories; and 15% believed that memory is a complete record of the individual's history. Small minorities (6% to 8%) endorsed these practices: using hypnosis to gain access to repressed memories of childhood abuse; patient confrontation of alleged abusers; and recommending the severing of contacts with skeptical family members. A factor analysis was performed, and it was found that self-designated specialists were more likely than nonspecialists to score toward the riskier pole of the four factors extracted.

journal_name

Compr Psychiatry

journal_title

Comprehensive psychiatry

authors

Feigon EA,de Rivera J

doi

10.1016/s0010-440x(98)90045-1

subject

Has Abstract

pub_date

1998-11-01 00:00:00

pages

338-44

issue

6

eissn

0010-440X

issn

1532-8384

pii

S0010-440X(98)90045-1

journal_volume

39

pub_type

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