Goodyear-Smith F A, Laidlaw T M, Large R G
Department of Psychiatry and Behavioural Science, University of Auckland, New Zealand.
Health Care Anal. 1997 Jun;5(2):99-111; discussion 112-35. doi: 10.1007/BF02678412.
Both the theory that traumatic childhood memories can be repressed, and the reliability of the techniques used to retrieve these memories are challenged in this paper. Questions are raised about the robustness of the theory and the literature that purports to provide scientific evidence for it. Evidence to this end is provided by the authors which surveyed New Zealand families in which one member had accused another (or others) of sexual abuse on the basis of recovered memories. It is shown that a number of these allegations involve very low probability events. Since memory repression theory is not currently scientifically substantiated it is argued that care needs to be taken in the mental health, legal and insurance compensation arenas. Memories recalled during therapy may be treated as metaphorical but, in the absence of corroborative evidence, should not be considered factually true. Clinicians who wish to use memory recovery techniques should inform patients of their experimental and controversial nature, point out adverse effects, and obtain consent before proceeding.
本文对童年创伤记忆可被压抑这一理论以及用于找回这些记忆的技术的可靠性提出了质疑。文中对该理论的稳健性以及声称能为其提供科学证据的文献提出了疑问。作者为此提供了证据,他们对新西兰的家庭进行了调查,在这些家庭中,有成员基于恢复的记忆指控另一成员(或其他成员)遭受性虐待。结果表明,其中一些指控涉及极不可能发生的事件。由于记忆压抑理论目前尚未得到科学证实,因此有人认为在心理健康、法律和保险赔偿领域需谨慎行事。在治疗过程中回忆起的记忆可被视为隐喻,但在缺乏确证的情况下,不应被视为事实真相。希望使用记忆恢复技术的临床医生应告知患者这些技术的实验性质和争议性,指出不良影响,并在进行之前获得患者的同意。