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消除对创伤性解离性失忆症的困惑。

Dispelling confusion about traumatic dissociative amnesia.

作者信息

McNally Richard J

机构信息

Department of Psychology, Harvard University, 33 Kirkland Street, Cambridge, MA 02138, USA.

出版信息

Mayo Clin Proc. 2007 Sep;82(9):1083-90. doi: 10.4065/82.9.1083.

Abstract

How survivors of trauma remember--or forget--their most terrifying experiences lies at the core of one of the most bitter controversies in psychiatry and psychology: the debate regarding repressed memories of childhood sexual abuse. Most experts hold that traumatic events--those experienced as overwhelmingly terrifying and often life-threatening--are remembered very well; however, traumatic dissociative amnesia theorists disagree. Although acknowledging that traumatic events are usually memorable, these theorists nevertheless claim that a sizable minority of survivors are incapable of remembering their trauma. That is, the memory is stored but dissociated (or "repressed") from awareness. However, the evidence that these theorists adduce in support of the concept of traumatic dissociative amnesia is subject to other, more plausible interpretations. The purpose of this review is to dispel confusion regarding the controversial notion of dissociated (or repressed) memory for trauma and to show how people can recall memories of long-forgotten sexual abuse without these memories first having been repressed.

摘要

创伤幸存者如何记住——或忘记——他们最可怕的经历,这是精神病学和心理学中最激烈的争议之一的核心:关于童年性虐待压抑记忆的辩论。大多数专家认为,创伤性事件——那些被体验为极其可怕且常常危及生命的事件——会被很好地记住;然而,创伤性解离性失忆症理论家不同意这种观点。尽管这些理论家承认创伤性事件通常是可记忆的,但他们仍然声称,相当一部分幸存者无法记住他们的创伤经历。也就是说,记忆被存储起来,但与意识解离(或“压抑”)了。然而,这些理论家为支持创伤性解离性失忆症概念而举出的证据,还有其他更合理的解释。这篇综述的目的是消除关于创伤解离(或压抑)记忆这一有争议概念的困惑,并展示人们如何能够回忆起早已遗忘的性虐待记忆,而这些记忆最初并未被压抑。

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