Schellong Julia, Schellong Anton, Gast Ursula, Frommberger Ulrich, Jatzko Alexander, Schäfer Ingo
Klinik und Poliklinik für Psychotherapie und Psychosomatik, Medizinische Fakultät, Technische Universität Dresden, Fetscherstraße 74, 01307, Dresden, Deutschland.
Citywalx GmbH, Wien, Österreich.
Nervenarzt. 2024 Jul;95(7):608-615. doi: 10.1007/s00115-024-01665-x. Epub 2024 May 6.
The recall of memories of past events, experiences and emotions is a complex process. When experiencing traumatic events, as is the case with sexual violence, a host of additional complexities and difficulties arise. This becomes especially important in court cases which rely mostly or exclusively on the testimony of the victim, where the problem of the fallibility of memory takes center stage. Some research studies emphasize the possibility of inducing, altering or suppressing memories, especially in the context of psychotherapy. This has led to the unfortunate reality that the testimony of victims who have undergone psychotherapy is often considered to be unreliable. This in turn can lead to the impression that a decision has to be made between treatment of the adverse effects of traumatic events and maximizing the chances for a conviction of the perpetrator in court. This article introduces some central concepts of our current understanding of memory and gives an overview of the relevant scientific literature and debate. Following this, it examines the dilemma as it pertains to the different groups of all involved parties (i.e., victims, members of the judiciary and psychotherapists). Lastly, it proposes a framework of how to approach a solution to this problem by focusing on research in critical areas, expansion of therapy guidelines and documentation procedures as well as communication of these efforts to all parties involved.
回忆过去的事件、经历和情感是一个复杂的过程。当经历创伤性事件时,比如性暴力事件,会出现许多额外的复杂情况和困难。这在主要或完全依赖受害者证词的法庭案件中变得尤为重要,在这类案件中,记忆的易错性问题成为焦点。一些研究强调了诱导、改变或抑制记忆的可能性,尤其是在心理治疗的背景下。这导致了一个不幸的现实,即接受过心理治疗的受害者的证词往往被认为不可靠。这进而可能给人一种印象,即在治疗创伤性事件的不良影响与最大化法庭判定犯罪者有罪的机会之间必须做出抉择。本文介绍了我们目前对记忆理解的一些核心概念,并概述了相关的科学文献和争论。在此之后,本文审视了与所有相关方(即受害者、司法人员和心理治疗师)不同群体相关的困境。最后,本文提出了一个框架,即如何通过关注关键领域的研究、扩展治疗指南和记录程序以及将这些努力传达给所有相关方来解决这个问题。