Dorothy Jake
Department of Philosophy, University of York, York, UK.
Med Health Care Philos. 2025 Sep;28(3):501-516. doi: 10.1007/s11019-025-10274-7. Epub 2025 May 3.
Research into traumatic memory has focused heavily upon re-experiencing symptoms (e.g. flashbacks). Features predominantly associated with complex trauma, such as gaps in the recollection of traumatic events, remain comparatively underexplored. In this article, I draw on the testimonies of survivors of complex trauma who participated in a survey informed by Phenomenologically Grounded Qualitative Research (Køster and Fernandez in Phenomenol Cogn Sci 22:149, 2023). I provide a phenomenological account of how survivors often experience memory blanks as inchoately disturbing, despite being unable to recount 'missing' events. Although challenging and equivocal, the notion of body memory offers one way of articulating this phenomenon. Specifically, I suggest that the troubling feelings accompanying perceived gaps in recollection arise alongside a form of non-conceptual body memory, which, lacking in propositional content, fails to be meaningfully contextualised. Drawing on the literature on body memory, dissociation, and Husserl's (Collected works. Kluwer, Dordrecht, 1991 [1893-1917]) internal time consciousness, I distinguish this as dissociative body memory and describe two central, non-exhaustive, features: (1) habitual dissociation, and (2) protentive salience. What is taken to be a gap in traumatic memory is in fact only a partial gap, involving a kind of pre-reflective remembering that is not recognised as such. Dissociative body memory additionally prevents the narrative integration required for minimising these perceived gaps, leading to an ongoing sense of foreboding concerning one's past. This has significant clinical implications, highlighting that what survivors experience as forgotten must not be disregarded. At the theoretical level, the phenomenon may be a hitherto unrecognised characteristic of complex posttraumatic stress disorder and related conditions.
对创伤性记忆的研究主要集中在重新体验症状(如闪回)上。与复杂创伤主要相关的特征,如创伤事件回忆中的空白,相对而言仍未得到充分探索。在本文中,我借鉴了参与一项由现象学基础定性研究启发的调查的复杂创伤幸存者的证词(科斯泰尔和费尔南德斯,《现象学与认知科学》,2023年,第22卷,第149页)。我提供了一种现象学解释,说明幸存者如何常常将记忆空白体验为莫名的困扰,尽管他们无法详述“缺失”的事件。尽管具有挑战性且模棱两可,但身体记忆的概念为阐明这一现象提供了一种方式。具体而言,我认为,伴随记忆中明显空白而来的困扰情绪,与一种非概念性的身体记忆一同出现,这种身体记忆缺乏命题内容,无法得到有意义的情境化。借鉴关于身体记忆、解离以及胡塞尔(《文集》,克鲁维尔出版社,多德雷赫特,1991年[1893 - 1917年])的内在时间意识的文献,我将其区分为解离性身体记忆,并描述了两个核心的、但并非详尽无遗的特征:(1)习惯性解离,以及(2)预期显著性。被认为是创伤性记忆中的空白,实际上只是部分空白,涉及一种未被如此认可的前反思性记忆。解离性身体记忆还阻碍了将这些明显空白最小化所需的叙事整合,导致对自己过去持续的不祥预感。这具有重大的临床意义,凸显出幸存者所经历的被遗忘之事绝不能被忽视。在理论层面,这一现象可能是复杂创伤后应激障碍及相关病症迄今未被认识到的一个特征。