Frankel F H
Beth Israel Hospital Boston, MA 02215.
Am J Psychiatry. 1993 Jun;150(6):954-8. doi: 10.1176/ajp.150.6.954.
The author reviews the dependability of adult reports of childhood abuse and trauma, which are emerging in therapy with increasing frequency. He reviews the literature on multiple personality disorder to explore the extent to which corroboration of adult reports of childhood events is recorded. He also summarizes the relevant studies of memory both with and without the aid of hypnosis. He finds that there is minimal corroboration in the literature of the adults' reports of childhood abuse. Memories brought forth with the aid of hypnosis are undependable because of the large number of inaccuracies introduced by hypnotized subjects. Memories brought forth without hypnosis have been shown to be prone to distortion by intentional as well as by unwitting cues. The author concludes that the recent enthusiasm for the adult discovery of childhood abuse has been accompanied by little attention to factors that potentially affect recall of childhood abuse, including the bias of therapy. The use of hypnosis might well be an aggravating factor in distorted recollections of childhood abuse. Validation without corroboration by the therapist of the patient's memories has serious ethical and possibly legal consequences.
作者回顾了成年患者关于童年期受虐和创伤经历报告的可靠性,此类报告在治疗中出现的频率越来越高。他查阅了关于多重人格障碍的文献,以探究成年患者对童年事件报告的证实程度。他还总结了有无催眠辅助情况下的相关记忆研究。他发现,文献中对成年患者童年期受虐报告的证实极少。借助催眠唤起的记忆不可靠,因为被催眠者会引入大量不准确信息。未借助催眠唤起的记忆已被证明容易因有意或无意的线索而失真。作者得出结论,近期人们对成年患者发现童年期受虐一事热情高涨,但却很少关注可能影响童年期受虐记忆的因素,包括治疗的偏向性。使用催眠很可能是童年期受虐记忆扭曲的一个加重因素。治疗师在没有对患者记忆进行证实的情况下进行确认,会产生严重的伦理后果,甚至可能带来法律后果。