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饮食失调的“恢复记忆”疗法:拉莫娜裁决的影响

"Recovered memory" therapy for eating disorders: implications of the Ramona verdict.

作者信息

Pope H G, Hudson J I

机构信息

Biological Psychiatry Laboratory, McLean Hospital, Belmont, MA 02178, USA.

出版信息

Int J Eat Disord. 1996 Mar;19(2):139-45. doi: 10.1002/(SICI)1098-108X(199603)19:2<139::AID-EAT4>3.0.CO;2-O.

Abstract

"Recovered memory therapy" for eating disorders and other psychiatric conditions seeks to help the patient recover repressed memories of childhood sexual abuse and other traumatic experiences. Through this technique, it is hoped that the patient can work through these experiences to achieve relief from shame, body dissatisfaction, and symptoms of depression and eating disorders. However, this method was questioned in the recent Ramona case, where a father successfully sued two therapists and a hospital for allegedly implanting false memories of childhood sexual abuse in his bulimic daughter. The testimony and verdict in this case recall the principle of primum non nocere: Although it is clearly reasonable to consider an unproven therapeutic technique in an attempt to relieve human suffering, the potential risk of the technique--in this case the possible induction of false incest memories--must be weighed carefully against the technique's expected benefits.

摘要

针对饮食失调和其他精神疾病的“恢复记忆疗法”试图帮助患者找回被压抑的童年性虐待及其他创伤经历的记忆。通过这种技术,人们希望患者能够梳理这些经历,从而摆脱羞耻感、身体不满以及抑郁和饮食失调的症状。然而,这种方法在最近的雷蒙娜案中受到了质疑,在该案件中,一位父亲成功起诉了两名治疗师和一家医院,指控他们在自己患有贪食症的女儿脑海中植入了童年性虐待的虚假记忆。此案中的证词和判决让人想起了“首要的是不伤害”这一原则:尽管尝试一种未经证实的治疗技术以减轻人类痛苦显然是合理的,但该技术的潜在风险——在本案中可能诱导出虚假的乱伦记忆——必须与该技术预期的益处仔细权衡。

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