Multiple Personalities - Only in America?

Here's a quote from the WHO entry F44 for DD:

http://apps.who.int/classifications/apps/icd/icd10online/

These disorders have previously been classified as various types of "conversion hysteria". They are presumed to be psychogenic in origin, being associated closely in time with traumatic events, insoluble and intolerable problems, or disturbed relationships. The symptoms often represent the patient's concept of how a physical illness would be manifest. Medical examination and investigation do not reveal the presence of any known physical or neurological disorder.


Which speaks to the somewhat mysterious nature of these disorders, at least.

Those are conversion disorders, actually, which are physical manifestations related to dissociative disorders. They're a lot like what the layperson would think of as psychosomatic disorders. Quite honestly, this is the first thing that has to pop into my mind when I hear people start to talk about weird popular diseases (although I never actually SAY this!), but there's nothing new about this phenomenon. Throughout the nineteenth and early twentieth centuries, such researchers as Charcot, Pierre Janet, McDougall, Moreau de Tours, Breuer, and Freud published work on the connection between trauma, psychosomatic disease, and what would, much later, come to be called dissociative disorders ("hysteria".) Actually, if anyone remembers the famous case of "Anna O"-- the original Breuer/Freud patient-- she was dissociative.) Here's a link from the National Library of Medicine

Some of the most influential and important early research and study on the phenomenon of dissociation, however, was done by Pierre Janet in the late 19th century, and I'd like to mention it here in the context of dissociative disorders as structural dissociation of personality instead of "multiple personalities" (which really is a confusing way to think of it). Dissociation is a division of the personality/consciousness, and a division "among systems of ideas and functions that constitute personality", as Janet noted in 1907. Now, let's look at this in the context of the DSM-IV-TR's definition: "The essential feature of the dissociative disorders is a disruption in the usually integrated functions of consciousness, memory, identity, or perception." DiD is defined as "the presence of two or more distinct identities or personality states that recurrently take control of behavior. There is an inability to recall important personal information, the extent of which is too great to be explained by ordinary forgetfulness." However, this occurs in the context of this definition in the next paragraph :" DiD reflects a failure to integrate various aspects of identity, memory, and consciousness."

Does everybody see how this goes back to the idea of a structural dissociation of personality, and that more than one personality exists only in this context? Of course, the part that's missing here is the Freudian concept of active repression-- that the core personality repressed unbearable trauma and created alters, splinter selves, in order to wall off the memories, and I do think this is a part of what happens as well. But all of it is a lot more complex than what we've seen in stupid movies.

More about the 5 types of dissociative disorders later... I really AM going to go and study for the state test for the rest of the day now!!! ;)
 
Have you read that book?
(

Read the book? Not only that but I am a friend of the author, he helped me with my medical malpractice lawwuit against a crackpot MPD guru Dr.Colin Ross.

Here is one factor in American culture:

Consider the growth in the number of multiple personality disorder
diagnoses.

1944 -- There had been 76 cases over the past 128 years.
1957 -- Three Faces of Eve appeared -- book and film.
1973 -- Sybil book appeared.
1976 -- Sybil movie appeared.
1980 -- George Greaves reported 37 cases since 1971.
1980 -- Eugene Bliss said he had personally seen 14 cases.
1982 -- Myron Boor -- 79 cases.
1982 -- Richard Kluft -- 130 cases of which he had treated 70.
1984 -- There were 1,000 cases.
1989 -- There were 4,000 cases.
1991 -- Colin Ross said MPD affects 1% of population. (The population
in 1990 was 248,709,873 million. One percent would be 248,710
people with multiple personality.)

Report from the S.M.A.R.T. Ritual Abuse/Mind-Control Conference 2009
August 20, 9:53 PM
Boston Skepticism Examiner
Douglas Mesner

(www.examiner.com/x-20682-Boston-Skepticism-Examiner)

"...Following the popularity of
the 1976 television movie, Sybil, a so-called true story about a woman
with sixteen personalities created as a result of savage childhood
abuse, Multiple Personality Disorder (MPD) became a rather fashionable
diagnosis. The number of diagnosed MPD cases went from about 75 before
Sybil to 40,000 after Sybil.....During the MPD craze, therapists are reported to have often diagnosed
patients with symptoms no more outrageous than depression or anxiety
with repressed memories of childhood sexual abuse. They would then set
about seeking the alters they knew to be present in the subject.
Patients who refused to play the role of a "multiple" were accused of
being difficult, or resisting treatment. Eventually, many patients
would begin to subscribe to the belief that they had been abused, and
work to recall the memories of these events that they had been
convinced must have happened. The patients learned to become multiple
under the coercion of therapists who would continually ask to speak to
the personality that maintained the memory of the trauma. Thus, as
Psychologist Nicholas P. Spanos explained, "patients learn to construe
themselves as possessing multiple selves, learn to present themselves
in terms of this construal, and learn to reorganize and elaborate on
their personal biography so as to make it congruent with their
understanding of what it means to be a multiple."

And as for the DSM:

REPORT FROM THE S.M.A.R.T. RITUAL ABUSE/MIND-CONTROL CONFERENCE 2009
PART 2
Douglas Mesner
August 31, 2009
(www.process.org/discept/2009/08/31)

The conference is so self-evidently full of ******** that exposing it
may seem no more productive than pulling the false beard from a
shopping mall Santa Claus. But, absurd as the premise of the
S.M.A.R.T. conference is, and deranged as the speaker's tales clearly
are, there are practicing, licensed therapists who, to this day, will
defend the legitimacy of the "recovered memories" that have revealed
the machinations of the Satanic Conspiracy discussed here. These
therapists will be the first to cry out that Multiple Personality
Disorder, now re-branded as Dissociative Identity Disorder, is
listed in the official Diagnostic and Statistical Manual (DSM) of the
American Psychiatric Association (APA), thus it must be entirely
legitimate. But as Johns Hopkins University professor of psychiatry,
Dr. Paul Mchugh notes, "Symptoms alone are [the DSM's] diagnostic
criteria," So while symptoms of MPD may be categorically defined in
the DSM, the condition itself "exists in relationship to the
generative powers of the therapist that produced it. It exists just
the same way as the Salem witches existed. It does not exist in
nature."
 
Does everybody see how this goes back to the idea of a structural dissociation of personality, and that more than one personality exists only in this context? Of course, the part that's missing here is the Freudian concept of active repression-- that the core personality repressed unbearable trauma and created alters, splinter selves, in order to wall off the memories, and I do think this is a part of what happens as well. But all of it is a lot more complex than what we've seen in stupid movies.


Freud? Freud, thanks for going back to the stone age and th woonderland of imagination.

How about some science to back up that mystics jargon there?

Behavioral traits are easier and most compact than Fruedian mumbo jumbo.

Sorry but please do not pretend the Frued has any real meaning. Nothing personal but freud is by and large bunkum, now PTSD has a nive behavioral basis as does disassociative coping but pleas leave th angels and demons at the door.
 
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Here's a quote from the WHO entry F44 for DD:

http://apps.who.int/classifications/apps/icd/icd10online/

These disorders have previously been classified as various types of "conversion hysteria". They are presumed to be psychogenic in origin, being associated closely in time with traumatic events, insoluble and intolerable problems, or disturbed relationships. The symptoms often represent the patient's concept of how a physical illness would be manifest. Medical examination and investigation do not reveal the presence of any known physical or neurological disorder.


Which speaks to the somewhat mysterious nature of these disorders, at least.

Well except for the fact that the brain is physical as is the body, so the sysmptoms are physical as well. :)
 
The rule out should also be broadened to include "any recent use of substances that may alter the eprson's perception, emotions and concentration"
D.The disturbance is not due to the direct physiological effects of a substance (e.g., blackouts or chaotic behavior during Alcohol Intoxication) or a general medical condition (e.g., complex partial seizures). Note: In children, the symptoms are not attributable to imaginary playmates or other fantasy play.
 
Oh, dear Lord... (so to speak.) However, there is no legitimate "controversy" here...references:

ETA: Oh yeah, and if anyone actually made it to the bottom of this Insanely Long Post (TM), the thing the layperson isn't likely to know (because there's almost no real public knowledge about the DD's), is that there are actually FIVE dissociative disorders, and DiD is only ONE of them.

I read your list and recognized the names of more than one crack pot who has been sued for misdiagnosing a patient with MPD or now as it is called DID.

Of course that is not what bothers me about your post, what does catch my eye is your comment that "...there is no legitimate controversy here."
I must say to you that there is more than enough room for legitimate controversey regarding DID and a huge canyon size room for legitimate controversey concerning any of Freud's work.

I always worry about people who never question what they are being taught and think there is nothing more to learn. :covereyes

It is also very frustrating for me to see that many institutes of higher learning are still propogating this junk science :bwall

Nevertheless, I still wish you good luck on your test, and I applaud your motive to become an educated person and contribute to the well being of society.
 
that the core personality repressed unbearable trauma and created alters, splinter selves, in order to wall off the memories, and I do think this is a part of what happens as well.

As far as I know this is a theory and there is no credible empirical data to back that up. I am willing to be shown differently though.
 
The existence and prevalence of the dissociative disorders is accepted by the American Psychiatric Association and the American Medical Association. Take out your copy of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision,, and turn to page 519. Read about dissociative amnesia, dissociative fugue, dissociative identity disorder, depersonalization disorder, and dissociative disorder not otherwise specified.

I like my DSM but it is not the be all and end all of diagnosing. It's a way to be able to talk to other diagnosticians. The DSM has gone and is still going through a lot of changes. What was a disorder 2 DSM;s ago might not be now and vice versa. It's a compilation of symptoms and there are legitimate concerns about the validity of some of them. I am just saying that you have to be careful to only use it for what it was meant to do and don't assume that because something is in the DSM, a disorder is suddenly above reproach or even has been scientifically proven to exist.
 
I read your list and recognized the names of more than one crack pot who has been sued for misdiagnosing a patient with MPD or now as it is called DID.

Of course that is not what bothers me about your post, what does catch my eye is your comment that "...there is no legitimate controversy here."
I must say to you that there is more than enough room for legitimate controversey regarding DID and a huge canyon size room for legitimate controversey concerning any of Freud's work.

I always worry about people who never question what they are being taught and think there is nothing more to learn. :covereyes

It is also very frustrating for me to see that many institutes of higher learning are still propogating this junk science :bwall

Nevertheless, I still wish you good luck on your test, and I applaud your motive to become an educated person and contribute to the well being of society.


No-- what I meant is that there's no legitimate controversy about the fact that the dissociative disorders exist. (Please re-read over the ways in which the SCID-D has passed all the same validity tests as, say, the Beck Depression Inventory. Maybe I'll need to post some things about taxometric vs. dimensional validity too.) No kidding that there's controversy about Freud's work, and that's putting it mildly! But my considered opinion is that the early era of psychoanalytical thought has been completely, utterly, and 100% relegated to the scrap heap for a little too long, and it's time to sort out the parts that might be valuable to resurrect from it.
I always worry about people who never question what they are being taught and think there is nothing more to learn. :covereyes

No. Not at all. That is simply not true, and saying it doesn't make it so. But I have posted pages of APA references here, published in peer-reviewed journals, and I did the lit reviews myself-- are you going to do the same thing? Because nobody else has even begun to come remotely close to that so far. As for the "higher institutions of learning" thing, I may have given the wrong impression with the test reference. I'm not in school and I'm older than a lot of this people on this bboard, I guarantee; it's a test for a TN Board of Health license.

I know your story and I really think that what happened to you is inexcusable, but does inexcusable behavior on the part of a few therapists somehow invalidate all research and all studies, plus everything that the AMA, the APA, and the WHO have reached some kind of basic consensus on? Does everyone see that this is not a logical argument? We're here to be skeptics; we're here because we know that anecdotes are not data and emotional stories are not a replacement for research. I don't mean to dismiss the power of personal experience, because it is very important, and when I say that I don't like to get into debate here, what I mean is the kind of "oh yeah? well, snippy snip snappety snap snerky!" disrespectful thing that seems so inescapable with internet discussions. I don't want to show disrespect for your experience. But there are a lot of tragic stories on the other side too, and I also know many of those. No matter how sensitive this subject is, it's not the way to construct a logical argument.
 
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Maia: you are the one who used the old fashioned Freudian and pre-Freudian constructs for objects, defintions that are vague and without meaning.

No kidding that there's controversy about Freud's work, and that's putting it mildly! But my considered opinion is that the early era of psychoanalytical thought has been completely, utterly, and 100% relegated to the scrap heap for a little too long, and it's time to sort out the parts that might be valuable to resurrect from it.
then try to take something and put it into meanigful and usefull terminology that is not just philosophy.
"Personality" is not a measurable thing, it is an abstraction composed of many seperate behaviors.

I do not dismiss all of Freud and certainly not all of Jung, but to use unmeasured and vague terms is not helpful.

You sated the following:
quote]
Of course, the part that's missing here is the Freudian concept of active repression-- that the core personality repressed unbearable trauma and created alters, splinter selves, in order to wall off the memories, and I do think this is a part of what happens as well.
[/quote]
Now there is a lot of vague and abtracted thinking in that statement, most without any basis in research, so how do you want to translate it to modern and emaningful psychology.

Alters are bunko, they are bogus, they do not happen, in all cases there is memory transmission between alters, so what is the point? They are not clearly defined, they lack boundaries, they have little validity as a meme of discussion. "Unhealthy responses to strees" at least has a point of disucssion.

If you want to believe they exist fine, but i will not agree that they exist until given a reasonable defintion and data that supports that defintion.
 
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As far as I know this is a theory and there is no credible empirical data to back that up. I am willing to be shown differently though.

According to Popper's criterion of falsifiability, this was not a scientific theory and Freudian psychoanalysis was a pseudoscience.
 
Sorry, I'm with David here. Not only were most of Freud's ideas debunked by now, and caused more harm than good, but we know that the man flat out lied to promote his pseudo-science ideas. He gave some patients as examples of people diagnosed and cured by his new method, where others had failed... when in reality they ended up in a loony bin afterwards anyway, and he knew it. Others tend to be a split between people who actually seem to have existed only in his imagination, and talking about his own fears and anxieties in the third person as if it were a patient, and proclaiming himself cured.

At any rate, the only sorting I'm going to be OK with, is one based on the scientific method. If you can find proper scientific evidence for any of his theories, fine by me. But another round of quackery in his name, no thanks.

And it's not just that it was unscientific, it's that that quackery actually caused a lot of real harm by now.

E.g., the idea of repressed memories traces its roots to Freud, or at least was made popular by him IIRC. And millions of people have been "helped recover their repressed memories" ever since. But nowadays we know that memory doesn't work that way. Not even remotely. Now that tells you right there the value of any theory of the psyche which is based on a false idea.

But it's not just that. Those millions of people really got false memories planted into their heads, or were helped plant their own falsehoods in their own heads. There are millions cases of all sorts of childhood abuse, trauma, and other past stuff, which actually never happen at all.

And it goes even further downhill from there. People have actually been criminally convicted of sexual abuse of children, and whatnot, where the only evidence was... "repressed memories", recovered by some psychoanalyst. But again, memory doesn't work like Freud thought, and even Freud himself largely abandoned that idea later in life. (But it didn't stop others from running amok with it later.) All those memories which didn't exist until the psychoanalyst helped "recover" them, are most likely just false memories, planted during those session and repeated and explored until they got fixed and detailed. Yet people went to jail for those fantasies.
 
According to Popper's criterion of falsifiability, this was not a scientific theory and Freudian psychoanalysis was a pseudoscience.

Not sure if I am understanding you correctly. I agree with the psychoanalysis part.

My question was about the idea/theory that 1) trauma causes memories to be repressed and 2) people are able to create alters/splinter personalities to house those repressed memories. Both of those would be necessary for MPD to exist. But as far as I know both are not backed up by science at the moment.
 
Sorry, I'm with David here. Not only were most of Freud's ideas debunked by now, and caused more harm than good, but we know that the man flat out lied to promote his pseudo-science ideas. He gave some patients as examples of people diagnosed and cured by his new method, where others had failed... when in reality they ended up in a loony bin afterwards anyway, and he knew it. Others tend to be a split between people who actually seem to have existed only in his imagination, and talking about his own fears and anxieties in the third person as if it were a patient, and proclaiming himself cured.

At any rate, the only sorting I'm going to be OK with, is one based on the scientific method. If you can find proper scientific evidence for any of his theories, fine by me. But another round of quackery in his name, no thanks.

And it's not just that it was unscientific, it's that that quackery actually caused a lot of real harm by now.

E.g., the idea of repressed memories traces its roots to Freud, or at least was made popular by him IIRC. And millions of people have been "helped recover their repressed memories" ever since. But nowadays we know that memory doesn't work that way. Not even remotely. Now that tells you right there the value of any theory of the psyche which is based on a false idea.

But it's not just that. Those millions of people really got false memories planted into their heads, or were helped plant their own falsehoods in their own heads. There are millions cases of all sorts of childhood abuse, trauma, and other past stuff, which actually never happen at all.

And it goes even further downhill from there. People have actually been criminally convicted of sexual abuse of children, and whatnot, where the only evidence was... "repressed memories", recovered by some psychoanalyst. But again, memory doesn't work like Freud thought, and even Freud himself largely abandoned that idea later in life. (But it didn't stop others from running amok with it later.) All those memories which didn't exist until the psychoanalyst helped "recover" them, are most likely just false memories, planted during those session and repeated and explored until they got fixed and detailed. Yet people went to jail for those fantasies.

Well, I knew I was going to have to do this post at some point, so here we go. The whole thing is really MikeSun5's fault, you know. ;) He told me about this thread.

I like the idea of taking some elements back from the early theorists in psychiatry (and "some" clearly does not mean "everything", but of course the precise ways in which this would happen are all going to be theoretical. If you want to see some very good arguments put forth about ways in which this could happen, however, including a great summary of the battle between Freud and Pierre Janet over repression vs. structural dissociation, read The Haunted Self: Structural Dissociation and the Treatment of Chronic Traumatization, by Onno van der Hart, Ellert Nijenhuis, and Kathy Steele.

Now, as for the rest of it... is anyone but me ever going to come up with any APA citations for anything??? Here we go...

First of all, whenever people are actually asked questions such as "Millions of people! Wow! Any citations for that?" they tend to say things like "Citations? Uh..." Then, when they're asked "What are your actual sources for statements such as "All those memories which didn't exist until the psychoanalyst helped "recover" them, are most likely just false memories, planted during those session and repeated and explored until they got fixed and detailed. Yet people went to jail for those fantasies" they tend to say things like "Um, I don't know" or "I heard a story somewhere." When asked, "Do a couple of high-profile stories about nut cases actually prove that this is happening everywhere to everybody?" they tend to say, "Well, I don't know... " or finally "Weren't there all these studies which proved that fake memories about being abused could be planted in people's heads?" However, the truth is that there were not. The truth is that there was one original study, and that this is the one which almost everyone is thinking about. This is the one in which the author, Elizabeth Loftus, actually claimed that the study's results proved this exact conclusion, and I'm surprised nobody has brought it up yet.

Basically, the "lost in a shopping mall" study supposedly showed that it was possible to convince people that they had been lost in a shopping mall as children when they actually hadn't been. It's been cited a LOT to support claims that psychotherapists can implant memories of false autobiographical information of childhood trauma in their patients. However, the flaws in the study are fatal. It's hard to know where to begin, because it's really beyond belief that this study ever was taken seriously, much less that it could formed the foundation for a general public belief that fake memories of childhood abuse could somehow be easily implanted in the average person's mind. Just to begin with, Loftus herself wrote in an article that she attended a lecture that blamed recovered memories of sexual abuse on media reports and psychotherapists' suggestions, and then, only afterwards, wondered if she "could provide a theoretical framework...showing that it is possible to create an entire memory for a traumatic event that never happened" (Loftus & Ketcham, 1994, p. 90). As Loftus explained: "I wanted to �scar� the brain with something that never happened, creating a vivid but wholly imagined impression. I just couldn�t quite figure out how to do it" (Loftus & Ketcham, 1994, p. 92). Unbelievable! That ONE detail is enough to sink the entire study right there, and there are many, many, many more.

The study never, ever had proper Human Subjects Committee approval, because Loftus started experimenting on human subjects before getting that approval. She pretended that her protocol was developed during a properly controlled pilot research study instead of in a classroom, which it was. A similar study (Pezdek, 1995) found that although 3 (15%) of 20 participants recalled a plausible false memory of getting lost in a shopping mall, none of the participants accepted an implausible false memory that they had received a painful enema as a child from their parent, which means that the therapeutic implications of the "mall study" are so limited that trying to extend this to the analogy of therapists implanting fake abuse memories in clients is nonsensical. Loftus never obtained HSC approval prior to assigning students to implant a false memory, and students weren't informed of ethical guidelines specific to their appointment. And so on, and on.

Bad as the protocol was for the study to begin with, it was open season on reality when it came to media reporting of the results. The first media reports appeared before HRC approval had even been GIVEN (!!!), and it was implied that the same graduate student participated in all of the experiments and that the five participants experienced the same protocol. Stories just kept inflating the success rate, reporting a 25% success rate of implanting the "lost in a mall" memory (which wasn't correct), ignoring the 19 participants who did not accept the false memory, and totally ignoring the fact that NOT all 5 participants fully accepted the false memory, which truly sunk the success rate ("In one famous study, �Lost in a Shopping Mall,� [Loftus] proved that false memories of childhood could be implanted in 25 percent of research subjects merely by suggestion" (Morrison, 1996, p. 52).) The peer review for this article had some real problems, and there are specific ways in which future articles by Loftus (and Sherman, who I think was quoted earlier-- people, please be critical of your sources) were problematic as well.

Of course, if you really want to see amusing, you might read how Loftus likes to cast herself in the victim-martyr role: " "�I feel like Oskar Schindler,� Loftus muses, referring to the German financier who rescued doomed Jews from the Nazis" (Kahn, 1994, p. 80). "I keep thinking of Oskar Schindler circling the lake with thousands of people." and "I know the prejudices and fears that lie behind the resistance to my life�s work" (Loftus & Ketcham, 1994, p. 4). Persecution complex much??

Anyway, the references for the above are here:
Elizabeth Loftus Critiques

In some ways, recovered memory is a red herring, because the public has been left with a vague sort of impression that anybody who remembers childhood abuse must have remembered it this way, which certainly isn't the case. Still, it's important to debunk all the nonsense that's been spread around about it. So let's look at some more scholarly articles about repressed memory.







Suggested by James Chu MD, Chief of Hospital Clinical Services, McLean Hospital, and Associate Professor of Psychiatry, Harvard Medical School
Courtois, C.A. (2002). Recollections of Sexual Abuse: Treatment Principles and Guidelines. New York: W.W. Norton. [Comment by James Chu, MD: :"It's a good resource for professionals."]

Suggested by Charles Whitfield, MD, Atlanta, Georgia, author Memory and Abuse

Whitfield CL, Silberg J, Fink P (eds) (2001). Exposing Misinformation Concerning Child Sexual Abuse and Adult Survivors. Journal of Child Sexual Abuse 9(3-4):1-8 Published as a hardcover book, 2002 .

Brown D, Scheflin A, Whitfield CL (1999). Recovered memories: the current weight of the evidence in science and in the courts. The Journal of Psychiatry and Law 26:5-156, Spring

Whitfield CL (2001). The false memory defense: using disinformation in and out of court. Journal of Child Sexual Abuse 9(3-4):53-78 ...

Suggested by Lynn Crook, M.Ed.

Research discussing corroboration and accuracy of recovered memories
An Annotated Bibliography by Lynn Crook

Andrews, B., Brewin, C., Ochera, J., Morton, J., Bekerian, D., Davies, G., and Mollon, P. (1999). Characteristics, context and consequences of memory recovery among adults in therapy. Brit J Psychiatry 175:141-146.
Abstract: One-hundred and eight therapists provided information on all clients with recovered memories seen in the past three years, and were interviewed in detail on up to three such clients. Of a total of 690 clients, therapists reported that 65% recalled child sexual abuse and 35% recalled other traumas, 32% started recovering memories before entering therapy. According to therapists' accounts, among the 236 detailed client cases, very few appeared improbable and corroboration was reported in 41%. Most (78%) of the clients' initial recovered memories either preceded therapy or preceded the use of memory recovery techniques used by the respondents. Techniques seemed to be used more to help the clients to elaborate the memories than to facilitate their initial recovery. Clients with whom techniques had been used before the first reported memory recovery were no less likely to have found corroborating evidence than clients with whom no techniques had been used before memory recovery. Some of the data are consistent with memories being of iatrogenic origin, but other data clearly point to the need for additional explanations.

Bagley, C. (1995). The prevalence and mental health sequels of child sexual abuse in community sample of women aged 18 to 27. Child sexual abuse and mental health in adolescents and adults. Aldershot: Avebury.
Abstract: Study of women 18-24 years who had been removed from home 10 years previously by social services due to intrafamilial sexual abuse. Of the 19 women for whom there was evidence of serious sexual abuse, 14 remembered events corresponding to their records. Two remembered that abuse had taken place but could recall no specific details, and three had no memory. Two of the last three described long blank periods for the memory of childhood corresponding to the age when abuse had taken place.

Bull, D. (1999). A verified case of recovered memories of sexual abuse. American Journal of Psychotherapy, 53(2), 221-224.
Abstract: A case is presented that shows verifiable evidence of repression at work. Rachel, a 40-year-old woman with no history of mental illness and ten years of exemplary professional work, recovers memories of childhood sexual abuse by her father through a call from her youth pastor in whom she had confided as an adolescent.

Chu JA, Frey LM, Ganzel BL, Matthews JA. (1999). Memories of childhood abuse: Dissociation, amnesia, and corroboration. Am J Psychiatry 156(5):749-755.
OBJECTIVE: This study investigated the relationship between self-reported childhood abuse and dissociative symptoms and amnesia. The presence or absence of corroboration of recovered memories of childhood abuse was also studied. METHOD: Participants were 90 female patients admitted to a unit specializing in the treatment of trauma-related disorders. Participants completed instruments that measured dissociative symptoms and elicited details concerning childhood physical abuse, sexual abuse, and witnessing abuse. Participants also underwent a structured interview that asked about amnesia for traumatic experiences, the circumstances of recovered memory, the role of suggestion in recovered memories, and independent corroboration of the memories. RESULTS: Participants reporting any type of childhood abuse demonstrated elevated levels of dissociative symptoms that were significantly higher than those in subjects not reporting abuse. Higher dissociative symptoms were correlated with early age at onset of physical and sexual abuse and more frequent sexual abuse. A substantial proportion of participants with all types of abuse reported partial or complete amnesia for abuse memories. For physical and sexual abuse, early age at onset was correlated with greater levels of amnesia. Participants who reported recovering memories of abuse generally recalled these experiences while at home, alone, or with family or friends. Although some participants were in treatment at the time, very few were in therapy sessions during their first memory recovery. Suggestion was generally denied as a factor in memory recovery. A majority of participants were able to find strong corroboration of their recovered memories. CONCLUSIONS: Childhood abuse, particularly chronic abuse beginning at early ages, is related to the development of high levels of dissociative symptoms including amnesia for abuse memories. This study strongly suggests that psychotherapy usually is not associated with memory recovery and that independent corroboration of recovered memories of abuse is often present.

Corwin, D. & Olafson, E. (1997). Videotaped discovery of a reportedly unrecallable memory of child sexual abuse: Comparison with a childhood interview taped 11 years before. Child Maltreatment, 2(2), 91-112.
Summary: This article presents a unique case involving the recovery of traumatic memory by a 17-year-old victim of documented child sexual abuse. The authors present the history, verbatim transcripts, and behavioral observations of a child's disclosure of sexual abuse to Dr. David Corwin in 1984 and the spontaneous return of that reportedly unrecallable memory during an interview with Dr. Corwin 11 years later. Both the child's disclosure at age 6 and the young woman's sudden recall of the abuse at age 17 after several years of reported inability to recall the experience are recorded on videotape. This article includes transcripts of the interviews at ages 6 and 17.
The case was originally referred to Corwin for a court-appointed evaluation of allegations of sexual and physical abuse. The father was accusing the mother of having sexually and physically abused their daughter (Jane Doe). Corwin had three interviews with the child and also met with both parents. The evaluation along with previous documentation (Jane was seen for burns to the bottom of both feet after her mother punished her by burning them) strongly supported the child's allegation of both physical and sexual abuse by her mother. Jane made consistent statements regarding the identity of her sexual abuser and the nature of the abuse in all three forensic interviews. Her accounts included sensory detail and she reported detailed maternal threats not to disclose. In her first interview, her disclosure was spontaneous and not in response to a question directed to sexual abuse. In addition to the interviews, the records included protective services reports, court declarations by the parents, pleadings, court decisions, reports by prior evaluators and therapists, letters from Jane's parents, friends, and relatives, and Jane's medical records.
Parental behavior during the interviews was also consistent with the mother having abused Jane. Before each parent left the room, Corwin asked each one to tell Jane to tell him the truth about anything he asked her. The father did so with ease. However, instead of telling Jane to tell the truth, her mother asked her to repeat what they had been talking about that morning. Psychological testing of the mother was consistent with the mother having a dissociative disorder. In addition, psychological testing on Jane's mother indicated impulsivity, inadequate judgment, and problems with perception and thinking. The father's psychological testing indicated emotional constraint but found no problems with perception and thinking. Based on the weight of the evidence the court gave Jane's father full custody and denied visitation Jane's mother.
Jane was close to her father. However, at age 16 Jane was placed in foster care after her father had a stroke and was placed in a nursing home. Jane's foster mother recounts Jane's difficult and rebellious early adolescence. Jane resumed contact with her mother during this time. After her father's death, Jane wanted a closer relationship with her mother. Jane no longer had any memory of the abuse but did remember that she had alleged abuse. Her mother denied the abuse allegations and told Jane that her allegations were based on pressure by her father so he could get custody of her. Jane contacted Dr. Corwin and told him that she would like to see the videotapes of herself because she was unable to recall the actual events. Jane said: "I've chosen to believe that my real mom didn't do anything, even though I don't really remember if she did or not."
Before showing her the videotape, Corwin asks Jane to remember everything that she can about her interviews with him at age 6. Corwin asks her if she remembers "anything about the concerns about sexual abuse." Jane says: "No. I mean, I remember that was part of the accusation, but I don't remember anything--wait a minute, yeah, I do." Corwin asks her what she remembers. Jane responds, "My gosh, that's really, really weird." This is followed by tears and Jane's speech becoming choked up. Jane remembers the pain of her mother vaginally penetrating with her finger during bath time. Jane only remembers only one instance of this happening and wonders if it was an intentional act. Jane also remembers making accusations about her mother photographing her with her older brother and selling the pictures.
Corwin then shows Jane the videotapes of his interviews with her when she was 6 years old. After watching the videotapes, Jane believes that the child on the tapes was telling the truth, but still wants to believe that maybe her mother hurt her accidentally and that she made it out to be worse then it really was.
The authors discuss the case noting that Jane remembered the accusation and the act of being digitally penetrated in the bathtub accurately. However, she also remembers an making an accusation that she never in fact made-the one about her mother taking and selling pictures of her and her brother (a search of available records located no allegations by Jane about her mother taking pictures). It is not known whether such an event occurred and was not recorded or if a memory contaminant attached itself to an otherwise accurate recollection. After recalling her mother's abuse and viewing the tapes, Jane states that she wishes to continue seeing her mother and notes that she does not yet know what her feelings are about what she has remembered.

Dahlenberg, C. (1996, Summer) Accuracy, timing and circumstances of disclosure in therapy of recovered and continuous memories of abuse. The Journal of Psychiatry and Law.
Abstract: Seventeen patients who had recovered memories of abuse in therapy participated in a search for evidence confirming or refuting these memories. Memories of abuse were found to be equally accurate whether recovered or continuously remembered. Predictors of number of memory units for which evidence was uncovered included several measures of memory and perceptual accuracy. Recovered memories that were later supported arose in psychotherapy more typically during periods of positive rather than negative feelings toward the therapist, and they were more likely to be held with confidence by the abuse victim.


Duggal S, Stroufe LA. (1998). Recovered memory of childhood sexual trauma: A documented case from a longitudinal study. Journal of Traumatic Stress 11(2): 301-21.
Summary: A child with documented history of sexual abuse, who had no recall of this event in extensive interviews as a teenager, recalls memories outside of therapy at age 19. Includes prospective and restrospective data, multiple corroboration of sexual trauma in early childhood, prospective evidence of memory loss in oral and written measures in consecutive assessments, and evidence of spontaneous recovery of memory.

Duggal, S., & Sroufe, L. A. (1998). Recovered memory of childhood sexual trauma: A documented case from a longitudinal study. Journal of Trauma Stress,11(2), 301-321.
This account contains the first available prospective report of memory loss in a case in which there is both documented evidence of trauma and evidence of recovery of memory. The subject "Laura" participated in a prospective longitudinal large-scale study of children followed closely from birth to adulthood which was not focused on memory for trauma. Laura spontaneously reported a recovered memory during a routine interview. The memory was corroborated by historical records of a therapist who worked with the family when the subject was 4 years old. There was abundant evidence suggesting that Laura was being abused by her father during visitations. However, there was no report of penetration, only fondling. Without physical evidence, CPS did not feel there was enough evidence to prosecute the father. However, because the father was a drug addict and alcoholic, it was decided that Laura would only see her father during supervised visitations. As a young child, Laura entered short-term therapy to deal with her anxiety and anger towards her father along with her sexualized and regressive behaviors. Evidence in the historical records shows that Laura's memory for the abuse persisted until she was at least age 8. The last clear evidence of memory of trauma is in the therapy records from third grade. Her mother did not discuss the abuse unless Laura brought up the subject. As a result, the subject was not discussed again.
At age 16, Laura filled out a questionnaire which asked if she had ever been sexually abused. At this time, Laura indicated in writing that she had never been sexually abused. It is noted that her denial does not appear related to poor rapport with the interviewer or embarrassment, as she was open and answered multiple questions about drug/alcohol abuse, family relationships, and dating relationships which contained sensitive questions without any apparent discomfort. At 17, Laura again denied any terrible or unusual experiences including sexual abuse. Visitation had been increased with her father as Laura indicated that she felt good about spending time with her father.
At age 18, Laura had a conversation with boyfriend in which they discussed their earliest memories. Her boyfriend asked her about her earliest memory with her father. Laura reported that this question elicited a strange reaction: "I told him and then all of sudden I got this really overwhelming feeling, like that was, that was really weird and like, and I just shut up and didn't say anything more…"
Partial recall of the memory returned in the school office while talking with a trusted teacher about her father's drinking. Her recall consisted largely of her father kissing her along with a compelling sense that there was a sexual component to the interaction with her father. At the same time, she felt a fear of her father that she didn't ever remember feeling before.
The memory was not suggested by a therapist and there were no apparent rewards for remembering the abuse which created a great deal of pain and confusion for Laura, especially concerning her feelings about her father.


Feldman-Summers, S., & Pope, K. S. (1994). The experience of forgetting childhood abuse: A national survey of psychologists. Journal of Consulting and Clinical Psychology, 62, 636-639.
Abstract: A national sample of psychologists were asked whether they had been abused as children and, if so, whether they had ever forgotten some or all of the abuse. Almost a quarter of the sample (23.9%) reported childhood abuse, and of those, approximately 40% reported a period of forgetting some or all of the abuse. The major findings were that (a) both sexual and nonsexual abuse were subject to periods of forgetting; (b) the most frequently reported factor related to recall was being in therapy; (c) approximately one half of those who reported forgetting also reported corroboration of the abuse; and (d) reported forgetting was not related to gender or age of the respondent but was related to severity of the abuse.
Summary: 330 psychologists. 24% physical and 22% sexual abuse. Of those abused, 40% did not remember at some time. 47% had corroboration. 56% said psychotherapy aided in recall. Differences between those who first recalled abuse in therapy and those who recalled it elsewhere were not significant.


Herman, J. L., & Harvey, M. R. (1997). Adult memories of childhood trauma: A naturalistic clinical study. Journal of Traumatic Stress, 10, 557-571.
The clinical evaluations of 77 adult outpatients reporting memories of childhood trauma were reviewed. A majority of patients reported some degree of continuous recall. Roughly half (53%) said they had never forgotten the traumatic events. Two smaller groups described a mixture of continuous and delayed recall (17%) or a period of complete amnesia followed by delayed recall (16%). Patients with and without delayed recall did not differ significantly in the proportions reporting corroboration of their memories from other sources. Idiosyncratic, trauma-specific reminders and recent life crises were most commonly cited as precipitants to delayed recall. A previous psychotherapy was cited as a factor in a minority (28%) of cases. By contrast, intrusion of memories after a period of amnesia was frequently cited as a factor leading to the decision to seek psychotherapy. The implications of these findings are discussed with respect to the role of psychotherapy in the process of recovering traumatic memories.


Herman, J. L., & Schatzow, E. (1987). Recovery and verification of memories of childhood sexual trauma. Psychoanalytic Psychology, 4, 1-14.
Abstract: Fifty-three women outpatients participated in short-term therapy groups for incest survivors. This treatment modality proved to be a powerful stimulus for recovery of previously repressed traumatic memories. A relationship was observed between the age of onset, duration, and degree of violence of the abuse and the extent to which the memory of the abuse had been repressed. Three out of four patients were able to validate their memories by obtaining corroborating evidence from other sources. The therapeutic function of recovering and validating traumatic memories is explored.


Kluft, R. (1995). The confirmation and disconfirmation of memories of abuse in DID patients: A naturalistic clinical study. Dissociation: Progress in the Dissociative Disorders, 8(4), 253-258.
Abstract: Reviewed the charts of 34 dissociative identity disorder (DID) patients in treatment for instances of the confirmation or disconfirmation of recalled episodes of abuse occurring naturalistically in the course of their psychotherapies. 19 Ss had instances of the confirmation of recalled abuses. 10 of the 19 had always recalled the abuses that were confirmed. However, 13 of the 19 obtained documentation of events that were recovered in the course of therapy, usually with the use of hypnosis. Three patients had instances
in which the inaccuracy of their recollection could be demonstrated. Results suggest that stances that are either extremely credulous of retrieved recollections or extremely skeptical of retrieved recollections are
inconsistent with clinical data.

Lewis, D., Yeager, C., Swica, Y., Pincus, J. and Lewis, M. (1997). Objective documentation of child abuse and dissociation in 12 murderers with dissociative identity disorder. Am J Psychiatry, 154(12):1703-10.
OBJECTIVE: The skepticism regarding the existence of dissociative identity disorder as well as the abuse that engenders it persists for lack of objective documentation. This is doubly so for the disorder in
murderers because of issues of suspected malingering. This article presents objective verification of both dissociative symptoms and severe abuse during childhood in a series of adult murderers with dissociative
identity disorder. METHOD: This study consisted of a review of the clinical records of 11 men and one woman with DSM-IV-defined dissociative identity disorder who had committed murder. Data were
gathered from medical, psychiatric, social service, school, military, and prison records and from records of interviews with subjects' family members and others. Handwriting samples were also examined. Data were
analyzed qualitatively. RESULTS: Signs and symptoms of dissociative identity disorder in childhood and adulthood were corroborated independently and from several sources in all 12 cases; objective evidence of severe abuse was obtained in 11 cases. The subjects had amnesia for most of the abuse and underreported it. Marked changes in writing style and/or signatures were documented in 10 cases. CONCLUSIONS: This study establishes, once and for all, the linkage between early severe abuse and dissociative identity disorder. Further, the data demonstrate that the disorder can be distinguished from malingering and from other disorders. The study shows that it is possible, with great effort, to obtain objective evidence of both the symptoms of dissociative identity disorder and the abuse that engenders it.

Martinez-Taboas, A. (1996). Repressed memories: Some clinical data contributing toward its elucidation. American Journal of Psychotherapy, 50(2), 217-30.
Abstract: Recently there has been considerable controversy about the validity of memories recovered during psychotherapy. In the last two decades, a plethora of studies have been published that leave no reasonable doubt that many children are victimized and abused. Proponents of false memory syndrome have taken the position that "memories" that surface in the course of psychotherapy are not the product of real traumas, but are instead,"pseudomemories" implanted by therapists through techniques such as hypnosis and abreactions. In response to these claims, the author presents two well documented and corroborated cases of dissociated or delayed memories of child sexual abuse in patients with a diagnosis of Dissociative Identity Disorder (DID). The patients had absolutely no conscious memory of their childhood abusive experiences and in both cases the author obtained definite and clear cut independent corroboration of the realities of the abuse. The amnesia was documented and memories were recovered in the course of treatment. Only through the publication of clear cut cases can the debate about repressed memories be settled in an empirical way.

Van der Kolk, BA, & Fisler, R. (1995). Dissociation and the fragmentary nature of traumatic memories: Overview and exploratory study. Journal of Traumatic Stress, 8, 505-525.
Summary: 46 adults with in depth interviews. Of the 36 with childhood trauma, 42% suffered significant or total amnesia at some time. Corroborative evidence was available for 75%.

Viederman M. (1995). The reconstruction of a repressed sexual molestation fifty years later. Journal of the American Psychoanalytic Association, 43(4): 1169-1219.
Summary: Reconstruction of a previously completely repressed memory of sexual molestation. Six years following termination of analysis, the patient wrote a letter describing a confirmation of the event, now sixty years past, from the sole other survivor of the period who had knowledge of what had happened.

Westerhof, Y., Woertman, L. Van der Hart, O., & Nijenhuis, E.R.S. (2000). Forgetting child abuse: Feldman-Summers and Pope's (1994) study replicated among Dutch psychologists. Clinical Psychology and Psychotherapy, 7, 220-229.
Abstract: In a replication of Feldman-Summers and Pope's (1994) national survey of American psychologists on 'forgetting' childhood abuse, a Dutch sample of 500 members of the Netherlands Institute of Psychologists (NIP) were asked if they had been abused as children and, if so, whether they had ever forgotten some or all of the abuse for soem significant period of time. As compared to the 23.9% in the original study, 13.3% reported childhood abuse. Of that subgroup, 39% (as compared to 40% in the original study) reported a period of forgetting some or all of the abuse for a period of time. Both sexual and non-sexual physical abuse were subject to forgetting, which in 70% of cases was reversed while being in therapy. Almost 70% of those who reported forgetting also reported corroboration of the abuse. The forgetting was not related to gender or age, but was associated with the reported early abuse onset. These results were remarkably similar to the resulats of the Feldman-Summers and Pope's original study.

Widom, C. and Shepard, R. (1996). Accuracy of adult recollections of childhood victimization: Part 1. Psychological Assessment, 8(4), 412-421.
Abstract: Using data from a study with prospective-cohorts design in which children who were physically abused, sexually abused, or neglected about 20 years ago were followed up along with a matched control group, accuracy of adult recollections of childhood physical abuse was assessed. Two hour in-person interviews were conducted in young adulthood with 1,196 of the original 1,575 participants. Two measures (including the Conflict Tactics Scale) were used to assess histories of childhood physical abuse. Results indicate good discriminant validity and predictive efficiency of the self-report measures, despite substantial underreporting by physically abused respondents. Tests of construct validity reveal shared method variance, with self-report measures predicting self-reported violence and official reports of physical abuse predicting arrests for violence. Findings are discussed in the context of other research on the accuracy of adult recollections of childhood experiences.

Widom, C. and Shepard, R. (1997). Accuracy of adult recollections of childhood victimization. Part 2. Childhood sexual abuse. Psychological Assessment 9: 34-46.
Summary: A prospective study in which abused and neglected children (court substantiated) [N=1,114] were matched with non-abused and neglected children and followed into adulthood. There was substantial underreporting of sexual abuse, when compared to court and medical records. Victimization recall was checked by comparing crimes disclosed in victimization surveys found in police records. The question should be not whether reports of childhood sexual abuse are valid or not, but what is the best way to ask questions to make answers more valid.


Williams, L. M. (1995, October). Recovered memories of abuse in women with documented child sexual victimization histories. Journal of Traumatic Stress, 8(4).
Abstract: This study provides evidence that some adults who claim to have recovered memories of sexual abuse recall actual events that occurred in childhood. One hundred twenty-nine women with documented histories of sexual victimization in childhood were interviewed and asked about abuse history. Seventeen years following the initial report of the abuse, 80 of the women recalled the victimization. One in 10 women (16% of those who recalled the abuse) reported that at some time in the past they had forgotten about the abuse. Those with a prior period of forgetting - the women with "recovered memories" - were younger at the time of abuse and were less likely to have received support from their mothers than the women who reported that they had always remembered their victimization. The women who had recovered memories and those who had always remembered had the same number of discrepancies when their accounts of the abuse were compared to the reports from the early 1970's.

REFERENCE
Brown, D., Scheflin, A., and Whitfield, C. (1999). Recovered memories: the current weight of the evidence in science and in the courts. The Journal of Psychiatry & Law 27/Spring 1999


(dusts off hands)

All righty then. :) There's a lot more information specifically critiquing the Loftus study. I'll post it if anybody wants to see it. And y'all know that there's more research, more studies, more everything on any questions that you may have, so don't hesitate to ask.
 
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Tried to read the actual studies, but couldn't access, unlike the whole article I linked before. Still have no evidence of repressed memories and associated disorders.
 
Now Maia, you have again shifted focus and moved goal posts, you are not being either coherent or clear, do not conflate freud and others with mor recent studies.

Question 1: What is the defintion of repressed memory and what does it have to do with any vague defintions of alters. Nothing.
If we find those studies I will be every interested to see how they defined the repression and what it means. I doubt very much that there is a consistent and coherent definition.

Question 2: Can not memories be avoided and not sought out, that does mean they are not available to the person, that means they are avoided. So again the exact behavioral defintion of 'repressed' is important. In fact that is one of the suggested reasons for disassociation as a coping mechanism. However that does not mean that they were locked away in some magic vault and only brought to the surface. they may have been there the whole time and avoided. (I am personally well familiar with that phenomena.)

So again try some rigor in defintion and not irrelvant fact attritions.
 

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