|
O A R M H P OHIO ASSOCIATION OF RESPONSIBLE MENTAL HEALTH PRACTICES May 2002
Happy May everyone! I hope your flowers are blooming. Our dear Paul McHugh just keeps on going. The Clergy scandal has us all on edge. I thought Pam did a good job in her message. Unfortunately, most people cannot tell the difference between real and imagined abuse. You do not forget real abuse. So of course, there are many people trying to grab their share of the money who got their memories from a therapist. Carole Professor McHugh has been named to President George W. Bush's Bioethics Council
Dr. Paul McHugh
President's Bioethics Council
*Leon R. Kass, M.D. Chair,... Bioethicist *Elizabeth Blackburn, Ph.D.... Biochemistry, Biophysics *Stephen Carter, J.D.,..... Law, *Rebecca Dresser, J.D., M.S....Law *Daniel Foster, M.D....... Internal Medicine *Francis Fukuyama, Ph.D. ..... International Political Economy *Michael Gazzaniga, Ph.D. ...... Cognitive Neuroscience, *Robert P. George, J.D., D. ......Jurisprudence, *Alfonso Gomez-Lobo, Ph.D....Metaphysics * Mary Ann Glendon, J.D., L.LM. ...Law *William B. Hurlbut, M.D. ............ Biology, *Charles Krauthammer, M.D. National Columnist, Washington Post ( columnist Krauthammer is a Psychiatrist from Harvard) *William F. May, Ph.D. ........ Ethics, * Paul McHugh, M.D. ...........Psychiatry
President Bush named 17 leading scientists, doctors, ethicists, social scientists, lawyers, and theologians to serve on the President's Council on Bioethics. The Council will consider a range of bioethical matters connected with specific biomedical and technological activities, such as embryo and stem cell research, assisted reproduction, cloning, uses of knowledge and techniques derived from human genetics or the neurosciences, and end-of-life issues. The Council may also study broader ethical and social issues, such as the protection of human subjects in research and the appropriate uses of biomedical technologies. Council members have been chosen not only for their specialized knowledge, but also for their thoughtfulness and their devotion to serious ethical inquiry. Paul McHugh, M.D. Henry Phipps Professor of Psychiatry and Director of the Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, and Psychiatrist-in-chief of the Johns Hopkins Hospital. Dr. McHugh, a member of the Institute of Medicine of the National Academy of Sciences, is currently Co-Chairman, Ethics Committee of the American College of Neuropsychopharmacology. He also serves on the board of The American Scholar. His writings include Genes, Brain, and Behavior (1990) and essays on assisted suicide and the misuse of psychiatry. Accusations of abuse by clergy
Dear Friends of the False Memory Syndrome Foundation. There has been an explosion of articles about clergy abuse since the Geoghan scandal broke in Boston. The cases are unrelated to FMSF cases. However, a number of FMSF members have contacted me with their concerns about the uncritical references to recovered and repressed memories. For example on March 18, the New York Times printed the following: "What it has been for Mr. Serrano is more than two decades of healing that included, first, coming to grips with his abuse, and progressing to counseling sessions, sorting through repressed memories that sometimes bubbled up as flashbacks and, now, speaking out."nJones, R.L. "Former Altar Boy Describes Years of Abuse, Then Years of Silence." New York Times, March 18, 2002n But it is important to note that on March 19 the same paper also printed the following: "Alan cannot easily forget what has happened to him because traumatic memories are processed and encoded in the brain in a way different from routine memories. They just don't fade with time. This explains, for example, why you can constantly misplace your keys but never forget that you were raped." Richard A. Friedman, M.D. "This Time 'Forgetting' Is Healthy" New York Times, March 19, 2002 A reading of the first article describes a person who said he was abused from 1974 to 1981 (ages 9 to 16). In 1985 Serrano reported the abuse to the church officials. So it is not at all clear what the writer had in mind when he used the term "repressed." In many of the articles is appears to have been used to mean the deliberate avoidance of thinking about something unpleasant. The concern in the March 18th article, as in most of the articles about the abuse in the Catholic church, was that the church did not properly handle the reported abuse. I think the words of the FMSF Advisory Board are important to keep in mind: “Because exactly what is meant by the terms of 'repression' and 'dissociation' is far from clear, their use has become idiosyncratic, metaphoric, and arbitrary." Scientific Advisory Board of the FMS Foundation Statement on Recovered Memories, 1998. It seems to me that the greatest immediate need is to educate reporters about repressed and recovered memory issues. We seem to have a new generation of reporters who have not been immersed in the recovered/repressed memory issues. Because these cases involve clergy abuse, the reporters often are those who cover religion instead of science or the law. Presumably these cases will be around for a while and there will be more articles. Getting information to reporters should help to ensure that future stories contain more accurate information about memory. It will be helpful if you contact the reporters who have written the articles and send them information such as the "Recovered Memories: Are They Reliable" pamphlet (an e-mail version is appended below). It will be helpful if you send them articles that you think are insightful and if you direct them to our website (www.FMSFonline.org). The Foundation will continue to contact reporters as we become aware of the need. We can do a better job if you help. If there is a reporter to whom you would like us to send information, please forward us a copy of the article and also a way to contact the reporter. We will do our part from the office to support your local efforts. Sincerely, Pamela Freyd, Executive Director False Memory Syndrome Foundation. “[T]he phenomenon of memory repression, and the process of therapy used in these cases to recover the memories, have not gained general acceptance in the field of psychology; [they] are not scientifically reliable.”William J. Groff, Preciding Justice New Hampshire Superior Court, May 23, 1995 RECOVERED MEMORIES Are They Reliable?
Professional organizations have responded to the challenge of that question. This document contains excerpts from some professional statements that help to clarify the issue. Read What the Experts Have to Say. . . Distinguishing True from False Memories: ______________________ Need for Corroboration
"It is not known how to distinguish, with complete accuracy, memories based on true events from those derived from other sources." American Psychiatric Association, Statement on Memories of Sexual Abuse, 1993.
"The AMA considers recovered memories of childhood sexual abuse to be of uncertain authenticity, which should be subject to external verification." American Medical Association, Council on Scientific Affairs, Memories of Childhood Sexual Abuse, 1994.
"The available scientific and clinical evidence does not allow accurate, inaccurate, and fabricated memories to be distinguished in the absence of independent corroboration." Australian Psychological Society, Guidelines Relating to the Reporting of Recovered Memories, 1994.
"At present there are no scientifically valid criteria that would generally permit the reliable differentiation of true recovered memories of sexual abuse from pseudomemories." Michigan Psychological Association, Recovered Memories of Sexual Abuse: MPA Position Paper, 1995.
"At this point it is impossible, without other corroborative evidence, to distinguish a true memory from a false one." American Psychological Association, Questions and Answers about Memories of Childhood Abuse, 1995.
"Psychologists acknowledge that a definite conclusion that a memory is based on objective reality is not possible unless there is incontrovertible corroborating evidence." Canadian Psychological Association, Position Statement on Adult Recovered Memories of Childhood Sexual Abuse, 1996. Hypnosis and Memory Recovery Techniques "The Council finds that recollections obtained during hypnosis can involve confabulations and pseudomemories and not only fail to be more accurate, but actually appear to be less reliable than nonhypnotic recall." American Medical Association, Council on Scientific Affairs, Scientific Status of Refreshing Recollections by the Use of Hypnosis, 1985.
"Psychiatrists are advised to avoid engaging in any 'memory recovery techniques' which are based upon the expectation of past sexual abuse of which the patient has no memory. Such 'memory recovery techniques' may include drug-mediated interviews, hypnosis, regression therapies, guided imagery, 'body memories,' literal dream interpretation and journaling. There is no evidence that the use of consciousness- altering techniques, such as drug-mediated interviews or hypnosis, can reveal or accurately elaborate factual information about any past experiences including childhood sexual abuse. Techniques on regression therapy including 'age regression' and hypnotic regression are of unproved effectiveness." Royal College of Psychiatrists, Reported Recovered Memories of Child Sexual Abuse, 1997. (UK) _______________ General Caution "The use of recovered memories is fraught with problems of potential misapplication." American Medical Association, Council on Scientific Affairs, Memories of Childhood Sexual Abuse, 1994. ____________________________________ Symptoms as Indicators of Past Abuse "There is no single set of symptoms which automatically indicates that a person was a victim of childhood abuse. There have been media reports of therapists who state that people (particularly women) with a particular set of problems or symptoms must have been victims of childhood sexual abuse. There is no scientific evidence that supports this conclusion." American Psychological Association, Questions and Answers about Memories of Childhood Abuse, 1995. "Psychologists recognize that there is no constellation of symptoms which is diagnostic of child sexual abuse." Canadian Psychological Association, Position Statement on Adult Recovered Memories of Childhood Sexual Abuse, 1996.
"Previous sexual abuse in the absence of memories of these events cannot be diagnosed through a checklist of symptoms." Royal College of Psychiatrists, Reported Recovered Memories of Child Sexual Abuse, 1997. (UK) __________________ Traumatic Memories "Most people who were sexually abused as children remember all or part of what happened to them although they may not fully understand or disclose it." American Psychological Association, Working Group on Investigation of Memories of Child Abuse, 1996.
"While traumatic memories may be different than (sic) ordinary memories, we currently do not have conclusive scientific consensus on this issue." International Society for Traumatic Stress Studies, Childhood Trauma Remembered: A Report on the Current Scientific Knowledge Base and its Applications, 1996.
"[B}ecause exactly what is meant by the terms of 'repression' and 'dissociation' is far from clear, their use has become idiosyncratic,metaphoric, and arbitrary." Scientific Advisory Board of the FMS Foundation, Statement on Recovered Memories, 1998. __________________________________________________ Statements that May Reflect Substandard Practices: 1. "You have the symptoms of someone who was abused." 2. "Studies show that (or, my experience is that) most people with [fill in the particular diagnosis or symptoms here] were sexually abused." 3. "If you think you were abused, then you probably were." 4. "Remembering is essential if you want to be healed." 5. "This technique (hypnosis, guided imagery, sodium amytal, etc.) is designed to help you remember." 6. "Suing (forgiving, detaching from, etc.) your family is a necessary part of healing." 7. "You have to get worse before you get better." 8. "Your body holds accurate memories of past events." _______________________________________________________ When Dealing with Recovered Memories Keep in Mind that: "Research has shown that over time memory for events can be changed or reinterpreted in such a way as to make the memory more consistent with the person's present knowledge and/or expectations." American Psychological Association, 1995.
"Memories also can be significantly influenced by a trusted person." American Psychiatric Association, 1994.
"The AMA considers recovered memories of childhood sexual abuse to be of uncertain authenticity, which should be subject to external verification." American Medical Association, 1994. ********* For more information: False Memory Syndrome Foundation 1955 Locust Street, Philadelphia, PA 19103-5766 Telephone: 215-940-1040 or 800-568-8882, Fax: 215-940-1042. www.FMSFonline.org www.APA.org/pubinfo/mem.html
New Yorker 12/24&31/01
REMEMBER the National FMS Conference is October 5-6, 2002 in Glenview, IL (Chicago.)
Sponsored by FMS Foundation and the Illinois-Wisconsin Society. Paul McHugh and Elizabeth Loftus will be speaking. Hope to see you there
O A R M H P OHIO ASSOCIATION OF RESPONSIBLE MENTAL HEALTH PRACTICES
440-356-4544
WWW.LTECH.NET/OHIOARMHP
|