"Final report of APA Working Group on Investigation of Memories of Childhood Abuse: A critical commentary": Reply to Alpert, Brown, and Courtois (1999).

In their response to C. B. Brenneis's (1997; see record 2007-10660-001) commentary on the American Psychological Association's final report of the Working Group on Investigation of Memories of Childhood Abuse, J. L. Alpert, L. S. Brown, and C. A. Courtois (1999) have clustered their remarks under three headings: nonissues, real issues, and bias. This reply addresses each of these topics in turn. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Clinical characteristics of adults reporting repressed, recovered, or continuous memories of childhood sexual abuse.

The authors assessed women and men who either reported continuous memories of their childhood sexual abuse (CSA, n = 92), reported recovering memories of CSA (n = 38), reported believing they harbored repressed memories of CSA (n = 42), or reported never having been sexually abused (n = 36). Men and women were indistinguishable on all clinical and psychometric measures. The 3 groups that reported abuse scored similarly on measures of anxiety, depression, dissociation, and absorption. These groups also scored higher than the control group. Inconsistent with betrayal trauma theory, recovered memory participants were not more likely to report abuse by a parent or stepparent than were continuous memory participants. Rates of depression and posttraumatic stress disorder did not differ between the continuous and recovered memory groups. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Recollections of trauma: Scientific evidence and clinical practice.

Reviews the book, Recollections of trauma: Scientific evidence and clinical practice edited by J. Donald Read and D. Stephen Lindsay (1997). This book is a serious and ambitious attempt to bring various forms of professional expertise to bear on the vexed issue of psychotherapeutically recovered versus false memories of childhood sexual abuse and trauma. The volume is the outcome of a NATO Advanced Studies Institute (ASI) that took place over an 11-day period at Les Jardins de l'Atlantique in France. It reflects the input of no fewer than 95 participants, most of them psychologists, with a minority of contributors from other relevant fields such as anthropology and the legal profession. The explicit aim of this collaborative undertaking was to promote productive dialogue among the various stakeholders in the recovered memory debate, especially among researchers and clinicians, whose views on these issues are often highly divergent. The final product bears witness to the successful achievement of this aim. This volume will stand as a definitive reference on the topic of recovered memory for the more serious researchers in this area. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Childhood Sexual Abuse Narratives in Clinically and Nonclinically Distressed Adult Survivors.

Understanding the complex dynamics involved in sexual abuse trauma is of central importance to clinicians working with adult survivors of childhood sexual abuse. In this study 20 volunteer participants formed 2 gender-balanced groups differentiated by clinical (vs. nonclinical) levels of distress. A negative case analysis revealed group differences in participants' perceptions of the impact of the abuse, meaning attributions for the abuse, and social support experiences. Resolving traumatic attachment to the perpetrator may be the core therapeutic task complicating the process of reclaiming trust, expressing grief and anger, and developing empowered meaning attributions. Successful negotiation of the complex pathways to recovery requires a therapeutic environment free from countertransferential errors. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Childhood Sexual Abuse, Relationship Satisfaction, and Sexual Risk Taking in a Community Sample of Women.

Childhood sexual abuse (CSA) has been proposed to influence both women's adult sexual risk behaviors and the quality of their intimate relationships. Among a household sample of women (n = 732), good fit was obtained for a model in which CSA predicted Wave 1 male partner sexual risk and aggression characteristics, resulting in lower relationship satisfaction, and ultimately in higher numbers of Wave 2 sexual partners. The model was generally replicated among women who entered new relationships at Waves 2 and 3. Partner sexual risk characteristics also were associated with women's risk of sexually transmitted infection from current partner. Elevated sexual risk behaviors among CSA survivors reflect difficulty in establishing stable and safe relationships and may be reduced by interventions aimed at improving intimate relationships. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Directed forgetting of trauma cues in adults reporting repressed or recovered memories of childhood sexual abuse.

An item-cuing directed forgetting task was used to investigate whether women reporting repressed (n?=?13) or recovered (n?=?13) memories of childhood sexual abuse (CSA) exhibit an avoidant encoding style (and resultant impaired memory) for trauma cues relative to women reporting no CSA experience (n?=?15). All participants viewed intermixed trauma (e.g., molested), positive (e.g., confident), and categorized neutral (e.g., mailbox) words on a computer screen and were instructed either to remember or to forget each word. The results provided no support for the hypothesis that people reporting either repressed or recovered memories of CSA are especially adept at forgetting words related to trauma. These groups recalled words they were instructed to remember more often than words they were instructed to forget regardless of whether they were trauma related. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Child Sexual Abuse and Number of Sexual Partners in Young Women: The Role of Abuse Severity, Coping Style, and Sexual Functioning.

The authors proposed and tested a model describing distinct pathways through which childhood sexual abuse (CSA) may lead to relatively low or high numbers of sexual partners in adulthood. Path analyses were conducted on survey responses of young female US Navy recruits who reported CSA (N=547). Use of avoidant strategies to cope with CSA was expected to produce higher levels of sexual problems and fewer heterosexual sex partners, whereas use of self-destructive coping strategies was expected to result in more dysfunctional sexual behavior and more heterosexual sex partners. As predicted, the effect of CSA on number of sex partners was largely mediated by coping strategies and dysfunctional sexual behavior. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Childhood Sexual and Physical Abuse and the 1-Year Prevalence of Medical Problems in the National Comorbidity Survey.

In a population sample (N = 5,877; ages 15 to 54), the authors found childhood sexual and physical abuse to be associated with the 1-year prevalence of serious health problems for both men and women. The authors also found that participants' psychiatric disorders partially mediated the effects of physical and sexual abuse on adult health. However, childhood abuse continued to independently influence health status after the authors controlled for psychiatric disorders. Contrary to expectations, individuals who experienced a combination of sexual and physical abuse did not have a higher frequency of health problems than those who experienced either type of abuse alone. Implications for these findings are discussed, including possible mechanisms that may account for the association between childhood abuse and adult health problems. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Childhood and Adolescent Sexual Abuse of Community Women: Mediated Effects on Psychological Distress and Social Relationships.

Possible mediators of sexual abuse severity were tested on the basis of D. Finkelhor and A. Browne's (1985) traumagenic dynamics model with 178 low-income African American, European American, and Mexican American community women interviewed for Project HOW: Health Outcomes of Women. This subsample reported contact sexual abuse before the age of 18 years. Severity was level of force, number of perpetrators, relationship to perpetrator, and age at first assault. As expected, structural equation modeling showed powerlessness, and stigmatization largely mediated the effects of sexual abuse severity on women's psychological distress in adulthood. Powerlessness also mediated the effects of severity on maladaptive social relationships. The expected path from betrayal to relationships was nonsignificant. Overall, the results support extension of D. Finkelhor and A. Browne's model. Possible interventions are addressed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

American Psychological Association Working Group on Investigation of Memories of Childhood Abuse: Preface to the final report.

The APA Council of Representatives voted in February 1993 to establish a working group to review current scientific literature and identify future research and training needs regarding the evaluation of memories of childhood abuse. In March 1993 the Board for the Advancement of Psychology in the Public Interest, in consultation with the Board of Professional and Scientific Affairs, named the members of the working group. This article presents a brief history of the working group, including a timeline of the meetings held and the presentation of draft reports. The report does not offer a "solution" to the "problem" of adult memories of childhood abuse. Rather, it offers a clear and concrete delineation of the issues that must be faced, the knowledge that must be sought, and the differences that must be reconciled for the science and profession of psychology to attend responsibly to the dilemmas posed by adult memories of childhood abuse. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Randomized Trial of Cognitive-Behavioral Therapy for Chronic Posttraumatic Stress Disorder in Adult Female Survivors of Childhood Sexual Abuse.

The authors conducted a randomized clinical trial of individual psychotherapy for women with posttraumatic stress disorder (PTSD) related to childhood sexual abuse (n = 74), comparing cognitive-behavioral therapy (CBT) with a problem-solving therapy (present-centered therapy; PCT) and to a wait-list (WL). The authors hypothesized that CBT would be more effective than PCT and WL in decreasing PTSD and related symptoms. CBT participants were significantly more likely than PCT participants to no longer meet criteria for a PTSD diagnosis at follow-up assessments. CBT and PCT were superior to WL in decreasing PTSD symptoms and secondary measures. CBT had a significantly greater dropout rate than PCT and WL. Both CBT and PCT were associated with sustained symptom reduction in this sample. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

False Memories: Young and Older Adults Think of Semantic Associates at the Same Rate, but Young Adults Are More Successful at Source Monitoring.

Two experiments explored whether the higher vulnerability to false memories in the DRM (J. Deese, 1959; H. L. Roediger & K. B. McDermott, 1995) paradigm in older compared to young adults reflects a deficit in source monitoring. In both experiments, adding together the number of falsely recalled critical lures and the number of critical lures produced on a post-recall test asking participants to report items that they had thought of but did not recall, indicated that the critical lures were activated during the experiment equally often in young and older adults. However, older adults were more likely than young adults to say that they had actually heard the lures. When strongly encouraged to examine the origin of memories (Experiment 2), the warning substantially reduced false recall in young but not older adults. These results are consistent with the idea that older adults have more difficulty later identifying the source of information that was activated as a consequence of intact semantic activation processes. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A Life History Assessment of Early Childhood Sexual Abuse in Women.

Life history theory provided a framework for examining the relations among child sexual abuse (CSA), childhood adversity, and patterns of reproductive development and behavior. A community survey that assessed CSA, life history variables (e.g., age of menarche), and social and family background was administered to 623 women (mean age=26.9 years). Independent of social and family background, CSA was associated with earlier age of (a) menarche, (b) first sexual relationship, (c) desire to have children, (d) first childbirth, and (e) lower self-evaluated physical attractiveness. Cluster analyses revealed different patterns of experiential correlates of reproductive development within the group of abused women, suggesting CSA may operate in combination with other childhood circumstances to modify the timing and pattern of individual maturation. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Developmental Differences in the Function and Use of Anatomical Dolls During Interviews With Alleged Sexual Abuse Victims.

The impact of anatomical dolls on reports provided by 3- to 12-year-old alleged sexual abuse victims (N = 178) was examined. Children produced as many details in response to open-ended invitations with and without the dolls. In response to directive questions, the 3- to 6-year-olds were more likely to reenact behaviorally than to report verbally, whereas the 7- to 12-year-olds produced more verbal details than enactments when using the dolls. With the dolls, the younger children were more likely than the older children to play suggestively and to contradict details provided without the dolls, whereas the older children were more likely to provide details that were consistent. Children in both age groups produced proportionally more fantastic details with the dolls than without the dolls. (PsycINFO Database Record (c) 2010 APA, all rights reserved)