Misconceptions about Freud's seduction theory: comment on Gleaves and Hernandez (1999)

D. H. Gleaves and E. Hernandez (1999) write in relation to the seduction theory that "recent writers now argue that ... Freud never made discoveries of sexual abuse" (p. 332) and that "the assertion that Freud did not make discoveries of abuse is unwarranted" (p. 324). In this article an outline of the case that Freud had no adequate grounds for his 1896 claims of having uncovered infantile "sexual scenes" is given. Some of the more important misconceptions and erroneous arguments in Gleaves and Hernandez's article are then examined.     

Current Treatment Strategies for Dissociative Identity Disorders in Adult Sexual Abuse Survivors

SUMMARY

During the past decade, increasing numbers of clinicians and researchers have suggested that the dissociative disorders, including dissociative identity disorder (DID), may be more prevalent than previously hypothesized. The “rediscovery” of DID is due, in part, to the recognition that early childhood trauma in conjunction with the propensity to dissociate, are etiologic factors for the development of DID. The purpose of this article is to raise clinical consciousness regarding DID, discuss the definition and etiology of the dissociative disorders, their assessment, and an approach to treatment of the sexual abuse survivor who has DID. This treatment program, while integrating some of the techniques recommended by others, is unique in its step-by-step flexible organization as well as its multifaceted format. The author's experience to date suggests that the sooner that a dissociative disorder can be identified in the adult sexual abuse survivor client, the more rapid the therapeutic progress.     

Counselor Trainees' Self-Statement Responses to Sexually and Physically Abused Clients,and Client Role Conflict

Because sexual abuse issues present a threat to counselor trainees, the authors predicted that trainees who expected to counsel a sexually abused client would respond with an increase in anxiety and negative self-statements. A total of 63 female trainees were assessed after viewing a videotape of a client reporting sexual abuse, physical abuse, or role conflict. Results indicated that, counter to predictions, the trainees who expected to counsel the sexually abused client increased their positive self-statements. Schwartz's (1986) States-of-Mind model was applied to the self-statement ratios, and, according to the model, trainees were unrealistically optimistic with respect to their counseling.     

Perceptual and conceptual priming in patients with dissociative identity disorder

The present study examined implicit memory transfer in patients with dissociative identity disorder (DID). To determine priming impairments in DID, we included both several perceptual priming tasks and a conceptual priming task using neutral material. We tested a large sample of DID patients (n = 31), in addition to 25 controls and 25 DID simulators, comparable on sex, age, and education. Controls replicated conceptual priming results of Vriezen, Moscovitch, and Bellos (1995) by showing that conceptual priming seems to require the formation of domain-specific semantic representations, denoting either sensory or functional object attributes. We extended a study performed by Schacter, Cooper, and Delaney (1990) by demonstrating priming for impossible object using the sensitive priming index of response times. The simulators in the study were not able to simulate interidentity amnesia on the implicit memory tasks employed. Partly in contrast to participants in previous studies, DID patients showed evidence of perceptual priming as well as conceptual priming comparable to that of controls. DID patients thus displayed normal implicit memory performance.     

Interidentity memory transfer in dissociative identity disorder

Controversy surrounding dissociative identity disorder (DID) has focused on conflicting findings regarding the validity and nature of interidentity amnesia, illustrating the need for objective methods of examining amnesia that can discriminate between explicit and implicit memory transfer. In the present study, the authors used a cross-modal manipulation designed to mitigate implicit memory effects. Explicit memory transfer between identities was examined in 7 DID participants and 34 matched control participants. After words were presented to one identity auditorily, the authors tested another identity for memory of those words in the visual modality using an exclusion paradigm. Despite self-reported interidentity amnesia, memory for experimental stimuli transferred between identities. DID patients showed no superior ability to compartmentalize information, as would be expected with interidentity amnesia. The cross-modal nature of the test makes it unlikely that memory transfer was implicit. These findings demonstrate that subjective reports of interidentity amnesia are not necessarily corroborated by objective tests of explicit memory transfer.     

Memory transfer for emotionally valenced words between identities in dissociative identity disorder

The present study aimed to determine interidentity retrieval of emotionally valenced words in dissociative identity disorder (DID). Twenty-two DID patients participated together with 25 normal controls and 25 controls instructed to simulate DID. Two wordlists A and B were constructed including neutral, positive and negative material. List A was shown to one identity, while list B was shown to another identity claiming total amnesia for the words learned by the first identity. The identity claiming amnesia was tested for intrusions from list A words into the recall of words from list B and recognition of the words learned by both identities. Test results indicated no evidence of total interidentity amnesia for emotionally valenced material in DID. It is argued that dissociative amnesia in DID may more adequately be described as a disturbance in meta-memory functioning instead of an actual retrieval inability.     

Placing the mnemonic model in context: diagnostic, theoretical, and clinical considerations

The mnemonic model of posttraumatic stress disorder (PTSD) proposed by D. C. Rubin, D. Berntsen, and M. K. Bohni presents some provocative and potentially insightful ideas about this mental disorder. D. C. Rubin et al. suggested that PTSD is caused and maintained through a "pathogenic memory" (D. C. Rubin et al., 2008, p. 985) of a negative event rather than by exposure to a traumatic event per se. The present authors examine the mnemonic model in the context of relevant diagnostic, theoretical, and clinical considerations. Specifically, to evaluate the arguments and evidence provided in support of the mnemonic model of PTSD, the present authors focus on 4 issues: (a) problems inherent with comparing a theoretical model (i.e., the mnemonic model) with a diagnostic model (i.e., the DSM-IV-TR model), (b) problems with not comparing the mnemonic model with relevant cognitive and memory models of PTSD, (c) problems with the degree to which the research reviewed provides support for the mnemonic model, and (d) concerns that memory in PTSD is confounded with the basic disorder, rather than causing PTSD. The present authors conclude with suggestions for future theory and research to help differentiate between memory's role in the origins of PTSD and memory's role in the clinical course of the disorder.     

Dehumanizing the lowest of the low: neuroimaging responses to extreme out-groups

Traditionally, prejudice has been conceptualized as simple animosity. The stereotype content model (SCM) shows that some prejudice is worse. The SCM previously demonstrated separate stereotype dimensions of warmth (low-high) and competence (low-high), identifying four distinct out-group clusters. The SCM predicts that only extreme out-groups, groups that are both stereotypically hostile and stereotypically incompetent (low warmth, low competence), such as addicts and the homeless, will be dehumanized. Prior studies show that the medial prefrontal cortex (mPFC) is necessary for social cognition. Functional magnetic resonance imaging provided data for examining brain activations in 10 participants viewing 48 photographs of social groups and 12 participants viewing objects; each picture dependably represented one SCM quadrant. Analyses revealed mPFC activation to all social groups except extreme (low-low) out-groups, who especially activated insula and amygdala, a pattern consistent with disgust, the emotion predicted by the SCM. No objects, though rated with the same emotions, activated the mPFC. This neural evidence supports the prediction that extreme out-groups may be perceived as less than human, or dehumanized.     

Directed forgetting between,but not within,dissociative personality states

To investigate amnesia between identities in dissociative identity disorder (DID), the authors assessed explicit and implicit memory performance on a directed-forgetting task in 12 DID patients who switched from one state to an "amnesic" state between presentation and memory testing. DID patients were instructed either to remember or to forget neutral and emotional words. Besides an overall decrease in explicit memory, patients demonstrated selective forgetting of to-be-forgotten, but not of to-be-remembered words in the amnesic state. Patients did not exhibit any directed forgetting within the same state. Implicit memory was fully preserved across states. Independent of state, patients recalled more emotional than neutral information. These results may extend the conceptualization of memory processes in DID, suggesting an important role for retrieval inhibition.     

A prospective study of memory for child sexual abuse: new findings relevant to the repressed-memory controversy

Previous research indicates that many adults (nearly 40%) fail to report their own documented child sexual abuse (CSA) when asked about their childhood experiences. These controversial results could reflect lack of consciously accessible recollection, thus bolstering claims that traumatic memories may be repressed. In the present study, 175 individuals with documented CSA histories were interviewed regarding their childhood trauma. Unlike in previous studies, the majority of participants (81%) in our study reported the documented abuse. Older age when the abuse ended, maternal support following disclosure of the abuse, and more severe abuse were associated with an increased likelihood of disclosure. Ethnicity and dissociation also played a role. Failure to report CSA should not necessarily be interpreted as evidence that the abuse is inaccessible to memory, although inaccessibility or forgetting cannot be ruled out in a subset of cases.     

Community-Based Prevention Support: Using the Interactive Systems Framework to Facilitate Grassroots Evidenced-Based Substance Abuse Prevention

The community plays an important role in the success of substance abuse prevention efforts. However, current funding structures and a focus on limited approaches to prevention delivery have created a large gap between what substance abuse prevention professionals practice and what the community at large knows about prevention. The concept of “community” has not always been well‐defined in the field of prevention, and there are few mechanisms to engage grassroots community members in evidence‐based substance abuse prevention. This article explains how Wandersman et al.'s (Am J Community Psychol 41:171–181, 2008) Interactive Systems Framework can be applied to grassroots prevention efforts. The authors describe a Community Prevention Support System that collaborates with the Professional Prevention Support System to promote the adoption of evidence‐based substance abuse prevention practices at the grassroots, community level. Special Issue: Advances in Bridging Research and Practice Using the Interactive System Framework for Dissemination and Implementation; Guest Editors: Abraham Wandersman, Paul Flaspohler, Catherine A. Lesesne, Richard Puddy; Action Editor: Emilie Phillips Smith     

Procedural memory in dissociative identity disorder: when can inter-identity amnesia be truly established?

In a serial reaction time task, procedural memory was examined in Dissociative Identity Disorder (DID). Thirty-one DID patients were tested for inter-identity transfer of procedural learning and their memory performance was compared with 25 normal controls and 25 controls instructed to simulate DID. Results of patients seemed to indicate a pattern of inter-identity amnesia. Simulators, however, were able to mimic a pattern of inter-identity amnesia, rendering the results of patients impossible to interpret as either a pattern of amnesia or a pattern of simulation. It is argued that studies not including DID-simulators or simulation-free memory tasks, should not be taken as evidence for (or against) amnesia in DID.     

Distinctive features hold a privileged status in the computation of word meaning: Implications for theories of semantic memory

The authors present data from 2 feature verification experiments designed to determine whether distinctive features have a privileged status in the computation of word meaning. They use an attractor-based connectionist model of semantic memory to derive predictions for the experiments. Contrary to central predictions of the conceptual structure account, but consistent with their own model, the authors present empirical evidence that distinctive features of both living and nonliving things do indeed have a privileged role in the computation of word meaning. The authors explain the mechanism through which these effects are produced in their model by presenting an analysis of the weight structure developed in the network during training.     

Recent reformulations of Freud's development and abandonment of his seduction theory: historical/scientific clarification or a continued assault on truth?

It is well known that, as part of Freud's early work with "hysteria," he reported making discoveries of sexual abuse that he interpreted first as genuine but subsequently as fantasy. Several writers now argue that Freud never made such discoveries; rather that he lied about them, only inferred abuse from his patients' symptoms, or suggested false memories to his clients. The present authors evaluate Freud's original work and these recent claims and conclude that (a) they are not new and are similar to the original reaction that Freud received; (b) the assertion that Freud did not make discoveries of abuse is unwarranted; and (c) these recent writers frequently have supported their positions by misrepresenting what Freud actually wrote, ignoring evidence that contradicted their position, failing to consider obvious and more plausible explanations for Freud's behavior, and going beyond the available data and stating with certainty what cannot be determined.     

The intelligence of the moral intuitions: comment on Haidt (2001)

The social intuitionist model (J. Haidt, 2001) posits that fast and automatic intuitions are the primary source of moral judgments. Conscious deliberations play little causal role; they are used mostly to construct post hoc justifications for judgments that have already occurred. In this article, the authors present evidence that fast and automatic moral intuitions are actually shaped and informed by prior reasoning. More generally, there is considerable evidence from outside the laboratory that people actively engage in reasoning when faced with real-world moral dilemmas. Together, these facts limit the strong claims of the social intuitionist model concerning the irrelevance of conscious deliberation.     

The unification of consciousness: Approaches to the healing of dissociation

This study examines the process of unifying consciousness as described in the Christian mystical tradition and in the psychological treatment of dissociative identity disorder (DID). A comparison of the experience of the self in the contemplative and the DID patient is also undertaken to emphasize points of continuity. The present analysis proposes that differentiating first-order dissociation (separation from a divine being or source) from second-order dissociation (separation from parts of one's own self and experiences) can preserve the insights gathered from both spiritual and psychological perspectives.     

心理虐待与忽视对青少年攻击行为的影响:道德推脱的中介与调节作用

在一般攻击模型（GAM）和个体-环境交互作用模型的视角下,采用儿童心理虐待与忽视量表、青少年道德推脱问卷和攻击行为问卷对696名青少年进行调查,以探讨心理虐待与忽视对青少年攻击行为的影响以及道德推脱在其中的作用机制。结果发现：（1）心理虐待与忽视与青少年攻击行为和道德推脱均呈显著正相关,道德推脱与青少年攻击行为也呈显著正相关;（2）道德推脱在心理虐待与忽视和青少年攻击行为之间起着部分中介作用,道德推脱的中介作用不存在性别差异,但存在显著的年龄差异,在初中组中,道德推脱在心理虐待与忽视和青少年攻击行为间的中介作用为部分中介,而在高中组中为完全中介;（3）道德推脱在心理虐待与忽视和青少年攻击行为之间的调节作用不显著,道德推脱的调节作用不存在年龄差异,但存在显著的性别差异,在男生组中,道德推脱在心理虐待与忽视和青少年攻击行为间的调节作用不显著,而在女生组中显著。     

Physical Abuse and Childhood Disability

SUMMARY

Several authors have hypothesized that children with disabilities are at increased risk for physical abuse. Such a finding would be consistent with current ecological models, which posit that certain child characteristics (e.g., behavior problems) in combination with other risk factors can lead to abuse. The paucity of research in this area makes it difficult to draw firm conclusions at this time. However, the few studies conducted suggest that child characteristics play a minor role in the etiology of abuse. Despite the lack of evidence indicating that children with disabilities are at significantly greater risk for abuse than their nondisabled peers, the presence of a disability raises some unique issues in the identification, assessment, and treatment of special needs children. This article reviews the literature linking abuse and disability as a risk factor. In addition, impediments encountered in the assessment and treatment of abused children with disabilities and their families are discussed and guidelines for practice are presented.