The quality of suggested memories

Alarge number of studies have demonstrated that participants could be led to report suggested events that were never witnessed (Loftus & Palmer, 1974 ). The present study attempts to explore the quality of such suggested memories. Thirty‐six participants were exposed to a live event of brief duration (20 s). They were then misled about certain aspects of the event. Memory was assessed using a forced‐choice recognition test. The participants were also required to give remember/know/guess responses, together with confidence ratings, and also to indicate how they came to remember the item. Thirty‐six per cent of the suggested memories were “know” responses, while 43% were “remember” responses. Moreover, whenever the participants had a remember experience they always recalled a wealth of visual information. With regards to the confidence level of the suggested memories, it was observed that the suggested memories were as confidently held as accurate memories. The results indicate that suggestions may become integrated with other kinds of information and that these falsely remembered memories are often accompanied with varied kinds of information; predominant among them seems to be visual imagery and past associations. For accurate memories, too, visual imagery was recalled the most, followed by other kinds of information (e.g., past associations, emotional, auditory, and inferential). The study points to the difficulties of differentiating between true recollections of actual events and false recollections of events that did not occur.     

Does Evidence-Based Medicine Apply to Psychiatry?

Evidence-based psychiatry (EBP) has arisen through the application of evidence-based medicine (EBM) to psychiatry. However, there may be aspects of psychiatric disorders and treatments that do not conform well to the assumptions of EBM. This paper reviews the ongoing debate about evidence-based psychiatry and investigates the applicability, to psychiatry, of two basic methodological features of EBM: prognostic homogeneity of clinical trial groups and quantification of trial outcomes. This paper argues that EBM may not be the best way to pursue psychiatric knowledge given the particular features of psychiatric disorders and their treatments. As a result, psychiatry may have to develop its own standards for rigour and validity. This paper concludes that EBM has had a powerful influence on how psychiatry investigates and understands mental disorders. Psychiatry could influence EBM in return, reshaping it in ways that are more clinically useful and congruent with patients’ needs.