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Saturday, June 20, 2026

Satanic panic

From Wikipedia, the free encyclopedia

The Satanic panic is a moral panic consisting of over 12,000 unsubstantiated cases of Satanic ritual abuse (SRA), sometimes known as ritual abuse, starting in North America in the 1980s, spreading throughout many parts of the world by the late 1990s, and persisting today. The panic originated in 1980 with the publication of Michelle Remembers, a book co-written by Canadian psychiatrist Lawrence Pazder and his patient (and future wife), Michelle Smith, which used the now discredited practice of recovered-memory therapy to make claims about Satanic ritual abuse involving Smith. The allegations, which arose afterward throughout much of the United States, involved reports of physical and sexual abuse of people in the context of occult or Satanic rituals. Some allegations involve a conspiracy of a global Satanic cult that includes the wealthy and elite in which children are abducted or bred for human sacrifice, pornography, and prostitution.

Nearly every aspect of the ritual abuse is controversial, including its definition, the source of the allegations and proof thereof, testimonies of alleged victims, and court cases and criminal investigations involving the allegations. The panic affected lawyers, therapists, and social workers who handled allegations of child sexual abuse. Allegations initially brought together widely dissimilar groups, including religious fundamentalists, police investigators, child advocates, therapists, and clients in psychotherapy. The term satanic abuse was more common early on; this later became satanic ritual abuse and further secularized into simply ritual abuse. Over time, the accusations became more closely associated with dissociative identity disorder (then called multiple personality disorder) and anti-government conspiracy theories, such as QAnon.

Initial interest arose via the publicity campaign for Pazder's 1980 book Michelle Remembers, and it was sustained and popularized throughout the decade by coverage of the McMartin preschool trial. Testimonials, symptom lists, rumors, and techniques to investigate or uncover memories of SRA were disseminated through professional, popular, and religious conferences as well as through talk shows, sustaining and further spreading the moral panic throughout the United States and beyond. In some cases, allegations resulted in criminal trials with varying results; after seven years in court, the McMartin trial resulted in no convictions for any of the accused, while other cases resulted in lengthy sentences, some of which were later reversed. Scholarly research eventually resulted in the conclusion that the phenomenon was a moral panic, which, as one researcher put it in 2017, "involved hundreds of accusations that devil-worshipping paedophiles were operating America's white middle-class suburban daycare centers".

A 1994 article in the New York Times stated that: "Of the more than 12,000 documented accusations nationwide, investigating police were not able to substantiate any allegations of organized cult abuse".

History

Origins

Among the explanations of why the panic occurred when it did, or "took the shape that it did", include

  • Three films that opened and ran near the beginning of the panic pertained to Satanism, namely Rosemary’s Baby (1968), The Exorcist (1973), and The Omen (1976). According to scholar Joseph Laycock, patients hypnotized by therapists to recover memories of SRA, often "seemed to be recalling scenes from these films".
  • The reaction against the surge of new religious movements (NRMs) in the 1960s due to both the immigration reform allowing missionaries for Asian religions, as well as new religions, (including the Church of Satan), arising from the counterculture of the baby boomer generation. Sometimes called the "cult wars" or "cult scare".
  • The Tate–LaBianca murders committed by cult members in the Manson Family which consisted of "mostly lonely teenagers from broken homes".
  • Mike Warnke's bestselling 1972 memoir The Satan Seller, in which he claimed to have led a group of 1,500 Satanists that engaged in rape and human sacrifice before he converted to evangelical Christianity. The book was praised by Moody Monthly and The Christian Century. Two decades later the book was debunked by an evangelical magazine, Cornerstone.

Early history

Blood libel accusations against Jews are considered historical precursors of the modern moral panic.

Allegations of horrific acts by outside groups, including cannibalism, child murder, torture, and incestuous orgies can place minorities in the role of the "Other", as well create a scapegoat for complex problems in times of social disruption. The SRA panic repeated many of the features of historical moral panics and conspiracy theories, such as the blood libel against Jews by Apion in the 30s CE, the wild rumors that led to the persecutions of early Christians in the Roman Empire, later allegations of Jewish rituals involving the cannibalism of Christian babies and desecration of the Eucharist, and the witch hunts of the 16th and 17th centuries. Torture and imprisonment were used by authority figures in order to coerce confessions from alleged Satanists, confessions that were later used to justify their executions. Records of these older allegations were linked by contemporary proponents in an effort to demonstrate that contemporary Satanic cults were part of an ancient conspiracy of evil, though ultimately no evidence of devil-worshiping cults existed in Europe at any time in its history.


In Early Modern Europe people accused of being witches were stated to be working for Satan and burned at the stake.

A more immediate precedent to the context of Satanic ritual abuse in the United States was McCarthyism in the 1950s. The underpinnings for the contemporary moral panic were found in a rise of five factors in the years leading up to the 1980s: the establishment of fundamentalist Christianity and the founding and political activism of the religious organization which was named the Moral Majority; the rise of the anti-cult movement which accused abusive cults of kidnapping and brainwashing children and teens; the appearance of the Church of Satan and other explicitly Satanist groups which added a kernel of truth to the existence of Satanic cults; the development of the social work or child protection field, and its struggle to have child sexual abuse recognized as a social problem and a serious crime; and the popularization of post-traumatic stress disorder, repressed memory, and the corresponding survivor movement.

Michelle Remembers and the McMartin preschool trial

Michelle Remembers, written by Canadians Michelle Smith and her husband, psychiatrist Lawrence Pazder, was published in 1980. Now discredited, the book was written in the form of an autobiography, presenting the first modern claim that child abuse was linked to Satanic rituals. According to the "memoir", at the age of five Michelle was tortured by her mother for days in "elaborate satanic rituals". As the torture reached a climax, a portal to hell opened and Satan himself appeared, only to be driven away by the Virgin Mary and Archangel Michael. Explanations for a lack of any evidence of abuse on Michelle's body were that it had been miraculously removed by St. Mary. Not explained was testimony from Michelle's father and two sisters, contradicting the memoir, as well as a 1955/56 St. Margaret's School yearbook. The yearbook includes a photo taken in November 1955 showing Michelle attending school and appearing healthy, when according to Pazder's book Michelle spent that month imprisoned in a basement.

Pazder was also responsible for coining the term ritual abuseMichelle Remembers provided a model for numerous allegations of SRA that ensued later in the same decade. On the basis of the book's success, Pazder developed a high media profile, gave lectures and training on SRA to law enforcement, and by September 1990 had acted as a consultant on more than 1,000 SRA cases, including the McMartin preschool trial. Prosecutors used Michelle Remembers as a guide when preparing cases against alleged Satanists. Michelle Remembers, along with other accounts portrayed as survivor stories, are suspected to have influenced later allegations of SRA, and the book has been suggested as a causal factor in the later epidemic of SRA allegations.

The early 1980s, during the implementation of mandatory reporting laws, saw a large increase in child protection investigations in America, Britain, and other developed countries, along with a heightened public awareness of child abuse. The investigation of incest allegations in California was also changed, with cases led by social workers who used leading and coercive interviewing techniques that had been avoided by police investigators. Such changes in the prosecution of cases of alleged incest resulted in an increase in confessions by fathers in exchange for plea bargains. Shortly thereafter, some children in child protection cases began making allegations of horrific physical and sexual abuse by caregivers within organized rituals, claiming sexual abuse in Satanic rituals and the use of Satanic symbols. These cases garnered the label satanic ritual abuse both in the media and among professionals. Childhood memories of similar abuse began to appear in the psychotherapy sessions of adults.

In 1983, charges were laid in the McMartin preschool trial, a major case in California, which received attention throughout the United States and contained allegations of satanic ritual abuse. The case caused tremendous polarization in how to interpret the available evidence. Shortly afterward, more than 100 preschools across the country became the object of similar sensationalist allegations, which were eagerly and uncritically reported by the press. Throughout the McMartin trial, media coverage of the defendants (Peggy McMartin and Ray Buckey) was unrelentingly negative, focusing only on statements by the prosecution. Michelle Smith and other alleged survivors met with parents involved in the trial, and it is believed that they influenced testimony against the accused.

Kee MacFarlane, a social worker employed by the Children's Institute International, developed a new way to interrogate children with anatomically correct dolls and used them in an effort to assist disclosures of abuse with the McMartin children. After asking the children to point to the places on the dolls where they had allegedly been touched and asking leading questions, MacFarlane diagnosed sexual abuse in virtually all the McMartin children. She coerced disclosures by using lengthy interviews that rewarded discussions of abuse and punished denials. The trial testimony that resulted from such methods was often contradictory and vague on all details except for the assertion that the abuse had occurred. Although the initial charges in the McMartin case featured allegations of Satanic abuse and a vast conspiracy, these features were dropped relatively early in the trial, and prosecution continued only for non-ritual allegations of child abuse against only two defendants. After three years of testimony, McMartin and Buckey were acquitted on 52 of 65 counts, and the jury was deadlocked on the remaining 13 charges against Buckey, with 11 of 13 jurors choosing not guilty. Buckey was re-charged and two years later released without conviction.

Conspiracy theories

In 1984, MacFarlane warned a congressional committee that children were being forced to engage in scatological behavior and watch bizarre rituals in which animals were being slaughtered. Shortly after, the United States Congress doubled its budget for child-protection programs. Psychiatrist Roland Summit delivered conferences in the wake of the McMartin trial and depicted the phenomenon as a conspiracy that involved anyone skeptical of the phenomenon. By 1986, social worker Carol Darling argued to a grand jury that the conspiracy reached the government. Her husband Brad Darling gave conference presentations about a Satanic conspiracy of great antiquity which he now believed was permeating American communities.

In 1985, Patricia Pulling joined forces with psychiatrist Thomas Radecki, director of the National Coalition on Television Violence, to create B.A.D.D. (Bothered About Dungeons and Dragons). Pulling and B.A.D.D. saw role-playing games generally and Dungeons & Dragons specifically as Satanic cult recruitment tools, inducing youth to suicide, murder, and Satanic ritual abuse. Other alleged recruitment tools included heavy metal music, educators, child care centers, and television. This information was shared at policing and public awareness seminars on crime and the occult, sometimes by active police officers. None of these allegations held up in analysis or in court. In fact, analysis of youth suicide over the period in question found that players of role-playing games actually had a much lower rate of suicide than the average.

Among the conspiracy theories alleged by the panic were that thousands of people a year were being killed by a network of Satanists, what one psychiatrist writing in a psychiatric journal called “a hidden holocaust”.

Explanations for how Satanists covered up this slaughter included their infiltrating media and law enforcement, as well as morticians and crematorium operators to make sure no bodies were ever found. Other versions claimed that there were no missing persons because Satanists used certain women as breeders, providing Satanists with thousands of babies for human sacrifices.

By the late 1980s, therapists or patients who believed someone had suffered from SRA could suggest solutions that included Christian psychotherapy, exorcism, and support groups whose members self-identified as "anti-Satanic warriors". Federal funding was increased for research on child abuse, with large portions of the funding allocated for research on child sexual abuse. Funding was also provided for conferences supporting the idea of SRA, adding a veneer of respectability to the idea as well as offering an opportunity for prosecutors to exchange advice on how to best secure convictions—with tactics including destruction of notes, refusing to tape interviews with children, and destroying or refusing to share evidence with the defense. Had proof been found, SRA would have represented the first occasion where an organized and secret criminal activity had been discovered by mental health professionals. In 1987, Geraldo Rivera produced a national television special on the alleged secret cults, claiming "Estimates are that there are over one million Satanists in [the United States and they are] linked in a highly organized, secretive network." Tapings of this and similar talk show episodes were subsequently used by religious fundamentalists, psychotherapists, social workers and police to promote the idea that a conspiracy of Satanic cults existed and these cults were committing serious crimes.

In the 1990s, psychologist D. Corydon Hammond publicized a detailed theory of ritual abuse drawn from hypnotherapy sessions with his patients, alleging they were victims of a worldwide conspiracy of organized, secretive clandestine cells who used torture, mind control and ritual abuse to create alternate personalities that could be "activated" with code words; the victims were allegedly trained as assassins, prostitutes, drug traffickers, and child sex workers (to create child pornography). Hammond claimed his patients had revealed the conspiracy was masterminded by a Jewish doctor in Nazi Germany, but who now worked for the Central Intelligence Agency with a goal of worldwide domination by a Satanic cult. The cult was allegedly composed of respectable, powerful members of society who used the funds generated to further their agenda. Missing memories among the victims and absence of evidence was cited as evidence of the power and effectiveness of this cult in furthering its agenda. Hammond's claims gained considerable attention, due in part to his prominence in the field of hypnosis and psychotherapy.

Religious roots and secularization

Satanic ritual abuse brought together several groups normally unlikely to associate, including psychotherapists, self-help groups, religious fundamentalists and law enforcement. Initial accusations were made in the context of the rising political power of the conservative Christian right within the United States, and religious fundamentalists enthusiastically promoted rumors of SRA Psychotherapists who were actively Christian advocated for the diagnosis of dissociative identity disorder (DID); soon after, accounts similar to Michelle Remembers began to appear, with some therapists believing the alter egos of some patients were the result of demonic possession. Evangelical Protestantism was instrumental in starting, spreading, and maintaining rumors through sermons about the dangers of SRA, lectures by purported experts, and prayer sessions, including showings of the 1987 Geraldo Rivera television special. Secular proponents appeared, and child protection workers became significantly involved. Law enforcement trainers, many themselves strongly religious, became strong promoters of the claims and self-described experts on the topic. Their involvement in child sexual abuse cases produced more allegations of SRA, adding credibility to the phenomenon. As the explanations for SRA were distanced from evangelical Christianity and associated with "survivor" groups, the motivations ascribed to purported Satanists shifted from combating a religious nemesis, to mind control and abuse as an end to itself. Clinicians, psychotherapists and social workers documented clients with alleged histories of SRA though the claims of therapists were unsubstantiated beyond the testimonies of their clients.

International spread

In 1987, a list of "indicators" was published by Catherine Gould, featuring a broad array of vague symptoms that were ultimately common, non-specific and subjective, purported to be capable of diagnosing SRA in most young children. By the late 1980s, allegations began to appear throughout the world (including Canada, Australia, the United Kingdom, New Zealand, the Netherlands, and Scandinavia), in part enabled by English as a common international language and in the United Kingdom, assisted by Gould's list of indicators.

Belief in SRA spread rapidly through the ranks of mental health professionals (despite an absence of evidence) through a variety of continuing education seminars, during which attendees were urged to believe in the reality of Satanic cults, their victims, and not to question the extreme and bizarre memories uncovered. Support for these claims was offered in the form of unconnected bits of information such as pictures drawn by patients, heavy metal album covers, historical folklore about devil worshippers, and pictures of mutilated animals. During the seminars, patients provided testimonials of their experiences and presenters stressed that recovering memories was important for healing:

  • In 1986, the largest symposium on child abuse in history was held in Australia, with addresses by vocal SRA advocates Kee MacFarlane, Roland Summit, Astrid Heppenstall Heger, and David Finkelhor.
  • In 1987, writings on the phenomenon appeared in the United Kingdom along with incidents featuring broadly similar accusations such as the Cleveland child abuse scandal; allegations of SRA in Nottingham resulted in the "British McMartin", advised in part by the British journalist Tim Tate's work on the subject. Along with the list of indicators, American conference speakers, pamphlets, source materials, consultants, vocabulary regarding SRA and allegedly funding were imported, which promoted the identification and counseling of British SRA allegations. The Nottingham investigation resulted in criminal charges of severe child abuse that ultimately had nothing to do with Satanic rituals, and was criticized for focusing on the irrelevant and non-existent Satanic aspects of the allegations at the expense of the severe conventional abuse endured by the children.
  • In 1989, San Francisco Police detective Sandi Gallant gave an interview with a newspaper in the United Kingdom. At the same time, several other therapists toured the country giving talks on SRA, and shortly thereafter SRA cases were reported in Orkney, Rochdale, London, and Nottingham.
  • In 1992, charges were laid in the Martensville satanic sex scandal; charges were overturned in 1995 on the grounds of improper interviewing of the children.
  • A wave of SRA accusations appeared in New Zealand in 1991, and in Norway in 1992.
  • In the mid-nineties in Egypt, tabloids such as Rose Al Youssef started publishing articles about an alleged subculture of Satan worshipping and rituals spreading among the teens and youth of the middle and upper-middle class and associating it with heavy metal music, bands, symbolism, and graffiti. The original article published on 11 November 1996 was written by Abdallah Kamal, but soon other writers and journalists, including Adel Hammuda and others. The public intrigue eventually led to the security apparatus raiding the homes of some young people in the music scene and their friends, confiscating posts and tapes and CDs, forcing short hairstyles on them and subjecting them to religious reformation sessions, before releasing them, but the scare continued to be stirred from time to time until the mid-2000s, and became books and talk shows.
  • In 1998, Jean LaFontaine produced a book indicating allegations of SRA in the United Kingdom were sparked by investigations supervised by social workers who had taken SRA seminars in the United States.
  • In 2021 and 2022, two consecutive reports by Swiss Television journalists Ilona Stämpfli and Robin Rehmann [de] presented evidence that conspiracy theories closely related to the Satanic panic were still held by various groups and individuals in Switzerland, among them teachers, psychotherapists, high-ranking police officers, and a senior physician of Clienia, the largest private psychiatric clinic group in Switzerland. As a reaction to the first documentary, two of the interviewed teachers as well as the senior physician were let go by their employers.

Skepticism, rejection, and contemporary persistence

Rosie Waterhouse lecturing about Satanic Panics during the European Skeptics Congress 2015

Media coverage of SRA began to turn negative by 1987, and the "panic" ended between 1992 and 1995. The release of the HBO made-for-TV movie Indictment: The McMartin Trial in 1995 re-cast Ray Buckey as a victim of overzealous prosecution rather than an abusive predator, and marked a watershed change in public perceptions of satanic ritual abuse accusations. In 1995, Geraldo Rivera issued an apology for his 1987 television special which had focused on the alleged cults. In 1996 astrophysicist and astrobiologist Carl Sagan devoted an entire chapter of his final book, The Demon-Haunted World: Science as a Candle in the Dark to a critique of claims of recovered memories of alien abductions and satanic ritual abuse, citing material from the newsletter of the False Memory Syndrome Foundation. By 2003, allegations of ritual abuse were met with great skepticism, and belief in SRA was no longer considered mainstream in professional circles; although the sexual abuse of children was and is a real and serious problem, allegations of SRA were essentially false. Reasons for the collapse of the phenomenon include the failure of criminal prosecutions against alleged abusers, a growing number of scholars, officials and reporters questioning the reality of the accusations, and a variety of successful lawsuits against mental health professionals.

Some feminist critics of the SRA diagnoses maintained that, in the course of attempting to purge society of evil, the panic of the 1980s and 1990s obscured actual child-abuse issues, a concern echoed by author Gary Clapton. In England, the SRA panic diverted resources and attention away from proven abuse cases; this resulted in a "hierarchy" of abuse in which SRA was the most serious form, physical and sexual abuse being minimized and/or marginalized, and "mere" physical abuse no longer worthy of intervention. As criticism of SRA investigations increased, the focus by social workers on SRA resulted in a large loss of credibility to the profession. SRA, with its sensational narrative of many victims abused by many victimizers, ended up robbing the far-more-common and proven issue of incest against children of much of its societal significance. The National Center on Child Abuse and Neglect devised the term religious abuse to describe exorcism, poisoning, and drowning of children in non-satanic religious settings in order to avoid confusion with SRA.

Some groups still believe there is credence to allegations of SRA and continue to discuss the topic. Publications by Cathy O'Brien claiming SRA was the result of government programs (specifically the Central Intelligence Agency's Project MKULTRA) to produce Manchurian candidate-style mind control in young children were picked up by conspiracy theorists, linking belief in SRA with claims of government conspiracies. In the 2007 book Mistakes Were Made (but Not by Me), authors Carol Tavris and Elliot Aronson cite an ongoing belief in the SRA phenomenon, despite a complete lack of evidence, as demonstration of confirmation bias in believers; it further points out that a lack of evidence is actually considered by believers in SRA as additional evidence, demonstrating "how clever and evil the cult leaders were: They were eating those babies, bones and all." A Salt Lake City therapist, Barbara Snow, was put on probation in 2008 for planting false memories of satanic abuse in patients. One notable client of hers was Teal Swan. The International Society for the Study of Trauma and Dissociation (ISSTD), a professional nonprofit organization, is known for its advocacy of contemporary narratives surrounding alleged satanic conspiracies. Historically, the organization has convened annual conference presentations dedicated to the exploration and discussion of these topics.

The far-right conspiracy theory movement known as QAnon, which originated on 4chan in 2017, has adopted many of the tropes of SRA and Satanic Panic. Instead of daycare centers being the center of abuse, however, liberal Hollywood actors, Democratic politicians, and high-ranking government officials are portrayed as a child-abusing cabal of Satanists.

Definitions

The term satanic ritual abuse is used to describe different behaviors, actions and allegations that lie between extremes of definitions. In 1988, a nationwide study of sexual abuse in US day care agencies, led by David Finkelhor, divided "ritual abuse" allegations into three categories—cult-based ritualism in which the abuse had a spiritual or social goal for the perpetrators, pseudo-ritualism in which the goal was sexual gratification and the rituals were used to frighten or intimidate victims, and psychopathological ritualism in which the rituals were due to mental disorders. Subsequent investigators have expanded on these definitions and also pointed to a fourth alleged type of Satanic ritual abuse, in which petty crimes with ambiguous meaning (such as graffiti or vandalism) generally committed by teenagers were attributed to the actions of Satanic cults.

By the early 1990s, the phrase "Satanic ritual abuse" was featured in media coverage of ritualistic abuse but its use decreased among professionals in favor of more nuanced terms such as multi-dimensional child sex rings, ritual/ritualistic abuse, organized abuse or sadistic abuse, some of which acknowledged the complexity of abuse cases with multiple perpetrators and victims without projecting a religious framework onto perpetrators. The latter in particular failed to substantively improve on or replace "Satanic" abuse as it was never used to describe any rituals except the Satanic ones that were the core of SRA allegations. Abuse within the context of Christianity, Islam, or any other religions failed to enter the SRA discourse.

Cult-based abuse

Allegation of cult-based abuse is the most extreme scenario of SRA. During the initial period of interest starting in the early 1980s the term was used to describe a network of Satan-worshipping, secretive intergenerational cults that were supposedly part of a highly organized conspiracy engaged in criminal behaviors such as forced prostitution, drug distribution and pornography. These cults were also thought to sexually abuse and torture children in order to coerce them into a lifetime of Devil worship. Other allegations included bizarre sexual acts such as necrophilia, forced ingestion of semen, blood and feces, cannibalism, orgies, liturgical parody such as pseudosacramental use of feces and urine; infanticide, sacrificial abortions to eat fetuses and human sacrifice; satanic police officers who covered up evidence of SRA crimes and desecration of Christian graves. No evidence of any of these claims has ever been found; the proof presented by those who alleged the reality of cult-based abuse primarily consisted of the memories of adults recalling childhood abuse, the testimony of young children and extremely controversial confessions. The idea of a murderous Satanic conspiracy created a controversy dividing the professional child abuse community at the time, though no evidence has been found to support allegations of a large number of children being killed or abused in Satanic rituals. From a law enforcement perspective, an intergenerational conspiracy dedicated to ritual sacrifice whose members remain completely silent, make no mistakes and leave no physical evidence is unlikely; cases of what the media incorrectly perceived as actual cult sacrifices (such as the 1989 case of Adolfo Constanzo) have supported this idea.

Criminal and delusional satanism

A third variation of ritual abuse involves non-religious ritual abuse in which the rituals were delusional or obsessive. There are incidents of extreme sadistic crimes that are committed by individuals, loosely organized families and possibly in some organized cults, some of which may be connected to Satanism, though this is more likely to be related to sex trafficking; though SRA may happen in families, extended families and localized groups, it is not believed to occur in large, organized groups.

Acting out

Investigators considered graffiti such as the pentagram to be evidence of a Satanic cult. Ambiguous crimes in which actual or erroneously believed symbols of Satanism appear have also been claimed as part of the SRA phenomenon, though in most cases the crimes cannot be linked to a specific belief system; minor crimes such as vandalism, trespassing and graffiti were often found to be the actions of teenagers who were acting out.

Polarization

There was never any consensus on what actually constituted Satanic ritual abuse. This lack of a single definition, as well as confusion between the meanings of the term ritual (religious versus psychological) allowed a wide range of allegations and evidence to be claimed as a demonstration of the reality of SRA allegations, irrespective of which "definition" the evidence supported. Acrimonious disagreements between groups who supported SRA allegations as authentic and those criticizing them as unsubstantiated resulted in an extremely polarized discussion with little middle ground. The lack of credible evidence for the more extreme interpretations often being seen as evidence of an effective conspiracy rather than an indication that the allegations are unfounded. The religious beliefs or atheism of the disputants have also resulted in different interpretations of evidence, and as well as accusations of those who reject the claims being "anti-child". Both believers and skeptics have developed networks to disseminate information on their respective positions. One of the central themes of the discussion among English child abuse professionals was the assertion that people should simply "believe the children", and that the testimony of children was sufficient proof, which ignored the fact that in many cases the testimony of children was interpreted by professionals rather than the children explicitly disclosing allegations of abuse. In some cases this was simultaneously presented with the idea that it did not matter if SRA actually existed, that the empirical truth of SRA was irrelevant, that the testimony of children was more important than that of doctors, social workers and the criminal justice system.

Evidence

The National Center on Child Abuse and Neglect conducted a study led by University of California psychologist Gail Goodman, which found that among 12,000 accusations of ritual or religious-linked abuse, there was no evidence for "a well-organized intergenerational satanic cult, who sexually molested and tortured children", although there was "convincing evidence of lone perpetrators or couples who say they are involved with Satan or use the claim to intimidate victims". One such case Goodman studied involved "grandparents [who] had black robes, candles, and Christ on an inverted crucifix—and the children had chlamydia, a sexually transmitted disease, in their throats", according to the report by a district attorney.

The evidence for SRA was primarily in the form of testimonies from children who made allegations of SRA, and adults who claim to remember abuse during childhood, that may have been forgotten and recovered during therapy.

With both children and adults, no corroborating evidence has been found for anything except pseudosatanism in which the satanic and ritual aspects were secondary to and used as a cover for sexual abuse. Despite this lack of objective evidence, and aided by the competing definitions of what SRA actually was, proponents claimed SRA was a real phenomenon throughout the peak and during the decline of the moral panic. Despite allegations appearing in the United States, Netherlands, Sweden, New Zealand and Australia, no material evidence has been found to corroborate allegations of organized cult-based abuse that practices human sacrifice and cannibalism. Though trauma specialists frequently claimed the allegations made by children and adults were the same, in reality the statements made by adults were more elaborate, severe, and featured more bizarre abuse. In 95 percent of the adults' cases, the memories of the abuse were recovered during psychotherapy.

For several years, a conviction list assembled by the Believe the Children advocacy group was circulated as proof of the truth of satanic ritual abuse allegations, though the organization itself no longer exists and the list itself is "egregiously out of date".

Investigations

Two investigations were carried out to assess the evidence for SRA. In the United Kingdom, a government report produced no evidence of SRA, but several examples of false satanists faking rituals to frighten their victims. In the United States, evidence was reported but was based on a flawed method with an overly liberal definition of a substantiated case.

United Kingdom

A British study published in 1996 found 62 cases of alleged ritual abuse reported to researchers by police, social and welfare agencies from the period of 1988 to 1991, representing a tiny proportion of extremely high-profile cases compared to the total number investigated by the agencies. Anthropologist Jean La Fontaine spent several years researching ritual abuse cases in Britain at the behest of the government, finding that all of the cases of alleged satanic ritual abuse that could be substantiated were cases where the perpetrators' goal was sexual gratification rather than religious worship. Producing several reports and the 1998 book Speak of the Devil, after reviewing cases reported to police and children's protective services throughout the country, LaFontaine concluded that the only rituals she uncovered were those invented by child abusers to frighten their victims or justify the sexual abuse. In addition, the sexual abuse occurred outside of the rituals, indicating the goal of the abuser was sexual gratification rather than ritualistic or religious. In cases involving satanic abuse, the satanic allegations by younger children were influenced by adults, and the concerns over the satanic aspects were found to be compelling due to cultural attraction of the concept but distracting from the actual harm caused to the abuse victims.

In more recent years, discredited allegations of SRA have been levelled against Jimmy Savile during the posthumous investigation into his sexual abuse of children, as well as against former Prime Minister Ted Heath (who was previously falsely accused of SRA during his lifetime).

United States

David Finkelhor completed an investigation of child sexual abuse in daycares in the United States and published a report in 1988. The report found 270 cases of sexual abuse, of which 36 were classified as substantiated cases of ritual abuse. Mary de Young has pointed out that the report's definition of "substantiated" was overly liberal as it required only that one agency had decided that abuse had occurred, even if no action was taken, no arrests made, no operating licenses suspended. In addition, multiple agencies may have been involved in each case (including the Federal Bureau of Investigation, local police, social services agencies and childhood protective services in many cases), with wide differences in suspicion and confirmation, often in disagreement with each other. Finkelhor, upon receiving a "confirmation", would collect information from whoever was willing or interested to provide it and did not independently investigate the cases, resulting in frequent errors in his conclusions. No data is provided beyond case studies and brief summaries. Three other cases considered corroborating by the public—the McMartin preschool trial, the Country Walk case and the murders in Matamoros, by Adolfo Constanzo—ultimately failed to support the existence of SRA. The primary witness in the Country Walk case repeatedly made, then withdrew accusations against her husband amid unusual and coercive inquiries by her lawyer and a psychologist. The Matamoros murders produced the bodies of 12 adults who were ritually sacrificed by a drug gang inspired by the film The Believers, but did not involve children or sexual abuse. The McMartin case resulted in no convictions and was ultimately based on accusations by children with no proof beyond their coerced testimonies. A 1990/1991 survey of clinicians, which reviewed 386 allegations of ritual and 191 allegations of religious abuse, described 10% and under 3% of those allegations, respectively, as unfounded following social service investigation.

The Netherlands

Dutch investigative journalists from Argos (NPO Radio 1) collected the experiences and stories of over two hundred victims of organized sexual abuse. A hundred and forty victims told Argos about ritual abuse. Six well-known people were mentioned as perpetrators by multiple participants in the investigation, and over ten abuse locations. A warehouse in the Bollenstreek was marked as a location for 'storage' and the production of child pornography. During the investigation the Argos journalists received an anonymous email stating the journalists had to 'beaware' because "they know about your investigation", remarking "they're going to get rid of evidence – just like they did with Dutroux". The same day as the journalists received the e-mail, the warehouse in the Bollenstreek burnt down. According to Argos, the damage had been classified so severe by the fire department, that a cause of fire could not be determined.

As a response to parliamentary questions following the Argos investigation, Dutch Minister of Justice and Security Ferdinand Grapperhaus said on August 27, 2020, that there would be 'no independent investigation into Ritual Abuse' of children in The Netherlands. The Green Left, the Socialist Party and the Labour Party criticized Grapperhaus for his decision. On October 13, 2020, the Dutch House of Representatives approved a motion in which the PvdA, GL and the SP requested that an independent investigation be conducted into the nature and extent of "organized sadistic abuse of children", bypassing Grapperhaus' original refusal to investigate.

In a Skeptical Inquirer article JD Sword discusses the outcomes of a subsequent commission appointed by Grapperhaus and led by Jan Hendriks, professor of criminology from the Vrije Universiteit in Amsterdam and associate professor Anne-Marie Slotboom. In December 2022 Hendriks returned a report which found there is no evidence of organized abuse with ritualistic features and “Overall, victims are the only primary source reporting this type of abuse and no support for its existence is found from other sources.”

Patients' allegations

The majority of adult testimonials were given by adults while they were undergoing psychotherapy, in most cases they were undergoing therapy which was designed to elicit memories of SRA. Therapists claimed that the pain which their patients felt, the internal consistency of their stories and the similarities of the allegations which were made by different patients all proved the existence of SRA, but despite this, the disclosures of patients never resulted in any corroboration; The allegations which were obtained from the alleged victims by mental health practitioners all lacked verifiable evidence, they were entirely anecdotal and they all involved incidents which occurred years or decades earlier. The concern for therapists revolved around the pain of their clients, which is for them more important than the truth of their patients' statements. A sample of 29 patients in a medical clinic reporting SRA found no corroboration of the claims in medical records or in discussion with family members. and a survey of 2,709 American therapists found the majority of allegations of SRA came from only sixteen therapists, suggesting that the determining factor in a patient making allegations of SRA was the therapist's predisposition. Further, the alleged similarities between patient accounts (particularly between adults and children) turned out to be illusory upon review, with adults describing far more elaborate, severe and bizarre abuse than children. Bette Bottoms, who reviewed hundreds of claims of adult and child abuse, described the ultimate evidence for the abuse as "astonishingly weak and ambiguous" particularly given the severity of the alleged abuse. Therapists however, were found to believe patients more as the allegations became more bizarre and severe.

In cases in which patients made claims that were physically impossible, or in cases in which the evidence which was found by police is contradictory, the details which are reported will often change. If patients pointed to a spot where a body was buried, but no body was found and no earth was disturbed, therapists resort to special pleading, saying that the patient was hypnotically programmed to direct investigators to the wrong location, or the patient was fooled by the cult into believing that a crime was not committed. If the alleged bodies were cremated and police point out that ordinary fires are inadequate to completely destroy a body, stories include special industrial furnaces. The patients' allegations change, and they creatively find "solutions" to objections.

Children's allegations

The second group to make allegations of SRA were young children. During the "Satanic Panic" of the 1980s, the techniques used by investigators to gather evidence from witnesses, particularly young children, evolved to become very leading, coercive and suggestive, pressuring young children to provide testimony and refusing to accept denials while offering inducements that encouraged false disclosures. The interviewing techniques used were the factors believed to have led to the construction of the bizarre disclosures of SRA by the children and changes to forensic and interviewing techniques since that time has resulted in a disappearance of the allegations. Analysis of the techniques used in two key cases (the McMartin Preschool and Wee Care Nursery School trials) concluded that the children were questioned in a highly suggestive manner. Compared with a set of interviews from Child Protective Services, the interviews from the two trials were "significantly more likely to (a) introduce new suggestive information into the interview, (b) provide praise, promises, and positive reinforcement, (c) express disapproval, disbelief, or disagreement with children, (d) exert conformity pressure, and (e) invite children to pretend or speculate about supposed events".

Specific allegations from the cases included:

  • Seeing witches fly; travel in a hot air balloon; abuse and travel through tunnels; identifying actor Chuck Norris from a series of pictures as an abuser; orgies at car washes and airports, children being flushed down toilets to secret rooms where they would be abused, then cleaned up and presented back to their unsuspecting parents (McMartin preschool trial, no forensic evidence was found to support these claims)
  • Being raped with knives (including a 12-inch blade), sticks, forks, and magic wands; assault by a clown in a magic room; being forced to drink urine; tied naked to a tree (Fells Acres day care sexual abuse trial; no forensic evidence was found to support these claims)
  • Ritual murder of babies; children taken out on boats and thrown overboard; trips in hot air balloons; babies were thrown against walls; children were penetrated with knives and forks; the walls and floors of the center's music room were spread with urine and feces (Little Rascals day care sexual abuse trial; no forensic evidence was found to support these claims)
  • Forced to act in child pornography and used for child prostitution; tortured; made to watch snuff films (Kern County child abuse cases; no child pornography was ever found to substantiate these accusations)
  • The mentally disabled abuser with Noonan syndrome drank human blood in satanic rituals; abducted the children despite being unable to drive; forced the children to eat urine and feces; abducted the children to secret rooms; committed violent sexual assaults and beatings; killed a giraffe, rabbit and elephant and drank their blood in front of the children. (Faith Chapel Church ritual abuse case; no forensic evidence was found to support these claims)

A variety of these allegations resulted in criminal convictions; in an analysis of these cases Mary de Young found that many had had their convictions overturned. Of 22 daycare employees and their sentences reviewed in 2007, three were still incarcerated, eleven had charges dismissed or overturned, and eight were released before serving their full sentences. Grounds included technical dismissals, constitutional challenges and prosecutorial misconduct.

Skepticism

As a moral panic

SRA and the so-called "Satanic Panic" have been called a moral panic and compared to the blood libel and witch-hunts of historical Europe, and McCarthyism in the United States during the 20th century. Stanley Cohen, who originated the term moral panic, called the episode "one of the purest cases of moral panic". The initial investigations of SRA were performed by anthropologists and sociologists, who failed to find evidence of SRA actually occurring; instead they concluded that SRA was a result of rumors and folk legends that were spread by "media hype, Christian fundamentalism, mental health and law enforcement professionals and child abuse advocates". Sociologists and journalists noted the vigorous nature with which some evangelical activists and groups were using claims of SRA to further their religious and political goals. Other commentators suggested that the entire phenomenon may be evidence of a moral panic over Satanism and child abuse. After skeptical inquiry, explanations for allegations of SRA have included an attempt by radical feminists to undermine the nuclear family, a backlash against working women, homophobic attacks on gay childcare workers, a universal need to believe in evil, fear of alternative spiritualities, "end of the millennium" anxieties, or a transient form of temporal lobe epilepsy.

In his book Satanic Panic, the 1994 Mencken Award winner for Best Book presented by the Free Press Association, Jeffery Victor wrote that, in the United States, the groups most likely to believe rumors of SRA are rural, poorly educated, religiously conservative, blue-collar families with an unquestioning belief in American values who feel significant anxieties over job loss, economic decline and family disintegration. Victor considered rumors of SRA a symptom of a moral crisis and a form of scapegoating for economic and social ills.

According to Mary de Young, the Satanic ritual abuse panic was fundamentally a morality tale in which evil persecutes innocence, and heroic rescuers drive evil away in a persecutor–victim–rescuer triangle.[173]

Origins of the rumors

Information about SRA claims spread through conferences presented to religious groups, churches and professionals such as police forces and therapists as well as parents. These conferences and presentations served to organize agencies and foster communication between groups, maintaining and spreading disproven or exaggerated stories as fact.[174][175][94] Members of local police forces organized into loose networks focused on cult crimes, some of whom billed themselves as "experts" and were paid to speak at conferences throughout the United States. Religious revivalists also took advantage of the rumors and preached about the dangers of Satanism to youth and presented themselves at paid engagements as secular experts.[176] At the height of the panic, the highly emotional accusations and circumstances of SRA allegations made it difficult to investigate the claims, with the accused being assumed as guilty and skeptics becoming co-accused during trials, and trials moving forward based solely on the testimony of very young children without corroborating evidence.[114] No forensic or corroborating evidence has ever been found for religiously based cannibalistic or murderous SRA, despite extensive investigations.[38][142][177] The concern and reaction expressed by various groups regarding the seriousness or threat of SRA has been considered out-of-proportion to the actual threat by satanically motivated crimes, and the rare crime that exists that may be labeled "satanic" does not equate to the existence of a conspiracy or network of religiously motivated child abusers.[178][179]

Scholarly and law enforcement investigations

Jeffrey Victor reviewed 67 rumors about SRA in the United States and Canada reported in newspapers or television and found no evidence supporting the existence of murderous satanic cults.[180] LaFontaine states that cases of alleged SRA investigated in the United Kingdom were reviewed in detail and the majority were unsubstantiated; three were found to involve sexual abuse of children in the context of rituals, but none involved the Witches' Sabbath or devil worship that are characteristic of allegations of SRA.[181] LaFontaine also states that no material evidence has been forthcoming in allegations of SRA; no bones, bodies or blood, in either the United States or Britain.

Kenneth Lanning, an FBI expert in the investigation of child sexual abuse,[182] has stated that pseudo-Satanism may exist but there is "little or no evidence for ... large-scale baby breeding, human sacrifice, and organized satanic conspiracies":[61]

There are many possible alternative answers to the question of why victims are alleging things that don't seem to be true. ... I believe that there is a middle ground—a continuum of possible activity. Some of what the victims allege may be true and accurate, some may be misperceived or distorted, some may be screened or symbolic, and some may be "contaminated" or false. The problem and challenge, especially for law enforcement, is to determine which is which. This can only be done through active investigation. I believe that the majority of victims alleging "ritual" abuse are in fact victims of some form of abuse or trauma.[61]

Lanning produced a monograph in 1994 on SRA aimed at child protection authorities, which contained his opinion that despite hundreds of investigations no corroboration of SRA had been found. Following this report, several convictions based on SRA allegations were overturned and the defendants released.[69]

Reported cases of SRA involve bizarre activities, some of which are impossible (like people flying),[148] that makes the credibility of victims of child sexual abuse questionable. In cases where SRA is alleged to occur, Lanning describes common dynamics of the use of fear to control multiple young victims, the presence of multiple perpetrators and strange or ritualized behaviors, though allegations of crimes such as human sacrifice and cannibalism do not seem to be true. Lanning also suggests several reasons why adult victims may make allegations of SRA, including "pathological distortion, traumatic memory, normal childhood fears and fantasies, misperception, and confusion".[183]

Court cases

Allegations of SRA have appeared throughout the world. In 1984, a large scale investigation and prosecution of ritual abuse in Jordan, Minnesota drew national attention for poor investigative and prosecutorial practices. A group of parents named Victims of Child Abuse Laws grew and gained political power.[184] The testimony of children in these cases may have led to their collapse, as juries came to believe that the sources of the allegations were the use of suggestive and manipulative interviewing techniques, rather than actual events. Research since that time has supported these concerns and without the use of these techniques it is unlikely the cases would ever have reached trial.[21]

In one analysis of 36 court cases involving sexual abuse of children within rituals, only one quarter resulted in convictions, all of which had little to do with ritual sex abuse.[174] In a survey of more than 11,000 psychiatric and police workers throughout the US, conducted for the National Center on Child Abuse and Neglect, researchers investigated approximately 12,000 accusations of ritual or religious abuse between 1980 and 1990. The survey found no substantiated reports of well-organized satanic rings of people who sexually abuse children, but did find incidents in which the ritualistic aspects were secondary to the abuse and were used to intimidate victims.[7] Victor reviewed 21 court cases alleging SRA between 1983 and 1987 in which no prosecutions were obtained for ritual abuse.[185]

During the early 1980s, some courts attempted ad hoc accommodations to address the anxieties of child witnesses in relation to testifying before defendants. Screens or CCTV technology are a common feature of child sexual assault trials today; children in the early 1980s were typically forced into direct visual contact with the accused abuser while in court. SRA allegations in the courts catalyzed a broad agenda of research into the nature of children's testimony and the reliability of their oral evidence in court. Ultimately in SRA cases, the coercive techniques used by believing district attorneys, therapists and police officers were critical in establishing, and often resolving, SRA cases. In courts, when juries were able to see recordings or transcripts of interviews with children, the alleged abusers were acquitted. The reaction by successful prosecutors, spread throughout conventions and conferences on SRA, was to destroy, or fail to take notes of the interviews in the first place.[186] One group of researchers concluded that children usually lack the sufficient amount of "explicit knowledge" of satanic ritual abuse to fabricate all of the details of an SRA claim on their own.[187] However, the same researchers also concluded that children usually have the sufficient amount of general knowledge of "violence and the occult" to "serve as a starting point from which ritual claims could develop".[187]

In 2006, psychologist and attorney Christopher Barden drafted an amicus curiae brief to the Supreme Court of California signed by nearly 100 international experts in the field of human memory emphasizing the lack of credible scientific support for repressed and recovered memories.[188]

Dissociative identity disorder

SRA has been linked to dissociative identity disorder (DID, formerly known as multiple personality disorder or MPD),[31][189] with some DID patients also alleging cult abuse.[190][191] The first person to write a first-person narrative about SRA was Michelle Smith, co-author of Michelle Remembers; Smith was diagnosed with DID by her therapist and later husband Lawrence Pazder.[192] According to Pazder’s then wife, Pazder saw the television film based on the (later discredited) book Sybil about a woman with MPD, and said that he had a similar patient. This was the initial seed of the story that became Michelle Remembers. Psychiatrists involved with the International Society for the Study of Trauma and Dissociation (ISSTD, then called the International Society for the Study of Multiple Personality and Dissociation), especially associate editor Bennett G. Braun, uncritically promoted the idea that actual groups of persons who worshiped Satan were abusing and ritually sacrificing children and, furthermore, that thousands of persons were recovering actual memories of such abuse during therapy, openly discussing such claims in the organization's journal, Dissociation. In a 1989 editorial, Dissociation editor-in-chief Richard Kluft likened clinicians who did not speak of their patients with recovered memories of SRA to the "good Germans" during the Holocaust. One particularly controversial article found parallels between SRA accounts and pre-Inquisition historical records of satanism, hence claimed to find support for the existence of ancient and intergenerational satanic cults. A review of these claims by sociologist Mary de Young in a 1994 Behavioral Sciences and the Law article noted that the historical basis for these claims, and in particular their continuity of cults, ceremonies and rituals was questionable. However at an ISSTD conference in November 1990, psychiatrist and researcher Frank Putnam, then chief of the Dissociative Disorders Unit of the National Institute of Mental Health in Bethesda, Maryland, led a plenary session panel that proved to be the first public presentation of psychiatric, historical and law enforcement skepticism concerning SRA claims. Other members of the panel included psychiatrist George Ganaway, anthropologist Sherrill Mulhern, and psychologist Richard Noll. Putnam, a skeptic, was viewed by SRA advocates in attendance as using fellow skeptics such as Noll and Mulhern as allies in a disinformation campaign to split the SRA-believing community.

A survey of 12,000 cases of alleged ritual or religious abuse found that most were diagnosed with DID as well as post-traumatic stress disorder. The level of dissociation in a sample of women alleging SRA was found to be higher than a comparable sample of non-SRA peers, approaching the levels shown by patients diagnosed with DID. A sample of patients diagnosed with DID and reporting childhood SRA also present other symptoms including "dissociative states with satanic overtones, severe post-traumatic stress disorder, survivor guilt, bizarre self abuse, unusual fears, sexualization of sadistic impulses, indoctrinated beliefs, and substance abuse". Commenting on the study, Philip Coons stated that patients were held together in a ward dedicated to dissociative disorders with ample opportunity to socialize, and that the memories were recovered through the use of hypnosis (which he considered questionable). No cases were referred to law enforcement for verification, nor was verification attempted through family members. Coons also pointed out that existing injuries could have been self-inflicted, that the experiences reported were "strikingly similar" and that "many of the SRA reports developed while patients were hospitalized". The reliability of memories of DID clients who alleged SRA in treatment has been questioned and a point of contention in the popular media and with clinicians; many of the allegations made are fundamentally impossible and alleged survivors lack the physical scars that would result were their allegations true.

Many women claiming to be SRA survivors have been diagnosed with DID, and it is unclear if their claims of childhood abuse are accurate or a manifestation of their diagnosis. Of a sample of 29 patients who presented with SRA, 22 were diagnosed with dissociative disorders including DID. The authors noted that 58 percent of the SRA claims appeared in the years following the Geraldo Rivera special on SRA and a further 34 percent following a workshop on SRA presented in the area; in only two patients were the memories elicited without the use of "questionable therapeutic practices for memory retrieval". Claims of SRA by DID patients have been called "...often nothing more than fantastic pseudomemories implanted or reinforced in psychotherapy" and SRA a cultural script of the perception of DID. Some believe that memories of SRA are solely iatrogenically implanted memories from suggestive therapeutic techniques, though this has been criticized by Daniel Brown, Alan Scheflin and Corydon Hammond for what they argue as over-reaching the scientific data that supports an iatrogenic theory. Others have criticized Hammond specifically for using therapeutic techniques to gather information from clients that rely solely on information fed by the therapist in a manner that highly suggests iatrogenesis. Skeptics said that the increase in DID diagnosis in the 1980s and 1990s and its association with memories of SRA is evidence of malpractice by treating professionals.

Much of the body of literature on the treatment of ritually abused patients focuses on dissociative disorders.

False memories

One explanation for the SRA allegations is that they were based upon false memories caused by use of discredited suggestive techniques such as hypnosis and leading questions by therapists underestimating the suggestibility of their clients. The altered state of consciousness induced by hypnosis rendered patients an unusual ability to produce confabulations, often with the assistance of their therapists.

Paul R. McHugh, professor of psychiatry at Johns Hopkins University, discusses in his book Try to Remember the developments that led to the creation of false memories in the SRA moral panic and the formation of the FMSF as an effort to bring contemporary scientific research and political action to the polarizing struggle about false memories within the mental health disciplines. According to McHugh, there is no coherent scientific basis for the core belief of one side of the struggle, that sexual abuse can cause massive systemic repression of memories that can only be accessed through hypnosis, coercive interviews and other dubious techniques. The group of psychiatrists who promoted these ideas, whom McHugh terms "Mannerist Freudians", consistently followed a deductive approach to diagnosis in which the theory and causal explanation of symptoms was assumed to be childhood sexual abuse leading to dissociation, followed by a set of unproven and unreliable treatments with a strong confirmation bias that inevitably produced the allegations and causes that were assumed to be there.

The treatment approach involved isolation of the patient from friends and family within psychiatric wards dedicated to the treatment of dissociation, filled with other patients who were treated by the same doctors with the same flawed methods and staff members who also coherently and universally ascribed to the same set of beliefs. These methods began in the 1980s and continued for several years until a series of court cases and medical malpractice lawsuits resulted in hospitals failing to support the approach. In cases where the dissociative symptoms were ignored, the coercive treatment approach ceased and the patients were removed from dedicated wards, allegations of satanic rape and abuse normally ceased, "recovered" memories were identified as fabrications and conventional treatments for presenting symptoms were generally successful.

Confabulation

From Wikipedia, the free encyclopedia

Confabulation is a memory error consisting of the production of fabricated, distorted, or misinterpreted memories about oneself or the world. It is generally associated with certain types of brain damage (especially aneurysm in the anterior communicating artery) or a specific subset of dementias. While still an area of ongoing research, the basal forebrain is implicated in the phenomenon of confabulation. People who confabulate present with incorrect memories ranging from subtle inaccuracies to surreal fabrications, and may include confusion or distortion in the temporal framing (timing, sequence or duration) of memories. In general, they are very confident about their recollections, even when challenged with contradictory evidence.

Confabulation occurs when individuals mistakenly recall false information, without intending to deceive. Brain damage, dementia, and anticholinergic toxidrome can cause this distortion. Two types of confabulation exist: provoked and spontaneous, with two distinctions: verbal and behavioral. Verbal statements, false information, and the patient's unawareness of the distortion are all associated with this phenomenon. Personality structure also plays a role in confabulation.

Numerous theories have been developed to explain confabulation. Neuro­psycho­log­i­cal theories suggest that cognitive dysfunction causes the distortion. Self-identity theories posit that people confabulate to preserve themselves. The temporality theory believes that confabulation occurs when an individual cannot place events properly in time. The monitoring and strategic retrieval account theories argue that confabulation arises when individuals cannot recall memories correctly or monitor them after retrieval. The executive control and fuzzy-trace theories also attempt to explain why confabulation happens.

Confabulation can occur with nervous system injuries or illnesses, including Korsakoff's syndrome, Alzheimer's disease, schizophrenia, and traumatic brain injury, and disorders such as borderline personality. It is believed that the right frontal lobe of the brain is damaged, causing false memories. Children are especially susceptible to forced confabulation as they are highly impressionable. Feedback can increase confidence in false memories. In rare cases, confabulation occurs in ordinary individuals.

Different memory tests, including recognition tasks and free recall tasks, can be used to study confabulation. Treatment depends on the underlying cause of the distortion. Ongoing research aims to develop a standard test battery to discern between different types of confabulations, distinguish delusions from confabulations, understand the role of unconscious processes, and identify pathological and nonpathological confabulations.

Description

Confabulation was originally defined as "the emergence of memories of events and experiences which never took place".

Confabulation is distinguished from lying as there is no intent to deceive and the person is unaware the information is false. Although individuals can present blatantly false information, confabulation can also seem to be coherent, internally consistent, and relatively normal.

Most known cases of confabulation are symptomatic of brain damage or dementias, such as aneurysm, Alzheimer's disease, or Wernicke–Korsakoff syndrome (a common manifestation of thiamine deficiency caused by alcohol use disorder). Additionally confabulation often occurs in people with anticholinergic toxidrome when interrogated about bizarre or irrational behaviour.

Confabulated memories of all types most often occur in autobiographical memory and are indicative of a complicated and intricate process that can be led astray at any point during encoding, storage, or recall of a memory. This type of confabulation is commonly seen in Korsakoff's syndrome.

Distinctions

Several forms of confabulation have been distinguished which vary in terms of behaviour, mechanism, and location of brain damage. The most common distinction is between the following two types:

  • Provoked confabulations represent a normal response to a faulty memory, are common in both amnesia and dementia, and can become apparent during memory tests.
  • Spontaneous confabulations do not occur in response to a cue and seem to be involuntary. They are relatively rare, more common in cases of dementia, and may result from the interaction between frontal lobe pathology and organic amnesia. A subgroup of patients at least occasionally act according to their confabulations betraying a confusion of current reality. These patients are always disoriented about their current role, location, and time. This form has been called behaviorally spontaneous confabulation. It is strongly associated with damage, disconnection, or dysfunction of the posterior medial orbitofrontal cortex (area 13) and appears to have a specific mechanism: a failure of "orbitofrontal reality filtering", a preconscious mechanism normally verifying whether an upcoming thought refers to current reality or not.

Signs and symptoms

Confabulation is associated with several characteristics:

  1. False verbal statements that may include autobiographical and non-personal information, such as historical facts, fairy-tales, or other aspects of semantic memory.
  2. The account is normally coherent and is usually drawn from the patient's memory of actual experiences. Very rarely, it is fantastic.
  3. Both the premise and the details of the account can be false.
  4. The patient is unaware of the accounts' distortions or inappropriateness, and is not concerned when errors are pointed out.
  5. There is no hidden motivation behind the account.
  6. The patient's personality structure may play a role in their readiness to confabulate.

Theories

Theories of confabulation range in emphasis. Some theories propose that confabulations represent a way for memory-disabled people to maintain their self-identity. Other theories use neurocognitive links to explain the process of confabulation. Still other theories frame confabulation around the more familiar concept of delusion. Other researchers frame confabulation within the fuzzy-trace theory. Finally, some researchers call for theories that rely less on neurocognitive explanations and more on epistemic accounts.

Neuropsychological theories

The most popular theories of confabulation come from the field of neuropsychology or cognitive neuroscience. Controlled experimental evidence is, however, scarce. Research suggests that confabulation is associated with dysfunction of cognitive processes that control the retrieval from long-term memory. Frontal lobe damage often disrupts this process, preventing the retrieval of information and the evaluation of its output. Furthermore, researchers argue that confabulation is a disorder resulting from failed "reality monitoring/source monitoring" (i.e. deciding whether a memory is based on an actual event or whether it is imagined). Some neuropsychologists suggest that errors in retrieval of information from long-term memory that are made by normal subjects involve different components of control processes than errors made by confabulators. Fantastic confabulations have been attributed to a dysfunction of the Supervisory System, which is believed to be a function of the frontal cortex.

Temporality theory

Support for the temporality account suggests that confabulations occur when an individual is unable to place events properly in time. Thus, an individual might correctly state an action they performed, but say they did it yesterday, when they did it weeks ago. In the Memory, Consciousness, and Temporality Theory, confabulation occurs because of a deficit in temporal consciousness or awareness.

Monitoring theory

Along a similar notion are the theories of reality and source monitoring theories. In these theories, confabulation occurs when individuals incorrectly attribute memories as reality, or incorrectly attribute memories to a certain source. Thus, an individual might claim an imagined event happened in reality, or that a friend told him/her about an event he/she actually heard about on television.

Strategic retrieval account theory

Supporters of the strategic retrieval account suggest that confabulations occur when an individual cannot actively monitor a memory for truthfulness after its retrieval. An individual recalls a memory, but there is some deficit after recall that interferes with the person establishing its falseness.

Executive control theory

Still others propose that all types of false memories, including confabulation, fit into a general memory and executive function model. In 2007, a framework for confabulation was proposed that stated confabulation is the result of two things: Problems with executive control and problems with evaluation. In the executive control deficit, the incorrect memory is retrieved from the brain. In the evaluative deficit, the memory will be accepted as a truth due to an inability to distinguish a belief from an actual memory.

In the context of delusion theories

Recent models of confabulation have attempted to build upon the link between delusion and confabulation. More recently, a monitoring account for delusion, applied to confabulation, proposed both the inclusion of conscious and unconscious processing. The claim was that by encompassing the notion of both processes, spontaneous versus provoked confabulations could be better explained. In other words, there are two ways to confabulate. One is the unconscious, spontaneous way in which a memory goes through no logical, explanatory processing. The other is the conscious, provoked way in which a memory is recalled intentionally by the individual to explain something confusing or unusual.

Fuzzy-trace theory

Fuzzy-trace theory, or FTT, is a concept more commonly applied to the explanation of judgement decisions. According to this theory, memories are encoded generally (gist), as well as specifically (verbatim). Thus, a confabulation could result from recalling the incorrect verbatim memory or from being able to recall the gist portion, but not the verbatim portion, of a memory.

FTT uses a set of five principles to explain false-memory phenomena. Principle 1 suggests that subjects store verbatim information and gist information parallel to one another. Both forms of storage involve the surface content of an experience. Principle 2 shares factors of retrieval of gist and verbatim traces. Principle 3 is based on dual-opponent processes in false memory. Generally, gist retrieval supports false memory, while verbatim retrieval suppresses it. Developmental variability is the topic of Principle 4. As a child develops into an adult, there is obvious improvement in the acquisition, retention, and retrieval of both verbatim and gist memory. However, during late adulthood, there will be a decline in these abilities. Finally, Principle 5 explains that verbatim and gist processing cause vivid remembering. Fuzzy-trace Theory, governed by these 5 principles, has proved useful in explaining false memory and generating new predictions about it.

Epistemic theory

However, not all accounts are so embedded in the neurocognitive aspects of confabulation. Some attribute confabulation to epistemic accounts. In 2009, theories underlying the causation and mechanisms for confabulation were criticized for their focus on neural processes, which are somewhat unclear, as well as their emphasis on the negativity of false remembering. Researchers proposed that an epistemic account of confabulation would be more encompassing of both the advantages and disadvantages of the process.

Presentation

Associated neurological and psychological conditions

Confabulations are often symptoms of various syndromes and psychopathologies in the adult population, including Korsakoff's syndrome, Alzheimer's disease, schizophrenia, and traumatic brain injury.

Wernicke–Korsakoff syndrome is a neurological disorder typically characterized by years of alcohol use disorder characterized by excessive alcohol consumption and a nutritional thiamine deficiency. Confabulation is one salient symptom of this syndrome. A study on confabulation in Korsakoff's patients found that they are subject to provoked confabulation when prompted with questions pertaining to episodic memory, not semantic memory, and when prompted with questions where the appropriate response would be "I don't know." This suggests that con­fab­u­l­ation in these patients is "domain-specific". Korsakoff's patients who confabulate are more likely than healthy adults to falsely recognize distractor words, suggesting that false recognition is a "confabulatory behavior".

Alzheimer's disease is a condition with both neurological and psychological components. It is a form of dementia associated with severe frontal lobe dys­func­tion. Confabulation in individuals with Alzheimer's is often more spontaneous than it is in other conditions, especially in the advanced stages of the disease. Alzheimer's patients demonstrate comparable abilities to encode information as healthy elderly adults, suggesting that impairments in encoding are not associated with confabulation. However, as seen in Korsakoff's patients, confabulation in Alzheimer's patients is higher when prompted with questions investigating episodic memory. Researchers suggest this is due to damage in the posterior cortical regions of the brain, which is a symptom characteristic of Alzheimer's disease.

Schizophrenia is a psychological disorder in which confabulation is sometimes observed. Although confabulation is usually coherent in its presentation, con­fab­u­l­ations of schizophrenic patients are often delusional. Researchers have noted that these patients tend to make up delusions on the spot which are often fantastic and become increasingly elaborate with questioning. Unlike patients with Korsakoff's and Alzheimer's, patients with schizophrenia are more likely to confabulate when prompted with questions regarding their semantic memories, as opposed to episodic memory prompting. In addition, confabulation does not appear to be related to any memory deficit in schiz­o­phrenic patients. This is contrary to most forms of confabulation. Also, confabulations made by schizophrenic patients often do not involve the creation of new information, but instead involve an attempt by the patient to reconstruct actual details of a past event.

Traumatic brain injury (TBI) can also result in confabulation. Research has shown that patients with damage to the inferior medial frontal lobe confabulate significantly more than patients with damage to the posterior area and healthy controls. This suggests that this region is key in producing confabulatory responses, and that memory deficit is important but not necessary in con­fab­u­l­ation. Additionally, research suggests that confabulation can be seen in patients with frontal lobe syndrome, which involves an insult to the frontal lobe as a result of disease or traumatic brain injury (TBI). Finally, rupture of the anterior or posterior communicating artery, subarachnoid hemorrhage, and encephalitis are also possible causes of confabulation.

Location of brain lesions

Confabulation is believed to be a result of damage to the right frontal lobe of the brain. In particular, damage can be localized to the ventromedial frontal lobes and other structures fed by the anterior communicating artery (ACoA), including the basal forebrain, septum, fornix, cingulate gyrus, cingulum, anterior hypothalamus, and head of the caudate nucleus.

Behaviourally spontaneous confabulation may occur in the context of dementia or the Wernicke–Korsakoff syndrome where brain damage is difficult to localise. If it is due to circumscribed brain damage (e.g., after ruptured aneurysm of the anterior communicating artery, traumatic brain injury, stroke), lesions involved the posterior medial orbitofrontal cortex (area 13) or an area directly connected with it.

Developmental differences

While some recent literature has suggested that older adults may be more susceptible than their younger counterparts to have false memories, the majority of research on forced confabulation centers around children. Children are particularly susceptible to forced confabulations based on their high suggestibility. When forced to recall confabulated events, children are less likely to remember that they had previously confabulated these situations, and they are more likely than their adult counterparts to come to remember these confabulations as real events that transpired. Research suggests that this inability to distinguish between past confabulatory and real events is centered on developmental differences in source monitoring. Due to underdeveloped encoding and critical reasoning skills, children's ability to distinguish real memories from false memories may be impaired. It may also be that younger children lack the meta-memory processes required to remember confabulated versus non-confabulated events. Children's meta-memory processes may also be influenced by expectancies or biases, in that they believe that highly plausible false scenarios are not confabulated. However, when knowingly being tested for accuracy, children are more likely to respond, "I don't know" at a rate comparable to adults for unanswerable questions than they are to confabulate. Ultimately, misinformation effects can be minimized by tailoring individual interviews to the specific developmental stage, often based on age, of the participant.

Provoked versus spontaneous confabulations

There is evidence to support different cognitive mechanisms for provoked and spontaneous confabulation. One study suggested that spontaneous confabulation may be a result of an amnesic patient's inability to distinguish the chronological order of events in their memory. In contrast, provoked confabulation may be a compensatory mechanism, in which the patient tries to make up for their memory deficiency by attempting to demonstrate competency in recollection.

Confidence in false memories

Confabulation of events or situations may lead to an eventual acceptance of the confabulated information as true. For instance, people who knowingly lie about a situation may eventually come to believe that their lies are truthful with time. In an interview setting, people are more likely to confabulate in situations in which they are presented false information by another person, as opposed to when they self-generate these falsehoods. Further, people are more likely to accept false information as true when they are interviewed at a later time (after the event in question) than those who are interviewed immediately or soon after the event. Affirmative feedback for confabulated responses is also shown to increase the confabulator's confidence in their response. For instance, in culprit identification, if a witness falsely identifies a member of a line-up, he will be more confident in his identification if the interviewer provides affirmative feedback. This effect of confirmatory feedback appears to last over time, as witnesses will even remember the confabulated information months later.

Among normal subjects

On rare occasions, confabulation can also be seen in normal subjects. It is currently unclear how completely healthy individuals produce confabulations. It is possible that these individuals are in the process of developing some type of organic condition that is causing their confabulation symptoms. It is not uncommon, however, for the general population to display some very mild symptoms of provoked confabulations. Subtle distortions and intrusions in memory are commonly produced by normal subjects when they remember something poorly.

Diagnosis and treatment

Spontaneous confabulations, due to their involuntary nature, cannot be manipulated in a laboratory setting. However, provoked confabulations can be researched in various theoretical contexts. The mechanisms found to underlie provoked confabulations can be applied to spontaneous confabulation mechanisms. The basic premise of researching confabulation comprises finding errors and distortions in memory tests of an individual.

Deese–Roediger–McDermott lists

Confabulations can be detected in the context of the Deese–Roediger–McDermott paradigm by using the Deese–Roediger–McDermott lists. Participants listen to audio recordings of several lists of words centered around a theme, known as the critical word. The participants are later asked to recall the words on their list. If the participant recalls the critical word, which was never explicitly stated in the list, it is considered a confabulation. Participants often have a false memory for the critical word.

Recognition tasks

Confabulations can also be researched by using continuous recognition tasks. These tasks are often used in conjunction with confidence ratings. Generally, in a recognition task, participants are rapidly presented with pictures. Some of these pictures are shown once; others are shown multiple times. Participants press a key if they have seen the picture previously. Following a period of time, participants repeat the task. More errors on the second task, versus the first, are indicative of confusion, representing false memories.

Free recall tasks

Confabulations can also be detected using a free recall task, such as a self-narrative task. Participants are asked to recall stories (semantic or autobiographical) that are highly familiar to them. The stories recalled are encoded for errors that could be classified as distortions in memory. Distortions could include falsifying true story elements or including details from a completely different story. Errors such as these would be indicative of confabulations.

Treatment

Treatment for confabulation is somewhat dependent on the cause or source, if identifiable. For example, treatment of Wernicke–Korsakoff syndrome involves large doses of vitamin B in order to reverse the thiamine deficiency. If there is no known physiological cause, more general cognitive techniques may be used to treat confabulation. A case study published in 2000 showed that Self-Monitoring Training (SMT) reduced delusional confabulations. Furthermore, improvements were maintained at a three-month follow-up and were found to generalize to everyday settings. Although this treatment seems promising, more rigorous research is necessary to determine the efficacy of SMT in the general confabulation population.

Research

Although significant gains have been made in the understanding of confabulation in recent years, there is still much to be learned. One group of researchers in particular has laid out several important questions for future study. They suggest more information is needed regarding the neural systems that support the different cognitive processes necessary for normal source monitoring. They also proposed the idea of developing a standard neuropsychological test battery able to discriminate between the different types of confabulations. And there is a considerable amount of debate regarding the best approach to organizing and combining neuro-imaging, pharmacological, and cognitive/behavioral approaches to understand confabulation.

In a recent review article, another group of researchers contemplate issues concerning the distinctions between delusions and confabulation. They question whether delusions and confabulation should be considered distinct or overlapping disorders and, if overlapping, to what degree? They also discuss the role of unconscious processes in confabulation. Some researchers suggest that unconscious emotional and motivational processes are potentially just as important as cognitive and memory problems. Finally, they raise the question of where to draw the line between the pathological and the nonpathological. Delusion-like beliefs and confabulation-like fabrications are commonly seen in healthy individuals. What are the important differences between patients with similar etiology who do and do not confabulate? Since the line between pathological and nonpathological is likely blurry, should we take a more dimensional approach to confabulation? Research suggests that confabulation occurs along a continuum of implausibility, bizarreness, content, conviction, preoccupation, and distress, and impact on daily life.

Recovered-memory therapy

From Wikipedia, the free encyclopedia

Recovered-memory therapy (RMT) is a catch-all term for a controversial and scientifically discredited form of psychotherapy that critics say utilizes one or more unproven therapeutic techniques (such as some forms of psychoanalysis, hypnosis, journaling, past life regression, guided imagery, and the use of sodium amytal interviews) to purportedly help patients recall previously forgotten memories. Proponents of recovered memory therapy claim, contrary to evidence, that traumatic memories can be buried in the subconscious and thereby affect current behavior, and that these memories can be recovered through the use of RMT techniques. RMT is not recommended by professional mental health associations. RMT can result in patients developing false memories of sexual abuse from their childhood and events such as alien abduction which had not actually occurred.

Terminology

A 2018 online survey found that although 5% of a U.S. public sample reported recovering memories of abuse during therapy (abuse they reported having no previous memory of), none of them used the terminology "recovered memory therapy"—instead those recovering memories reported using a variety of other therapy types (e.g., behavioral therapy, EMDR, etc.). Practitioners of RMT generally utilize methods (such as hypnosis, age regression, guided visualization, and/or the use of substances such as sodium amytal) that are intended to recover true memories, yet known to support the creation of false memories.

Research

The belief that a child can suffer horrific abuse, but immediately bury the memory deep in their psyche, remembering nothing of what had just happened, and grow up to be deeply psychologically scarred by this disassociation, while now commonplace in popular culture, is not supported by evidence.

A review article on potentially harmful therapies listed RMT as a treatment that will probably produce harm in some who receive it. Richard Ofshe, an American sociologist and expert on coerced and suggested testimony, describes the practice of "recovering" memories as fraudulent and dangerous. An inquiry by the Australian government into the practice found little support for or use of memory recovery therapies among health professionals, and warned that professionals had to be trained to avoid the creation of false memories. As part of its Crime Victims Compensation Program the state of Washington issued a report on the efficacy of RMT. It noted that the therapy had no positive benefits in the case studies analyzed and that "the ability of repressed memory patients to function in the activities of daily living is significantly and possibly irrevocably impaired as a direct result of the controversial therapy modalities.” Moreover, it recognized the potential for legal action from participants due to negative effects sustained from the program.

Studies by Elizabeth Loftus and others have concluded that it is possible to produce false memories of childhood incidents. The experiments involved manipulating subjects into believing that they had some fictitious experience in childhood, such as being lost in a shopping mall at age 6. This involved using a suggestive technique called "familial informant false narrative procedure," in which the experimenter claims the validity of the false event is supported by a family member of the subject. The study has been used to support the theory that false memories of traumatic sexual abuse can be implanted in a patient by therapists. Critics of these studies argue that the techniques do not resemble any approved or mainstream treatment modality, and there are criticisms that the implanted events used are not emotionally comparable to sexual abuse. Critics contend that Loftus's conclusions overreach the evidence. Loftus has rebutted these criticisms.

Some patients later retract memories they had previously believed to be recovered through RMT  upon encountering critical literature regarding recovered memory therapy. This literature often highlights the therapy's dangerous and pseudoscientific aspects, thereby exposing them to scientific facts that prompt reconsideration. Patients have reported significant harmful effects due to the use of RMT.

A 2018 US study is the largest study known that surveys the general public about memory recovery in therapy. The study was presented to participants aged 50 years or older as a "Life Experience" survey and found that 8% of the 2,326 adults had reported seeing therapists, mostly starting in the 1990s, that discussed the possibility of repressed memories of abuse. 4% of adults had reported recovering memories of abuse in therapy for which they had no previous memory. Recovered memories of abuse were associated with most therapy types. A 1994 survey of 1000 therapists by Michael D. Yapko found that 19% of the therapists knew of a case in which a client's memory had been suggested by therapy but was in fact false.

Professional guidelines

There are several individuals and groups that have published guidelines, criticisms or cautions about recovered memory therapy and techniques to stimulate recall:

  • In the Brandon Report, a set of training, practice, research and professional development recommendations, the United Kingdom's Royal College of Psychiatrists advised psychiatrists to avoid use of RMT or any "memory recovery techniques", citing a lack of evidence to support the accuracy of memories recovered in this way.
  • In 2004, the government of the Health Council of the Netherlands issued a report in response to inquiries from professionals regarding RMT and memories of traumatic child sexual abuse. The Health Council stated that while traumatic childhood experiences were major risk factors for psychological problems in adulthood, the fact that most traumatic memories are well-remembered but can be forgotten or become inaccessible though the influence of specific circumstances precludes a simple description of the relationship between memory and trauma. The report also notes that memories can be confabulated, re-interpreted and even apparently vivid or dramatic memories can be false, a risk that is increased when therapists, using suggestive techniques, attempt to link symptoms to past trauma, with certain patients and through the use of methods to stimulate memories.
  • The Australian Hypnotherapists Association (AHA) issued a similar statement, for contexts where false memories of child sexual abuse may arise. The AHA acknowledges that child sexual abuse is serious, damaging and at least some memories are genuine, while cautioning that some questioning techniques and interventions may lead to illusory memories leading to false beliefs about abuse.
  • The Canadian Psychological Association has issued guidelines for psychologists addressing recovered memories. Psychologists are urged to be aware of their limitations in knowledge and training regarding memory, trauma and development and "that there is no constellation of symptoms which is diagnostic of child sexual abuse". The guidelines also urge caution and awareness of the benefits and limitations of "relaxation, hypnosis, guided imagery, free associations, inner child exercises, age regression, body memory interpretation, body massage, dream interpretation, and the use of projective techniques" and special caution regarding any legal involvement of memories, abuse and therapy.

In Ramona v. Isabella, Gary Ramona sued his daughter's therapist for implanting false memories of his abuse of her. In the first case putting recovered memory therapy, itself, on trial, he eventually was awarded $500,000 in 1994.

Discussing RMT in the New South Wales Parliament in 1995, the state Minister for Health, Andrew Refshauge – a medical practitioner – stated that the general issue of admissibility of evidence based on recovered memories was one for the Attorney General. In 2004 Australian Counselling Association issued a draft position statement regarding recovered memories in which it informed its membership of possible legal difficulties if they affirm accusations as true based solely upon discussion of a patient's recovered memories, without adequate corroborating evidence.

A degree of controversy does remain within legal circles, with some holding the view that therapists and courts should consider repressed memories the same as they consider regular memories. Three relevant studies state that repressed memories are "no more and no less accurate than continuous memories."

Recovered memory therapy was an issue in the criminal trials of some Catholic priests accused of fondling or sexually assaulting juvenile-turned-adult parishioners.

In a 2017 criminal case in Canada, a Nova Scotian clergyman, the Reverend Brent Hawkes, was acquitted in a case involving recovered memories of alleged historical sexual abuse when Justice Alan Tufts described in his ruling that the complainant's method of re-constructing his memory of alleged events after joining a men's group and hearing similar accounts from other "survivors" his evidence could not be reliable.

Several court cases awarded multimillion-dollar verdicts against Minnesota psychiatrist Diane Bay Humenansky, who used hypnosis and other suggestive techniques associated with RMT, resulting in accusations by several patients against family members that were later found to be false.

In 1999, the Netherlands Board of Prosecutors General formed The National Expert Group on Special Sexual Matters, in Dutch - Landelijke Expertisegroep Bijzondere Zedenzaken (LEBZ). LEBZ consists of a multidisciplinary group of experts whom investigating police officers and prosecutors are mandated to consult before considering arresting or prosecuting a person accused of sexual crimes involving repressed memories or recovered memory therapy. The LEBZ released a report for the period of 2003–2007 stating that 90% of the cases they consulted on were stopped due to their recommendations that the allegations were not based on reliable evidence.

Repressed memory

From Wikipedia, the free encyclopedia
 

Repressed memory is a controversial, and largely scientifically discredited, psychiatric phenomenon which involves an inability to recall autobiographical information, usually of a traumatic or stressful nature. The concept originated in psychoanalytic theory, where repression is understood as a defense mechanism that excludes painful experiences and unacceptable impulses from consciousness. Repressed memory is presently considered largely unsupported by research. Sigmund Freud initially claimed the memories of historical childhood trauma could be repressed, while unconsciously influencing present behavior and emotional responding; he later revised this belief.

While the concept of repressed memories persisted through much of the 1990s, insufficient support exists to conclude that memories can become inconspicuously hidden in a way that is distinct from forgetting. Historically, some psychoanalysts provided therapy based on the belief that alleged repressed memories could be recovered; however, rather than promoting the recovery of a real repressed memory, such attempts could result in the creation of entirely false memories. Subsequent accusations based on such "recovered memories" led to substantial harm of individuals implicated as perpetrators, sometimes resulting in false convictions and years' incarceration.

Out of lack of evidence for the concept of repressed and recovered memories, mainstream clinical psychologists have stopped using these terms. The clinical psychologist Richard McNally stated: "The notion that traumatic events can be repressed and later recovered is the most pernicious bit of folklore ever to infect psychology and psychiatry. It has provided the theoretical basis for 'recovered memory therapy'—the worst catastrophe to befall the mental health field since the lobotomy era."

History

Sigmund Freud discussed repressed memory in his 1896 essay, The Aetiology of Hysteria. One of the studies published in his essay involved a young woman referred to as Anna O., who had been treated by Freud's friend and colleague Josef Breuer. Among her many ailments, Anna O. had stiff paralysis on the right side of her body. Freud hypothesized that her symptoms were attached to psychological traumas; the traumatic experiences had been repressed from her conscious mind, but reappeared as physical symptoms. Breuer used hypnosis to treat Anna O. She is reported to have gained slight mobility on her right side.

The concept received renewed interest in the 1970s in relation to child sexual abuse and incest. Coming to be labelled The Recovered Memory Movement and Memory Wars or The Memory War, it became a major issue in pop culture during the 1980s and 1990s, connected to Satanic panic, and spawned a myriad of legal cases, controversies, and media. Michelle Remembers (1980), a discredited book by Canadian psychiatrist Lawrence Pazder and his wife/former patient Michelle Smith about Smith's fabricated experiences with repressed memories of childhood Satanic rituals and abuse, gained widespread popularity that persisted after debunking, influenced subsequent claims, and received promotion from media including Oprah, Geraldo Rivera, Sally Jesse Raphael, and 20/20. Starting in the 1980s, repressed memory legal cases increased rapidly. In 1989, a landmark legal case developed when George Franklin was charged and convicted in 1990 for the rape and murder of 8-year-old Susan Kay Nason on September 22, 1969, based on the account of his daughter, Eileen Franklin's recovered memories. Originally sentenced to life imprisonment, a district court judge overturned the conviction in 1995 based on several trial errors including the unreliability of hypnosis that was used. Eileen Franklin would further accuse her father of raping and murdering 18-year-old Veronica Cascio and 17-year-old Paula Baxter. George Franklin was released in July 1996 after prosecutors announced they would not retry him, and in 2018, the DNA evidence linked Rodney Lynn Halbower to the Cascio and Baxter murders. He was convicted of both murders and sentenced to life in prison. In 1991, People magazine featured Marilyn Van Derbur and Roseanne Barr's experiences with childhood abuse and repressed memory. Van Derbur's oldest sister Gwen verified her account, though Barr would later moderate her claims. Such cases and reactions led to the definition of false memory syndrome and establishment of the False Memory Syndrome Foundation in 1992. The Ramona false memory case in 1994 was another landmark case, where father Gary Ramona successfully sued for malpractice against Western Medical Center in Anaheim, its chief of psychiatry Richard Rose, and therapist Marche Isabella, for implanting false memories of child abuse while treating his daughter Holly for depression and bulimia. It was also notable for being brought by a third party not involved in the doctor-patient relationship and contributed to continued evaluation of the phenomenon. Skepticism and criticism of repressed memory continued to mount through the 1990s, 2000s, and beyond, emphasizing unreliability, false claims, and lack of examples in historical records.

Issues

Case studies

Psychiatrist David Corwin has claimed that one of his cases provides evidence for the reality of repressed memories. This case involved a patient (the Jane Doe case) who, according to Corwin, had been seriously abused by her mother, had recalled the abuse at age six during therapy with Corwin, then eleven years later was unable to recall the abuse before memories of the abuse returned to her mind again during therapy. An investigation of the case by Elizabeth Loftus and Melvin Guyer, however, raised serious questions about many of the central details of the case as reported by Corwin, including whether or not Jane Doe was abused by her mother at all, suggesting that this may be a case of false memory for childhood abuse with the memory "created" during suggestive therapy at the time that Doe was six. Loftus and Guyer also found evidence that, following her initial "recall" of the abuse during therapy at age six, Doe had talked about the abuse during the eleven years in between the sessions of therapy, indicating that even if abuse had really occurred, memory for the abuse had not been repressed. More generally, in addition to the problem of false memories, this case highlights the critical dependence of repression-claims cases on the ability of individuals to recall whether or not they had previously been able to recall a traumatic event; as McNally has noted, people are notoriously poor at making that kind of judgment.

An argument that has been made against the validity of the phenomenon of repressed memories is that there is little (if any) discussion in the historical literature prior to the 19th century of phenomena that would qualify as examples of memory repression or dissociative amnesia. In response to Harrison Pope's 2006 claim that no such examples exist, Ross Cheit, a political scientist at Brown University, cited the case of Nina, a 1786 opera by the French composer Nicolas Dalayrac, in which the heroine, having forgotten that she saw her lover apparently killed in a duel, waits for him daily. Pope claims that even this single fictional description does not clearly meet all criteria for evidence of memory repression, as opposed to other phenomena of normal memory.

Despite the claims by proponents of the reality of memory repression that any evidence of the forgetting of a seemingly traumatic event qualifies as evidence of repression, research indicates that memories of child sexual abuse and other traumatic incidents may sometimes be forgotten through normal mechanisms of memory. Evidence of the spontaneous recovery of traumatic memories has been shown, and recovered memories of traumatic childhood abuse have been corroborated; however, forgetting trauma does not necessarily imply that the trauma was repressed. One situation in which the seeming forgetting, and later recovery, of a "traumatic" experience is particularly likely to occur is when the experience was not interpreted as traumatic when it first occurred, but then, later in life, was reinterpreted as an instance of early trauma.

A review by Alan Sheflin and Daniel Brown in 1996 found 25 previous studies of the subject of amnesia of childhood sexual abuse. All 25 "demonstrated amnesia in a subpopulation", including more recent studies with random sampling and prospective designs. On the other hand, in a 1998 editorial in the British Medical Journal Harrison Pope wrote that "on critical examination, the scientific evidence for repression crumbles." He continued, "asking individuals if they 'remember whether they forgot' is of dubious validity. Furthermore, in most retrospective studies corroboration of the traumatic event was either absent or fell below reasonable scientific standards."

A meta-analysis was conducted by McNally in 2005 to disprove misconceptions about repression, trauma, and memory. The analysis found that a significant misunderstanding with repression is that many individuals who have experienced abuse or a traumatic event often fail to recall these events because they don't recognize the events as traumatic or as an instance of abuse. This issue could arise for several reasons, one being a lack of understanding of what abuse entails, particularly in cases where the individual is a child. Because many of these traumatic events occur during childhood, the victim may not have the emotional or cognitive development to process the event as abuse or trauma. In some cases, the person may not have the language or tools to understand that their experience was harmful. Consequently, the individual may not recognize the event as something to be distressed about at the time. This lack of recognition does not mean the event did not occur, but rather that the victim may not realize the event was abuse until later in life. As they mature and gain a better understanding of abusive characteristics or trauma, victims may eventually come to the realization that their past experience was indeed abuse, prompting them to come forward years later to speak out.

Furthermore, research done by Deferme et al. (2024) on repressed memories emphasized that another reason individuals who experience abuse or a traumatic event don't report their recollections of abuse is due to social stigma. According to Deferme et al. (2024), victims of abuse seldom forget their recollections of a traumatic event completely and they often delay telling others about the event due to shame or fear. They may fear the stigma of being a victim of abuse, whose reports are often denied or criticized, especially if they are accusing a high profile individual. Victims of abuse may also avoid coming forward due to threats from their abuser.

Authenticity

Memories can be accurate, but they are not always accurate. For example, eyewitness testimony even of relatively recent dramatic events is notoriously unreliable. Memories of events are a mix of fact overlaid with emotions, mingled with interpretation and "filled in" with imaginings. Skepticism regarding the validity of a memory as factual detail is warranted. For example, one study where victims of documented child abuse were reinterviewed many years later as adults, 38% of the women denied any memory of the abuse.

Various manipulations are considered to be able to implant false memories (sometimes called "pseudomemories"). Psychologist Elizabeth Loftus has noted that some of the techniques that some therapists use in order to supposedly help the patients recover memories of early trauma (including such techniques as age regression, guided visualization, trance writing, dream work, body work, and hypnosis) are particularly likely to contribute to the creation of false or pseudo memories. Such therapy-created memories can be quite compelling for those who develop them, and can include details that make them seem credible to others. In a now classic experiment by Loftus (widely known as the "Lost in the Mall" study), participants were given a booklet containing three accounts of real childhood events written by family members and a fourth account of a wholly fictitious event of being lost in a shopping mall. A quarter of the subjects reported remembering the fictitious event, and elaborated on it with extensive circumstantial detail. This experiment inspired many others, and in one of these, Porter et al. convinced about half of the participants that they had survived a vicious animal attack in childhood.

Critics of these experimental studies have questioned whether their findings generalize to memories for real-world trauma or to what occurs in psychotherapeutic contexts. However, when memories are "recovered" after long periods of amnesia, particularly when extraordinary means were used to secure the recovery of memory, it is now widely (but not universally) accepted that the memories have a high likelihood of being false, i.e. "memories" of incidents that had not actually occurred. It is thus recognised by professional organizations that a risk of implanting false memories is associated with some similar types of therapy. The American Psychological Association advises: "...most leaders in the field agree that although it is a rare occurrence, a memory of early childhood abuse that has been forgotten can be remembered later; however, these leaders also agree that it is possible to construct convincing pseudomemories for events that never occurred."

Not all therapists agree that false memories are a major risk of psychotherapy and they argue that this idea overstates the data and is untested. Several studies have reported high percentages of the corroboration of recovered memories, and some authors have claimed that among skeptics of idea of recovered memory there is a "tendency to conceal or omit evidence of corroboration" of recovered memories.

A difficult issue for the field is that there is no evidence that reliable discriminations can be made between true and false memories. Some believe that memories "recovered" under hypnosis are particularly likely to be false. According to The Council on Scientific Affairs for the American Medical Association, recollections obtained during hypnosis can involve confabulations and pseudomemories and appear to be less reliable than nonhypnotic recall. Brown et al. estimate that 3 to 5% of laboratory subjects are vulnerable to post-event misinformation suggestions. They state that 5–8% of the general population is the range of high-hypnotizability. Twenty-five percent of those in this range are vulnerable to suggestion of pseudomemories for peripheral details, which can rise to 80% with a combination of other social influence factors. They conclude that the rates of memory errors run 0–5% in adult studies, 3–5% in children's studies and that the rates of false allegations of child abuse allegations run 4–8% in the general population.

Mechanisms

Those who argue in favor of the validity of the phenomenon of repressed memory have identified three mechanisms of normal memory that may explain how memory repression may occur: retrieval inhibition, motivated forgetting, and state-dependent remembering.

Retrieval inhibition

Retrieval inhibition refers to a memory phenomenon where remembering some information causes forgetting of other information. Anderson and Green have argued that for a linkage between this phenomenon and memory repression; according to this view, the simple decision to not think about a traumatic event, coupled with active remembering of other related experiences (or less traumatic elements of the traumatic experience) may make memories for the traumatic experience itself less accessible to conscious awareness. However, two problems with this viewpoint have been raised: (1) the evidence for the basic phenomenon itself has not consistently replicated, and (2) the phenomenon does not meet all criteria that must be met to support memory repression theory, particularly the lack of evidence that this form of forgetting is particularly likely to occur in the case of traumatic experiences.

Motivated forgetting

The motivated forgetting phenomenon, which is also sometimes referred to as intentional or directed forgetting, refers to forgetting which is initiated by a conscious goal to forget particular information. In the classic intentional forgetting paradigm, participants are shown a list of words, but are instructed to remember certain words while forgetting others. Later, when tested on their memory for all of the words, recall and recognition is typically worse for the deliberately forgotten words. A problem for viewing motivated forgetting as a mechanism of memory repression is that there is no evidence that the intentionally forgotten information becomes, first, inaccessible and then, later, retrievable (as required by memory repression theory).

State-dependent remembering

The term state-dependent remembering refers to the evidence that memory retrieval is most efficient when an individual is in the same state of consciousness as they were when the memory was formed. Based upon her research with rats, Radulovic has argued that memories for highly stressful traumatic experiences may be stored in different neural networks than is the case with memories for non-stressful experiences, and that memories for the stressful experiences may then be inaccessible until the organism's brain is in a neurological state similar to the one that occurred when the stressful experience first occurred. At present, however, there is no evidence that what Radulovic found with rats occurs in the memory systems of humans, and it is not clear that human memories for traumatic experiences are typically "recovered" by placing the individual back in the mental state that was experienced during the original trauma.

Amnesia

Amnesia is partial or complete loss of memory that goes beyond mere forgetting. Often it is temporary and involves only part of a person's experience. Amnesia is often caused by an injury to the brain, for instance after a blow to the head, and sometimes by psychological trauma. Anterograde amnesia is a failure to remember new experiences that occur after damage to the brain; retrograde amnesia is the loss of memories of events that occurred before a trauma or injury. Dissociative amnesia is defined in the DSM-5 as the "inability to recall autobiographical information" that is (a) "traumatic or stressful in nature", (b) "inconsistent with ordinary forgetting", (c) "successfully stored", (d) involves a period of time when the patient is unable to recall the experience, (e) is not caused by a substance or neurological condition, and (f) is "always potentially reversible". McNally and others have noted that this definition is essentially the same as the defining characteristics of memory repression, and that all of the reasons for questioning the reality of memory repression apply equally well to claims regarding dissociative amnesia.

Effects of trauma on memory

The essence of the theory of memory repression is that it is memories for traumatic experiences that are particularly likely to become unavailable to conscious awareness, even while continuing to exist at an unconscious level. A prominent more specific theory of memory repression, "Betrayal Trauma Theory", proposes that memories for childhood abuse are the most likely to be repressed because of the intense emotional trauma produced by being abused by someone the child is dependent on for emotional and physical support; in such situations, according to this theory, dissociative amnesia is an adaptive response because it permits a relationship with the powerful abuser (whom the child is dependent upon) to continue in some form.

Psychiatrist Bessel van der Kolk divided the effects of traumas on memory functions into four sets:

  • Traumatic amnesia; this involves the loss of memories of traumatic experiences. The younger the subject and the longer the traumatic event is, the greater the chance of significant amnesia. He stated that subsequent retrieval of memories after traumatic amnesia is well documented in the literature, with documented examples following natural disasters and accidents, in combat soldiers, in victims of kidnapping, torture and concentration camp experiences, in victims of physical and sexual abuse, and in people who have committed murder.
  • Global memory impairment; this makes it difficult for subjects to construct an accurate account of their present and past history. "The combination of lack of autobiographical memory, continued dissociation and of meaning schemes that include victimization, helplessness and betrayal, is likely to make these individuals vulnerable to suggestion and to the construction of explanations for their trauma-related affects that may bear little relationship to the actual realities of their lives"
  • Dissociative processes; this refers to memories being stored as fragments and not as unitary wholes.
  • Traumatic memories' sensorimotor organization. Not being able to integrate traumatic memories seems to be linked to posttraumatic stress disorder (PTSD).

According to van der Kolk, memories of highly significant events are usually accurate and stable over time; aspects of traumatic experiences appear to get stuck in the mind, unaltered by time passing or experiences that may follow. The imprints of traumatic experiences appear to be different from those of nontraumatic events, perhaps because of alterations in attentional focusing or the fact that extreme emotional arousal interferes with memory. van der Kolk and Fisler's hypothesis is that under extreme stress, the memory categorization system based in the hippocampus fails, with these memories kept as emotional and sensory states. When these traces are remembered and put into a personal narrative, they are subject to being condensed, contaminated and embellished upon.

A significant problem for trauma theories of memory repression is the lack of evidence with humans that failures of recall of traumatic experiences result from anything other than normal processes of memory that apply equally well to memories for traumatic and non-traumatic events. In addition, it is clear that, rather than being pushed out of consciousness, the difficulty with traumatic memories for most people is their inability to forget the traumatic event and the tendency for memories of the traumatic experience to intrude upon consciousness in problematic ways.

Evidence from psychological research suggests that most traumatic memories are well remembered over long periods of time. Autobiographical memories appraised as highly negative are remembered with a high degree of accuracy and detail. This observation is in line with psychological understanding of human memory, which explains that highly salient and distinctive events—common characteristics of negative traumatic experiences—are remembered well. When experiencing highly emotional, stressful events, physiological and neurological responses, such as those involving the limbic system, specifically the amygdala and hippocampus, lead to more consolidated memories. Evidence shows that stress enhances memory for aspects and details directly related to the stressful event. Furthermore, behavioural and cognitive memory-enhancing responses, such as rehearsing or revisiting a memory in one's mind are also more likely when memories are highly emotional. When compared to positive events, memory for negative, traumatic experiences are more accurate, coherent, vivid, and detailed, and this trend persists over time. This sample of what is a vast body of evidence calls into question how it is possible that traumatic memories, which are typically remembered exceptionally well, might also be associated with patterns of extreme forgetting.

The high quality remembering for traumatic events is not just a lab-based finding but has also been observed in real-life experiences, such as among survivors of child sexual abuse and war-related atrocities. For example, researchers who studied memory accuracy in child sexual abuse survivors 12 to 21 years after the event(s) ended found that the severity of posttraumatic stress disorder was positively correlated with the degree of memory accuracy. Further, all persons who identified the child sexual abuse as the most traumatic event of their life, displayed highly accurate memory for the event. Similarly, in a study of World War II survivors, researchers found that participants who scored higher on posttraumatic stress reactions had war memories that were more coherent, personally consequential, and more rehearsed. The researchers concluded that highly distressing events can lead to subjectively clearer memories that are highly accessible.

Serious issues arise when recovered but false memories result in public allegations; false complaints carry serious consequences for the accused. A special type of false allegation, false memory syndrome, arises typically within therapy, when people report the "recovery" of childhood memories of previously unknown abuse. The influence of practitioners' beliefs and practices in the eliciting of false "memories" and of false complaints has come under particular criticism.

Some criminal cases have been based on a witness's testimony of recovered repressed memories, often of alleged childhood sexual abuse. In some jurisdictions, the statute of limitations for child abuse cases has been extended to accommodate the phenomena of repressed memories as well as other factors. The repressed memory concept came into wider public awareness in the 1980s and 1990s followed by a reduction of public attention after a series of scandals, lawsuits, and license revocations.

A U.S. District Court accepted repressed memories as admissible evidence in a specific case. Dalenberg argues that the evidence shows that recovered memory cases should be allowed to be prosecuted in court.

The apparent willingness of courts to credit the recovered memories of complainants but not the absence of memories by defendants has been commented on: "It seems apparent that the courts need better guidelines around the issue of dissociative amnesia in both populations."

In 1995, the Ninth Circuit Court of Appeals ruled, in Franklin v. Duncan and Franklin v. Fox, Murray et al. (312 F3d. 423, see also 884 FSupp 1435, N.D. Calif.), that repressed memory is not admissible as evidence in a legal action because of its unreliability, inconsistency, unscientific nature, tendency to be therapeutically induced evidence, and subject to influence by hearsay and suggestibility. The court overturned the conviction of a man accused of murdering a nine-year-old girl purely based upon the evidence of a 21-year-old repressed memory by a lone witness, who also held a complex personal grudge against the defendant.

In a 1996 ruling, a U.S. District Court allowed repressed memories entered into evidence in court cases. Jennifer Freyd writes that Ross E. Cheit's case of suddenly remembered sexual abuse is one of the most well-documented cases available for the public to see. Cheit prevailed in two lawsuits, located five additional victims and tape-recorded a confession.

On August 16, 2010, the United States Second Circuit Court of Appeals in a case reversed the conviction that relied on claimed victim memories of childhood abuse stating that "The record here suggests a "reasonable likelihood" that Jesse Friedman was wrongfully convicted. The "new and material evidence" in this case is the post-conviction consensus within the social science community that suggestive memory recovery tactics can create false memories" (p. 27, Friedman v. Rehal Docket No. 08-0297). The ruling goes on to order all previous convictions and plea bargains relying in repressed memories using common memory recovered techniques be reviewed.

On December 16, 2005, the Irish Court of Criminal Appeal issued a certificate confirming a Miscarriage of Justice to a former nun, Nora Wall whose 1999 conviction for child rape was partly based on repressed-memory evidence. The judgement stated that:

There was no scientific evidence of any sort adduced to explain the phenomenon of "flashbacks" and/or "retrieved memory", nor was the applicant in any position to meet such a case in the absence of prior notification thereof.

Recovered memory therapy

The term "recovered memory therapy" refers to the use of a range of psychotherapy methods that involve guiding the patient's attempts to recall memories of abuse that had previously been forgotten. The term "recovered memory therapy" is not listed in DSM-5 nor is recovered memory therapy recommended by mainstream ethical and professional mental health associations. Critics of recovered memory therapy note that the therapy can create false memories through its use of powerful suggestion techniques. It has also been found that patients who retract their claims—after deciding their recovered memories are false—may have post-traumatic stress disorder due to the trauma of illusory memories.

Summary

The Working Group on Investigation of Memories of Child Abuse of the American Psychological Association reached five key conclusions:

  1. Controversies regarding adult recollections should not be allowed to obscure the fact that child sexual abuse is a complex and pervasive problem in America that has historically gone unacknowledged;
  2. Most people who were sexually abused as children remember all or part of what happened to them;
  3. It is possible for memories of abuse that have been forgotten for a long time to be remembered;
  4. It is also possible to construct convincing pseudo-memories for events that never occurred; and
  5. There are gaps in our knowledge about the processes that lead to accurate and inaccurate recollections of childhood abuse.

Prime number

From Wikipedia, the free encyclopedia https://en.wikipedia.org/wiki/Prime_number Composite numbers can...