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      The Return of the Repressed: The Persistent and Problematic Claims of Long-Forgotten Trauma

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          Abstract

          Can purely psychological trauma lead to a complete blockage of autobiographical memories? This long-standing question about the existence of repressed memories has been at the heart of one of the most heated debates in modern psychology. These so-called memory wars originated in the 1990s, and many scholars have assumed that they are over. We demonstrate that this assumption is incorrect and that the controversial issue of repressed memories is alive and well and may even be on the rise. We review converging research and data from legal cases indicating that the topic of repressed memories remains active in clinical, legal, and academic settings. We show that the belief in repressed memories occurs on a nontrivial scale (58%) and appears to have increased among clinical psychologists since the 1990s. We also demonstrate that the scientifically controversial concept of dissociative amnesia, which we argue is a substitute term for memory repression, has gained in popularity. Finally, we review work on the adverse side effects of certain psychotherapeutic techniques, some of which may be linked to the recovery of repressed memories. The memory wars have not vanished. They have continued to endure and contribute to potentially damaging consequences in clinical, legal, and academic contexts.

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          Most cited references187

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          On the prediction of occurrence of particular verbal intrusions in immediate recall.

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            Planting misinformation in the human mind: a 30-year investigation of the malleability of memory.

            E Loftus (2005)
            The misinformation effect refers to the impairment in memory for the past that arises after exposure to misleading information. The phenomenon has been investigated for at least 30 years, as investigators have addressed a number of issues. These include the conditions under which people are especially susceptible to the negative impact of misinformation, and conversely when are they resistant. Warnings about the potential for misinformation sometimes work to inhibit its damaging effects, but only under limited circumstances. The misinformation effect has been observed in a variety of human and nonhuman species. And some groups of individuals are more susceptible than others. At a more theoretical level, investigators have explored the fate of the original memory traces after exposure to misinformation appears to have made them inaccessible. This review of the field ends with a brief discussion of the newer work involving misinformation that has explored the processes by which people come to believe falsely that they experienced rich complex events that never, in fact, occurred.
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              Emotion modulation in PTSD: Clinical and neurobiological evidence for a dissociative subtype.

              In this article, the authors present evidence regarding a dissociative subtype of PTSD, with clinical and neurobiological features that can be distinguished from nondissociative PTSD. The dissociative subtype is characterized by overmodulation of affect, while the more common undermodulated type involves the predominance of reexperiencing and hyperarousal symptoms. This article focuses on the neural manifestations of the dissociative subtype in PTSD and compares it to those underlying the reexperiencing/hyperaroused subtype. A model that includes these two types of emotion dysregulation in PTSD is described. In this model, reexperiencing/hyperarousal reactivity is viewed as a form of emotion dysregulation that involves emotional undermodulation, mediated by failure of prefrontal inhibition of limbic regions. In contrast, the dissociative subtype of PTSD is described as a form of emotion dysregulation that involves emotional overmodulation mediated by midline prefrontal inhibition of the same limbic regions. Both types of modulation are involved in a dynamic interplay and lead to alternating symptom profiles in PTSD. These findings have important implications for treatment of PTSD, including the need to assess patients with PTSD for dissociative symptoms and to incorporate the treatment of dissociative symptoms into stage-oriented trauma treatment.
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                Author and article information

                Journal
                Perspect Psychol Sci
                Perspect Psychol Sci
                PPS
                sppps
                Perspectives on Psychological Science
                SAGE Publications (Sage CA: Los Angeles, CA )
                1745-6916
                1745-6924
                04 October 2019
                November 2019
                : 14
                : 6
                : 1072-1095
                Affiliations
                [1 ]Faculty of Psychology and Neuroscience, Section of Forensic Psychology, Maastricht University
                [2 ]Department of Psychology, City, University of London
                [3 ]Leuvens Institute of Criminology, Faculty of Law, Catholic University of Leuven
                [4 ]School of Psychology, University of Southern Mississippi
                [5 ]Laboratory of Consciousness, Cognition, and Psychopathology, Binghamton University
                [6 ]Department of Psychology, Emory University
                [7 ]Department of Psychological Science, University of California, Irvine
                Author notes
                [*]Henry Otgaar, Faculty of Psychology and Neuroscience, Section Forensic Psychology, Maastricht University, Universiteitssingel 40, 6200 MD, Maastricht, the Netherlands E-mail: henry.otgaar@ 123456maastrichtuniversity.nl
                Author information
                https://orcid.org/0000-0002-2782-2181
                https://orcid.org/0000-0003-2870-8986
                Article
                10.1177_1745691619862306
                10.1177/1745691619862306
                6826861
                31584864
                320be44d-fae1-4e0f-a9c4-753efc189889
                © The Author(s) 2019

                This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License ( http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

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                memory wars,repressed memory,repression,false memory,recovered memory,therapy

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