[Ritual sexual abuse : Orientation to patient well-being in a polarized debate]. / Ritueller sexueller Missbrauch : Orientierung am Patientenwohl in einer polarisierten Debatte.

BACKGROUND: The background to this article is a polarized media debate about ritual violence against children in German speaking countries. Two opposing positions have formed, which are unable to engage in a reasonable exchange with each other. OBJECTIVE: The article therefore aims to contribute to bridging the differences and argues, above all in the interests of patient well-being, for positioning oneself beyond polarization and to reflect on an evidence-base in treatment as well as in scientific discourse. MATERIAL AND METHODS: The article is based on a critical examination of exemplary scientific literature, public investigation reports and diverse media coverage. RESULTS: In certain psychotraumatology circles and in the media (especially on social media, such as telegram), there is a conspiracy narrative about a large network of perpetrators who inflict the most serious sexual violence on children in a ritual context. An uncritical belief in this has already led to mistreatment of patients and also to a fundamental mistrust of their statements. This threatens these already vulnerable patients with further harm, which contradicts the basic principles of medical ethics.

Deficits in memory metacognitive efficiency in late adulthood are related to distinct brain profile.

The tendency of falsely remembering events that did not happen in the past increases with age. This is particularly evident in cases in which features presented at study are re-presented at test in a recombined constellation (termed rearranged pairs). Interestingly, older adults also express high confidence in such false memories, a tendency that may indicate reduced metacognitive efficiency. Within an existing cohort study, we aimed at investigating age-related differences in memory metacognitive efficiency (as measured by meta d' ratio) in a sample of 1522 older adults and 397 young adults. The analysis showed an age-related deficit in metacognition which was more pronounced for rearranged pairs than for new pairs. We then explored associations between cortical thickness and memory metacognitive efficiency for rearranged pairs in a subsample of 231 older adults. By using partial least square analysis, we found that a multivariate profile composed by ventromedial prefrontal cortex, insula, and parahippocampal cortex was uniquely associated with between-person differences in memory metacognitive efficiency. These results suggest that the impairment in memory metacognitive efficiency for false alarms is a distinct age-related deficit, above and beyond a general age-related decline in memory discrimination, and that it is associated with brain regions involved in metacognitive processes.

False memories through auditory distraction: When irrelevant speech produces memory intrusions in the absence of semantic interference.

Task-irrelevant speech is known to cause disruption of short-term memory, either through specific interference with encoding processes (e.g., seriation, semantic processing) or by diverting attention from the focal task. Previous studies found that semantically related background speech can induce memory intrusions of words that were not part of the to-be-remembered list. While these findings suggest false memories due to semantic interference, the present study aims to test whether the presence of task-irrelevant speech affects the susceptibility to memory intrusions also in the absence of semantic interference. Therefore, incomprehensible to-be-ignored speech was presented during encoding of semantically related words. It was found across three experiments that incomprehensible changing-state speech increased the rate of false memories of non-presented but semantically related words in a subsequent recognition (Experiments 1 and 2) or recall test (Experiment 3), compared with white noise or steady-state speech. The findings indicate that speech interfered with serial-order processing of the to-be-remembered items, thus urging participants to rely on semantic information to encode and retrieve the presented words. While a focus on semantic information enabled participants to correctly recollect the majority of presented words, it most likely also increased the proportion of false memories of words with semantic associations to the presented words both in recall and recognition tests. In all three experiments, the presence of an auditory deviant in background speech did not increase the rate of false memories, suggesting that attentional capture alone does not necessarily induce source monitoring errors. However, Experiment 3 revealed that an increase in visual task-encoding load attenuated the changing-state effect on the production of false memories. This indicates that the semantic organisation processes initiated as a result of the loss of order information in case of changing-state speech may be sensitive to attentional control.

Recovered memories in psychotherapy: a survey of practicing psychotherapists in Germany.

We report on a survey of 258 psychotherapists from Germany, focusing on their experiences with memory recovery in general, suggestive therapy procedures, evaluations of recovered memories, and memory recovery in training and guidelines. Most therapists (78%) reported instances of memory recovery encompassing negative and positive childhood experiences, but usually in a minority of patients. Also, most therapists (82%) reported to have held assumptions about unremembered trauma. Patients who held these beliefs were reported by 83% of the therapists. Both therapist and patient assumptions reportedly occurred in a minority of cases. Furthermore, 35% of participants had used therapeutic techniques at least once to recover presumed trauma memories. Only 10% reported assuming trauma in most patients and recovering purported memories in a majority of the attempts. A fifth believed memory recovery was a task of psychotherapy. This belief correlated with trauma assumptions, memory recovery attempts, and recovery frequency. Psychodynamic therapists more often reported to assume trauma behind symptoms and agreed more with problematic views on trauma and memory. No differences showed regarding suggestive behaviour in therapy. Most participants expressed interest in receiving support on dealing with memory recoveries. This interest should be taken up, ideally during therapist training.

Alleged false accusations of abuse: characteristics, consequences, and coping.

ABSTRACTWe have very little knowledge about the characteristics and consequences of false abuse accusations. Sixty-one members of a German support organisation for allegedly falsely accused individuals provided information about themselves, the accuser, the accusation, the consequences of the allegation, and their coping strategies. The majority of respondents were male (90%), accused of sexual abuse (89%), and a parent of the accuser (71%). The initial allegations were frequently (72%) associated with the accuser undergoing psychotherapy. The consequences for the accused were psychological, physiological, familial, job-related, personal, and legal in nature. These included a loss of contact (98%), altered family dynamics (92%), depressive symptoms (48%), and problems focussing at work (44%). Eleven accused (18%) faced legal prosecution, but none of them were charged. Frequent strategies to cope with the allegation included contacting the victim support organisation (100%), seeking therapy (51%), contacting counselling centres (43%) and other victim support organisations (23%). Most of the accused felt supported by their environment (84%). Supporting and elaborating upon previous studies, this study exposes the potential consequences of alleged false accusations.

Investigating the memory reports of retractors regarding abuse / Investigando la memoria de testigos que se retractan en casos de abuso

Background: Legal cases and research have shown that due to suggestive therapeutic interventions, people can start to remember abuse that they never experienced. Some of these people eventually retract their claims of abuse. This study examined the memory reports of self-defined retractors of abuse and the prevalence of nonbelieved memories. Method: In this study, a retrospective survey method was used to investigate 56 individuals who had retracted their claims of abuse. We examined details, plausibility, beliefs, and recollections of the abuse before and after retraction, as well as the reasons for withdrawing their belief and the outcomes of both recovered and retracted memories. Results: Twenty-four participants took significantly longer to retract the memories than to initially recover them. The belief in the occurrence of the abusive event and personal plausibility scores were significantly lower after the retraction, whereas the recollection scores were similar before and after the retraction. The main reason for withdrawing the belief in the abuse-related memory was the emergence of external evidence putting doubt on the retractors' claims. After the withdrawal of the memories, some retractors (n = 17, 70.83%, 95% CI [52.6%, 0.89%]) believed that they gained more benefits (e.g., giving them a new chance to re-build their lives and to establish new relationships with others). Conclusion: While the reliability of retractors' reports is unclear, these findings support related work on retractor memory reports and highlight the presence of nonbelieved memories within retractors' memory reports. (AU)

Antecedentes: Los casos judiciales y la investigación han demostrado que debido a intervenciones terapéuticas sugestivas, los pacientes pueden recordar abuso que no han sufrido. Algunos de estos se retractan de las denuncias de abuso. En esta investigación se analizan las memorias de testigos que se retractaron de las denuncias de abusos y la prevalencia de memorias implantadas. Método: Se investigó mediante un método de encuesta retrospectiva a 56 pacientes que se retractaron de la denuncia de abuso. Se analizaron los detalles, la verosimilitud, creencias y recuerdos del abuso antes y después de retractarse, así como los motivos por los que desistieron de la creencia en el abuso y los resultados de las memorias recuperadas y retractadas. Resultados: 24 participantes tardaron significativamente más en asumir la memoria de retractación de la denuncia que en la recuperación inicial de la memoria de abuso. La creencia sobre la realidad del evento de abuso y la plausibilidad de este fueron significativamente menores después de retractarse, mientras que los recuerdos eran semejantes antes y después de retractarse. El motivo principal para retractarse de la creencia en el recuerdo relacionado con el abuso fue la aparición de la prueba externa que sembró dudas en la declaración de quienes se retractaron. Tras haber desistido del recuerdo implantado, algunos de los que se retractaron (n = 17, 70.83%, 95% CI [52.6%, 0.89%]) manifestaron haberse beneficiado (e.g., les había dado una nueva oportunidad para reconstruir su vida y establecer nuevas relaciones con otros). Conclusión: Aunque no está clara la fiabilidad de los informes de los testigos que se retractan, los resultados avalan la investigación de la memoria de los testigos que se retractan y destacan la presencia de memorias implantadas en las declaraciones de los que se retractan. (AU)

Intuitive thinking predicts false memory formation due to a decrease in inhibitory efficiency.

False memory formation is usually studied using the Deese-Roediger-McDermott paradigm (DRM), in which individuals incorrectly remember words that were not originally presented. In this paper, we systematically investigated how two modes of thinking (analytical vs. intuitive) can influence the tendency to create false memories. The increased propensity of intuitive thinkers to generate more false memories can be explained by one or both of the following hypotheses: a decrease in the inhibition of the lure words that come to mind, or an increased reliance on the familiarity heuristic to determine if the word has been previously studied. In two studies, we conducted tests of both recognition and recall using the DRM paradigm. Our observations indicate that a decrease in inhibitory efficiency plays a larger role in false memory formation compared to the use of the familiarity heuristic.

Normative developmental vs. reverse developmental trends in memory distortion: a framework to investigate the impact of internal and external influences on memory and their relevance to legal decisions.

There are two opposing positions regarding the development of memory: the normative developmental position, and the reverse developmental position. The normative position, which has long been the default presupposition, supports the notion that susceptibility to memory distortion, including false memories, decreases with age. In contrast, the concept of "developmental reversals" supports the notion that susceptibility to memory distortion and false memories increases with age. Each perspective finds support from existing theories as well as from research on endogenous and exogenous sources of influence. In a legal context, having an accurate understanding of the developmental course of false memory can contribute on the one hand to mitigating wrongful convictions and, on the other hand, to appreciating the accuracy of children's statements when warranted. This review aims to integrate the existing literature regarding these seemingly opposite developmental courses and construct a framework outlining the conditions under which we may observe one age trend over the other. This entails an examination of the paradigms that have been invoked to support these competing positions, specifically developmental responses to internal vs. external sources of distortion.

False memories formation after a retention period spent asleep or awake in individuals with insomnia and good sleepers: a polysomnographic study.

False memories are a possible by-product of sleep-related memory consolidation processes when delayed testing is performed after a retention interval spent asleep. To date, the effect of a retention period spent asleep or awake on false memories formation has been addressed only in healthy subjects, while neglecting sleep-disordered populations. In the present study, we investigated this effect in 17 insomniacs and 15 good sleepers through the Deese-Roediger-McDermott paradigm. In both groups, the encoding phase was followed by an 8-h retention period spent in polysomnography monitored sleep (S-condition) or wake (WK-condition). We observed that, at free recall, insomniacs produced more false recalls in the WK-condition compared to the S-condition, whereas the good sleepers showed more false recalls in S-condition than in the WK-condition. Moreover, false recalls were higher in good sleepers than in insomniacs in the S-condition. Both groups produced more veridical recalls in the S-condition than in the WK-condition. For recognition, hits (correctly recognised words) were more numerous in the S-condition than in the WK-condition. Our results confirm previous data on sleep-related false memories production in good sleepers. Additionally, they show that, in insomniacs, false memories production is reduced after a sleep relative to remaining awake. These data suggest that false memories formation, reflecting adaptive memory reshaping processes going on during sleep, could occur at awakening as long as the sleep episode is efficient enough. A notable methodological issue was also identified, in that the Deese-Roediger-McDermott paradigm can be useful to investigate sleep-dependent memory processes for false memories only when a more cognitively demanding task is employed (i.e., free-recall instead of recognition tasks).

The effects of diurnal variability and modality on false memories formation.

The main objective of the current study was to investigate the effect of time of day on visual and auditory, short-term memory (STM), and long-term memory (LTM) distortions using a hybrid Deese-Roediger-McDermott procedure. In Experiment 1, we used semantically related words, whereas in Experiment 2 - words were characterized by phonological similarity. The results showed a relationship between modality and types of stimuli. In STM, more semantic errors were found in the evening for items presented visually and more errors following auditory presentation for phonologically similar words. In LTM, the analysis revealed a higher rate of semantic distortions in the evening hours for auditorily presented words. For words with phonological similarity, we observed more errors in the evening without the effect of modality. The results support the hypothesis that more reliance is placed on elaborative processing in the evening and more on maintenance processing in the morning; however, this is not modality invariant.

A systematic review of the relationship between emotion and susceptibility to misinformation.

Inaccurate memory reports can have serious consequences within forensic and clinical settings, where emotion and misinformation are two common sources of memory distortion. Many studies have investigated how these factors are related; does emotion protect memory or leave it more vulnerable to the distorting effects of misinformation? The findings remain diffused. Thus, the present review aimed to clarify the relationship between emotion and susceptibility to misinformation. 39 eligible studies were reviewed. Results varied according to the type and dimension of emotion measured. Level of arousal may be unrelated to susceptibility to misinformation when retrieval occurs without delay; studies including delayed retrieval were limited. Stimuli valence may be associated with increased susceptibility to peripheral misinformation but unrelated to other misinformation. The following results were reported by limited studies: short-term distress and moderate levels of stress may decrease susceptibility, while anger and greater cortisol response to stress may increase susceptibility to misinformation. Source memory may also be unaffected by emotion. The results have important potential implications for forensic and clinical practice, for example by highlighting the value of enquiring witnesses' source memory. Methodological recommendations for future studies are made.

What makes us more susceptible to false memories in the era of COVID-19? A focus on vaccines and Green Pass.

INTRODUCTION: The coronavirus disease 2019 (COVID-19) pandemic was accompanied by an overabundance of fake news increasing the risk of developing false memories (FMs). Previous studies have shown that the relationship between fake news and FMs could be mediated by some individual variables, including attitudinal biases. We explored the role of these variables in true memories (TMs) and FMs formation, with special emphasis on vaccine- and Green Pass (GP)-related topics. METHOD: We set up a large online survey exploring several constructs including media usage, attitude toward vaccines and GP, perceived (PK) and objective knowledge (OK) about COVID-19-related information, fear of the disease, depression and anxiety symptoms, coping mechanisms, and reasoning skills. Then, we asked participants whether they remembered certain news (true or fake), providing confidence ratings. RESULTS: Data from 289 respondents (198 females) from the general population were analyzed. Participants with positive attitude reported a greater fear that their loved ones contracted the COVID-19, a more frequent use of traditional media, and a higher PK when compared with respondents with negative attitude. On the whole sample, participants reported higher confidence levels when required to judge their memory of true than fake news; however, participants with positive attitude reported a higher confidence for both true and fake news. The relationship between attitude and TM confidence was mediated by the PK, whereas the relationship between attitude and FM confidence was probably affected by OK. CONCLUSION: Attitude can modulate individual behaviors in the context of health issues. The PK and OK may interact with attitude in the memory formation.

Psychopathic personality traits are linked to reduced false memories for negative events.

Individuals scoring high on psychopathic personality traits process emotional material to a different extent than individuals with few psychopathic traits. Evidence exists that these individuals have impaired emotional memory. The question arises whether this emotional memory impairment has ramifications for the production of emotional false memories. In the present study, we investigated the production of false and true memories for emotional events in a community sample (N = 120) of individuals varying in psychopathic traits (evaluated with the Psychopathic Personality Inventory-Revised [PPI-R] questionnaire). The fearless dominance (FD) component of psychopathy interacted with the emotional impact of to-be-remembered events in the production of false memories, showing fewer negative false memories with increasing levels of FD. At the subjective level, negative false memories were not perceived as vivid memory experiences in high FD individuals. Concerning true memories, higher scores in cold-heartedness were related to fewer true memories for neutral and negative (but not positive) events. These results show that individuals with high psychopathy traits - in particular, FD - do not have a general emotional memory impairment but they process negative material in a different way than individuals with low psychopathic traits and thus are less susceptible to producing false memories for negative events.

False memory and COVID-19: How people fall for fake news about COVID-19 in digital contexts.

People are often exposed to fake news. Such an exposure to misleading information might lead to false memory creation. We examined whether people can form false memories for COVID-19-related fake news. Furthermore, we investigated which individual factors might predict false memory formation for fake news. In two experiments, we provided participants with two pieces of COVID-19-related fake news along with a non-probative photograph. In Experiment 1, 41% (n = 66/161) of our sample reported at least one false memory for COVID-19-related fake news. In Experiment 2, even a higher percentage emerged (54.9%; n = 185/337). Moreover, in Experiment 2, participants with conspiracy beliefs were more likely to report false memories for fake news than those without such beliefs, irrespective of the conspiratorial nature of the materials. Finally, while well-being was found to be positively associated with both true and false memories (Experiment 1), only analytical thinking was negatively linked to the vulnerability to form false memories for COVID-19-related fake news (Experiment 2). Overall, our data demonstrated that false memories can occur following exposure to fake news about COVID-19, and that governmental and social media interventions are needed to increase individuals' discriminability between true and false COVID-19-related news.

Generative processing and emotional false memories: a generation "cost" for negative false memory formation but only after delay.

Previous research shows that manipulations (e.g. levels-of-processing) that facilitate true memory often increase susceptibility to false memory. An exception is the generation effect. Using the Deese/Roediger-McDermott (DRM) paradigm, Soraci et al. found that generating rather than reading list items led to an increase in true but not false memories. They argued that generation led to enhanced item-distinctiveness that drove down false memory production. In the current study, we investigated the effects of generative processing on valenced stimuli and after a delayed retention interval to examine factors that may lead to a generation effect that increases false memories. At the immediate test, false recognition rates for both negative and neutral valanced critical lures were similar across read and generate conditions. However, after a one-week delay, we saw a valence differentiation, with a generation effect for false recognition but only for negative stimuli. The roles of item-specific and relational processing during encoding and their interaction with long-term retention are discussed.

False recalls, but not false recognitions, at the DRM paradigm are increased in subjects reporting insomnia symptoms: An online study.

BACKGROUND: In insomnia, poor sleep is accompanied by several cognitive impairments affecting prefrontal functioning that could affect source-monitoring processes and contribute to false memories production. By using a modified version of the Deese-Roediger-McDermott paradigm (DRM), we previously found that individuals suffering from insomnia produced more false memories than good sleepers adopting a free-recall task, especially for sleep-related stimuli. However, whether poor sleep affects false memory production in a task-dependent manner (i.e., free recall or recognition) remains unclear. METHODS: Through an online research method, we adopted the classical DRM paradigm to investigate the production of false recalls and false recognitions in 32 subjects referring insomnia symptoms (IN group) and 37 good sleepers (GS group), addressing also executive functioning and source monitoring ability in both groups. RESULTS: Compared to the GS group, the IN group produced more false memories (p = .002) and intrusions (p = .004) at the free recall task and showed a lower working memory index (p = .008). No between-groups differences emerged at the recognition task. Correlational analysis revealed significant associations between DRM performance, executive functioning and source monitoring (SM) variables. Moreover, false recalls were predicted by being in the presence of insomnia symptoms (p = .012) and intrusions by the number of correct responses to the Stroop task (p = .051) and SM task (p = .015), as well as by the presence of insomnia symptoms (p = .003). CONCLUSIONS: Our data show that the presence of insomnia symptoms can influence false memories production. Furthermore, the evidence that free recall is more affected than recognition suggests that poor sleep mainly affects performance at more cognitively demanding tasks. Finally, correlational and regression analyses support the hypothesis of a link between false memories production and both the presence of insomnia symptoms and executive functioning impairments.

False memories for true and false vaccination information form in line with pre-existing vaccine opinions.

Misinformation continually threatens efforts to control the COVID-19 pandemic, with vaccine misinformation now a key concern. False memories for misinformation can influence behavioural intentions, yet little is known about the factors affecting (false) memories for vaccine-related news items. Across two experiments (total n = 1481), this paper explores the effects of pre-existing vaccine opinions on reported memories for true and false news items. In Study 1, participants (n = 817) were exposed to fabricated pro- or anti-vaccine news items, and then asked if they have a memory of this news event having occurred. In Study 2, participants (n = 646) viewed true pro- or anti-vaccine news items. News items were more likely to be remembered when they aligned with participants' pre-existing vaccine beliefs, with stronger effects for pro-vaccine information. We conclude by encouraging researchers to consider the role of attitudinal bias when developing interventions to reduce susceptibility to misinformation.

Anchoring effect induces false memories.

While many studies have highlighted the existence of the anchoring effect in a wide variety of domains, no study to date has investigated its impact on memory. The present study aimed to test whether an irrelevant numerical anchor not only influences an estimate but also modifies the memory of the associated event. Two experiments (total N = 259) were conducted, combining the methodology used by Loftus and Palmer (Journal of Verbal Learning and Verbal Behavior, 13, 585-589, 1974) and a classic anchoring paradigm. The results show that an irrelevant numerical anchor can modify the estimate of a car's speed and produce false memories of the event. We discuss the link between the processes underlying the anchoring effect and the false memory phenomenon.

Suggested false memories of a non-existent film: forensically relevant individual differences in the crashing memories paradigm.

There is ample evidence to suggest that posing leading questions is dangerous, in that it may elicit compliant responses that are not necessarily accurate. Further, suggestive questioning is considered to possibly result in the development of false memories, implied in the suggestion. [Crombag, H. F. M., Wagenaar, W. A., & van Koppen, P. J. (1996). Crashing memories and the problem of 'source monitoring'. Applied Cognitive Psychology, 10(2), 95-104. https://doi.org/10.1002/(SICI)1099-0720(199604)10:2<95::AID-ACP366>3.0.CO;2-#] introduced a crashing memories paradigm in which participants are asked a single leading question about a non-existent film. The present research sought to replicate the false-memory-eliciting effect of the crashing memory induction. Further, we sought to explore associations with forensically relevant personality traits, particularly acquiescence, compliance, and suggestibility. In two studies, a significant minority of participants endorsed the leading question about the non-existent film (25.7%, and 38% respectively). We found no support for an association with acquiescence or compliance, but suggestibility was associated with the development of false memories.

Remembering a Virtual Museum Tour: Viewing Time, Memory Reactivation, and Memory Distortion.

A variety of evidence demonstrates that memory is a reconstructive process prone to errors and distortions. However, the complex relationship between memory encoding, strength of memory reactivation, and the likelihood of reporting true or false memories has yet to be ascertained. We address this issue in a setting that mimics a real-life experience: We asked participants to take a virtual museum tour in which they freely explored artworks included in the exhibit, while we measured the participants' spontaneous viewing time of each explored artwork. In a following memory reactivation phase, participants were presented again with explored artworks (reactivated targets), followed by novel artworks not belonging to the same exhibit (activated lures). For each of these objects, participants provided a reliving rating that indexed the strength of memory reactivation. In the final memory recognition phase, participants underwent an old/new memory task, involving reactivated vs. baseline (i.e., non-reactivated) targets, and activated and baseline lures. The results showed that those targets that were spontaneously viewed for a longer amount of time were more frequently correctly recognized. This pattern was particularly true for reactivated targets associated with greater memory strength (a higher reliving rating). Paradoxically, however, lures that were presented after targets associated with higher reliving ratings in the reactivation phase were more often erroneously recognized as artworks encountered during the tour. This latter finding indicates that memory intrusions, irrespective of the viewing time, are more likely to take place and be incorporated into true memories when the strength of target memory is higher.