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Clinically based risk management principles for recovered memory cases

T G Gutheil1, R I Simon

  • 1Department of Psychiatry, Harvard Medical School, Boston, MA, USA.

Psychiatric Services (Washington, D.C.)
|November 14, 1997
PubMed
Summary
This summary is machine-generated.

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The controversy surrounding recovered memories of sexual abuse impacts mental health professionals and families. This review offers nine clinical risk management principles for handling such sensitive cases effectively.

Area of Science:

  • Psychology
  • Forensic Psychology
  • Mental Health

Background:

  • The phenomenon of recovered memories of sexual abuse has generated significant controversy within the mental health field.
  • These cases can lead to legal disputes, impacting family relationships and professional practice.
  • Divergent views exist regarding the validity and therapeutic handling of recovered memories.

Purpose of the Study:

  • To review the complex issues surrounding recovered memory cases.
  • To distinguish between therapeutic and legal approaches to these memories.
  • To provide clinicians with practical risk management strategies.

Main Methods:

  • Literature review of the recovered memory controversy.
  • Analysis of the interplay between therapeutic alliance and narrative truth.

Related Experiment Videos

  • Examination of the contrast between therapeutic and forensic roles.
  • Identification of potential risks associated with specific therapeutic techniques.

    • Main Results:

    • Misguided advocacy for recovered memories can be detrimental.
    • The distinction between historical events and narrative truth is crucial for therapeutic alliance.
    • Therapeutic and legal remedies serve different purposes and can be incompatible.
    • Specialized therapies like hypnosis may pose risks.

    Conclusions:

    • Clinicians need guidance in managing recovered memory cases.
    • Nine clinically based risk management principles are proposed.
    • Key principles include documentation, consultation, psychotherapeutic neutrality, and role differentiation (therapist vs. forensic expert).
    • Awareness of external influences (other professionals, family) and appropriate treatment termination are vital.