dissociative-amnesia

Theirs was the eternal youth of an alternating self, a youth with the constant although unfulfilled promise of growing up

Carla's description was typical of survivors of chronic childhood abuse. Almost always, they deny or minimize the abusive memories. They have to: it's too painful to believe that their parents would do such a thing. So they fragment the memories into hundreds of shards, leaving only acceptable traces in their conscious minds. Rationalizations like "my childhood was rough," "he only did it to me once or twice," and "it wasn't so bad" are common, masking the fact that the abuse was devastating and chronic. But while the knowledge, body sensations, and feelings are shattered, they are not forgotten. They intrude in unexpected ways: through panic attacks and insomnia, through dreams and artwork, through seemingly inexplicable compulsions, and through the shadowy dread of the abusive parent. They live just outside of consciousness like noisy neighbors who bang on the pipes and occasionally show up at the door.

The unconscious mind always operates in the present tense, and when a memory is buried in the unconscious, the unconscious preserves it as an ongoing act of abuse in the present of the unconscious mind. The cost of repressing a memory is that the mind does not know the abuse ended.

She's terrified that all these sensations and images are coming out of her _ but I think she's even more terrified to find out why." Carla's description was typical of survivors of chronic childhood abuse. Almost always, they deny or minimize the abusive memories. They have to: it's too painful to believe that their parents would do such a thing.

Dissociation is the common response of children to repetitive, overwhelming trauma and holds the untenable knowledge out of awareness. The losses and the emotions engendered by the assaults on soul and body cannot, however be held indefinitely. In the absence of effective restorative experiences, the reactions to trauma will find expression. As the child gets older, he will turn the rage in upon himself or act it out on others, else it all will turn into madness.

Amnesia, which is a loss of memory, is a symptom of many different trauma and/or dissociative disorders, including PTSD, Dissociative Fugue, Dissociative Disorder Not Otherwise Specified and Dissociative Identity Disorder. Amnesia can affect both implicit and explicit memory.

One hundred twenty-nine women with previously documented histories of sexual victimization in childhood were interviewed and asked detailed questions about their abuse histories to answer the question "Do people actually forget traumatic events such as child sexual abuse, and if so, how common is such forgetting?" A large proportion of the women (38%) did not recall the abuse that had been reported 17 years earlier. Women who were younger at the time of the abuse and those who were molested by someone they knew were more likely to have no recall of the abuse. The implications for research and practice are discussed. Long periods with no memory of abuse should not be regarded as evidence that the abuse did not occur. Journal of Consulting and Clinical Psychology, Vol 62(6), Dec 1994, 1167-1176

In this chapter I restrict myself to exploring the nature of the amnesia which is reported between personality states in most people who are diagnosed with DID. Note that this is not an explicit diagnostic criterion, although such amnesia features strongly in the public view of DID, particularly in the form of the fugue-like conditions depicted in _ms of the condition, such as The Three Faces of Eve (1957). Typically, when one personality state, or __lter_, takes over from another, they have no idea what happened just before. They report having lost time, and often will have no idea where they are or how they got there. However, this is not a universal feature of DID. It happens that with certain individuals with DID, one personality state can retrieve what happened when another was in control. In other cases we have what is described as __o-consciousness_ where one personality state can apparently monitor what is happening when another personality state is in control and, in certain circumstances, can take over the conversation.

What daily life is like for __ multiple_ Imagine that you have periods of __ost time._ You may find writings or drawings which you must have done, but do not remember producing. Perhaps you find child-sized clothing or toys in your home but have no children. You might also hear voices or babies crying in your head. Imagine that you can never predict when you will be able to have certain knowledge or social skills, and your emotions and your energy level seem to change at the drop of a hat, and for no apparent reason. You cannot understand why you feel what you feel, and, if you are in therapy, you cannot explore those feelings when asked. Your life feels disjointed and often confusing. It is a frightening experience. It feels out of control, and you probably think you are going crazy. That is what it is like to be multiple, and all of it is experienced by the ANPs. A multiple may also experience very concrete problems, even life-threatening ones.

While some accused and convicted child molesters have inappropriately influenced the media, the public, and many in the clinical and legal professions by claiming that traumatic amnesia does not occur in child sexual abuse, workers in the field of trauma psychology have accumulated solid empirical evidence over the past 100 years that it does occur and is common. Its existence and natural history are documented throughout the clinical literature. from:Traumatic amnesia: The evolution of our understanding from a clinical and legal perspective, Sexual Addiction & Compulsivity: The Journal of Treatment & Prevention, Volume 4, Issue 2, 1997

You may experience waves of disbelief after each memory you retrieve. Whether as a phase or waves, the disbelief is usually accompanied by massive self-hate and guilt. __ow can I even think such a thing? I must really be warped,_ you tell yourself.

After writing the letter Sybil lost almost two days. "Coming to," she stumbled across what she had written just before she had dissociated and wrote to Dr. Wilbur as follows: It's just so hard to have to feel, believe, and admit that I do not have conscious control over my selves. It is so much more threatening to have something out of hand than to believe that at any moment I can stop (I started to say "This foolishness") any time I need to. When I wrote the previous letter, I had made up my mind I would show you how I could be very composed and cool and not need to ask you to listen to me nor to explain anything to me nor need any help. By telling you that all this about the multiple personalities was not really true I could show, or so I thought, that I did not need you. Well, it would be easier if it were put on. But the only ruse of which I'm guilty is to have pretended for so long before coming to you that nothing was wrong. Pretending that the personalities did not exist has now caused me to lose about two days.

One hundred twenty-nine women with documented histories of sexual victimization in childhood were interviewed and asked about abuse history. Seventeen years following the initial report of the abuse, 80 of the women recalled the victimization. One in 10 women (16% of those who recalled the abuse) reported that at some time in the past they had forgotten about the abuse. Those with a prior period of forgetting--the women with "recovered memories"--were younger at the time of abuse and were less likely to have received support from their mothers than the women who reported that they had always remembered their victimization. The women who had recovered memories and those who had always remembered had the same number of discrepancies when their accounts of the abuse were compared to the reports from the early

having DID in itself creates intense shame. A person continually has to deal with not remembering what one has said or done. Thus, the person with DID must be quick with inferences and cover-ups. Unfortunately, this often convinces her, as well as others, that she is a liar.

Memory repression thrives in shame, secrecy, and shock. The shame and degradation experienced during sexual assault is profound, especially for children who have no concept of what is happening to them or why. Sexual abuse is so bizarre and horrible that the frightened child feels compelled to bury the event deep inside his or her mind.

I cut myself up really badly with the lid of a tin can. They took me to the emergency room, but I couldn__ tell the doctor what I had done to cut myself__ didn__ have any memory of it. The ER doctor was convinced that dissociative identity disorder didn__ exist._._._. A lot of people involved in mental health tell you it doesn__ exist. Not that you don__ have it, but that it doesn__ exist.

It all made sense _ terrible sense. The panic she had experienced in the warehouse district because of not knowing what had happened had been superseded at the newsstand by the even greater panic of partial knowledge. And now the torment of partly knowing had yielded to the infinitely greater terror of knowing precisely

The implication that the change in nomenclature from __ultiple Personality Disorder_ to __issociative Identity Disorder_ means the condition has been repudiated and __ropped_ from the Diagnostic and Statistical Manual (DSM) of the American Psychiatric Association is false and misleading. Many if not most diagnostic entities have been renamed or have had their names modified as psychiatry changes in its conceptualizations and classifications of mental illnesses. When the DSM decided to go with __issociative Identity Disorder_ it put _(formerly multiple personality disorder)_ right after the new name to signify that it was the same condition. It__ right there on page 526 of DSM-IV-R. There have been four different names for this condition in the DSMs over the course of my career. I was part of the group that developed and wrote successive descriptions and diagnostic criteria for this condition for DSM-III-R, DSM__V, and DSM-IV-TR.While some patients have been hurt by the impact of material that proves to be inaccurate, there is no evidence that scientifically demonstrates the prevalence of such events. Most material alleged to be false has been disputed by someone, but has not been proven false.Finally, however intriguing the idea of encouraging forgetting troubling material may seem, there is no evidence that it is either effective or safe as a general approach to treatment. There is considerable belief that when such material is put out of mind, it creates symptoms indirectly, from __ehind the scenes._ Ironically, such efforts purport to cure some dissociative phenomena by encouraging others, such as Dissociative Amnesia.