PART ONE
The Emerging Scandal Around Recovered Memories
Psychotherapy as we know it today began when Sigmund Freud first
doubted the veracity of certain molestation memories recovered through
hypnosis and free association. He was thus forced to reconsider
his hypothesis that psychological disturbance was inevitably and
directly related to repressed childhood traumatic seduction
experiences. Freud's abandonment of the "seduction
hypothesis" has been widely misunderstood to mean either that he
denied childhood seductions had actually occurred or that recovered
memories are not to be believed. Neither is true. Hedda
Bolgar, a psychoanalyst and native of early twentieth century Vienna,
has assured us that there was at least as much incest in Vienna at that
time as there is here today (personal communication). Freud was no
fool he certainly knew about it. Rather, Freud's critical
discovery that has fueled psychoanalysis and psychotherapy up to the
present is that, from a treatment standpoint, understanding the
nature of internalized personal experience and its effects on a persons
present life takes precedence over understanding the details of actual
past experiences as remembered or related.
A century later grassroots therapists and the public at large are
encountering the same issues. How are we to consider recovered
memories of past lives, birth trauma, multiple selves, dissociated
experiences, childhood violence and seduction, satanic ritual abuse, and
abductions by aliens? A whole population has watched Sybil
and witnessed ordinary citizens recounting various atrocities to which
they have been victim. Our cinema takes us aboard alien spacecraft
where we see aliens at work; we know they are watching us. Our
courts are filled with suits against an array of alleged perpetrators of
shocking and violent crimes. Our media is filled with reports of
victims whose emotionally-laden claims can hardly be denied.
But our collective credulity is being taxed and we now hear of a
large scale "backlash" movement decrying the injustices being
brought about by accusers with a "false memory
syndrome." We read of therapists being sued for hypnotically
"leading" their clients into false beliefs and accusations
which have resulted in considerable damage to family relations.
Every newspaper and magazine in the land now carries stories about
"recovered memories" of vengeful accusations and hateful
counter-accusations. In short, we have a scandal of national and
international proportions whose stakes are high and whose social outcome
is unclear.
Fascinating as the current state of affairs is, I must defer these
broader issues for study by sociologists, cultural anthropologists, and
legal scholars. But as a psychoanalyst I can offer some thoughts
which have evolved over a century to help analysts think through the
complex issues involved in (a) considering the general nature of memory,
(b) screen and telescoped memories, (c) the search for narrative truth,
(d) the varieties of remembering and "forgetting," (e)
recovered memories as relationship dependent, (f) the freezing of
environmental failure, (g) the devious and delayed effects of
"cumulative strain trauma," and (h) some ways in which
therapists may misunderstand memories and collude with psychic
resistance.
Part Two of this paper will consider four
developmentally determined forms of memory as they present themselves in
the four broadly defined varieties of personality organization, and then
move to the central puzzle of recovered memories. Part
Three will consider the issue of "to believe or not to
believe," the problem of "recovery" through being
believed, the alarming liability of the treating therapist, the earliest
forms of transference and resistance memories, the clinical fears of
emptiness, breakdown, and death, and the nature of delayed
"cumulative trauma."
My paper poses challenges to (1) oversimplified views taken by the
recovery movement, (2) the limited scope of the false memory syndrome
approach, (3) the misinformed layman's video camera theory of memory,
(4) the widespread belief in a nonsensical view of repression, (5) the
ethics involved in "validating" experience and
"supporting" redresses, (6) therapists' collusion with
resistance to transference analysis through encouraging memory recovery,
and (7) therapists doing recovered memory work with the specter of
psychotic acting out and malpractice suits looming down the road.
Considering the Nature of Memory
Popular imagination holds a video camera theory of memory. We
believe that our memories impartially and accurately store pictures of
daily events as though we were walking camcorders. But it takes no
more than simple reflection on our everyday domestic disagreements to
conclude quickly that even if our memories do function like
sophisticated video cameras, there are widespread discrepancies between
stories and pictures recorded by cohabiting cameras! That 95% of
homicides involve immediate family members points toward the passion
with which we hold our own view of things to be correct. Further,
we have recently witnessed some of the most dramatic and devastating
civil violence in the history of the world. The cause?
Simply how different people "saw" what happened on a piece of
videotape that was less than one minute long. It appears that how
one "sees" the magnetically recorded memory differs radically
depending on such variables as color of skin, socioeconomic and
employment status, political and religious affiliations, and so
forth. So our video camera theory of memory miserably fails us
not only because we do not see or remember fact as well as we think we
do, but even when recorded facts are plainly before us, our subjective
biases determine our interpretation of them. In short, we see what
we want to see and we remember things the way we intend to remember
them.
Scientific evidence regarding observer agreement in psychological,
sociological, and legal studies is remarkably consistent with these
anecdotal observations in demonstrating that we see and remember things
quite unreliably (Loftus, 1993). Considering the overwhelming lack
of anecdotal and scientific evidence to support the video camera theory
of human memory, where does the conviction that our perceptions and
memories record unbiased truth come from? We do, of course,
subjectively maintain a certain sense of continuity in our lives.
And, regardless of how aware we are of gaps in our ability to perceive
and remember accurately, we often have the sense that if we just dwell
on some past event for a few moments we can conjure up a reasonably
accurate recollection. And for most practical, everyday purposes
our powers of memory do get us by.
But recalling early childhood memories poses a whole different set of
issues. Diverse and wide-ranging studies confirm that childhood
amnesia for most events before the age of four or five is universal,
though the exact nature and causes of childhood amnesia are little
understood by most people. True, most of us possess a set of
internal pictures of those early times. But these pictures seem to
fall into several classes: (a) memories stimulated or created by photos
or family lore which may or may not be our memories; (b) frightening or
otherwise intense or traumatic experiences which seem to be recallable
due to the sheer impact certain events had on our lives; and (c)
so-called "screen" and "telescoped" memories, which
are the most common memories of early childhood.
Screen and Telescoped Memories
Freud formulates that screen memories from early childhood function
to gather many emotional details into a single picture or
narration. Many emotional events or a whole emotional atmosphere
become projected, as it were, onto a screen so that a certain picture or
story remains as an emotionally compelling "memory." The
picture an individual recalls may be vivid and perhaps be clung to
tenaciously as absolute truth, even in face of reliable contradictory
evidence.
A screen memory may also be a reasonably accurate rendition of what
actually happened. But it is recalled, says Freud, because of its power
to condense a whole emotional complex. Freud believed that what is
essential to remember from early childhood has been retained in screen
memories and that the analyst's task is one of knowing how to extract it.
But regardless of whatever objective accuracy a given screen memory may
or may not possess, its true value, like that of dreams, is primarily
subjective. Its images are subject to the primary processes of
condensation, displacement, symbolization, and the requirements of
visual representability so that the memory can never be understood
concretely or literally.
At one point Freud felt that screen memories represent the forgotten
years of childhood "as adequately as the manifest content of a
dream represents the dream-thoughts" (1914, p.148). But Freud came
to designate first transference, and subsequently resistance to the
transference, as the most fundamental repositories of critical
relatedness memories from childhood, which are even more important than
screen memories. Screen memories freeze in dream time images of the
lived past, while the critical memories that live on in our daily lives
are manifest in transference and resistance. Transference and resistance
as the most critical forms of early childhood memory are understood by
psychoanalysts to be unconscious and also considered governed by the
same kind of primary process thought seen in dreams.
Heinz Kohut (1971, 1977) notes a special type of screen memory, the
telescoped memory, which collapses over various time periods of one's
life a certain category or class of emotional events into a single vivid
and compelling picture or narrative. For example, one recalls a
convincing memory of a certain event in a relationship which can clearly
be placed in one's adolescence. But that picture may summarize,
collapse, and represent the subjective truth of a series of emotionally similar experiences, dating perhaps from earliest
infancy.
Freud notes that the emotional themes of the analysis which lead to
an understanding of transference and resistance are regularly
foreshadowed in dreams, slips of the tongue, sexual fantasies, and
childhood memories. He observes that phantasmagoric pictures and stories
presented to the analyst as early childhood memories contain crucial
thematic elements required for an analysis of the developing
transferential relationship with the analyst. Recovered memories and
dreams spontaneously emerge as analyst and analysand struggle to define
hidden aspects of the here-and-now analytic relationship both real and
transferential. The importance of this type of childhood memory lies in
the way lifelong emotional themes are condensed and displaced in much
the same way as primary process material in dreams. Memories thus
recovered are most profoundly appreciated if they can be considered less
as representations of actual event and more as creative dreamwork which
represents the transference and resistance themes as they emerge in the
analytic relationship.
Psychoanalytic case studies are filled with examples of such screen
memories. Analysts for years have studied how the person in analysis
reexperiences (i.e., remembers by repeating) his or her emotional past
in the context of current relationships, especially the one with the
analyst. The most interesting and widely reported aspect of memories
recovered during psychoanalysis occurs when some heretofore unnoticed
aspect of the emotional past can be interpreted as operating in the
here-and-now present of the analytic relationship. Suddenly,
long-forgotten memories flood into consciousness and are reported to the
analyst. The analyst may evaluate the correctness of the transference
interpretation according to the kinds and qualities of early memories
that spontaneously erupt into consciousness to "confirm" the
interpretation.
To what extent such memories are memories of actual events, screen
memories, or complex psychological constructions which represent current
relational realities remains a topic for discussion. But no seasoned
psychoanalyst ever assumes any memory, no matter how vivid or seemingly
true it appears, as an indisputable historical fact. Memories are
understood as mental functions that serve present purposes, in analysis the
purpose of reviewing and restructuring our identities and the way we
live our lives.
Following Freud's abandonment of the seduction hypothesis, and the
considerations regarding the special nature of screen as well as
transference and resistance memories, psychoanalysts have tended not to
take childhood memories recovered in analysis at face value. It is
widely recognized that the moment a person addresses an analyst,
powerful unconscious transference and resistance (memories) come
immediately into play although it may be some time before the nature of
those memories can be understood. Historically, many psychoanalysts
became interested in "reconstructing" the emotional influences
of early childhood based not upon a literal understanding of the
memories but derived from detailed studies of memories projected onto
the analyst and into the analysis in the form of current and active
manifestations of transference and resistance.
The Search For Narrative Truth
Psychoanalysis erroneously gained a reputation for being interested
in the distant childhood past. But, in fact, no form of psychotherapy
has been more vehemently focused on the here-and-now present
transference situation than psychoanalysis. Even the psychoanalytic
enthusiasm for "reconstructing" childhood emotional life based
upon current experience in the analytic relationship had dwindled
considerably by the late 1 970s. Roy Schafer (1976), Donald Spence
(1982), and a host of others definitively shifted psychoanalytic
concerns away from the search for "historical truth" in favor
of establishing narrative truth." A century of psychoanalytic
practice had succeeded in demonstrating how unreliable and pale in
importance are "recovered" memories of historical fact in
comparison to the vivid and compelling forms of memory that are alive,
active, and manifest in narratives, narrational pictures, and
narrational interactions of current relationships, especially the
analytic relationship.
Since the beginning of time, human truth has been recorded in myth,
image, story, and archetype as Freud, Jung, and others have pointed out.
Individual records of experience may similarly emerge in an analytic dialogue in
which two create pictures and narrations which capture, at least for the
moment, the essence of some feature of their shared emotional life.
Dreams, childhood memories, and sexual fantasies contribute in a major
way to the joint construction of narratives that have an "emotional
fit" to the here-and-now relationship.
The psychoanalytic enterprise may be studied scientifically like any
other human activity. But the psychoanalytic process itself forever
remains an encounter between two subjective worlds which lends itself to
the same kinds of systematic study as other interpretive disciplines.
The objectivity involved in studying psychoanalytic work across cases
must be clearly distinguished from the dual subjectivity that governs
the process of any single analysis and the stories and images that
emerge to characterize it.
Joseph Natterson (1991) clarifies what has been known for some time
that narrative statements emerging from any psychoanalytic dialogue
are subject to a host of creative distorting influences and power
manipulations operating in the transference/counter-transference and
resistance/counterresistance dimensions. In short, it is sheer folly to
attribute the status of historical or legal fact to any conclusion
arising from a psychoanalytic or psychotherapeutic process. Participation in a psychotherapeutic process has a validity of an
entirely different order.
Four Kinds of Remembering and "Forgetting"
Psychoanalysts have no viable theory of forgetting, only a set of
theories about how different classes of emotional events are remembered
or barred from active memory. "Forgetting impressions, scenes, or
experiences nearly always reduces itself to shutting them off. When the
patient talks about these 'forgotten' things he seldom fails to add: 'As
a matter of fact I've always known it; only I've never thought of
it.'" (Freud, 1914, p. 148).
Of course, there are many things around us which we do not notice and
therefore do not recall. Further, much of our life's experience is known
but has never been thought about. Much of this "unthought
known" (Bollas, 1987) can be represented in the analytic dialogue and understood by two.
Even if sometimes a cigar is just a
cigar," psychoanalytic study has never portrayed human psyche as
anything so passive as to be subject to simple forgetting. How then do
analysts account for what appears to be "forgotten"
experience? We have four viable ways to consider different classes of
memories recovered in analysis and the ways in which remembering some
things necessarily bars other things from recall.
Primary Repression
At the lower end of the developmental spectrum of memory which begins
in infancy, "forgetting" is accounted for by Freud's doctrine of
"primary
repression" which first appears in notes he wrote on the train
returning from Berlin to Vienna (1895a) after visiting his close friend
and colleague, Wilhelm Fleiss. In this quasi- neurological model of
the mind, Freud speaks of a neuronal extension meeting with pain and, as
a result, erecting a counter cathexis so as to avoid future encounters
with the same pain. The memory of the encounter with the
painful
stimulus exists in the form of a barrier to ever extending or
experiencing
in that way again.
No memory of the experience per se is involved; the memory exists in
the automatic avoidance of broad classes of stimulus cues. An anecdotal
example might be a curious infant putting her finger in kitty's mouth.
While her capacity for ordinary cause-effect thinking may be limited, we
do note that she tends not to risk her finger there again! Freud's
theory of primary repression is essentially a conditioning theory based
upon experiences of pleasurable and painful reinforcement at the
neurological level. What is stored as memory is an aversion
as if a sign
had been posted in the neuronal system saying "never reach there
again.
Secondary Repression
At the advanced end of the developmental spectrum of remembering and
forgetting is Freud's doctrine of "secondary repression" or
repression proper, as a psychological defense against internal somatic
or instinctual stimulation. Freud's notion of repression does not apply
to externally generated impingements, but repression is seen as the only
way psyche has to place limits on overstimulation arising from within the body.
By the
age of five a child is actively representing his or her bodily
experiences in verbal-symbolic logic and controlling physical and social
behavior by auto instruction. As the social undesirability of somatic
experiences such as rubbing up against Mother's breast, playing with
one's genitals, biting or hitting people, or jumping up and down on
Daddy's lap becomes clear, the child adopts a policy decision against
engaging further in such activities and thoughts.
Fingarette (1969) makes clear that the psychoanalytic doctrine of
repression never includes the notion that undesirable activities or
thoughts are simply forgotten, or that they somehow disappear or vanish
into a black hole. Repression entails a volitional activity of adopting
a personal policy never to spell out in consciousness again the exciting
but taboo thought or activity.
That we may claim not to remember ever consciously adopting such
policies can be put in the same category as not remembering all of the
trials and errors of learning any other complex and coordinated activity
such as reading, riding a bicycle, playing tennis; or typing. After
somewhat protracted and painful practice we simply know the right way to
behave and what pitfalls to avoid. We may speak of the painful memories
as though they were forgotten, but the flawless retention of complex and
coordinated activities attests to the living presence of painful
memories in our lives. Freud's theory of neurotic symptom formation
assumes that repression resulting from conscious policy decisions
against powerful biological forces remain perennially precarious and
only partially effective so that the forbidden life forces continue to
manifest as mysterious "symptoms."
Dissociation and Splitting
Midway on the developmental spectrum of remembering and forgetting,
between the early primary (neurologically conditioned) repression of
physically painful experience and the much later secondary (policy
decision) repression of socially undesirable, instinctually driven
thoughts and behavior, psychoanalysts speak of splitting and
dissociation. Eve White (Thigpen & Cleckley, 1957) sits prim and
proper in her reputable secretarial position all week. But on Saturday night Eve Black puts on her red
dress and dancing shoes to go out on the town. During the week Eve White
might well notice any of a number of pieces of evidence around her
apartment which would confirm the existence of her split-off or
dissociated self, but she does not. Eve Black thinks what an uptight
prude Eve White is as her lusty self-assertiveness comes to life. In
relation to her psychotherapist, a third self, Jane, slowly emerges who
is able to tolerate, appreciate, and integrate both her need for adult
responsibility and her love of adolescent play.
Clinicians and theoreticians employ the terms "splitting"
and "dissociation" in a variety of different contexts and
often employ the terms interchangeably. For present purposes it is
useful to distinguish between two quite different psychoanalytic
concepts of remembering and forgetting. "Splitting" is used
here to designate the developmentally earlier form which more closely
resembles primary repression. "Dissociation" designates a
developmentally later form which more closely resembles the ego defense
of secondary repression. There is a great deal of confusion and
misinformation in the field of psychotherapy about all of these
remembering and "forgetting" processes so that even these
terms often become confused by being reversed. A discussion of each
follows.
Kernberg (1976) is perhaps the clearest and most persuasive writer on
the subject of affect and ego splitting. His formulations, which involve
the splitting (or keeping separate) of "good" and
"bad" affects or ego states, echo the experiences of pleasure
and pain from Freud's doctrine of primary repression. But Kernberg's
terms designate subjective psychological experiences which are a step
removed from neurological processes. In studying the positive and
negative affective building blocks of early personality development,
Kernberg observes that people may exhibit specific areas of
"impulse disturbance." According to Kernberg, variations in
impulsiveness represent
... an alternating expression of complementary sides of a conflict, such
as acting out of the impulse at some times and specific defensive
character formation or counterphobic reactions against that impulse at
other times. The patients were conscious of the severe contradiction in
their behavior; yet they would alternate between opposite strivings with
a bland denial of the implications of this contradiction and showed
what appeared to be a striking lack of concern over this
'compartmentalizing' of their mind (1976, p 2).
Kernberg thus postulates an active force of mutual denial of
independent contradictory sectors of psychic life. These sectors or
independent ego states are repetitive, temporarily ego syntonic, and
compartmentalized, affectively colored psychic manifestations. But more
importantly Kernberg notes, "each of these mutually unacceptable
'split' ego states represented a specific transference paradigm, a
highly developed regressive transference reaction in which a specific
internalized object relationship was activated in the transference"
(1976 p.21). Kernberg thus understands contradictory and chaotic
transference manifestations" as oscillatory activation of mutually
unacceptable ego states-representations of "non-metabolized
internalized object relations.
The implication of Kernberg's thinking is that in early childhood
development the personality has failed to develop in certain delineated
areas a high enough level of psychic integration in which ambivalence
towards significant others in the child's environment can be tolerated.
Rather, certain ego-affect states prevail during different preselected
interpersonal conditions, and contradictory ego-affect states become
activated when the interpersonal situation shifts. His explanation is
that certain aspects of early internalized affective relationships with
significant others were not fully integrated ("metabolized")
into a smoothly flowing fabric of personality, and that they show up
later as emotional contradictions which appear in analysis as
"split" positive and negative transference and resistance
memories. A whole continuum of affect states (moods) can be seen in this
way to form an array of (multiple) ego-affect or self states. The
presence of each in consciousness is dependent upon the experience of
the interpersonal situation prevailing at the moment.
In Kernberg's formulations there is no mention of forgetting. Rather,
various ego-affect possibilities are present or absent depending upon
how the person perceives or experiences the current relationship
situation. Kernberg's accent is on the early development of positive and
negative affect states and how these mutually exclusive or
"split" affect or ego states determine the specific kinds of transference and resistance
(memories) likely to become activated in the analytic relationship at a
given moment in time. Various affectively colored memories will be
present in or absent from consciousness depending upon how one is
experiencing the current emotional relationship. Contradictory parts of
the self are split off and not permitted direct access to consciousness
in the moment.
They are not repressed. Nor have they vanished, been forgotten, or
gotten lost in some sort of black hole. In fact, they may reappear at
any moment depending on how the interpersonal emotional interaction
goes. In Kernberg's formulations of affect and ego splitting,
contradictory experiences of self and other are or are not activated
depending on how the person experiences the current relational context.
Such a theory has major implications for what is and is not to be
remembered when one is experiencing split-off states. When one's black
(evil) motives are in play, black and evil narrations of the past will
be activated. When one's good, angelic self is operating, the sun is
shining on good and idealized loved ones and the current relationship
with the therapist is idealized. The precariousness of these kinds of
splitting experiences is that what state of mind and affect memory one
lives in is dependent upon which direction the wind is blowing in
transference relationships. Good people suddenly turn evil when ones
mood changes; revenge is sought toward the one once idealized for the
humiliation one felt at being the one who envied or adored.
The developmentally more advanced form of personality splitting
which, for purposes of discussion I am calling "dissociation,"
bears a close resemblance to Freud's doctrine of secondary
repression in that it has more of a "defensive" quality in
contrast to the earlier splitting process which has more of an
unintegrated (pleasure versus pain) quality. In describing the operation
of dissociation, Cameron (1963) contrasts the so-called "horizontal
split" between conscious and unconscious processes with what has
been called a "vertical split" in personality which functions
to separate or wall off whole (conscious and unconscious) sectors of
personality.
Cameron speaks of the "span" of the overall ego and what
kinds of experiences it is prepared to encompass within that span.
When psychic stimulation occurs which
cannot be smoothly integrated into the operative span of the existing
ego, the experience is set aside in a dissociated ego state rather than
integrated within the overall personality. Sleepwalking, sleeptalking,
amnesias, fugues, and limited splits in the personality are examples of
dissociation. The mythical "Dr. Jekyll and Mr. Hyde" and the
earliest simplified report on "The Three Faces of Eve"
(Thigpen & Cleckley, 1957) provide examples of dissociated sectors
of the personality that at times may assert their claims over the main
personality. It is important to note that Kohut (1971) invokes the
notion of the vertical split similarly when he speaks of the
narcissistic sector of the personality as dissociated from the main
(more object related) personality.
Summary
Summarizing, four distinctly different processes have been postulated
in the history of psychoanalysis to account for the various conditions
of memory. In developmental order they are:
(1) primary (neurologically conditioned) repression which acts to
foreclose the possibility of reengaging in activities formerly
experienced as physically painful;
(2) ego-affect splitting in which mutually contradictory affect
states give rise to contrasting and contradictory self and other
transference and resistance memories;
(3) dissociation in which certain whole sectors of internal psychic
experience are (defensively) walled off from the main personality
because they cannot be integrated into the overall span of the main
personality; and
(4) secondary (policy decision) repression brought about by self
instruction against socially undesirable, internal, instinctually-driven
thought and activity.
The layman's notion (which judges, jurors, and survivor's groups are
most likely to hold) which presupposes massive forgetting of an intense
social impingement and the later possibility of perfect video camera recall, is not a part
of any existing psychoanalytic theory of memory. A
century of psychoanalytic observation has shown that the common sense
notion of forgetting, derived as it is from the everyday experience of
lapses in memory with sudden flashes of recall, simply does not hold up
when emotionally charged interpersonal experiences from early childhood
are involved. What appears to the layman as forgetting is considered by
psychoanalytic theory to be the result of the operation of selective
forms of recall which are dependent upon the nature of the relationship
context in which the memories are being recalled.
Nor do psychoanalytic theories regarding how emotionally charged
memories operate support the common prejudice that human beings are
accurate recorders of the historical facts out of which their personal
psychic existences are forged! Human memory is simply not an objective
camcorder affair, but rather a calling forth or creation of subjective
narrational representations within a specified and highly influential
relational context.
Recovered Memories as Relationship Dependent
Transformation of personal experience through making sense of
recovered memories has always been at the heart of psychoanalytic theory
and practice. The psychoanalytic concepts of primary repression,
splitting, dissociation, and secondary or defensive repression have
evolved within the context of accruing knowledge about the relational
conditions required for the emergence of limiting forms of early
childhood emotional memory. The psychoanalytic situation, characterized
as it is by nonjudgmental empathic concern for all aspects of a person's
psyche, was created by Freud in order to replicate the safe holding
environment of the early mother-child transformational situation
(Bollas, 1987). As such, psychoanalytic theories of memory must be
understood as inextricably tied to the relationship setup of the
psychoanalytic situation.
The error of isolating concepts evolved in one field of study and
uncritically generalizing them to other fields has been repeatedly and
regrettably demonstrated in all sciences. It is clearly an error to
generalize to other settings (e.g., family confrontations, social
settings, and courtrooms) psychoanalytic notions of recall, developed as
they have been within the circumscribed context of the analytic
relationship for purposes of personal transformation within a safe, well defined, confidential,
and limited interpersonal environment. The most devious kind of
dual
relationship that a therapist can engage in, is authorizing the acting
out in the client's real life of impulses and motivations condensed and
displaced in the form of dreams and recovered memories produced in the
context of the therapeutic relationship for analysis as transference and
resistance.
This unethical procedure is apparently running rampant at present.
I
will shortly give an explication of the four kinds of interpersonal
listening situations in which each of these theories of remembering is
best suited along with the transference, resistance, and
countertransference dimensions. But first a few words regarding how
psychoanalysts have considered the problem of "massive
forgetting" and sudden "total recall" as it is reported
by many individuals.
Conceptually, the two upper developmental level forms of remembering,
secondary repression and defensive dissociation are the result of the
person attempting to solve internal problems. In the case of repression
it is the sense of driveness of the somatic instincts themselves that
have become a problem to the five- to seven-year-old child, so that he
or she must develop policies not to spell the impulses out in
consciousness in order to live harmoniously in a world that does not
care to have sexuality and aggression freely expressed. In the case of
dissociation, whole (conscious and unconscious) sectors of the (three-
to four-year-old) personality, such as narcissism, are set aside because
they cannot be encompassed within the overall span of the existing
personality structure.
The psychic problem involved in these two forms of memory is one of
internal economics of what parts of the self can and cannot be smoothly
integrated. The world may have a negative view of unbridled narcissism,
lust, or aggression; but the move to isolate or not to think about parts
of the self is an internal move, motivated by solving internally
generated problems. Because these psychoanalytic doctrines were devised
to describe how the personality may attempt to solve internal dilemmas,
it is totally inappropriate to use these notions to account for
"massive forgetting" due to externally generated trauma.
However, in the developmentally earlier forms of memory, primary
repression and ego-affect splitting, the occasion for remembering appears to be more external in nature.
Primary repression has already been discussed as a somatic experience
based on pleasurable and painful experiences. McDougall (1989) points
out, "Since babies cannot use words with which to think, they
respond to emotional pain only psychosomatically ... The infant's
earliest psychic structures are built around nonverbal 'signifiers' in
the body's functions and the erogenous zones play a predominant
role" (p. 9-10). Her extensive psychoanalytic work with
psychosomatic conditions shows how through careful analysis of
manifestations in transference and resistance the early learned somatic
signifiers can be brought from soma and represented in psyche through
words, pictures, and stories. McDougall illustrates how body memories
can be expressed in the interpersonal language of transference and
resistance.
Bioenergetic Analysis (Lowen, 1971, 1975, 1988) repeatedly
demonstrates the process of bringing somatically stored memories into
the here and now of transference and resistance in the therapeutic
relationship. In bringing somatically stored memories out of the body
and into psychic expression and/or representation, whether through
psychoanalytic or bioenergetic technique, considerable physical pain is
necessarily experienced. This pain is usually thought of as resulting
from therapeutically "forcing through" or "breaking
through" long-established aversive barriers to various kinds of
physical experiencing which have been previously forsaken. That is, the
threshold to more flexible somatic experience is guarded by painful
sensations (parallel with Freud's 1926 theory of "signal
anxiety") erected to prevent future venturing into places once
experienced as painful by the infant or developing toddler.
Similarly, the split affect model of early memory postulates the
presence in personality of mutually denied contradictory ego states
which represent specific transference paradigms based on internalized
object relations. Whether a split ego state is or is not present in
consciousness is dependent upon the way the person experiences the
current interpersonal relationship situation. This means that what is
remembered and the way it is recalled is highly dependent upon specific
facilitating aspects of the relationship in which the memory is being
expressed or represented.
Neither of these developmentally lower forms of memory can,
therefore, be seen as supporting the layman's notion of massive amnesia
for trauma with the possibility of a later lifting of the repressive
veil to permit perfect recall. The concept of primary repression fails
in this regard because it does not record any memory per se, but rather
builds a barrier to certain broad classes of somatic experience which
are very painful to approach. And splitting as a concept fails because
nothing is "forgotten or made unconscious but rather recall is seen
as dependent upon the current relationship context. Thus it can be seen
that no existing theory of memory derived from a century of intense
psychoanalytic observation supports the layman's naive view of
"massive repression" followed by "full and reliable
recall."
The Freezing of Environmental Failure
Winnicott, a British pediatrician trained as a psychoanalyst, is
renowned for his understanding of early psychic development. It is his
view that there is a possible maturational or unfolding process for each
child in which environmental provision is a necessary facilitator.
An
environment with limited provision or unempathic intrusiveness may leave
the child with a painful sense of personal failure:
One has to include in one's theory of the development of a human
being the idea that it is normal and healthy for the individual to be
able to defend the self against specific environmental failure by a
freezing of the failure situation. Along with this goes an unconscious
assumption (which can become a conscious hope) that opportunity will
occur at a later date for a renewed experience in which the failure
situation will be able to be unfrozen and reexperienced with the
individual in a regressed state, in an environment which is making
adequate adaptation" (1954, p. 281).
Winnicott's use of the metaphor "unfreezing of the failure
situation" makes clear that he has a specific psychoanalytic
situation in mind which fosters emotional regression to the dependent
infantile state in an environment in which hopefully more understanding
and empathic adaptation to the infantile need can be made the second
time around. Note that what he speaks of as frozen, until it can later
be reprocessed in some relationship, is a specific environmental
failure. There is no mention of forgetting and recall but rather that a
failed situation is set aside (frozen) until a relationship comes along
which permits a reliving of infantile dependency in which there is
believed to be the possibility that the failure can be made good. The
purpose of Winnicott's formulation is to define a kind of memory which
the psychoanalytic relationship calls forth so that an earlier failure
of the environment can be worked on in the current relationship.
Winnicott's formulation does point toward how traumatically
experienced environmental failures may be set aside until an analyst or
therapist comes along with whom the person can relive the failure.
The
popular notion of "recovery" being the recall of early
memories, having them validated by others, and then confronting those
"responsible" for the long-ago failure misunderstands the
psychotherapeutic process of reviving in the present the environmental
failure situation so that it can be worked through in transference and
resistance with the person of the analyst or therapist, not acted out in
the person's contemporary world. Unfortunately, many therapists collude
with the acting-out process so as to avoid the difficult and sometimes
dangerous transference working-through process.
Winnicott's formulation clearly points toward a treatment situation
in which the split-off internalized object relation has an opportunity
to become manifest in the analytic relationship as transference and
resistance to transference. Psychoanalytic technique as practiced by
analysts and psychoanalytically informed therapists is designed to bring
early childhood experience into the here-and-now relationship so that
transference and resistance memories have an opportunity to emerge.
Such
recovered memories, like screen memories, are never to be taken at face
value because the very way in which they are secured for analytic study
necessarily imbues them with extensive primary process thinking
(condensation, displacement, symbolization, and visual representability).
Thus, even the psychoanalytic concept which held out the most hope
for accounting for "massive forgetting" which is later subject
to "accurate recall" fails completely. First, because it is a
theory about how certain conditions provided by the psychoanalytic situation foster emotional recall, not how a traumatic event is
forgotten. Second, because the nature of the recall is dreamlike in its
basic nature and only emerges in the form of privately experienced
versions of the here-and-now relating of the analytic session. And
third, because the formulation highlights how that damage can be
internally repaired, not how memory works. Even the memories which often
follow transference interpretation are not assumed to be veridical by
psychoanalysts, but rather psychological constructions validating
transference and resistance themes.
In short, there are no psychoanalytic theories that support the
widespread claims of massive forgetting of traumatic childhood
experiences which are then subject to accurate video camera recall.
If
such experience exists, a century of worldwide psychoanalytic
observation through two World Wars, a Holocaust, Korea, and
Vietnam has
certainly failed to discover it. To the contrary, psychoanalytic
research supports an understanding of various types of memory which are
characteristic of different levels of human psychic development, the
emergence of which is specifically dependent, and the nature of which is
subjectively determined narrational truth.
All memories recovered in the course of the psychoanalytic encounter
are to be taken seriously as representations of relatedness experience
emerging in the here-and-now analytic relationship. For an analyst to
consider memories recovered under these conditions as literally and
objectively true colludes with the resistance to transference analysis
and runs the risk of (unethically) encouraging an acting out of material
which is emerging in response to the analytic relationship.
The proper target of the abusive transference is the analyst and how
he or she relates or fails to relate to the needs of the client. If the
therapist deflects the rage, helplessness, impotence, or revenge from
its proper transferential locus in the here-and-now therapeutic
relationship toward figures or events from the past or toward the
outside present, the possibility of psychotherapeutic transformation is
completely foreclosed in favor of family confrontations, lawsuits, and
the continued operation of the internalized environmental failure in the
person's psychic life. In short, any simplified version of the recovery
approach is anti-psychotherapeutic. Practicing a simplified recovery approach
under the name of psychotherapy clearly creates a serious liability for
the therapist.