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Ethical Boundary Considerations and Repressed Memories of Sexual Abuse
4 CEUs Ethical Boundary Considerations and Repressed Memories of Sexual Abuse

Section 7
Track #7 - Understanding False Memories & The Accused Innocent

Ethics CEU Question 7 | Ethics CEU Answer Booklet | Table of Contents | Boundaries CEU Courses
Psychologist CEs, Social Worker CEUs, Counselor CEUs, MFT CEUs

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On the last track, we discussed the influence of the feminist movement view of rape and sexual abuse and related these issues to and assessment of your personal value system.Accused Innocent Young Woman Ethical Boundary Considerations counselor CEU

On this track, we will examine the effect of false memory generation on innocent so-called perpetrators and the obvious resulting ethical dilemmas.

One of the most tangible victims of false memory generation when it involves sexual abuse are those fathers, mothers, relatives, teachers, etc. who are the accused. Many times, these are family members of the victims and close friends. Generally, there is a gradual process involved when clients come to the conclusion, whether accurate or inaccurate, that their parents are guilty of incest and abuse.

Share on Facebook 5 Ethics Steps in False Accusations with Repressed Memories
According to Bartlett, unfortunately, many of these conclusions come from therapists that believe in repressed memories and hypnosis. These steps start with :
-- (1) the therapist suggesting sexual abuse;
-- (2) through hypnotism, relaxation or guided visualizations, "repressed memories" are found;
-- (3) the client then goes through a repertoire of suspects before reaching the final conclusion that usually a parent is the abuser;
-- (4) the client confronts the parent who denies any such action; and finally,
-- (5) the client disowns his or her parent or perhaps both parents.

Obviously, the most ethical implication lies on the pivotal point of the therapist's methods. Unfortunately, the use of such vulnerable state-inducing exercises, such as hypnotism, has been proven to increase the risk of false memory generation.

5 Steps In Incest Accusation

Share on Facebook Step 1: Suggestion by the Therapist
Let's examine each of these five steps in the process of incest accusation in detail. (1) the therapist suggests sexual abuse. Sometimes, within the first session, the therapist suggests that the client might be a candidate for childhood sexual abuse. Could this quick diagnosis be an indication of a preconceived notion within the therapist? If so, this predetermined concept might have excessively influenced the therapist's analysis and therein lies an ethical dilemma.

By immediately expecting a sexual abuse client, the therapist can find many symptoms that relate and support his or her theory. However, these symptoms can commonly be the result of another source. Without proper evidence, the sudden conclusion of sexual abuse might be a false one. As a result, the client, taking the therapist as an infallible authority figure, immediately considers that he or she is most likely the survivor of sexual abuse. Once the idea of sexual abuse becomes prevalent in the therapist's and the client's minds, any inclination that supports other ideas only increases your client's confusion.

Share on Facebook Step 2: Recovery
Second, after sexual abuse is suggested, through the use of hypnosis, relaxation or guided visualizations, the therapist may start to "recover" the memories. As you have heard on the previous tracks, without the proper training, the therapist can easily influence the client who is already in a vulnerable state. According to Bartlett, even those therapists sufficiently trained in the area of hypnosis cannot retrieve memories thoroughly and with total accuracy . As was discussed previoulsy, Bartlett feels hypnosis is not a proper method in enhancing past memories, but only in inventing them.

Of course this point is open for debate. This is especially true when the client has been inundating themselves with thoughts of sexual abuse and ways to discover if there truly was any such abuse in their childhood. If such is the case and hypnosis is used to recover memories, the therapist has a more likely chance of fabricating memories than of retrieving true memories of sexual abuse or rape. This leads to the unfortunate result found in the next stage, creating a list of suspects.

Share on Facebook Step 3: Suspicion
After the therapist suggesting sexual abuse and perhaps enhancing these memories with hypnosis or guided visualizations, a list of suspects is created usually predominately by the client. However, sometimes the therapist may be involved. This also violates the section of the American Association of Marriage and Family Therapists Code of Ethics which states, "Marriage and family therapists, because of their ability to influence and alter the lives of others, exercise special care when making public their professional recommendations and opinions through testimony or other public statements."

Without sufficient consultation over the client's family status, any advice given could result in eronious conclusions. This list can range from close friends of the family to baby-sitters, teachers, coaches, and finally family members themselves. It is usually not until a few of these candidates have been ruled out that the client begins to consider his or her parent as a suspect of abuse.

Share on Facebook Steps 4 & 5: Confrontation and Denial
Once this point has been reached, the fourth step after therapist's suggestions, hyponosis type techniques, and suspect listing, is the confrontation by the client of the suspects, usually the parents. The client's allegations are almost always denied by the parents. Because the client has already become unchangeably certain of the abuse, the client cannot be dissuaded by the family members, especially if, as mentioned on a previous track, the client has a tendency towards codependency and people pleasing the authority figure of the therapist.

These well-implanted ideas have become the client's new reality. When a person goes through such a tumultuous change in their world around them, any persons who try to challenge this new ideal are viewed with mistrust. The client then separates themselves from any person that would contradict their new reality.

Ethics - Client's Damage to Themselves
The ramifications of this are obvious. Not only has the client possibly accused their parents of false allegations, but also has cut off a valuable life line in the pursuit of full recovery. Without the support of loved ones and friends that have known the client for most of their life, the possibility for recovery becomes even more distant. As a result, the client becomes extremely dependent on, you guessed it, the therapist alone and this makes the idea of termination even more difficult.

One way of looking at this scenario is Support groups that recognize the efficacy of repressed memories fuel the client's need for dependency and weakens their ability to live life fully without the prop of therapy. As you know, termination is a necessary step in the full recovery of a client. Without this stage, the client cannot live a healthy, happy, and most importantly, independent lifestyle.

On this track, we discussed effect of false memory generation on the innocent so-called perpetrators.

Ethics CEU QUESTION 7
What is the five step process that leads the client to accuse the innocent? To select and enter your answer go to Answer Booklet



So, quite an ethical bind or dilemma is this whole picture of repressed memory recovery and sexual abuse. Here is a summation of the pros and the cons regarding the ethical tightrope you must walk.

Dilemma #1. In track one we discussed how your client may come to you inundated with a plethora of self help sexual abuse predisposition via books, talk show, ec. If you don't support them in their ideas of sexual abuse you jeopardize the therapeutic alliance. Suggestion ask your self how to what degree are the basing their ideas of sexual abuse upon media description rather than actual memories?

Dilemma #2. On the second track we discussed the ethical dilemma of the possible temptation to abandon a consciously untruthful client when you discover you have been manipulated perhaps if he or she is a custody seeking parent to create a false diagnosis of sexual abuse of their spouse. How do you continue therapy with a mother who has intentionally duped you regarding falsified sexual abuse by her ex-husband without violating the ethical boundary of client abandonment? A suggestion here would be to receive peer support or counseling, regarding venting you possible feelings of hostility, anger, etc.

Dilemma #3. On the third track, The strength of the scientific evidence for repression depends on exactly how the term is defined. When defined narrowly as intentional suppression of an experience, there is little reason to doubt that it exists. But when we talk about a repression mechanism that operates unconsciously and defensively to block out traumatic experiences, there is no scientific evidence to substantiate the efficicacy of repressed memory. A suggestion ask yourself are their any other factors besides repressed memories, susch as conversations with siblings or other that may substantiate the abuse.

Dilemma #4. The fourth track almost totally invalidates the claims of sexual abuse you would receive by any of your co-dependant client. The ethical dilemma is the co-dependant client may be such a people pleaser that any hint you may give of sexual abuse could be tantamount to an unethical practice for implanting false sexual memories. On the other hand, co-dependent clients need support and reassurance.

Dilemma #5. Track five requested you to examine your New Age thoughts regarding intuition, imagination, and hearsay. The ethical dilemma here is if your personal belief system tells you to trust your intuition and you pass this along, ever so subtly to your possibly sexually abused client, you may be creating false memories. To the contrary exploration of feelings is a basic therapy tenant.

Dillemma #6. On track six, you explored your personal value system regarding feminism and yoiur marital status, employment history, possibly sexist values. If you have strong belifs regarding male dominance, you may be facing strong ethical challenges regarding the client whose abuser is a male.

Dilemma #7. And finally on this track, track 7, therapist suggestions, hypnotism or guided visualizations, a repertoire of , the client confrontation, and the client disowning usually his or her parent or perhaps both parents. In this track the devastating results of family upheaval are outlined and the ethical weight and magnitude of these issues is made blatantly clear.

It is hoped this CD and course has provided you with concrete tools to replay each of these tracks, reproduce this CD, and share with your colleagues.

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This CD has covered such topics as: False memories generated, convinced clients, both sides of the debate, group mentality, new age mentality, neo-feminist movement, and the accused innocent.
I hope you have found the information to be both practical and beneficial. We appreciate that you've chosen the Healthcare Training Institute as a means for receiving your continuing education credit. I wish you the best of luck in your practice. Thank you. Please consider us for future home study needs at mentalhealthce.com

 
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