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Properties Of Trauma Memories

Information Handout

Important properties of trauma memories include involuntary recall, ‘nowness’, vividness, and immutability. People who have experienced trauma report a wide range of distressing symptoms, many of which are related to the properties of their trauma memories. Helping survivors of trauma to understand these memory properties can help to normalize their experiences, reduce catastrophic appraisals of their memory symptoms, and prepare them for the ‘memory processing’ elements of trauma-focused therapies. Properties Of Trauma Memories is an illustrated information handout which is designed to help clients and therapists to explore client’s experiences of their trauma memories.

Properties of Trauma Memories Properties of Trauma Memories Properties of Trauma Memories Properties of Trauma Memories

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Description

People who have experienced trauma report a wide range of distressing symptoms, many of which are related to the properties of their trauma memories. Helping survivors of trauma to understand these memory properties can help to normalize their experiences, reduce catastrophic appraisals of their memory symptoms (e.g. “I’m going mad”), and prepare them for the ‘memory processing’ elements of trauma-focused therapies.

Important properties of trauma memories include:

  • Involuntary recall. Although ordinary memories can be subject to involuntary recall, trauma memories are often deliberately avoided and so more likely to be re-experienced involuntarily. This is partly maintained by the way that trauma memories have been encoded and stored, which makes them prone to involuntary recall as a result of perceptual cues that resemble those present at the time of the trauma (Ehlers & Clark, 2000), and partly due to the individual’s attempts to suppress their memories which can lead to an unintended rebound effect (Ehlers & Clark, 2000; Wegner, 1994).
  • Nowness: A sense of the traumatic event happening in the present moment. Unwanted memories of a trauma exist on a continuum from knowing that the event that happened in the past, to feeling as though it is happening again in the present moment. Unlike standard (episodic) memories, stronger versions of re-experiencing are not accompanied by an awareness that the content of the memory is a past event (Ehlers, Hackmann & Michael, 2004). The word ‘nowness’ is sometimes used to describe this phenomenon (Brewin, 2015; Ehlers, Hackmann & Michael, 2004). ‘Nowness’ is observed in children with PTSD (McKinnon, Nixon & Brewer, 2008) and is a property which distinguishes involuntary memory in PTSD from the kinds of involuntary memories reported by people who are depressed (Birrer, Michael & Munsch, 2007; Reynolds & Brewin, 1998).
  • Predominance of sensory representations. People suffering from post-traumatic stress disorder frequently report that the sensory aspects of their memories are very distressing. For example, they might report seeing an unpleasant expression that was on the face of their attacker, hearing sounds that were present at the time of their road traffic accident, or smelling the deodorant that their attacker wore. The sensory aspects of the memory are sometimes experienced in the absence of other parts of the memory ‘story’ (Van Der Kolk, 1994; Ehlers & Steil, 1995; Ehlers, Hackmann & Michael, 2004). There is emerging evidence that some patients with PTSD who experienced pain at the time of their trauma re-experience the same pain in the form of flashbacks when reminded of their trauma (McDonald et al., 2018; Whalley, Farmer & Brewin, 2007).
  • Fragmentation. Some accounts of post-traumatic stress disorder (PTSD) have reported that when people who have experienced trauma are asked to describe what happened to them, their narrative can be ‘fragmented’. Evidence regarding the fragmentation of narratives is somewhat contentious (e.g. Rubin et al., 2016; Bedard-Gilligan, Zoellner & Feeny, 2017), but there is some evidence supporting the fragmentation position (Brewin et al., 2016). This fragmentation can be in the form of missing parts of the narrative, or difficulty in describing it verbally, which can affect the client’s appraisal of an event. For example, a client could be ashamed of how they acted during a traumatic event, because they do not recall how they were coerced to do so (Ehlers, Hackmann & Michael, 2004).
  • Vividness and immutability. Trauma memories can be startlingly clear, even many years after the event – in a dissociative flashback, the client may even lose all awareness of their present surroundings (Blix et al, 2020; Ehlers, Hackmann & Michael, 2004). Intrusive trauma memories are ‘unchanging’ in that they fail to incorporate new information. For example, the perpetrator might have died since the event, but this is not reflected in the memory (Ehlers & Clark, 2000), or the client may feel a strong sense of guilt, despite having subsequently discovered that they weren’t to blame (Ehlers, Hackmann & Michael, 2004).
  • Re-experienced during the day or night. During the day, trauma memories can be experienced as flashbacks or unwanted memories. While asleep, traumatic memories – or themes associated them – may be retrieved and re-experienced in the form of nightmares.
  • High levels of emotion. Trauma memories are often accompanied by high levels of emotion. This might include replays of emotions that were felt at the time of the trauma (e.g. feeling paralyzed with fear when I have a flashback), or emotions accompanying post-traumatic appraisals (e.g. a sense of shame when I think “I should have fought back”). These emotional reactions can also be observed in the phenomenon of “affect without recollection”, wherein an individual may reexperience emotions relating to a traumatic event, without recalling it (Ehlers & Clark, 2000).

One influential theory of trauma memory proposes that under normal circumstances, sensory aspects of a memory (e.g. sights, sounds, smells) and contextual aspects (e.g. time, place, situation, context) would be encoded at the same time and stored as a coherent memory. However, during the heightened emotion of a trauma, the brain regions which process memory – particularly the hippocampus – do not operate as effectively. The hippocampus usually ‘stitches together’ memories, but aberrant hippocampal function prevents memories from being properly contextualized. As a result, the sensory and contextual aspects of an event are stored incorrectly, leading to them being re-experienced. (Brewin, Gregory, Lipton, Burgess, 2010). Properties Of Trauma Memories is an illustrated information handout which describes these unique aspects of trauma memory. It is designed to help clients and therapists to explore client’s experiences of their trauma memories.

Instructions

“Psychologists have found that memories of traumatic events often have some properties that make them different from normal memories, and that this is why trauma memories can be so distressing. As a first step in managing these memories it can be helpful to learn about these qualities. Would you be willing to look at some of these properties of trauma memories with me, and to think about whether any of them could apply to your memories?”

References

  • Bedard-Gilligan, M., Zoellner, L. A., & Feeny, N. C. (2017). Is trauma memory special? Trauma narrative fragmentation in PTSD: Effects of treatment and response. Clinical Psychological Science, 5(2), 212-225.
  • Birrer, E., Michael, T., & Munsch, S. (2007). Intrusive images in PTSD and in traumatised and non-traumatised depressed patients: A cross-sectional clinical study. Behaviour Research and Therapy, 45(9), 2053-2065.
  • Blix, I., Birkeland, M. S., & Thoresen, S. (2020). Vivid memories of distant trauma: Examining the characteristics of trauma memories and the relationship with the centrality of event and posttraumatic stress 26 years after trauma. Applied Cognitive Psychology, 34(3), 678-684.
  • Brewin, C. R. (2015). Re-experiencing traumatic events in PTSD: New avenues in research on intrusive memories and flashbacks. European Journal of Psychotraumatology, 6(1), 27180.
  • Brewin, C. R. (2016). Coherence, disorganization, and fragmentation in traumatic memory reconsidered: A response to Rubin et al. (2016). Journal of Abnormal Psychology, 125(7), 1011–1017.
  • Brewin, C. R., Gregory, J. D., Lipton, M., & Burgess, N. (2010). Intrusive images in psychological disorders: characteristics, neural mechanisms, and treatment implications. Psychological Review, 117(1), 210.
  • Ehlers, A., & Clark, D. M. (2000). A cognitive model of posttraumatic stress disorder. Behaviour Research and Therapy, 38(4), 319-345.
  • Ehlers, A., Hackmann, A. & Michael, T. (2004), Intrusive re-experiencing in post-traumatic stress disorder: Phenomenology, theory, and therapy. Memory, I2(4), 403-415.
  • Ehlers, A., & Steil, R. (1995). Maintenance of intrusive memories in posttraumatic stress disorder: A cognitive approach. Behavioural and Cognitive Psychotherapy, 23, 217-249.
  • Rubin, D. C., Berntsen, D., Ogle, C. M., Deffler, S. A., & Beckham, J. C. (2016). Scientific evidence versus outdated beliefs: A response to Brewin (2016). Journal of Abnormal Psychology, 125(7), 1018–1021.
  • Macdonald, B., Salomons, T. V., Meteyard, L., & Whalley, M. G. (2018). Prevalence of pain flashbacks in posttraumatic stress disorder arising from exposure to multiple traumas or childhood traumatization. Canadian Journal of Pain, 2(1), 48-56.
  • McKinnon, A. C., Nixon, R. D., & Brewer, N. (2008). The influence of data-driven processing on perceptions of memory quality and intrusive symptoms in children following traumatic events. Behaviour Research and Therapy, 46(6), 766-775.
  • Reynolds, M., & Brewin, C. R. (1998). Intrusive cognitions, coping strategies and emotional responses in depression, post-traumatic stress disorder and a non-clinical population. Behaviour Research and Therapy, 36(2), 135-147.
  • Wegner, D. M. (1994). Ironic processes of mental control. Psychological Review, 101(1), 34.
  • van der Kolk, B. A., Fisler, R. (1995). Dissociation and the fragmentary nature of traumatic memories: Overview and exploratory study. Journal of Traumatic Stress, 8, 505-525.
  • Whalley, M. G., Farmer, E., & Brewin, C. R. (2007). Pain flashbacks following the July 7th 2005 London bombings. Pain, 132(3), 332-336.