Cited by 15Memory Processes and InfluencesIdentity, Memory, and TherapyPsychoanalysis and Psychopathology Research

People who expect to enter psychotherapy are prone to believing that they have forgotten memories of childhood trauma and abuse

Open access
Rubin, David C., Boals, Adriel·2010·Memory

Abstract

We asked 1004 undergraduates to estimate both the probability that they would enter therapy and the probability that they experienced but could not remember incidents of potentially life-threatening childhood traumas or physical and sexual abuse. We found a linear relation between the expectation of entering therapy and the belief that one had, but cannot now remember, childhood trauma and abuse. Thus individuals who are prone to seek psychotherapy are also prone to accept a suggested memory of childhood trauma or abuse as fitting their expectations. In multiple regressions predicting the probability of forgotten memories of childhood traumas and abuse, the expectation of entering therapy remained as a substantial predictor when self-report measures of mood, anxiety, post-traumatic stress disorder symptom severity, and trauma exposure were included. © 2010 Psychology Press.

AI snapshot

Written from the paper’s full text.

TL;DR

In a large undergraduate sample, the more people expected to enter psychotherapy, the more they believed they had forgotten childhood trauma or abuse. This association held after accounting for mood, anxiety, PTSD symptoms, and prior trauma exposure, suggesting that therapy-seeking expectations may align with beliefs about forgotten abuse.

Key findings

  • Expected therapy probability was linearly related to estimated probability of forgotten memories: correlations were .30 for extremely upsetting events, .23 for traumatic events, .25 for abuse, and .33 for all five forgotten-memory items combined (all p < .0001).
  • Among participants who estimated their chance of entering therapy at .6 or above, the mean estimated probability of forgotten childhood abuse was .22; the top half of this group averaged .42, and the top quartile averaged .66.
  • In multiple regressions predicting forgotten memories, the therapy-entry estimate remained a substantial predictor even with negative affect, depression, positive affect, PTSD symptom severity, event centrality, trauma count, and gender included.
  • A secondary regression predicting therapy-entry estimates included forgotten memory (.21), PCL (.10), QIDS (.13), NA (.13), and gender (.12), with r-square = .20; past trauma count did not enter.

Methods

  • 1,004 University of North Texas undergraduates (mean age 20.04, SD = 2.94; 681 females) completed questionnaires during a mass testing session.
  • Measures included five 0–100 items on likelihood of seeking psychotherapy, five 0–100 items on likelihood of forgotten negative childhood events, plus PANAS, PCL, CES, QIDS, and TEQ.
  • Analyses used ANOVA with therapy-probability bins, planned linear comparisons, correlations, and multiple regressions.

Limitations

  • The paper states that the relationship does not imply causation and assumes participants’ predictions about entering therapy are reasonably accurate indicators of future behavior.
  • Evident from the text: the design is cross-sectional and self-report, uses an undergraduate sample, and does not observe actual therapy entry or memory creation.
  • Evident from the text: the TEQ trauma-count measure had low internal consistency (α = .59), and the forgotten traumatic-event subscale also had modest reliability (α = .54).

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1080/09658211.2010.490787

Cites

37 of 37 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

3 of 17 cited sources checked · 1 supported · 0 flagged · accuracy not yet measured

  • Findingown data

    In terms of differences, the upsetting events had twice the increase of the traumatic and abuse events (.38 versus .19 and .19).

    “Thus, in terms of differences, the upsetting events have twice the increase of the traumatic and abuse events (i.e. .38 = .64 – .26 versus .19 = .32 – .13 and .19 = .22 – .03).”
    Quote in the paperNot a substantial claim
  • Findingown data

    In a sample of 1004 undergraduates, the estimated probability of entering psychotherapy and the estimated probability of having forgotten memories of childhood trauma and abuse are linearly related.

    “We found a linear relation between the expectation of entering therapy and the belief that one had, but cannot now remember, childhood trauma and abuse.”
    • Also stated in: § Results · plain
      “Figure 1 presents the main findings: a linear increase in the probability of forgotten memories of extremely upsetting events, traumatic events, and childhood abuse as a function of the probability of expected entry into therapy.”
    • Also stated in: § Discussion · plain
      “In a large sample of undergraduates, we found a linear relationship between estimates of the likelihood of entering psychotherapy and the likelihood of unrecalled memories of upsetting childhood events, potentially life threatening traumatic childhood events, and childhood abuse.”
    Quote in the paperSubstantial claim
  • Findingown data

    For the upsetting, traumatic, and abuse plots considered individually, the ANOVAs were significant (F(6, 997) = 16.99, 9.66, and 10.77, respectively; all ps < .0001).

    “For the upsetting, traumatic, and abuse plots considered individually, the ANOVAs are F(6, 997) = 16.99, F(6, 997) = 9.66, and F(6, 997) = 10.77, respectively (all ps < .0001).”
    Quote in the paperSubstantial claim
  • Findingown data

    Strong linear trends were found for the upsetting, traumatic, and abuse items (F(1, 997) = 100.72, 53.39, and 62.85, respectively; all ps < .0001).

    “There were strong linear trends measured by a −3, −2, −1, 0, 1, 2, 3 planned comparison of F(1, 997) = 100.72, F(1, 997) = 53.39, and F(1, 997) = 62.85, respectively (all ps < .0001).”
    Quote in the paperSubstantial claim
  • Findingown data

    The linear increase in forgotten-memory estimates as a function of expected therapy entry holds separately for extremely upsetting events, potentially life-threatening traumatic events, and childhood abuse.

    “Figure 1 presents the main findings: a linear increase in the probability of forgotten memories of extremely upsetting events, traumatic events, and childhood abuse as a function of the probability of expected entry into therapy.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim. 15
  • May combine two claims. 11
  • The quote only partly states this claim. 2
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductcitation

    The PANAS NA and PA scales have high reliability (0.84-0.87 for NA, 0.89-0.90 for PA).

    “Both scales have high reliability ranging from 0.84 to 0.87 for the NA Scale and 0.89 to 0.90 for the PA Scale (Crawford & Henry, 2004).”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites Crawford & Henry, 2004 source

      The “Reliabilities of the PANAS” section reports Cronbach’s alpha of .85 for NA (95% CI .84–.87) and .89 for PA (95% CI .88–.90). The claim correctly conveys that both scales have high reliability and gives the NA confidence interval, but it presents confidence intervals as reliability ranges and gives .89 rather than .88 as the PA lower bound. (LLM, conf=0.87)

      Experimental — accuracy not yet measured
  • Classified as probably not a substantial claim.

    Premisecitation

    It is easier to create a memory of a plausible than an implausible event.

    “Similarly, it is easier to create a memory of a plausible than an implausible event (Pezdek et al., 2006).”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Pezdek et al., 2006 source
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductcitation

    The CES is a 7-item questionnaire measuring centrality of events, with reliability ranging from .88 to .94.

    “The CES is a 7-item questionnaire designed to measure the extent to which an event is viewed being as central to one's identity.”
    • Also stated in: § Materials · plain
      “The scale's reliability ranges from .88 to .94.”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites Berntsen & Rubin, 2006 source

      The Results and Discussion describe a 7-item CES that measures how central an event is to personal identity. They report reliability of α = .88 for the 7-item version and α = .92 in a second sample; α = .94 belongs to the 20-item version, so the claimed range for the 7-item questionnaire is not supported. (LLM, conf=0.91)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Findingown data

    Participants who estimated their chances of entering therapy at .6 or above had mean probabilities of forgotten memories of .64 for upsetting events, .32 for traumatic events, and .22 for abuse.

    “Participants who estimated their chances of entering therapy at .6 or above are the points at far right of Figure 1. For the upsetting, traumatic, and abuse items, they are .64, .32, and .22, respectively.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    In terms of percentages, the upsetting and traumatic events both increased by 246%, while the abuse items increased by 733%.

    “However, in terms of percentages, the upsetting and traumatic events both increased by 246% (.64 / .26 and .32 / .13), which is one third the 733% percentage increase of the abuse items (.22 / .03).”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingown data

    The linear trends accounted for 99%, 92%, and 97% of the sums of squares of the therapy-scale effect for the upsetting, traumatic, and abuse items, respectively.

    “The sums of squares of the linear trends account for 99, 92, and 97% of the sums of squares of the effect of the therapy scale.”
    Quote in the paperNot a substantial claim
  • The quote only partly states this claim.

    Findingown data

    There was a significant interaction between type of forgotten-memory question and therapy bin (F(12, 1994) = 3.48, p < .0001).

    “The results also revealed a significant interaction (F(12, 1994) = 3.48, p < .0001).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    ANOVAs showed significant effects of the three types of forgotten-memory questions and the seven therapy bins.

    “Consistent with Figure 1, ANOVAs showed a significant effect of the three types of forgotten memory questions (F(2, 1994) = 540.18) and the seven therapy bins (F(6, 997) = 21.86).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Participants who estimated their chances of entering therapy at .0 had mean probabilities of forgotten memories of .26 for upsetting events, .13 for traumatic events, and .03 for abuse.

    “The mean estimate of the probability of a forgotten memory in the participants who estimated their chances of entering therapy at .0 are the three points at far left of Figure 1, For the upsetting, traumatic, and abuse items, they are .26, .13, and .03, respectively.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    Among those participants, the half with the highest estimates of childhood abuse had a mean of .42 for forgotten childhood abuse, and the top quartile had a mean of .66.

    “The half of these participants who had the highest estimates of childhood abuse had a mean of .42 for forgotten childhood abuse, and the top quartile had a mean of .66.”
    Quote in the paperSubstantial claim
  • The quote only partly states this claim.

    Findingown data

    In multiple regressions predicting forgotten memories, the estimate of entering therapy remained a substantial predictor when measures of negative affectivity, negative mood, PTSD symptom severity, centrality of events, number of traumas, and gender were included.

    “In multiple regressions predicting the probability of forgotten memories of childhood traumas and abuse, the expectation of entering therapy remained as a substantial predictor when self-report measures of mood, anxiety, posttraumatic stress disorder symptom severity, and trauma exposure were included.”
    • Also stated in: § Results · plain
      “In all the regression equations, the estimate of entering therapy remained a substantial predictor.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Correlations between estimates of entering therapy and forgotten memories were .30 for extremely upsetting events, .23 for traumatic events, .25 for abuse, and .33 for all five items combined (all r(1002), p < .0001).

    “The correlations among estimates of entering therapy and forgotten memories of extremely upsetting events, traumatic events, abuse, and all five items regarding forgotten memories combined are .30, .23, .25, and .33, respectively (all r(1002), all p < .0001).”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Findingown data

    In the regression predicting therapy estimates, being female is a predictor, but the TEQ measure of past traumas does not enter.

    “Unlike the predictions of forgotten memories, being female is a predictor, but the TEQ measure of past traumas does not enter, implying that the reported number of past traumas has its effect through the other measures.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingown data

    In a multiple regression predicting therapy estimates, the standardized coefficients were .21 for forgotten memory, .10 for PCL, .13 for QIDS, .13 for NA, and .12 for gender, with r-square = .20.

    “Using the same variables and methods, and the forgotten memory measure based on all five memory items, the multiple regression is: therapy = .21 forgotten memory + .10 PCL + .13 QIDS + .13 NA +.12 gender, r-square = .20.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductown data

    The five therapy items formed a reliable scale (α = .83).

    “We averaged the five therapy items to produce a reliable scale (mean = .27, SD = .23, α = .83).”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductcitation

    The QIDS has internal consistency α = 0.86 and is highly correlated with other depression measures such as the Inventory of Depressive Symptomatology.

    “Internal consistency is α = 0.86. The measure has shown to be highly correlated with other measures of depression such as the Inventory of Depressive Symptomatology (Trivedi et al., 2004).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Trivedi et al., 2004 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductcitation

    The TEQ shows good test-retest reliability over two weeks for the number of traumatic events experienced (r = 0.91).

    “The Traumatic Events Questionnaire shows good test-retest reliability over a two week period for the number of traumatic events experienced (r = 0.91) (Vrana & Lauterbach, 1994).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Vrana & Lauterbach, 1994

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductown data

    The two abuse questions formed a reliable scale (α = .73).

    “we grouped the five items concerning forgotten memories into three conceptual groups: 1) the extremely upsetting event question (mean = .44, SD = .36), 2) the two traumatic event questions (mean = .22, SD = .25, α = .54), and 3) the two abuse questions (mean = .11, SD = .23, α = .73).”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Premisecitation

    Objects or words that are schema consistent intrude more often as false memories than those that are not.

    “Thus, objects or words that are schema consistent intrude more often as false memories than those that are not.”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites Bartlett (1932)

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites Gallo, 2006

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites Roediger & McDermott, 1995 source
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    The items measured likelihood rather than plausibility because likelihood/belief is a higher-level construct than plausibility, allowing a direct quantitative estimate.

    “The items are about the likelihood of such occurrences, as opposed to the plausibility, because likelihood/belief is a higher level construct than plausibility (Scoboria, Mazzoni, Kirsch, & Relyea, 2004), which allows for a direct quantitative estimate.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Scoboria, Mazzoni, Kirsch, & Relyea, 2004 source
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductcitation

    The PCL-S has a correlation of r = .93 with the Clinician-assisted PTSD scale, internal consistency α = .97, and test-retest reliability r = .96.

    “The correlation between the PCL-S and the Clinician-assisted posttraumatic stress disorder scale is r = .93. The reported internal consistency is α = .97 and the test-retest reliability is r = .96 (Weathers, Litz, Herman, Huska, & Keane, 1993).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Weathers, Litz, Herman, Huska, & Keane, 1993

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing).

    Interpretationreasoning

    A likely explanation for the association is that both estimates belong to a broader set of beliefs about therapy's effectiveness and about what a therapist can discover that the patient cannot access.

    “A likely reason for the relation is that both estimates are part of a larger constellation of beliefs about the efficacy of therapy and what a therapist can understand or uncover that is hidden from the patient.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductreasoning

    The therapy items preceded the forgotten-memory items so that responses about traumatic events could not influence later answers about seeking therapy.

    “The five items concerning therapy were placed before the five items concerning forgotten memories to eliminate any possibility that answering questions about traumatic events could influence subsequent items about seeking therapy.”
    Quote in the paperNot a substantial claim
23 of 23
  • The authors state this as an assumption.

    People's predictions about entering psychotherapy are fairly accurate indicators of their future behavior.

    “Assuming people's predictions about entering psychotherapy are fairly accurate indicators of their future behavior”
  • The paper relies on this without support.

    Belief that one has forgotten memories of childhood trauma and abuse is a measure of schema-consistency.

    “We therefore ask whether there is a relationship between the likelihood of a person believing that they have forgotten memories of childhood trauma and abuse (i.e., a measure of schema-consistency) and their likelihood of entering therapy.”
  • The paper relies on this without support.

    The relationship observed in undergraduates generalizes to people who actually enter psychotherapy.

    “the people who are more likely to enter therapy are the same people who are likely to believe that they could have forgotten memories of their own childhood trauma or abuse”
3 of 3

Statistics recomputed

Every reported test result, recomputed from its test statistic and degrees of freedom. A result shows as not adding up only once an independent check has confirmed it.

  • ConsistentF(12, 1994) = 3.48reported p < .0001 · recomputed p < .001

    “F(12, 1994) = 3.48, p < .0001”

1 of 1

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

  • The 246% figure is a final-to-initial ratio, not an increase

    Minor

    For upsetting events, the reported probabilities rise from .26 to .64, a difference of .38. Relative to .26, that is an increase of about 146%, not 246%; the same distinction applies to the traumatic-event figures.

    Reported 246 · recomputed 146.153846

1 of 1

Cites

Flagged first, then by citations

3 of the 40 references couldn’t be matched to a known paper.

Research works printed but not linked: 1

  1. Weathers F., 1993, The PTSD checklist (PCL): Reliability, validity, and diagnostic utility

Cited by

Sorted by citations

Authors
Rubin, D. C., & Boals, A.
Affiliations
  • Duke University (US)
  • University of North Texas (US)
Corresponding author
Rubin, David C.
Venue
Memory
Published
2010-07
Volume
18
Issue
5
Pages
556-562
ISSN
  • 0965-8211 (ISSN-L)
  • 1464-0686
OpenAlex
W2018974962
Cited by
15
References
40
Citations by year
2025: 1 · 2024: 1 · 2023: 1 · 2021: 2 · 2020: 3 · 2018: 1 · 2016: 1 · 2014: 2 · 2013: 1 · 2012: 2
FWCI
0.58
Type
journal article
Language
en
Open access
Locations
  • Memory (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
  • University of North Texas Digital Library (University of North Texas) (submittedVersion)
  • DukeSpace (Duke University) (submittedVersion, cc-by-nc-nd)
Funders
National Institute of Mental Health (R01MH066079)
Topics
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Memory Processes and Influences
  • Social Sciences › Psychology › Developmental and Educational Psychology › Identity, Memory, and Therapy
  • Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
Keywords
childhood trauma, childhood abuse, traumatic memory, forgotten memories, expectancy, suggestibility, memory distortion, post-traumatic stress disorder, trauma exposure, mood, anxiety
MeSH terms
Adolescent, Adult, Affect, Anxiety, Child, Child Abuse, Female, Humans, Male, Patient Acceptance of Health Care, Psychotherapy, Repression, Psychology, Severity of Illness Index, Stress Disorders, Post-Traumatic, Suggestion, Wounds and Injuries

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Claims read under definition version 3 (extract-v3) on 2026-09-28.

Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-09-28.

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