Confabulation: Etiology, Typology, and Intervention

Confabulation: Etiology, Typology, and Intervention
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虚构:病因学、类型学和干预

DOI:
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发表时间:
2018
期刊:
影响因子:
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通讯作者:
S. Morgan
S. Morgan
中科院分区:
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文献类型:
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作者:
J. Brown;D. Huntley;S. Morgan

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虚构是一种不准确的记忆,是由于对自己或周围环境的想法的扭曲或捏造而产生的。虚构的范围可以从对实际事件的记忆的微小变化,到对从未发生过的事件的新记忆的重大生成。在虚构的背景下,这些不准确的记忆是在没有任何欺骗他人的意图的情况下被创建和维持的。在刑事司法系统中,捏造的可能性尤其危险,因为许多法律程序都依赖于自我报告的信息(例如警方访谈、审讯和目击者证词)。在这里,捏造行为可能会对整个刑事司法系统产生深远的影响,并导致误判(例如虚假供述和错误定罪)。因此,临床和法医心理健康专业人员必须发展和磨练适合具有虚构潜力的客户的筛查、评估和治疗技能。不幸的是,关于闲谈主题的高级教育和培训的机会很少。为了提供临床和法医环境中虚构的入门知识,本文定义了虚构,讨论了虚构的病因和危险因素,并通过对该主题的现有实证研究的彻底回顾,回顾了可行的虚构筛查、评估和治疗方法。
Confabulation is an inaccurate memory that results from a distortion or fabrication of thoughts about oneself or the surrounding environment. Confabulations can range from small changes to a memory of an actual event to the grand generation of a new memory of an event that never took place. In the context of confabulation, these inaccurate memories are created and maintained in the absence of any intent to deceive others. The potential for confabulation is particularly dangerous in the criminal justice system where many legal processes rely on self-reported information (e.g., police interviews, interrogations, and eyewitness testimony). Here, confabulation can have a profound impact throughout the criminal justice system and results in miscarriages of justice (e.g., false confessions and wrongful convictions). As such, it is imperative that clinical and forensic mental health professionals develop and hone screening, assessment, and treatment skills that are appropriate for clients with the potential of confabulation. Unfortunately, opportunities for advanced education and training on the topic of confabulation are few and far between. To provide a primer on confabulation in clinical and forensic settings, this article defines confabulation, discusses the etiology and risk factors for confabulation, and reviews viable screening, assessment, and treatment approaches for confabulation through a thorough review of the existing empirical research on the topic.