Tears, tremors, and vivid descriptions can be compelling. They are not proof. In complex trauma, memory is less a film reel and more a patchwork of emotional flashbulbs, fragments, and protective edits. Somatic reactions tell us that something mattered to the nervous system. They do not tell us who, where, or when. Therapy becomes dangerous not when clients struggle to remember, but when therapists stop being curious.

Many clinicians meet clients who arrive with ritual abuse claims, fractured timelines, no corroboration, and a history of moving from specialist to specialist in search of answers. Most are not fabricating. Many are not remembering with precision either. A common statement appears in these rooms: if the body reacts, it must have happened. It sounds compassionate. It is not. It shortcuts assessment, confuses physiology with fact, and turns treatment into a confirmation loop. The alliance becomes a mirror that reflects back whatever the client fears most, rather than a container that steadies and clarifies.

Consider a typical presentation from practice. A client recalled being left overnight in a freezing basement. The concrete floor, footsteps overhead, a cold doorknob out of reach. The scene held sensory weight and carried real fear. Later, family records showed the home had no basement. The conclusion is not that nothing happened. The conclusion is that the image may have fused borrowed fragments and emotional truths into a single picture the nervous system could organize around. The body reacted. The target of that reaction was misidentified. What needed work was not a fast-track diagnosis based on physiology, but a paced inquiry into what the body was trying to protect and what events might actually fit the pattern.

The nervous system encodes threat. Implicit memory lives in posture, breath, and gut. None of that provides coordinates. Somatic evidence flags significance. It does not settle attribution. Collapse those two and accuracy drops. In trauma care, accuracy is not a luxury. It is ethical triage. Misreading hyperarousal as proof of incest, or adopting a story that later fails against hospital logs or sibling testimony, harms clients and families and erodes trust in the field. The emotional pain remains real. The backstory can still have holes.

Memory science has been clear on this point for decades. Some dislike the mess that research exposed, but disliking a finding does not erase it. Suggestion is powerful. The therapeutic relationship amplifies that power because trust lowers a client’s defenses against influence. Recovered memories do occur. They can surface slowly and unevenly and later find support in records or witnesses. They do not usually arrive polished, and they never deserve to be declared true on the basis of shaking hands or a rolling stomach. The correct posture is steady attunement, careful pacing, and respect for a mind that can both shield and distort.

The larger problem is cultural. Many therapists fear that skepticism will be heard as betrayal. They worry about appearing to side with perpetrators. They default to affirmation in order to avoid conflict. Caution then gets mislabeled as minimization, and verification gets mislabeled as doubt. In that climate, it is tempting to protect one’s reputation rather than the client. That is not care. That is drift.

A responsible approach is plain and repeatable. Stabilize first. Map what the body does before, during, and after certain narratives. Separate sensation from story. Ask where the language came from and what other explanations could fit the same physiology. Invite corroboration where it is possible to do so without harm. Hold space for what cannot yet be known. Keep the alliance strong without making promises the facts cannot carry. Somatic validation and factual verification are not enemies. They are different tools used for different questions.

Good therapy does not hand people answers. It teaches people how to hold possibility without certainty, and how to test what can be tested while protecting what still needs time. If a client reports abuse, the report is taken seriously and treated with respect. The work then proceeds without rushing the story into a fixed shape. Memory is important. That is why it deserves clinical accountability rather than slogans or ideological immunity.

Final thoughts

Somatic truth and factual truth are not the same category. Both matter. One guides immediate regulation and safety planning. The other guides attribution, repair, and justice. When clinicians keep those lanes clear, survivors get care that is humane, scientifically honest, and legally durable.

References

Scientific American. People Likely Aren’t as Susceptible to False Memories as Researchers Thought. 2025.
Murphy G, et al. False Memory Replication Dataset. University College Cork. 2023.
Loftus E. The “lost in the mall” technique. 1995.
Otgaar H, et al. The return of the repressed. Perspectives on Psychological Science. 2019.
McNally RJ. Remembering Trauma. Harvard University Press. 2003.
van der Kolk BA. The Body Keeps the Score. Viking. 2014.
Lynn SJ, Lilienfeld SO, Merckelbach H, et al. Dissociation and dissociative disorders. Clinical Psychology Review. 2014.

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