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Critical Incident Amnesia:
The Physiological Basis and the Implications of Memory Loss During Extreme
Survival Stress Situations
By Lt. Col. Dave Grossman & Bruce K. Siddle
Previously published:
The Firearms Instructor: The Official Journal of the International Association
of Law Enforcement Firearms Instructors
Issue 31 / Aug 2001
The law enforcement officer is constantly required to move to the most traumatic
and stressful situations in our society, to respond instantly and appropriately
in these critical incidents, and then to accurately remember and report
everything that occurred. Unfortunately, by their very nature, traumatic
situations will inevitably result in memory impairment, which is referred to
here as "critical incident amnesia." The greater the stress, the greater the
potential will be for these memory problems to occur.
Officers who encounter an extremely stressful situation will consistently
exhibit difficulty in transferring information into long term memory. Particular
memory related phenomenon in traumatic situations include:
During the actual incident there is usually a "sensory overload" combined with a
"fixation" on some particular aspect of the critical incident, often to the
exclusion of all else.
Immediately after the incident, "post-incident amnesia" will often result in a
failure to remember the majority of the information observed in the incident.
After a healthy night's sleep there is usually a "memory recovery" which will
result in the remembering the majority of what occurred, and this memory is
probably the most "pure."
Within 72 hours the final and most complete form of memory will occur, but it
will be at least partially "reconstructed" (and therefore somewhat
"contaminated") after the inevitable process of integrating available
information from all other sources (media).
Critical incident amnesia is one of the ultimate horrors in a law enforcement
environment. Failure to understand and address this problem can cause grave
injustices. Memory failure in law enforcement officers, victims, and witnesses
can result in a failure to convict or even to apprehend the guilty, or it can
result in the prosecution and even the conviction of the innocent. This article
will outline the aspects of critical incident amnesia, and will then address the
implications and applications of critical incident amnesia to the law
enforcement community.
Memory Influences Before The Critical Incident
All individuals have a set of schemas, inferences, and expectations that they
bring into a situation, and which have significant potential to distort their
memory of a critical incident. Some of the most classic and fundamental memory
research (Bartlet, 1932; Allport and Postman, 1947; Carmichael, Hogan & Walter,
1932), research which has been built on and replicated for over half a century,
demonstrates that human memory is not like a camera taking precise photographs
of new experiences. Instead, it has long been understood that memory is a
process of active construction in which old knowledge, beliefs, prejudices, and
expectations are constantly shaping (and potentially distorting) our memories.
This research demonstrates clearly how a witness who was physically abused as a
child may see a standard or necessary police action as violently abusive, or
someone who has racist beliefs or stereotypes may perceive a minority suspect as
having a weapon when, in fact, that was not the case. Understanding the
potential for memory distortion based on the baggage that the witness "brings to
the table" is "step one" in understanding what is outlined from this point on,
and this should be considered as a possible explanation any time a single
witness has a testimony that is significantly different from that of several
others.
Fixation and Perceptual Distortion
Data perceived through each of the five senses is combined to create what we
call "memory." Each of the sensory systems provides the brain with a constant
source of information about the environment through a complex network of neural
receptors. Memory is created when data perceived through the sensory network is
collated and then "hardwired" into neurons in the brain. Since memory is a
product of perception, it is clear that memory can be disrupted when perception
becomes disrupted.
In stressful situations, there is almost always an overwhelming flood of
information in a very short period of time. At lower levels of stress this
commonly results in a state of excessive alertness in which the subject scans
the entire environment in order to take in information. Such an individual may
have good memories of some aspects, but in this state it is common to become
over aroused and never really settle on or process any of the sensory stimuli
into long-term memory (Horiwitz, 1976; Janis & Mann, 1977).
In extraordinarily stressful situations this sensory overload often results in
"fixation" on a particular aspect of the critical incident, resulting in a very
vivid memories of that aspect of the experience but severely limiting memories
of anything else (Hockey, 1970; Bacon, 1974; Mandler, 1982). Indeed, individuals
who experience these memories (such as a face, a weapon, or even a particular
sound) often referred to them as being "burned" into their memory.
This fixation is due to "perceptual narrowing" in which the five perceptual
senses collapse around a central point of focus as arousal or stress increases
(Easterbrook, 1959; Schmidt, 1991). This powerful process will generally result
in a situation where only vision is processed, and even very powerful cues from
other senses (such as loud sounds or injuries) may be diminished or completely
filtered out.
Perceptual narrowing is an effect of sympathetic nervous system (SNS)
activation. The SNS is activated anytime the brain perceives a threat to
survival, resulting in an immediate discharge of stress hormones, which is
designed to prepare the body for what has been recognized as the "fight or
flight response." The activation of the SNS is automatic and virtually
uncontrollable. Once the SNS is activated, the visual system goes through a
series of automatic changes.
Breedlove (1995) has found that SNS excitement causes vasoconstriction to the
blood vessels on the periphery of the retina, resulting in a collapse of the
peripheral field which is referred to as "peripheral narrowing" or "tunnel
vision." Thus, not only is an individual in a critical incident likely to be
limited to only one sense (usually vision) but that one sense will also be
greatly reduced or "narrowed." Breedlove states that the visual field can be
expected to narrow by 70%.
Cannon (1915) found that SNS excitement triggers pupil dilation, leading to the
loss of near vision, and SNS activation also disrupts the ability to focus,
which results in a loss of depth perception and the ability to focus on close
objects.
How does this research apply to critical incident amnesia? First, memory is a
function of collating perceptions, and in combat the visual system is the mother
of all senses. But if the visual system is disrupted or narrowed, the amount of
information to collate a complete picture will be incomplete. Second, the SNS
causes vasoconstriction to the periphery of the retina resulting in a
significant collapse of the visual field. In other words, the officer will
fixate on major threat cues, but cues on the periphery of the visual system may
not be processed into memory. This explains why individuals sometimes fail to
remember "seeing" individuals or cues immediately adjacent to the threat.
Finally, the loss of depth perception and near vision accounts for why
individuals often fail to accurately identify distances after a survival
incident.
Post-Incident Amnesia
Most memory results from when we "attended" to information. Every waking second
of every day our five senses flood the brain with data, but we only attend (that
is, pay attention to) a tiny percentage of what comes in. If we do not attend to
something it is generally lost to memory (Cherry, 1953; Moray, 1959). Intense
fixation of attention on a particular aspect of a critical incident can cause
vivid memories in some areas, but by definition this focused attending in one
area will cause a reduction in attending (and thus to memory) in all other
areas.
Sometimes this fixation results in a kind of "flashbulb" effect. Brown & Kulik
(1977) originated the term and others (Neisser, Winograd, & Weldon, 1991;
Palmer, Schrieber & Fox, 1991) have done significant follow-up work. In critical
incidents a Flashbulb memory is often seen when an initial image or aspect of
the critical incident will be all that is remembered. (Other research [Haber,
1969, 1979; & Stromeyer, 1970] refers to a similar process, which has similar
effect, as "eidetic" memory.)
This is similar to the process that would occur if you were moving down a
familiar hallway or street, saw something new, and thought intently about that
new stimulus as you continued to walk. At the end of the walk it is likely that
you would have a vivid memory of this one new stimulus, but could not remember
anything else that you saw or did, even though you looked at and moved around
things in your path. Most of us have experienced something similar many times.
In critical incidents this common process can be greatly amplified by the
surprise and intensity of the initial shock. The individual essentially
functions on autopilot during the critical incident, while the mind continues to
dwell on and try to make sense out of that initial image. Immediately
afterwards, that image may be all that is remembered.
In addition to the failure to attend which results from fixation and sensory
overload, there is a body of research which indicates that intense stress will
result in a failure to recall anything learned in a situation (Duncan, 1949;
Squire 1986). McGaugh (1990) and Khalsa (1997) indicate that this effect is due
to the flood of stress hormones in the brain which occurs during intense trauma.
The combination of these factors will very often result in "post-incident
amnesia" in which, immediately after a critical incident, the majority of
information will not be remembered. (This can explain, for example, the common
process by which most mothers tend not to remember the intense pain of
childbirth, and are subsequently willing to have more children.)
The greater the trauma, the greater the impact of post-incident amnesia is
likely to be. Key factors which will increase the stress include: the perception
of threat or danger, the suddenness of the threat and the available time to
respond or prepare, the amount of sensory input needing to be processed, and the
degree of physical effort (aerobic and anaerobic output) that was engaged in
during the incident. If the individual is physically wounded or injured the
effect will be even greater, and the effects of post-incident amnesia will be
greatest if the wound or injury results in unconsciousness.
Memory Recovery
Based on extensive combat experience, the U.S. Army has a common understanding
that, "The first report is never right." The near universal occurrence and
general understanding of post-incident incident amnesia (although not referred
to by that name) is probably the basis for this expression. Furthermore, combat
leaders throughout history have understood that it will be extraordinarily
difficult to make sense out of a battle until the day after combat, when the
troops have had a night's sleep, since information gathered from "shell shocked"
soldiers immediately after combat is notoriously poor.
After a critical incident, much of the information may still be in the brain,
but it has not been processed in such a manner that it can be retrieved. There
is increasing evidence that it is possible for individuals to remember
information that was not attended to at the time (Treisman, 1960, 1964; Corteen
& Wood, 1972; Anderson & Pichert, 1978; Hasher & Zacks, 1984; Bennett, Davis, &
Gianni, 1985; Kihlstrom et al., 1990). But one of the key factors in being able
to retrieve this information appears to be sleep.
Sleep (and particularly the dreaming that takes place in REM sleep cycles during
sleep) has increasingly been understood as a time when the brain is focused on
problem solving and resolution of powerful emotional concerns (Webb &
Cartwright, 1978; Cartwright, 1989, 1991) since depressed or highly stressed
individuals have longer and more focused dream cycles. Integral to this process
is the understanding that sleep (and particularly dreaming/REM cycles) is the
period when information gathered during the day is processed into long-term
memory (Jenkins & Dallenbach, 1924; Cartwright et al., 1975; Benson & Feinberg,
1977; Tilly and Empson, 1978; Scrima, 1982; Schoen & Badia, 1984). In
particular, it appears that REM sleep helps consolidate unusual information that
requires a good deal of adaptation in order for it to be absorbed (Pearlman,
1982)
Evans (1984) argues that sleep (and dreaming/REM cycles) occurs because the
brain must periodically shut out sensory input so that it can process and
assimilate new data and update what has already been stored. Research indicates
that during sleep the brain divides new information into "wanted' and "unwanted"
categories, and makes new associations in light of the day's experiences.
Numerous research projects (Luce, 1971; Roffwarg, Muzio & Dement, 1966) support
this contention by demonstrating that REM cycles (which is when most dreaming
occurs) happen more frequently and are longer for individuals who are placed in
circumstances in which they must process great quantities of new information.
Thus, it can be observed that, immediately after experiencing a critical
incident, individuals have not had an opportunity to mentally process and refine
what they have experienced. But, after a night's sleep there should be
significant memory recovery. If an individual has been kept isolated from other
sources of information, the memories at this point (approximately 24 hours after
the incident) should be the most "pure" since they have not yet integrated data
from other sources.
It should be noted, however, that if the initial night's sleep has been
disturbed, then the memory recovery which should occur as a result of sleep will
be potentially disrupted. If the trauma encountered in the critical incident
resulted in unconsciousness, or an operation requiring general anesthesia, then
there is a good possibility that normal memory recovery will be greatly
disrupted. The ability for an officer to convict the guilty and defend the
innocent in a court of law, or even to defend himself against spurious charges,
is greatly influenced by understanding the memory recovery process and by
safeguarding this first night's sleep.
Memory Reconstruction
If we do not attend to something it is generally lost to memory (Cherry, 1953;
Moray, 1959). Intense fixation of attention on a particular aspect of a critical
incident can cause vivid memories in some areas, but by definition this focused
attending in one area will cause a reduction in attending (and thus to memory)
in all other areas.
If a group debriefing is conducted 24 hours after an incident (preferably after
an individual debrief), then the exchange of information within the group will
serve as legitimate memory cues which will greatly aid in memory retrieval.
Additionally, there is strong evidence that the moods and emotions generated by
reliving an experience will generate accurate memories (Diamond, 1969; Kaiser,
1970; Bower, Monteiro, and Gilligan, 1978; Bower & Gilligan, 1979; Teasdale &
Fogerty, 1979; Bower, 1981; Blaney, 1986; Chang, 1986). Indeed, one research
team has speculated that when victims of violent crimes have trouble recalling
details of the experience, it may be in part because they are far less
emotionally aroused than they were at the time of the crime (Clark, Milberg, &
Erber, 1987).
Most of this memory reconstruction will be legitimate, but from this point on
(and particularly after another night's sleep in which the group debrief is
process into memory during REM sleep) there is a slight but increasingly
significant danger of memory contamination.
The desire for the brain to seek patterns and sense out of chaos is powerful,
fundamental, and basic to human nature. Hobson (1988) states that the brain "is
so inexorably bent upon the quest for meaning that it attributes and even
creates meaning when there is little or none to be found in the data." This
process of creating memory and meaning is the basis for much memory
contamination, and it must be constantly taken into consideration in law
enforcement procedures. Contamination occurs when information outside actual
experience is integrated into the reconstruction of memory. This is an
inevitable process in most memory reconstructions, and if reliable information
(for example, the narratives of fellow law enforcement officers on the scene) is
incorporated into the reconstruction process it can be very helpful in ensuring
that the most accurate possible picture is preserved (Loftus, 1979a; Loftus,
Miller, & Burns, 1978; Loftus & Green, 1980).
Furthermore, there is evidence that the influence of outside factors in
contaminating information will be greater over time (Loftus, Miller & Burns,
1978) if the information is not locked into memory by recounting it (Loftus,
1977).
Applications and Implications to Law Enforcement
The implications of critical incident amnesia on law enforcement are profound,
and it is vital that procedures be established which will ensure that the most
accurate and most complete memories are protected and preserved as a part of
standard procedures. The following procedures are recommended:
1. Educate all officers on the effects of stress on memory, in order to ensure
that they understand and apply the procedures outlined below. This education
process is also vital to reduce guilt and confusion over memory loss, and to
reduce the potential for post-traumatic stress disorder.
Administrators, internal affairs personnel and prosecutors should also be
educated so that all individuals are working together to ensure that the most
accurate possible information is being retained.
2. An initial post-incident interview (or debriefing, or report) should be
conducted as soon as reasonably possible after a critical incident. This should
be a quick narrative review of what occurred, and it should be remembered that
it is very likely a subject (officer, victim, or bystander) will not remember
the majority of events that occurred in the incident.
The subject can generally be expected to recall:
a. Type of weapon (handgun, knife) but not the characteristics of the weapon.
b. General information about the suspect.
c. General details about the encounter.
These interviews should probably be tape recorded and transcribed, since the
residual sympathetic nervous system effects on fine motor control will often
make hand written reports illegible. Of course, during this and all other
interviews, the interviewers should make a conscious effort not to contaminate
the process by suggesting ideas about the crime or the suspect to any witnesses.
The interviews should be conducted on an individual basis, and reasonable
efforts should be made to ensure that the subject is isolated from other sources
of information (such as news reports or other witnesses) until the next
interview, which will take place after a good night's sleep.
Every effort should be made to ensure that the subject receives a healthy
night's sleep after the incident. Drugs which are administered to the subject
(sleeping pills, anesthesia, etc.) should be held to a minimum and should be
screened by a physician for potential impact on memory retention.
3. After the first sleep period (generally 24 hours later) the subject should be
interviewed again, and the subject can be expected to remember the majority of
the details regarding the incident and to refine many of the fine points. In the
case of law enforcement officers a written report at this time may be
appropriate, and it should be understood that the officer may add significantly
to his or her earlier statements.
4. A group interview or group debriefing should then be conducted as soon as
reasonably possible after completion of the second set of individual interviews.
The memories related in the second interview may be the most pure, but the
subject will almost certainly not recover all available memory of the incident
until exposed to the retrieval cues that can be provided by other witnesses.
It is important that the subject get a chance to formally complete this process
in an environment in which each individual is required to completely relate
their experiences and observations. Very often this environment will create
comments such as, "So that's what that was, I saw that too!" The ultimate goal
of this process should be to completely reconstruct the entire critical
incident.
This kind of group debriefing was pioneered by Brigadier General S.L.A. Marshall
in WWII where it was found to be extraordinarily effective at achieving a
complete picture of what occurred in combat situations (Marshall, 1978).
Recently the U.S. Army has created Combat Stress Teams which are assigned at
brigade level in every combat unit. These teams have the responsibility to
conduct post-combat debriefings of the sort pioneered by Marshall.
It has been demonstrated that in this group interview environment, individuals
are very careful to tell exactly the truth, even when it reflects poorly upon
themselves, since they know that others are there who can catch them at any
misrepresentation of the event (Williams, F.D., 1990).
Thus, the post-combat group interview provides the most accurate and truthful
information, in the best possible environment to trigger recall of important
data. It also allows the maximum possible training and learning value and the
applications of lessons learned which will assist officers in the execution of
their duties in the years to come.
But, perhaps the most important aspect of this group debriefing is that it is
considered to be the single most powerful therapeutic tool in preventing
post-traumatic stress disorder (Belenke, G., 1996). The moral requirement to
provide the therapeutic aspects of this vital group debriefing has been
essentially acknowledged by the U.S. military, and law enforcement agencies are
probably under increasing legal liability for any post-traumatic responses which
would occur among law enforcement officers who have not been given this
opportunity. Because of this mental health aspect, it is reasonable that mental
health professionals should be present during group interviews. However, the
overall objectives of the mental health practitioner, the prosecutor, the
internal affairs officer, and the criminal investigator are all the same in this
interview: to simply find out what happened. One experienced individual should
be placed in charge of the interview, and he or she should guide the group
toward the objective of reconstructing the incident and extracting all available
information. Mental health practitioners should address any additional
requirements in subsequent group or individual sessions.
The only negative aspect of the group debrief is the potential for contamination
in the reconstruction process. This danger is slight, but, nevertheless it must
be acknowledged that there is potential for individuals to accept the memories
of others (which may or may not be correct) as their own in the reconstruction
process. It must be pointed out that this is inevitable in any memory
reconstruction, and by formalizing this group process it can be ensured that the
individuals will be basing their reconstructions on the best possible
information.
5. To be absolutely thorough in the information collection process, it is
recommended that a second group interview be conducted 48-to-72 hours after the
incident. This will permit one or two nights' sleep to process the data
presented in the group debriefing, and should therefore provide an opportunity
for the most thorough and complete memories to come forward. At this time, the
possibility for contamination is greater, but if the process has been properly
handled, the contamination should be minimal, and far less than would have
occurred if this overall process had not been followed systematically.
Conclusion
The overall application of a scientific understanding of memory processes in a
law enforcement environment has potential for tremendous payoff. From better
quality eyewitness accounts, to lessons learned and applied, to the long term
mental health of the participants, the payoff is simply enormous. The price for
failing to apply these lessons is equally enormous, and the victims of such a
failure will inevitably include citizens, officers, the community and,
ultimately, Justice.
References below:
LT. COL. DAVE GROSSMAN, U.S. Army (Ret.)
Director, Killology Research Group
www.killology.com
Lt. Col. Dave Grossman is a former West Point psychology professor, Professor of
Military Science, and an Army Ranger who is the author of On Killing (which was
nominated for a Pulitzer Prize), On Combat, and Stop Teaching Our Kids to Kill.
Col. Grossman’s research was cited by the President of the United States in a
national address, and he has testified before the U.S. Senate, the U.S.
Congress, and numerous state legislatures. He has been an expert witness and
consultant in state and Federal courts, to include serving on the prosecution
team in the Timothy McVeign, Oklahoma City bombing case. He was involved in
counseling, recovery or court cases in the aftermath of the Jonesboro, Paducah,
Springfield, and Littleton school massacres. He wrote the entry on “Aggression
and Violence” in the Oxford Companion to American Military History, three
entries in the Academic Press Encyclopedia of Violence, Peace and Conflict and
has presented papers before the national conventions of the American Medical
Association, the American Psychiatric Association, the American Psychological
Association, and the American Academy of Pediatrics. Today he is the director of
the Killology Research Group, and in the wake of the 9/11 terrorist attacks he
is has written and spoken extensively on the terrorist threat, with articles
published in the Harvard Journal of Law and Civil Policy and many leading law
enforcement journals, and he has been on the road almost 300 days a year,
training elite military and law enforcement organizations worldwide about the
reality of combat.
All rights reserved - Copyright ©
Lt. Col. Dave Grossman & Bruce K. Siddle
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