First off, I'm sorry you are going through this right now. This journey is not going to be easy for you, I hope you reach some kind of closure soon.
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Originally Posted by Confused213
How can real memories of sexual abuse be distinguished from manifestations of false memory syndrome (FMS)?
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They can't

and unless you are going to court it doesn't matter. Child abuse creates holes in the memory that's why some of it
could be lost in your unconscious because of
the brain damage it causes.
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Are these behaviors inherently abusive? I didn't think so, but many do.
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Yes I think they are, did they make you uncomfortable at the time? Does it bother you today? Even if the answer is no to both of those questions it was still abusive because in your own words "He DID make me spoon with him and lay on him while he was drunk." forcing a child to do anything sexual is abusive. I went through the same questions before about my own childhood sexual abuse, just because you were aroused doesn't make it okay, at such a young age children cannot give informed consent. Believe it or not this incestuous sexual abuse is relatively common in dysfunctional alcoholic families. You are not alone!

You might benefit from group therapy for survivors of CSA ask your T about it.
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Needless to say, this is causing a degree of cognitive dissonance in me. My therapist thinks that the things in my nightmares are things that probably happened to me. I don't know if I agree with this.
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I don't think the nightmares are things that happened to you, and if you don't want to agree with it, assertively tell your T that you do not agree with it. Please take no offense by this but these dreams could also signify a hidden desire for sexual deviance you might have.
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A) Where could this come from?
B) Is it worth it looking further?
C) How can I know if I have false memory syndrome?
D) How can I tell if just, deep within my subconscious, I am attention hungry and all of these "memories" are manifestations of that or not?
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A) Bad dreams and Flashbacks are causing you distress, either you have a really good imagination or you were traumatized as a child. Take your pick.
B) In my humble opinion no. Especially not if its not distressing you and you were not bothered by it to begin with.
C) You can't, false memory syndrome is a sneaky thing, the parts where you say it is exaggerated are most likely the "false memories" the less traumatizing parts you can remember are probably real. FMS is like your unconscious mind playing tricks on you.
D) I don't know, you'd have to ask yourself that question, are you attention hungry? Do you have any motive to discredit your uncle? Is there any way you can safely confront him about it?
Its up to you, I think you need to discuss these things with your therapist more.
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Should I dig deeper or let sleeping dogs lie?
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If it were me I would stop "digging" if the memories are there they'll come. I would try to focus more on learning coping techniques and less on the trauma, especially since you are an adult now and likely won't be traumatized like this again.
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How can I handle this properly?
Thanks
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You can confront him about it if he is still around, has he recovered from his alcoholism? Or is he still drinking? Talk to your T about it before you do anything. Try to be more assertive with your T that you want to learn more coping skills for the flashbacks. I'll give you one right here.
Try some of these grounding techniques found in this link
Behavior Health Resources practice the ones that best suit you.