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The Effect of Alcohol
Intoxication on
Misinformation
Acceptance and
Confidence-Accuracy
Calibration
Heather D. Flowe1,
Joyce Humphries2, Melanie Takarangi3,
Kasia Zelek4, Nilda Karoğlu 5,
Fiona Gabbert6 and Lorraine Hope7
1University of Birmingham, School of Psychology
2Edgehill University, School of Psychology
3Flinders University, School of Psychology
4University of Leicester, School of Neuroscience, Psychology and
Behaviour
5University of Kent, School of Psychology
6Goldsmiths University of London, Department of Psychology
7University of Portsmouth, Department of Psychology
Alcohol and Sexual Violence
 473,000 adults in England and Wales are victims of sexual
offenses per year on average (Home Office, 2013)
 Estimates for rape and attempted rape have ranged up to an
annual high of 1.27 million persons in the U.S. (National
Research Council, 2014)
Alcohol and
Sexual Violence
 Alcohol is often antecedent to sexual assault, with up to
75% involving alcohol use on the part of the victim, the
perpetrator, or both (Stern, 2010)
 Prosecutors reject 65% of rape cases (Flowe et al.,
2011), most often citing victim considerations such as
alcohol use
 Alcohol:
 Prejudicial aspect
 Probative aspect
Alcohol and Sexual Assault
 “Advocates and SANEs [Sexual Assault Nurse
Examiners] get frustrated when we can’t move
forward with an investigation, but sometimes we
can’t because the victim doesn’t remember what
happened or there are inconsistencies [in her story].”
 From (Cole & Logan, 2010)
Alcohol’s Effects on Memory
• Alcohol impairs the recollection of
specific episodic memory details,
but not feeling of knowing (i.e.,
familiarity) (Bisby, Leitz, Morgan, &
Curran, 2009)
• Alcohol affects completeness but
not the accuracy of recall Hagsand, Roos af
Hjelmsäter, Granhag, Fahlke, & Söderpalm Gordh, 2012; Harvey, Kneller &
Campbell, 2013; Hildebrand Karlén, Roos af Hjelmsäter, Fahlke, Granhag, &
Söderpalm Gordh, 2014; Schreiber Compo et al., 2012; Schreiber Compo et al.,
2017; Van Oorsouw, & Merckelbach, 2012 )
Does alcohol increase
vulnerability to postevent
memory reporting influences?
 When people are sober during event encoding and then consume
alcohol just before they receive MI, they are less likely to incorporate
misleading details in their memory reports 24 hours later compared
to those who consumed a placebo (Gawrylowicz, Ridley, Albery,
Barnoth & Young, 2017)
Does alcohol increase
vulnerability to postevent
memory reporting influences?
 For participants who were alcohol-intoxicated both during the to-be-
remembered event and when they were exposed to MI, the
likelihood of reporting MI does not differ compared to sober
participants (Schreiber Compo et al., 2012)
 However, Van Oorsouw et al. (2015) found that alcohol intoxication
during encoding was associated with increased suggestibility when
sober
How might alcohol impair
memory monitoring?
 Retrieval of the original memory trace rather than misinformation
is more likely if people monitor the source of their recollections
(e.g., Lindsay & Johnson, 1989; Thomas, Bulevich & Chan, 2010)
 Conditions that reduce diagnostic source cues availability lead to
poorer metacognitive discrimination and lower accuracy on misled
items (e.g., Horry, Colton, & Williamson, 2014)
Research Questions
 Do people recall fewer correct details about rape if
they were intoxicated compared to sober during
encoding?
 Are intoxicated participants more likely to recall
incorrect information, particularly misleading
information?
 Is metacognitive discrimination accuracy lower for
intoxicated participants?
Participants
 80 women between the ages of 18 and 31 (M=20.36, SD=2.41)
Design
 2 beverage (alcohol BAC .06% or tonic) x 2 expectancy (told
alcohol or told tonic) x 4 item type (consistent, misled, neutral, and
control items) mixed design
 Item type was varied within participants; the other factors were varied
between subjects
 Dependent variables:
 Number of correct, incorrect, and misled details
 Recall accuracy
 Recognition accuracy and confidence
Stage 1 Stage 2 Stage 3
7 days later
Screening
Screening
 Medical conditions
 Medication
 Problem drinking behaviours
 Pregnancy
Stage 1 Stage 2 Stage 3
Screening
Beverage
Manipulation
Rape Scenario
Rape scenario presented via participant choice procedure: Flowe et al., 2007;
Flowe et al., 2011; Flowe et al., 2016; Flowe et al., 2017
Method: Session 1,
Encoding Phase
Method: Session 1,
Encoding Phase
Method: Session 1,
Encoding Phase
Stage 1 Stage 2 Stage 3
7 days later
Screening
Beverage
Manipulation
Rape
Post-
event
Narrative
Interview
Recog
Test
Stage 1 Stage 2 Stage 3
7 days later
Screening
Beverage
Manipulation
Rape
Post-
event
Narrative
Interview
Recog
Test
Correct Details
0
5
10
15
20
25
30
35
40
45
50
SAI
Placebo
0.06
0
5
10
15
20
25
30
35
40
45
50
CI
Placebo
0.06
Incorrect Details
0
2
4
6
8
10
12
14
SAI
Placebo
0.06 0
2
4
6
8
10
12
14
CI
Placebo
0.06
Overall Accuracy
0.00
0.20
0.40
0.60
0.80
1.00
Correct
ProportionCorrectly
Recalled
Self Administered
Interview
Placebo
0.06
0.00
0.10
0.20
0.30
0.40
0.50
0.60
0.70
0.80
0.90
1.00
Correct
ProportionCorrectly
Recalled
Cognitive Interview
Placebo
0.06
Recognition Performance
0
1
2
3
4
5
6
7
8
9
10
consistent
"Idon'tknow"Responses
Placebo
0.06
Recognition Accuracy
0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
0.8
0.9
1
consistent neutral misleading
Placebo
0.06
Other results
 Computed the Adjusted Normalised Discrimination Index, and
found that women who thought they had consumed alcohol had
higher discrimination accuracy, F(1, 33) = 10.17, p = .003, ηp
2 =
.24, MSE = .76
 Analysed the recall data as a function of person, object, action,
and location details, and interview phase (free recall v question),
and found some evidence that women who believed they had
consumed alcohol reported fewer details during the question
phase than those who thought they had tonic, F(4, 61) = 2.81, p
= .03, Wilks’ Lambda = .84, ηp
2 = .16.
Conclusion
 Do participants who were acutely alcohol-intoxicated during
encoding recall fewer correct details than their sober counterparts?
No
 Are intoxicated participants more likely to recall incorrect
information, particularly when they have been misled? No
 Does metacognitive discrimination accuracy lower for intoxicated
participants? No, and there was evidence that women were
controlling and monitoring their memory reports depending on
intoxication beliefs
Implications, Limitations and
Future Directions
 Alcohol does not necessarily affect the quality of memory reports
 Larger dose of alcohol necessary
 Field research may enable higher doses, but the trade-off is that
alcohol expectancy cannot be studied

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The Effect of Alcohol Intoxication on Misinformation Acceptance and Confidence-Accuracy Calibration

  • 1. The Effect of Alcohol Intoxication on Misinformation Acceptance and Confidence-Accuracy Calibration Heather D. Flowe1, Joyce Humphries2, Melanie Takarangi3, Kasia Zelek4, Nilda Karoğlu 5, Fiona Gabbert6 and Lorraine Hope7 1University of Birmingham, School of Psychology 2Edgehill University, School of Psychology 3Flinders University, School of Psychology 4University of Leicester, School of Neuroscience, Psychology and Behaviour 5University of Kent, School of Psychology 6Goldsmiths University of London, Department of Psychology 7University of Portsmouth, Department of Psychology
  • 2. Alcohol and Sexual Violence  473,000 adults in England and Wales are victims of sexual offenses per year on average (Home Office, 2013)  Estimates for rape and attempted rape have ranged up to an annual high of 1.27 million persons in the U.S. (National Research Council, 2014)
  • 3. Alcohol and Sexual Violence  Alcohol is often antecedent to sexual assault, with up to 75% involving alcohol use on the part of the victim, the perpetrator, or both (Stern, 2010)  Prosecutors reject 65% of rape cases (Flowe et al., 2011), most often citing victim considerations such as alcohol use  Alcohol:  Prejudicial aspect  Probative aspect
  • 4. Alcohol and Sexual Assault  “Advocates and SANEs [Sexual Assault Nurse Examiners] get frustrated when we can’t move forward with an investigation, but sometimes we can’t because the victim doesn’t remember what happened or there are inconsistencies [in her story].”  From (Cole & Logan, 2010)
  • 5. Alcohol’s Effects on Memory • Alcohol impairs the recollection of specific episodic memory details, but not feeling of knowing (i.e., familiarity) (Bisby, Leitz, Morgan, & Curran, 2009) • Alcohol affects completeness but not the accuracy of recall Hagsand, Roos af Hjelmsäter, Granhag, Fahlke, & Söderpalm Gordh, 2012; Harvey, Kneller & Campbell, 2013; Hildebrand Karlén, Roos af Hjelmsäter, Fahlke, Granhag, & Söderpalm Gordh, 2014; Schreiber Compo et al., 2012; Schreiber Compo et al., 2017; Van Oorsouw, & Merckelbach, 2012 )
  • 6. Does alcohol increase vulnerability to postevent memory reporting influences?  When people are sober during event encoding and then consume alcohol just before they receive MI, they are less likely to incorporate misleading details in their memory reports 24 hours later compared to those who consumed a placebo (Gawrylowicz, Ridley, Albery, Barnoth & Young, 2017)
  • 7. Does alcohol increase vulnerability to postevent memory reporting influences?  For participants who were alcohol-intoxicated both during the to-be- remembered event and when they were exposed to MI, the likelihood of reporting MI does not differ compared to sober participants (Schreiber Compo et al., 2012)  However, Van Oorsouw et al. (2015) found that alcohol intoxication during encoding was associated with increased suggestibility when sober
  • 8. How might alcohol impair memory monitoring?  Retrieval of the original memory trace rather than misinformation is more likely if people monitor the source of their recollections (e.g., Lindsay & Johnson, 1989; Thomas, Bulevich & Chan, 2010)  Conditions that reduce diagnostic source cues availability lead to poorer metacognitive discrimination and lower accuracy on misled items (e.g., Horry, Colton, & Williamson, 2014)
  • 9. Research Questions  Do people recall fewer correct details about rape if they were intoxicated compared to sober during encoding?  Are intoxicated participants more likely to recall incorrect information, particularly misleading information?  Is metacognitive discrimination accuracy lower for intoxicated participants?
  • 10. Participants  80 women between the ages of 18 and 31 (M=20.36, SD=2.41)
  • 11. Design  2 beverage (alcohol BAC .06% or tonic) x 2 expectancy (told alcohol or told tonic) x 4 item type (consistent, misled, neutral, and control items) mixed design  Item type was varied within participants; the other factors were varied between subjects  Dependent variables:  Number of correct, incorrect, and misled details  Recall accuracy  Recognition accuracy and confidence
  • 12. Stage 1 Stage 2 Stage 3 7 days later Screening
  • 13. Screening  Medical conditions  Medication  Problem drinking behaviours  Pregnancy
  • 14. Stage 1 Stage 2 Stage 3 Screening Beverage Manipulation Rape Scenario Rape scenario presented via participant choice procedure: Flowe et al., 2007; Flowe et al., 2011; Flowe et al., 2016; Flowe et al., 2017
  • 18. Stage 1 Stage 2 Stage 3 7 days later Screening Beverage Manipulation Rape Post- event Narrative Interview Recog Test
  • 19. Stage 1 Stage 2 Stage 3 7 days later Screening Beverage Manipulation Rape Post- event Narrative Interview Recog Test
  • 25.
  • 26. Other results  Computed the Adjusted Normalised Discrimination Index, and found that women who thought they had consumed alcohol had higher discrimination accuracy, F(1, 33) = 10.17, p = .003, ηp 2 = .24, MSE = .76  Analysed the recall data as a function of person, object, action, and location details, and interview phase (free recall v question), and found some evidence that women who believed they had consumed alcohol reported fewer details during the question phase than those who thought they had tonic, F(4, 61) = 2.81, p = .03, Wilks’ Lambda = .84, ηp 2 = .16.
  • 27. Conclusion  Do participants who were acutely alcohol-intoxicated during encoding recall fewer correct details than their sober counterparts? No  Are intoxicated participants more likely to recall incorrect information, particularly when they have been misled? No  Does metacognitive discrimination accuracy lower for intoxicated participants? No, and there was evidence that women were controlling and monitoring their memory reports depending on intoxication beliefs
  • 28. Implications, Limitations and Future Directions  Alcohol does not necessarily affect the quality of memory reports  Larger dose of alcohol necessary  Field research may enable higher doses, but the trade-off is that alcohol expectancy cannot be studied