To examine the influence of prior knowledge on children's immediate an
d delayed recall of the details of a physical examination, 4- and 6-ye
ar-olds received a specially constructed check-up that included some t
ypical, expected medical features (e.g. listening to the heart), while
omitting others, and incorporated several atypical, unexpected proced
ures (e.g. measuring head circumference). Using a combination of open-
ended and more specific probes, the children were assessed for their r
ecall of expected and unexpected features that had been included in or
omitted from the examination. Expectation based on prior knowledge af
fected three aspects of performance. First, correct recall of typical
features that had been experienced exceeded that of unexpected feature
s. Second, after a 12-week delay, spontaneous incorrect recall of expe
cted-but-omitted features was considerable, with 42% of 4-year-olds an
d 72% of 6-year-olds making at least one intrusion, and essentially ze
ro for atypical procedures that were unexpected and omitted. Third, wh
en questioned directly about medical procedures not included in the ex
amination, correct denials were high for atypical features, but at cha
nce levels for those that were expected. The positive and negative inf
luences of knowledge raise questions about children's abilities to dif
ferentiate clearly between experience and expectation and have implica
tions for understanding their testimony. (C) 1998 John Wiley & Sons, L
td.