Pub Date : 2025-07-23DOI: 10.1016/j.ejtd.2025.100582
Pascale Amara, Guy Gimenez
<div><h3>Introduction</h3><div>La prise en charge psychothérapeutique des troubles du deuil a fait l’objet de nombreuses recherches et est actuellement un domaine qui tend à s’émanciper d’attitudes thérapeutiques basées sur des postulats cliniques anciens. La clinique de l’attachement ainsi que des approches thérapeutiques innovantes sont venues nourrir la créativité de cliniciens soucieux de l’efficacité thérapeutique. Par exemple s’adresser intérieurement au défunt, questionner le rapport aux rituels, articuler la dimension psychotraumatique, ont ouvert des voies thérapeutiques prometteuses.</div></div><div><h3>Objectif</h3><div>L’importance thérapeutique du réaménagement psychique du lien au défunt apparait de façon récurrente dans les résultats cliniques obtenus dans la thérapie EMDR de patients souffrant de troubles du deuil. Les approches thérapeutiques traditionnelles centrées sur la perte mobilisent la question du désinvestissement de la relation au défunt pour s’ouvrir à de nouveaux liens, mais la question de l’héritage psychique du défunt comme ressource à mobiliser est peu ou incomplètement abordée. L’hypothèse soutenue est que l’ensemble des représentations psychiques issues de la relation au défunt est un support d’étayage pertinent à prendre en compte dans la psychothérapie des endeuillés. Nous présentons un outil clinique favorisant la mobilisation de cette réalité psychique internalisée dans l’espace thérapeutique. Cet outil est une métaphore nommée « la mémoire vivante du disparu ».</div></div><div><h3>Méthode</h3><div>Après un rappel de la clinique des troubles du deuil et une synthèse des approches thérapeutiques recommandées et émergentes, nous présentons du matériel clinique obtenu lors de trois thérapies EMDR de patients souffrant de deuils récents ou pathologiques. Des émergences imaginaires disruptives observées principalement dans la phase de désensibilisation convoquent un lien positif au défunt et projettent le patient dans un réaménagement subjectif pacifié de la relation à ce dernier, amenant une sédation des symptômes douloureux. La métaphore est proposée si le patient n’est pas spontanément connecté à la représentation interne du défunt.</div></div><div><h3>Résultat</h3><div>Il apparait une convergence dans la psychothérapie EMDR d’endeuillés entre la mobilisation d’éléments mnésiques ou représentationnels positifs relatifs au défunt, un réaménagement psychique structurant intégrant le décès, et une amélioration thérapeutique observable sur le plan clinique.</div></div><div><h3>Discussion</h3><div>Cette convergence milite en faveur de l’efficience d’une approche en EMDR mobilisant le réaménagement du lien interne au défunt pour nourrir la nécessaire mutation psychique déclenchée par le décès. Les observations cliniques sont articulées à des cadres conceptuels et des approches cliniques émergentes. La vividité et l’étrangeté de certaines productions imaginaires à effet thérapeutique immédiat nous amènent à questionne
{"title":"Mobilisation du lien au défunt dans le traitement du deuil chronique en EMDR: métaphore de « la mémoire vivante du disparu »","authors":"Pascale Amara, Guy Gimenez","doi":"10.1016/j.ejtd.2025.100582","DOIUrl":"10.1016/j.ejtd.2025.100582","url":null,"abstract":"<div><h3>Introduction</h3><div>La prise en charge psychothérapeutique des troubles du deuil a fait l’objet de nombreuses recherches et est actuellement un domaine qui tend à s’émanciper d’attitudes thérapeutiques basées sur des postulats cliniques anciens. La clinique de l’attachement ainsi que des approches thérapeutiques innovantes sont venues nourrir la créativité de cliniciens soucieux de l’efficacité thérapeutique. Par exemple s’adresser intérieurement au défunt, questionner le rapport aux rituels, articuler la dimension psychotraumatique, ont ouvert des voies thérapeutiques prometteuses.</div></div><div><h3>Objectif</h3><div>L’importance thérapeutique du réaménagement psychique du lien au défunt apparait de façon récurrente dans les résultats cliniques obtenus dans la thérapie EMDR de patients souffrant de troubles du deuil. Les approches thérapeutiques traditionnelles centrées sur la perte mobilisent la question du désinvestissement de la relation au défunt pour s’ouvrir à de nouveaux liens, mais la question de l’héritage psychique du défunt comme ressource à mobiliser est peu ou incomplètement abordée. L’hypothèse soutenue est que l’ensemble des représentations psychiques issues de la relation au défunt est un support d’étayage pertinent à prendre en compte dans la psychothérapie des endeuillés. Nous présentons un outil clinique favorisant la mobilisation de cette réalité psychique internalisée dans l’espace thérapeutique. Cet outil est une métaphore nommée « la mémoire vivante du disparu ».</div></div><div><h3>Méthode</h3><div>Après un rappel de la clinique des troubles du deuil et une synthèse des approches thérapeutiques recommandées et émergentes, nous présentons du matériel clinique obtenu lors de trois thérapies EMDR de patients souffrant de deuils récents ou pathologiques. Des émergences imaginaires disruptives observées principalement dans la phase de désensibilisation convoquent un lien positif au défunt et projettent le patient dans un réaménagement subjectif pacifié de la relation à ce dernier, amenant une sédation des symptômes douloureux. La métaphore est proposée si le patient n’est pas spontanément connecté à la représentation interne du défunt.</div></div><div><h3>Résultat</h3><div>Il apparait une convergence dans la psychothérapie EMDR d’endeuillés entre la mobilisation d’éléments mnésiques ou représentationnels positifs relatifs au défunt, un réaménagement psychique structurant intégrant le décès, et une amélioration thérapeutique observable sur le plan clinique.</div></div><div><h3>Discussion</h3><div>Cette convergence milite en faveur de l’efficience d’une approche en EMDR mobilisant le réaménagement du lien interne au défunt pour nourrir la nécessaire mutation psychique déclenchée par le décès. Les observations cliniques sont articulées à des cadres conceptuels et des approches cliniques émergentes. La vividité et l’étrangeté de certaines productions imaginaires à effet thérapeutique immédiat nous amènent à questionne","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 3","pages":"Article 100582"},"PeriodicalIF":1.9,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144750790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-23DOI: 10.1016/j.ejtd.2025.100583
Rimmel Ainad-Tabet, Rahma Nefzi
Introduction
Dissociative disorders often emerge as a response to early and persistent trauma, particularly in contexts of psychosocial and familial adversity.
Clinical observation
We present the case of a 50-year-old woman with a chronic dissociative disorder in a context marked by transgenerational trauma, family overload, and socioeconomic precarity. Symptoms included dissociative episodes, severe memory disturbances, regressive behaviors, and pseudodementia-like features.
Results
Neuropsychological assessments and medical investigations ruled out any neurodegenerative pathology. An integrative care approach — including psychiatric hospitalization, psychotherapeutic follow-up, and family support — led to a stabilization of dissociative episodes and improved functional autonomy.
Conclusion
This case highlights the importance of considering complex trauma and family history when assessing dissociative disorders. A global therapeutic strategy focused on psychological safety, emotional needs, and family engagement can foster a favorable clinical outcome.
Introduction
Les troubles dissociatifs apparaissent souvent en réponse à des traumatismes précoces et persistants, notamment dans des contextes socio-familiaux précaires.
Observation clinique
Nous présentons le cas d’une femme de 50 ans présentant un trouble dissociatif chronique, dans un contexte de traumatismes transgénérationnels, de surcharge familiale et de précarité psychosociale. Les symptômes incluent des absences, des troubles mnésiques sévères, des comportements régressifs et des signes pseudodémentiels.
Résultats
Le bilan neuropsychologique et les examens médicaux ont exclu une pathologie neurodégénérative. Une prise en charge intégrative, incluant une hospitalisation, un suivi psychothérapeutique et le soutien familial, a permis une stabilisation des épisodes dissociatifs et une amélioration de l’autonomie fonctionnelle.
Conclusion
Ce cas illustre l’importance de prendre en compte les facteurs traumatiques complexes et l’histoire familiale dans l’évaluation des troubles dissociatifs. Une approche globale centrée sur la sécurité psychique, le soutien familial et la reconnaissance des besoins affectifs permet une évolution favorable.
解离性障碍通常是对早期和持续性创伤的反应，特别是在社会心理和家庭逆境的背景下。临床观察：我们报告一名患有慢性分离性障碍的50岁女性，她的背景是跨代创伤、家庭负担过重和社会经济不稳定。症状包括分离性发作、严重记忆障碍、行为退化和假性痴呆样特征。结果神经心理学评估和医学检查排除任何神经退行性病理。综合护理方法——包括精神病住院治疗、心理治疗随访和家庭支持——导致分离发作的稳定和功能自主性的提高。结论本病例强调了在评估分离性障碍时考虑复杂创伤和家族史的重要性。注重心理安全、情感需求和家庭参与的整体治疗策略可以促进良好的临床结果。简介：烦恼、解离、幻影、记忆、心理障碍、心理创伤、心理障碍、心理障碍、心理障碍、心理障碍、心理障碍、心理障碍等。临床观察：原发性变性人患有慢性分离性人格障碍，变性人患有创伤性人格障碍，变性人患有家族性人格障碍，变性人患有社会心理障碍。假的symptômes包括假的缺席，假的麻烦，假的渡假的渡假，假的渡假的渡假的渡假。所有的神经心理学检查都不能排除神经病学上的病变。1次康复治疗，包括1次住院治疗、1次精神康复治疗、1次家庭康复治疗、1次康复治疗、1次康复治疗、1次康复治疗、1次康复治疗。结论：病例分析表明，人格障碍、创伤性情结、家族史、人格障碍和人格障碍对人格障碍的影响。一个approche整体展开的质量安全炸药psychique le soutien家族等la侦察des甚至affectifs允许一个进化有利。
{"title":"Trouble dissociatif complexe et régression dans un contexte de traumatisme transgénérationnel: Étude de cas clinique intégrative","authors":"Rimmel Ainad-Tabet, Rahma Nefzi","doi":"10.1016/j.ejtd.2025.100583","DOIUrl":"10.1016/j.ejtd.2025.100583","url":null,"abstract":"<div><h3>Introduction</h3><div>Dissociative disorders often emerge as a response to early and persistent trauma, particularly in contexts of psychosocial and familial adversity.</div></div><div><h3>Clinical observation</h3><div>We present the case of a 50-year-old woman with a chronic dissociative disorder in a context marked by transgenerational trauma, family overload, and socioeconomic precarity. Symptoms included dissociative episodes, severe memory disturbances, regressive behaviors, and pseudodementia-like features.</div></div><div><h3>Results</h3><div>Neuropsychological assessments and medical investigations ruled out any neurodegenerative pathology. An integrative care approach — including psychiatric hospitalization, psychotherapeutic follow-up, and family support — led to a stabilization of dissociative episodes and improved functional autonomy.</div></div><div><h3>Conclusion</h3><div>This case highlights the importance of considering complex trauma and family history when assessing dissociative disorders. A global therapeutic strategy focused on psychological safety, emotional needs, and family engagement can foster a favorable clinical outcome.</div></div><div><h3>Introduction</h3><div>Les troubles dissociatifs apparaissent souvent en réponse à des traumatismes précoces et persistants, notamment dans des contextes socio-familiaux précaires.</div></div><div><h3>Observation clinique</h3><div>Nous présentons le cas d’une femme de 50 ans présentant un trouble dissociatif chronique, dans un contexte de traumatismes transgénérationnels, de surcharge familiale et de précarité psychosociale. Les symptômes incluent des absences, des troubles mnésiques sévères, des comportements régressifs et des signes pseudodémentiels.</div></div><div><h3>Résultats</h3><div>Le bilan neuropsychologique et les examens médicaux ont exclu une pathologie neurodégénérative. Une prise en charge intégrative, incluant une hospitalisation, un suivi psychothérapeutique et le soutien familial, a permis une stabilisation des épisodes dissociatifs et une amélioration de l’autonomie fonctionnelle.</div></div><div><h3>Conclusion</h3><div>Ce cas illustre l’importance de prendre en compte les facteurs traumatiques complexes et l’histoire familiale dans l’évaluation des troubles dissociatifs. Une approche globale centrée sur la sécurité psychique, le soutien familial et la reconnaissance des besoins affectifs permet une évolution favorable.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 3","pages":"Article 100583"},"PeriodicalIF":1.9,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144724657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-17DOI: 10.1016/j.ejtd.2025.100579
Anna Gerge
Objective
To (i) describe how the deep brain reorienting (DBR) theory can be applied in understanding the development of dissociative identity disorder (DID) and (ii) describe the implementation of the DBR method in two single cases with clients with DID.
Methods
This study aimed to assess the effectiveness of deep brain reorienting psychotherapy (DBR) related to the DBR theory as a lens of understanding of the development and treatment of DID, exemplified with two single-case vignettes of clients presenting DID. In the first part of the paper, the theory of DBR is briefly discussed in relation to the development of DID, a condition where severe relational trauma and adjacent childhood traumatisation is hypothesized to be connected to the development of the symptomatology. In the second part, two single-case studies with two DID-clients diagnosed with SCID-D aim to provide initial evidence of how clients with DID experienced and responded to DBR therapy as part of longer phase specific therapies. The client of case I was treated with 30 DBR sessions and the client of case II was treated with 70 DBR sessions. Their pre- and post-DBR treatment measures consisted of instruments to measure PTSD and complex PTSD symptoms, psychoform and somatoform dissociation, general symptomatology, and access to positive states of mind. The outcome measures were assessed through percentage of nonoverlapping data (PND) a nonparametric measure used to assess the effectiveness of interventions in single-case experimental designs (SCEDs). The clients also provided verbal and written statements regarding their experiences during and after the DBR intervention.
Results
After the introduction of DBR in their therapies, when measured by the posttraumatic checklist (PCL-5), the international trauma questionnaire (ITQ), the somatoform dissociation questionnaire (SDQ-5), the Dissociative Experiences Scale II (DES-II), the DES-taxon (DES-T), the Symptom Checklist–90 revised (SCL–90-R), the symptomatology of client I was significantly lowered on all measures apart from the SDQ-5 when analysed with PND. For client II the measurements on PCL-5, SDQ-5 and SCL-90-R were significantly lowered. Their self-assessed positive states of mind, measured with the PSOM-scale, were heightened. Both clients expressed that DBR was a valuable treatment modality through their summarized verbal and written statements.
Conclusions
After 30 respectively during 70 DBR sessions, the clients' dissociation and comorbid symptoms decreased significantly, as measured by self-assessments measures and analysed with PND. Thus, a preliminary cautious enthusiasm is reasonable. Clients with DID may benefit from DBR. Future research is required to address generalizability to a larger population of dissociative clients. To examine whether DBR can be a treatment of choice for highly dissociative clients, includi
{"title":"The utilisation of deep brain reorienting (DBR) in the treatment of two clients with dissociative identity disorder (DID)","authors":"Anna Gerge","doi":"10.1016/j.ejtd.2025.100579","DOIUrl":"10.1016/j.ejtd.2025.100579","url":null,"abstract":"<div><h3>Objective</h3><div>To (i) describe how the deep brain reorienting (DBR) theory can be applied in understanding the development of dissociative identity disorder (DID) and (ii) describe the implementation of the DBR method in two single cases with clients with DID.</div></div><div><h3>Methods</h3><div>This study aimed to assess the effectiveness of deep brain reorienting psychotherapy (DBR) related to the DBR theory as a lens of understanding of the development and treatment of DID, exemplified with two single-case vignettes of clients presenting DID. In the first part of the paper, the theory of DBR is briefly discussed in relation to the development of DID, a condition where severe relational trauma and adjacent childhood traumatisation is hypothesized to be connected to the development of the symptomatology. In the second part, two single-case studies with two DID-clients diagnosed with SCID-D aim to provide initial evidence of how clients with DID experienced and responded to DBR therapy as part of longer phase specific therapies. The client of case I was treated with 30 DBR sessions and the client of case II was treated with 70 DBR sessions. Their pre- and post-DBR treatment measures consisted of instruments to measure PTSD and complex PTSD symptoms, psychoform and somatoform dissociation, general symptomatology, and access to positive states of mind. The outcome measures were assessed through percentage of nonoverlapping data (PND) a nonparametric measure used to assess the effectiveness of interventions in single-case experimental designs (SCEDs). The clients also provided verbal and written statements regarding their experiences during and after the DBR intervention.</div></div><div><h3>Results</h3><div>After the introduction of DBR in their therapies, when measured by the posttraumatic checklist (PCL-5), the international trauma questionnaire (ITQ), the somatoform dissociation questionnaire (SDQ-5), the Dissociative Experiences Scale II (DES-II), the DES-taxon (DES-T), the Symptom Checklist–90 revised (SCL–90-R), the symptomatology of client I was significantly lowered on all measures apart from the SDQ-5 when analysed with PND. For client II the measurements on PCL-5, SDQ-5 and SCL-90-R were significantly lowered. Their self-assessed positive states of mind, measured with the PSOM-scale, were heightened. Both clients expressed that DBR was a valuable treatment modality through their summarized verbal and written statements.</div></div><div><h3>Conclusions</h3><div>After 30 respectively during 70 DBR sessions, the clients' dissociation and comorbid symptoms decreased significantly, as measured by self-assessments measures and analysed with PND. Thus, a preliminary cautious enthusiasm is reasonable. Clients with DID may benefit from DBR. Future research is required to address generalizability to a larger population of dissociative clients. To examine whether DBR can be a treatment of choice for highly dissociative clients, includi","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 3","pages":"Article 100579"},"PeriodicalIF":2.0,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144696642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-16DOI: 10.1016/j.ejtd.2025.100581
Tamini Soondrum , Jie Fan , Feng Gao , Xiang Wang , Qian Liu , Yao Liu , Jingjie Lu , Quanhao Yu , Hongyu Du , Xiongzhao Zhu
Background
Previous studies have shown that social impairments such as Theory of Mind (ToM) may be influenced by childhood trauma (CT), however the extent to which CT influence ToM ability, and whether OCD patients with CT are more vulnerable to ToM deficits than healthy controls (HC) have never been established. Therefore, this study attempts to understand the effect of CT on ToM ability in OCD.
Methods
81 OCD patients and 108 healthy controls were included in this study. ToM deficits were assessed on four dimensions, namely first and second order affective and cognitive ToM. The effect of CT on ToM deficits was assessed using the 2 × 2 Analysis of Covariance (ANCOVAs) and the hierarchical regression.
Results
Simple effect analysis revealed a positive effect of CT>No CT in OCD and effect of OCD>HC in CT for both affective and cognitive second-order ToM deficits. Within the OCD group, emotional abuse was found to have an effect on affective ToM deficits (p = .028) and sexual abuse on cognitive ToM deficits (p = .040).
Conclusions
Only OCD patients with CT showed deficits on second order cognitive and affective ToM and emotional and sexual abuse were the most influential CT subtypes on second-order ToM deficits in OCD.
{"title":"Childhood trauma is associated with theory of mind deficits in obsessive-compulsive disorder","authors":"Tamini Soondrum , Jie Fan , Feng Gao , Xiang Wang , Qian Liu , Yao Liu , Jingjie Lu , Quanhao Yu , Hongyu Du , Xiongzhao Zhu","doi":"10.1016/j.ejtd.2025.100581","DOIUrl":"10.1016/j.ejtd.2025.100581","url":null,"abstract":"<div><h3>Background</h3><div>Previous studies have shown that social impairments such as Theory of Mind (ToM) may be influenced by childhood trauma (CT), however the extent to which CT influence ToM ability, and whether OCD patients with CT are more vulnerable to ToM deficits than healthy controls (HC) have never been established. Therefore, this study attempts to understand the effect of CT on ToM ability in OCD.</div></div><div><h3>Methods</h3><div>81 OCD patients and 108 healthy controls were included in this study. ToM deficits were assessed on four dimensions, namely first and second order affective and cognitive ToM. The effect of CT on ToM deficits was assessed using the 2 × 2 Analysis of Covariance (ANCOVAs) and the hierarchical regression.</div></div><div><h3>Results</h3><div>Simple effect analysis revealed a positive effect of CT>No CT in OCD and effect of OCD>HC in CT for both affective and cognitive second-order ToM deficits. Within the OCD group, emotional abuse was found to have an effect on affective ToM deficits (<em>p</em> = .028) and sexual abuse on cognitive ToM deficits (<em>p</em> = .040).</div></div><div><h3>Conclusions</h3><div>Only OCD patients with CT showed deficits on second order cognitive and affective ToM and emotional and sexual abuse were the most influential CT subtypes on second-order ToM deficits in OCD.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 3","pages":"Article 100581"},"PeriodicalIF":2.0,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144687496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The ongoing war in Ukraine has triggered a large-scale humanitarian crisis, severely affecting the structure and well-being of families. The disruption of family roles, prolonged separation, and psychological trauma have created long-term consequences for both adults and children.
Objective
The aim of this study was to identify the key consequences of the humanitarian crisis for Ukrainian families and to develop evidence-based recommendations for psychosocial support.
Method
The research combined a survey of families affected by the war in Ukraine with a content analysis of relevant literature. The sample included families who directly experienced the impact of displacement, loss, and social instability.
Results
The study revealed significant changes in family dynamics, including role confusion due to loss of employment or physical injury, emotional disconnection caused by prolonged separation, and an increased risk of relationship breakdown. Children were identified as particularly vulnerable, with symptoms such as emotional instability, academic decline, and, in some cases, severe psychological disorders. Post-traumatic stress disorder (PTSD) emerged as a central challenge, influencing communication patterns, emotional availability, and behavior within families. The study also systematized effective technologies for crisis recovery, including individual and family therapy, online counseling, and the use of digital self-help tools.
Conclusion
The findings highlight the urgent need for targeted psychosocial interventions for families affected by war. Practical recommendations include the development of adaptable support programmes that address trauma, preserve family cohesion, and promote emotional resilience across different family structures.
{"title":"Impact of crisis events on the family and technologies of psychological support to overcome the consequences","authors":"Tetiana Pashko , Olesia Tovstukha , Liliia Chernovska , Inessa Serhieieva , Olha Chumak","doi":"10.1016/j.ejtd.2025.100580","DOIUrl":"10.1016/j.ejtd.2025.100580","url":null,"abstract":"<div><h3>Background</h3><div>The ongoing war in Ukraine has triggered a large-scale humanitarian crisis, severely affecting the structure and well-being of families. The disruption of family roles, prolonged separation, and psychological trauma have created long-term consequences for both adults and children.</div></div><div><h3>Objective</h3><div>The aim of this study was to identify the key consequences of the humanitarian crisis for Ukrainian families and to develop evidence-based recommendations for psychosocial support.</div></div><div><h3>Method</h3><div>The research combined a survey of families affected by the war in Ukraine with a content analysis of relevant literature. The sample included families who directly experienced the impact of displacement, loss, and social instability.</div></div><div><h3>Results</h3><div>The study revealed significant changes in family dynamics, including role confusion due to loss of employment or physical injury, emotional disconnection caused by prolonged separation, and an increased risk of relationship breakdown. Children were identified as particularly vulnerable, with symptoms such as emotional instability, academic decline, and, in some cases, severe psychological disorders. Post-traumatic stress disorder (PTSD) emerged as a central challenge, influencing communication patterns, emotional availability, and behavior within families. The study also systematized effective technologies for crisis recovery, including individual and family therapy, online counseling, and the use of digital self-help tools.</div></div><div><h3>Conclusion</h3><div>The findings highlight the urgent need for targeted psychosocial interventions for families affected by war. Practical recommendations include the development of adaptable support programmes that address trauma, preserve family cohesion, and promote emotional resilience across different family structures.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 3","pages":"Article 100580"},"PeriodicalIF":2.0,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144662077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-07DOI: 10.1016/j.ejtd.2025.100576
Virginie Dhaese
Introduction
Cet article propose une réflexion clinique sur l’articulation entre la thérapie des États du Moi (TEM) et la thérapie E.M.D.R (Eye Movement Desensitization and Reprocessing) dans le cadre de l’accompagnement d’un enfant adopté et de sa famille. Il explore l’impact potentiel des mémoires implicites non intégrées, susceptibles de fragiliser le système intra-individuel de l’enfant ainsi que les dynamiques systémiques intrafamiliales.
Méthode:
A travers une approche intégrative, le cas clinique de Meghan et sa famille illustre comment la combinaison de la thérapie E.M.D.R et la TEM peuvent soutenir, de manière complémentaire, les processus de stabilisation, de réparation des liens intra et interindividuels, ainsi que l’intégration des expériences précoces traumatiques.
Résultat
L’intégration des mémoires implicites permet à Meghan de se libérer des comportements et émotions débordantes qu’elle vit avec une forme de « soudaineté » et une intensité non contrôlée. Elle peut, ainsi, mobiliser les ressources pour s’autoréguler, mieux appréhender les relations avec les autres et avec elle-même.
Conclusion
Le travail thérapeutique mené avec l’enfant et sa famille, à travers l’E.M.D.R et la TEM, semble encourager un processus d’intégration des expériences traumatiques précoces. Cette dynamique se manifeste notamment par une cohérence autobiographique narrative intra-et inter-individuelle, d’une part et une régulation émotionnelle, plus adaptée, à l’ici et le maintenant.
{"title":"Le retraitement des mémoires implicites dans la prise en charge de l’enfant adopté et sa famille: regards croisés de la thérapie des États du moi et de l’EMDR","authors":"Virginie Dhaese","doi":"10.1016/j.ejtd.2025.100576","DOIUrl":"10.1016/j.ejtd.2025.100576","url":null,"abstract":"<div><h3>Introduction</h3><div>Cet article propose une réflexion clinique sur l’articulation entre la thérapie des États du Moi (TEM) et la thérapie E.M.D.R (Eye Movement Desensitization and Reprocessing) dans le cadre de l’accompagnement d’un enfant adopté et de sa famille. Il explore l’impact potentiel des mémoires implicites non intégrées, susceptibles de fragiliser le système intra-individuel de l’enfant ainsi que les dynamiques systémiques intrafamiliales.</div></div><div><h3>Méthode:</h3><div>A travers une approche intégrative, le cas clinique de Meghan et sa famille illustre comment la combinaison de la thérapie E.M.D.R et la TEM peuvent soutenir, de manière complémentaire, les processus de stabilisation, de réparation des liens intra et interindividuels, ainsi que l’intégration des expériences précoces traumatiques.</div></div><div><h3>Résultat</h3><div>L’intégration des mémoires implicites permet à Meghan de se libérer des comportements et émotions débordantes qu’elle vit avec une forme de « soudaineté » et une intensité non contrôlée. Elle peut, ainsi, mobiliser les ressources pour s’autoréguler, mieux appréhender les relations avec les autres et avec elle-même.</div></div><div><h3>Conclusion</h3><div>Le travail thérapeutique mené avec l’enfant et sa famille, à travers l’E.M.D.R et la TEM, semble encourager un processus d’intégration des expériences traumatiques précoces. Cette dynamique se manifeste notamment par une cohérence autobiographique narrative intra-et inter-individuelle, d’une part et une régulation émotionnelle, plus adaptée, à l’ici et le maintenant.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 3","pages":"Article 100576"},"PeriodicalIF":2.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144665956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study examines the detention, torture, and mistreatment of Palestinians following the events of October 7, 2023. The research involved 30 male detainees from Gaza. By July 2024, the number of detainees had doubled within a year, highlighting the Israeli deliberate strategy to suppress Palestinian resistance and instill pervasive fear among Palestinians. This research analyzes the physical and psychological abuse inflicted on detainees, including sexual violence, sensory deprivation, and prolonged isolation. Furthermore, the study explores the secondary trauma experienced by detainees' families, exacerbating social and economic pressures within Palestinian communities. Despite substantial evidence of human rights violations, international responses remain inadequate, allowing these Israeli abuses of Palestinian detainees to continue unchecked. However, the resilience of detainees through various coping mechanisms, such as community support and personal resilience strategies, offers a glimpse of hope. This research highlights the urgent need for enhanced international intervention, comprehensive mental health support, and robust accountability measures to address and mitigate the enduring trauma and genocidal actions perpetrated through arbitrary detention and torture in Gaza.
{"title":"Detention and psychological trauma during Gazacide: A qualitative study","authors":"Bilal Hamamra , Fayez Mahamid , Dana Bdier , Asala Mayaleh","doi":"10.1016/j.ejtd.2025.100575","DOIUrl":"10.1016/j.ejtd.2025.100575","url":null,"abstract":"<div><div>This study examines the detention, torture, and mistreatment of Palestinians following the events of October 7, 2023. The research involved 30 male detainees from Gaza. By July 2024, the number of detainees had doubled within a year, highlighting the Israeli deliberate strategy to suppress Palestinian resistance and instill pervasive fear among Palestinians. This research analyzes the physical and psychological abuse inflicted on detainees, including sexual violence, sensory deprivation, and prolonged isolation. Furthermore, the study explores the secondary trauma experienced by detainees' families, exacerbating social and economic pressures within Palestinian communities. Despite substantial evidence of human rights violations, international responses remain inadequate, allowing these Israeli abuses of Palestinian detainees to continue unchecked. However, the resilience of detainees through various coping mechanisms, such as community support and personal resilience strategies, offers a glimpse of hope. This research highlights the urgent need for enhanced international intervention, comprehensive mental health support, and robust accountability measures to address and mitigate the enduring trauma and genocidal actions perpetrated through arbitrary detention and torture in Gaza.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 3","pages":"Article 100575"},"PeriodicalIF":2.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144597015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-03DOI: 10.1016/j.ejtd.2025.100573
Beatriz Barbas Marques Pereira , Ana Catarina Nunes da Silva
The research on trauma has focused on the negative impact of potentially traumatic events (PTEs) and its treatment. However, recent research has shed light on other possible trajectories after a person has experienced a PTE. One of the least studied of those trajectories is recovery without therapy or pharmacology.
This qualitative research explores how this trajectory is experienced and perceived, with particular attention to the factors that participants identify as having significantly influenced their recovery.
Eleven participants were interviewed. Data was analyzed using thematic analysis, and three main domains emerged: (1) Traumatic Event, (2) Process of recovery and (3) After recovery. Participants identified twenty-four factors that contributes positively to the recovery, some of the most mentioned were Social Support, Strong need to go back to normal life, believing that they are going to get better.
Prevent and be better prepared if it happens again, informing about trauma and how to recover, Distraction and Time without stressors to process the Traumatic Event. Seven factors that contributed negatively to the recovery were also described, the most referred was Negative reactions when sharing the traumatic event.
This result contributes to a deeper understanding of the trauma victims experience, as well as the recognition of the individuals’ adaptive resources. It can inform the identification and enhancement of resources that support the prevention and support of trauma survivors.
{"title":"Trajectories of spontaneous trauma recovery","authors":"Beatriz Barbas Marques Pereira , Ana Catarina Nunes da Silva","doi":"10.1016/j.ejtd.2025.100573","DOIUrl":"10.1016/j.ejtd.2025.100573","url":null,"abstract":"<div><div>The research on trauma has focused on the negative impact of potentially traumatic events (PTEs) and its treatment. However, recent research has shed light on other possible trajectories after a person has experienced a PTE. One of the least studied of those trajectories is recovery without therapy or pharmacology.</div><div>This qualitative research explores how this trajectory is experienced and perceived, with particular attention to the factors that participants identify as having significantly influenced their recovery.</div><div>Eleven participants were interviewed. Data was analyzed using thematic analysis, and three main domains emerged: (1) Traumatic Event, (2) Process of recovery and (3) After recovery. Participants identified twenty-four factors that contributes positively to the recovery, some of the most mentioned were Social Support, Strong need to go back to normal life, believing that they are going to get better.</div><div>Prevent and be better prepared if it happens again, informing about trauma and how to recover, Distraction and Time without stressors to process the Traumatic Event. Seven factors that contributed negatively to the recovery were also described, the most referred was Negative reactions when sharing the traumatic event.</div><div>This result contributes to a deeper understanding of the trauma victims experience, as well as the recognition of the individuals’ adaptive resources. It can inform the identification and enhancement of resources that support the prevention and support of trauma survivors.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 3","pages":"Article 100573"},"PeriodicalIF":2.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144655448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-03DOI: 10.1016/j.ejtd.2025.100578
Gaëlle Rached , Dimitri Fiani , Muriel Slim , Serena-Maria Dib , Alfred Chabbouh , Margarita Abi Zeid Daou , Souraya Torbey
The Beirut explosion on August 4, 2020, was one of the most powerful explosions in history. Research on expatriate populations is limited in general and there have been no investigations into the impact of the explosion on expatriate mental health. Our goal is to investigate the symptoms of anxiety, depression, and post-traumatic stress disorder (PTSD) in Lebanese expatriates following the Beirut explosion. The survey study included 1117 participants recruited nine months after the explosion. Participants completed the Hopkins Symptoms Checklist (HSCL-25) to screen for anxiety and depression and the PTSD Checklist for DSM-5 (PCL-5) to assess the prevalence of PTSD. Of the 670 participants eligible, 41.2 % scored above the threshold for symptomatic anxiety and depression. Younger age, female sex, and presence in Lebanon during the explosion were associated with higher HSCL-25 scores. Of the 268 participants who completed the PCL-5, 57.5 % screened positive for probable PTSD. Female sex, younger age, and perceiving the explosion as intentional were associated with higher PCL-5 scores. Expatriates are prone to developing psychiatric symptoms following a traumatic event in their home country, regardless of direct exposure to the trauma or the length of time since they left their home country.
{"title":"High incidence of trauma-related psychopathology in Lebanese expatriates after the Beirut explosion","authors":"Gaëlle Rached , Dimitri Fiani , Muriel Slim , Serena-Maria Dib , Alfred Chabbouh , Margarita Abi Zeid Daou , Souraya Torbey","doi":"10.1016/j.ejtd.2025.100578","DOIUrl":"10.1016/j.ejtd.2025.100578","url":null,"abstract":"<div><div>The Beirut explosion on August 4, 2020, was one of the most powerful explosions in history. Research on expatriate populations is limited in general and there have been no investigations into the impact of the explosion on expatriate mental health. Our goal is to investigate the symptoms of anxiety, depression, and post-traumatic stress disorder (PTSD) in Lebanese expatriates following the Beirut explosion. The survey study included 1117 participants recruited nine months after the explosion. Participants completed the Hopkins Symptoms Checklist (HSCL-25) to screen for anxiety and depression and the PTSD Checklist for DSM-5 (PCL-5) to assess the prevalence of PTSD. Of the 670 participants eligible, 41.2 % scored above the threshold for symptomatic anxiety and depression. Younger age, female sex, and presence in Lebanon during the explosion were associated with higher HSCL-25 scores. Of the 268 participants who completed the PCL-5, 57.5 % screened positive for probable PTSD. Female sex, younger age, and perceiving the explosion as intentional were associated with higher PCL-5 scores. Expatriates are prone to developing psychiatric symptoms following a traumatic event in their home country, regardless of direct exposure to the trauma or the length of time since they left their home country.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 3","pages":"Article 100578"},"PeriodicalIF":2.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144605416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-03DOI: 10.1016/j.ejtd.2025.100577
Runa Dawood , Amanda Zambon Marques da Silva , Ana Dulce Collado Vasques Marques dos Reis
It is important to measure the impact of psychological trauma within mental health services designed to treat individuals after traumatic experiences. However, there are challenges in capturing the impact of trauma and the recovery from it accurately whilst also considering patient preferences and expectations. This study aims to explore the range of pre-existing outcome measures of trauma symptomatology and determine the relative prevalence of these measures within related research. This is addressed through systematically searching literature for outcome measures available in the assessment of psychological trauma symptomatology across adult mental health populations. Databases Medline, CINAHL and PsychInfo were searched to find papers that described the use of measures within psychological trauma-specific outcome research. 228 articles were found after the exclusion criteria were applied. The most prevalence trauma-specific outcome measures utilised within the evidence base were versions of the Post-Traumatic Disorder Checklist (PCL) and the Clinician Administered PTSD Scale (CAPS). Non-trauma specific measures were also identified within this sample. This paper lists both trauma-specific and non-trauma specific measures found in order of prevalence. Consideration is given to the most frequent measures found. These findings provide insight into gold-standard measures for services wishing to implement outcome measures that will meaningfully capture recovery amongst trauma survivors.
Practitioner points
• The impact of trauma has challenges in its conceptualisation and measurement, and additional attention is needed to ensure that services are capturing helpful treatment outcomes.
• Key measures used within trauma-specific research include gold standard PTSD and CPTSD measures as well as non-specific trauma measures.
• Reviewing the measures most used in trauma research highlights the areas of most critical change within recovery after trauma therapy and therefore provides valuable insights into how service evaluation can capture meaningful change.
{"title":"A literature search of psychological trauma related outcome measures for adult mental health services","authors":"Runa Dawood , Amanda Zambon Marques da Silva , Ana Dulce Collado Vasques Marques dos Reis","doi":"10.1016/j.ejtd.2025.100577","DOIUrl":"10.1016/j.ejtd.2025.100577","url":null,"abstract":"<div><div>It is important to measure the impact of psychological trauma within mental health services designed to treat individuals after traumatic experiences. However, there are challenges in capturing the impact of trauma and the recovery from it accurately whilst also considering patient preferences and expectations. This study aims to explore the range of pre-existing outcome measures of trauma symptomatology and determine the relative prevalence of these measures within related research. This is addressed through systematically searching literature for outcome measures available in the assessment of psychological trauma symptomatology across adult mental health populations. Databases Medline, CINAHL and PsychInfo were searched to find papers that described the use of measures within psychological trauma-specific outcome research. 228 articles were found after the exclusion criteria were applied. The most prevalence trauma-specific outcome measures utilised within the evidence base were versions of the Post-Traumatic Disorder Checklist (PCL) and the Clinician Administered PTSD Scale (CAPS). Non-trauma specific measures were also identified within this sample. This paper lists both trauma-specific and non-trauma specific measures found in order of prevalence. Consideration is given to the most frequent measures found. These findings provide insight into gold-standard measures for services wishing to implement outcome measures that will meaningfully capture recovery amongst trauma survivors.</div><div>Practitioner points</div><div>• The impact of trauma has challenges in its conceptualisation and measurement, and additional attention is needed to ensure that services are capturing helpful treatment outcomes.</div><div>• Key measures used within trauma-specific research include gold standard PTSD and CPTSD measures as well as non-specific trauma measures.</div><div>• Reviewing the measures most used in trauma research highlights the areas of most critical change within recovery after trauma therapy and therefore provides valuable insights into how service evaluation can capture meaningful change.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 3","pages":"Article 100577"},"PeriodicalIF":2.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144588628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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