Pub Date : 2025-09-01Epub Date: 2025-06-09DOI: 10.1016/j.ejtd.2025.100567
Adriana Gutiv , Jérémie Mattatia
Case presentation
Sexual Assaults (SA) frequently lead to post-traumatic stress disorder (PTSD), with psychological and physical repercussions. This case report describes the effect of osteopathic treatment in regulating these symptoms in a woman who reported having been the victim of several assaults.
Materials and methods
The patient received five osteopathic treatments in response to neck and shoulder pain, nocturnal bruxism, sleep disorders, headaches and various musculoskeletal pains that the patient correlated chronologically with her various episodes of sexual and physical aggression.
Results
A significant improvement was observed in this patient using the PCL-5 scale. The patient also showed a marked improvement in her various somatic symptoms from the third consultation onwards.
Discussion
Osteopathy could be considered as a complementary, non-substitutive approach to psychological care. Several studies relating to PTSD have highlighted the added value of a bodily approach in helping patients progress towards recovery. This therapy has already been the subject of clinical cases with similar results in the context of war trauma.
Conclusion
The osteopathic approach could be a valuable aid in the management of post-traumatic stress linked to sexual assault. It notably could be a means of evoking in a different way the various physical sufferings that are sometimes imperceptible to imaging and to the various medical physical examinations.
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Pub Date : 2025-09-01Epub 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":"2025-09-01","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 : 2025-09-01Epub Date: 2025-06-08DOI: 10.1016/j.ejtd.2025.100563
Alexandra Tamiolaki , Argyroula Kalaitzaki
The COVID-19 pandemic, a highly challenging life experience, may also be a chance for posttraumatic growth (PTG). This scoping review aimed to summarise the available evidence on PTG among children and adolescents induced by COVID-19 by reporting rates and identifying potential influencing factors. The literature search yielded twenty-one articles from eleven countries which were eventually included. Findings revealed heterogenous PTG prevalence rates, ranging from low to moderate/high, and scattered facilitators, including socio-demographic, psychological, and COVID-19-related factors, with relational factors (i.e., social support) consistently highlighted. Gaps in the literature were also identified, with the lack of robust longitudinal studies and the exploration of the illusory PTG being fundamental. These findings can inform public health authorities, policymakers, and clinicians to design and implement interventions to promote children's and adolescents’ growth in times of similar crises.
{"title":"Posttraumatic growth in children and adolescents induced by the COVID-19 pandemic: A scoping review","authors":"Alexandra Tamiolaki , Argyroula Kalaitzaki","doi":"10.1016/j.ejtd.2025.100563","DOIUrl":"10.1016/j.ejtd.2025.100563","url":null,"abstract":"<div><div>The COVID-19 pandemic, a highly challenging life experience, may also be a chance for posttraumatic growth (PTG). This scoping review aimed to summarise the available evidence on PTG among children and adolescents induced by COVID-19 by reporting rates and identifying potential influencing factors. The literature search yielded twenty-one articles from eleven countries which were eventually included. Findings revealed heterogenous PTG prevalence rates, ranging from low to moderate/high, and scattered facilitators, including socio-demographic, psychological, and COVID-19-related factors, with relational factors (i.e., social support) consistently highlighted. Gaps in the literature were also identified, with the lack of robust longitudinal studies and the exploration of the illusory PTG being fundamental. These findings can inform public health authorities, policymakers, and clinicians to design and implement interventions to promote children's and adolescents’ growth in times of similar crises.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 3","pages":"Article 100563"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144291427","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}
Russia’s full-scale invasion of Ukraine has led to an unprecedented need for effective psychosocial support methods for refugees, most of whom are women and children.
Objective
The aim of this study was to systematise the experience of psychosocial support professionals to create a comprehensive support system for Ukrainian refugees.
Method
Based on in-depth interviews with 30 experts working with refugees in Poland, Germany and Norway, the study examined the specifics of providing psychological assistance at different stages of adaptation.
Results
The study showed the dynamics of refugees’ psychological states during displacement: from the acute phase in the war zone, through the period of evacuation and arrival at a new place, to the stage of adaptation six months after resettlement. Experts identified methods of work at each stage and outlined nine main categories of psychological assistance. A comprehensive mentoring programme was developed, taking into account the specifics of working with different age groups and the socio-cultural characteristics of the host countries. Based on the analysis of expert experience, a structured system of psychological support for refugees was created, with specific recommendations on the use of various methods.
Conclusion
The practical significance of the study lies in the development of a training programme for specialists in the field of psychosocial assistance and the implementation of a differentiated approach to working with refugees at different stages of adaptation.
{"title":"Psychological methods and techniques for overcoming the emotional state of refugees (mothers, children, and adolescents) fleeing war","authors":"Svitlana Khadzhyradieva , Marianna Todorova , Mariana Palchynska","doi":"10.1016/j.ejtd.2025.100555","DOIUrl":"10.1016/j.ejtd.2025.100555","url":null,"abstract":"<div><h3>Background</h3><div>Russia’s full-scale invasion of Ukraine has led to an unprecedented need for effective psychosocial support methods for refugees, most of whom are women and children.</div></div><div><h3>Objective</h3><div>The aim of this study was to systematise the experience of psychosocial support professionals to create a comprehensive support system for Ukrainian refugees.</div></div><div><h3>Method</h3><div>Based on in-depth interviews with 30 experts working with refugees in Poland, Germany and Norway, the study examined the specifics of providing psychological assistance at different stages of adaptation.</div></div><div><h3>Results</h3><div>The study showed the dynamics of refugees’ psychological states during displacement: from the acute phase in the war zone, through the period of evacuation and arrival at a new place, to the stage of adaptation six months after resettlement. Experts identified methods of work at each stage and outlined nine main categories of psychological assistance. A comprehensive mentoring programme was developed, taking into account the specifics of working with different age groups and the socio-cultural characteristics of the host countries. Based on the analysis of expert experience, a structured system of psychological support for refugees was created, with specific recommendations on the use of various methods.</div></div><div><h3>Conclusion</h3><div>The practical significance of the study lies in the development of a training programme for specialists in the field of psychosocial assistance and the implementation of a differentiated approach to working with refugees at different stages of adaptation.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 3","pages":"Article 100555"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144223621","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":"2025-09-01","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 : 2025-09-01Epub Date: 2025-07-17DOI: 10.1016/j.ejtd.2025.100579
Anna Gerge
<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
{"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":"2025-09-01","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}
This comprehensive study delves into the effectiveness of Hibuki therapy, a unique psychological intervention blending psychoanalytic principles and art therapy techniques, in supporting children who have suffered trauma due to the ongoing war in Ukraine. In this comprehensive study conducted from September 2022 to March 2023, we evaluated the efficacy of Hibuki therapy across a diverse cohort of 400 Ukrainian children, each affected by PTSD due to the war in Ukraine. These children, representing a wide range of regions within Ukraine, were methodically divided into two groups: a control group and an experimental group, with each group consisting of 200 children. The study scrutinizes the impact of Hibuki therapy, a psychological intervention uniquely combining psychoanalytic principles with art therapy techniques. This approach was specifically tailored to assist children who have endured the trauma associated with the ongoing conflict. By integrating sensory integration and other neuropsychological methods, the study enhanced the scope of traditional art therapy to address the complex needs more effectively of traumatized children. Our findings indicate significant progress in the children's emotional expression, stress management capabilities, and social engagement. These improvements highlight the potential of Hibuki therapy as an efficacious tool in aiding the trauma recovery process. Crucially, the involvement of parents emerged as a pivotal factor in the healing journey, emphasizing the necessity of a supportive and nurturing environment. The study underscores the value of bespoke therapy approaches that acknowledge the varied responses and healing trajectories of children. These insights make a substantial contribution to the ongoing discourse in child-centered, innovative, and holistic trauma therapy approaches, especially pertinent in areas plagued by conflict. The outcomes of this research pave the way for developing adaptable, culturally attuned trauma therapies, emphasizing the importance of continuous innovation in child psychology and trauma treatment methods.
{"title":"Hibuki therapy as a method of psychological support for war trauma in Ukrainian children","authors":"Dafna Maksimov Sharon , Tetiana Melnychuk , Lesia Inzhyievska , Alona Sadykina , Valeriia Shynkarova","doi":"10.1016/j.ejtd.2025.100546","DOIUrl":"10.1016/j.ejtd.2025.100546","url":null,"abstract":"<div><div>This comprehensive study delves into the effectiveness of Hibuki therapy, a unique psychological intervention blending psychoanalytic principles and art therapy techniques, in supporting children who have suffered trauma due to the ongoing war in Ukraine. In this comprehensive study conducted from September 2022 to March 2023, we evaluated the efficacy of Hibuki therapy across a diverse cohort of 400 Ukrainian children, each affected by PTSD due to the war in Ukraine. These children, representing a wide range of regions within Ukraine, were methodically divided into two groups: a control group and an experimental group, with each group consisting of 200 children. The study scrutinizes the impact of Hibuki therapy, a psychological intervention uniquely combining psychoanalytic principles with art therapy techniques. This approach was specifically tailored to assist children who have endured the trauma associated with the ongoing conflict. By integrating sensory integration and other neuropsychological methods, the study enhanced the scope of traditional art therapy to address the complex needs more effectively of traumatized children. Our findings indicate significant progress in the children's emotional expression, stress management capabilities, and social engagement. These improvements highlight the potential of Hibuki therapy as an efficacious tool in aiding the trauma recovery process. Crucially, the involvement of parents emerged as a pivotal factor in the healing journey, emphasizing the necessity of a supportive and nurturing environment. The study underscores the value of bespoke therapy approaches that acknowledge the varied responses and healing trajectories of children. These insights make a substantial contribution to the ongoing discourse in child-centered, innovative, and holistic trauma therapy approaches, especially pertinent in areas plagued by conflict. The outcomes of this research pave the way for developing adaptable, culturally attuned trauma therapies, emphasizing the importance of continuous innovation in child psychology and trauma treatment methods.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 3","pages":"Article 100546"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144099706","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 : 2025-09-01Epub Date: 2025-06-03DOI: 10.1016/j.ejtd.2025.100562
Cyril Tarquinio
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Pub Date : 2025-09-01Epub Date: 2025-06-08DOI: 10.1016/j.ejtd.2025.100566
Nicholas A. Pierorazio , Jerrica L. Robertson , Briana L. Snyder , Bethany L. Brand , Hygge J. Schielke , Ruth A. Lanius
The Finding Solid Ground program is a psychoeducational program that is grounded in research on individuals with complex trauma histories and dissociative symptoms, experiences that can be distressing and impairing. A randomized controlled trial examining the use of the Finding Solid Ground program in conjunction with individual therapy found the program to outperform individual therapy alone and have large effect sizes after one year (Brand et al., 2025). The current study investigated interim qualitative data from clients who participated in the randomized controlled trial. The primary aim of this study was to understand clients’ experiences of the Finding Solid Ground program. In the current study, we conducted a deductive content analysis using Pierorazio et al.’s (2024) framework for coding. Results revealed that clients experienced the components of the Finding Solid Ground program as helpful (i.e., its content and structure). They experienced improved therapeutic processes (i.e., increased sense of connection, receiving empathy, contributing to something larger, and improved therapeutic work) and outcomes (i.e., increased insight, hope, self-compassion, safety, and functioning). These findings are consistent with clients’ experiences of an earlier version of the Finding Solid Ground program and suggest that the program facilitates helpful processes and outcomes when used as an adjunct to individual psychotherapy. This research is positioned in dialogue with promising quantitative results from the Finding Solid Ground randomized controlled trial (Brand et al., 2025). Together, this study and other research on the Finding Solid Ground program suggest therapists can use the program to promote clients’ healing from complex trauma and dissociation.
“寻找坚实基础”项目是一个心理教育项目,它基于对具有复杂创伤史和分离症状的个体的研究,这些个体的经历可能是痛苦和损害的。一项随机对照试验检查了“寻找坚实基础”项目与个体治疗相结合的使用情况,发现该项目在一年后的效果优于单独的个体治疗,并且效果显著(Brand et al., 2025)。目前的研究调查了参与随机对照试验的客户的中期定性数据。本研究的主要目的是了解客户对“寻找坚实基础”项目的体验。在目前的研究中,我们使用Pierorazio等人(2024)的编码框架进行了演绎内容分析。结果显示,客户体验到“寻找坚实基础”项目的组成部分是有帮助的(即,它的内容和结构)。他们经历了改善的治疗过程(即,增加了联系感,接受同情,为更大的事情做出贡献,改善了治疗工作)和结果(即,增加了洞察力,希望,自我同情,安全和功能)。这些发现与客户对早期“寻找坚实基础”项目的体验一致,并表明该项目作为个人心理治疗的辅助手段,有助于促进有益的过程和结果。这项研究定位于与“寻找坚实基础”随机对照试验(Brand et al., 2025)中有希望的定量结果对话。总之,这项研究和其他关于寻找坚实基础项目的研究表明,治疗师可以使用该项目来促进客户从复杂的创伤和分离中康复。
{"title":"Helpful aspects of a psychoeducational program for individuals with complex dissociation: An update for the Finding Solid Ground program","authors":"Nicholas A. Pierorazio , Jerrica L. Robertson , Briana L. Snyder , Bethany L. Brand , Hygge J. Schielke , Ruth A. Lanius","doi":"10.1016/j.ejtd.2025.100566","DOIUrl":"10.1016/j.ejtd.2025.100566","url":null,"abstract":"<div><div>The <em>Finding Solid Ground</em> program is a psychoeducational program that is grounded in research on individuals with complex trauma histories and dissociative symptoms, experiences that can be distressing and impairing. A randomized controlled trial examining the use of the <em>Finding Solid Ground</em> program in conjunction with individual therapy found the program to outperform individual therapy alone and have large effect sizes after one year (Brand et al., 2025). The current study investigated interim qualitative data from clients who participated in the randomized controlled trial. The primary aim of this study was to understand clients’ experiences of the <em>Finding Solid Ground</em> program. In the current study, we conducted a deductive content analysis using Pierorazio et al.’s (2024) framework for coding. Results revealed that clients experienced the components of the <em>Finding Solid Ground</em> program as helpful (i.e., its content and structure). They experienced improved therapeutic processes (i.e., increased sense of connection, receiving empathy, contributing to something larger, and improved therapeutic work) and outcomes (i.e., increased insight, hope, self-compassion, safety, and functioning). These findings are consistent with clients’ experiences of an earlier version of the <em>Finding Solid Ground</em> program and suggest that the program facilitates helpful processes and outcomes when used as an adjunct to individual psychotherapy. This research is positioned in dialogue with promising quantitative results from the <em>Finding Solid Ground</em> randomized controlled trial (Brand et al., 2025). Together, this study and other research on the <em>Finding Solid Ground</em> program suggest therapists can use the program to promote clients’ healing from complex trauma and dissociation.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 3","pages":"Article 100566"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144271466","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 : 2025-09-01Epub Date: 2025-06-15DOI: 10.1016/j.ejtd.2025.100570
Shun Sasaki , Hideki Ohira , Masahiro Kawahara
Background
Dissociative absorption is a dissociative experience characterized by deep immersion in activities such as imagination and daydreaming, leading to a diminished awareness of surroundings. Previous research has suggested that dissociative experiences may be associated with lower cortical functional connectivity.
Purpose
This study aimed to investigate the relationship between dissociative absorption tendency and resting-state electroencephalographic (EEG) functional connectivity using the weighted Phase Lag Index (wPLI).
Methods
Forty-four healthy participants underwent resting-state EEG recordings. Dissociative absorption tendency was assessed using the Dissociative Experiences Scale (DES). Functional connectivity was analyzed across multiple frequency bands using wPLI, and spectral power was also examined.
Results
Significant negative partial correlations were found between dissociative absorption tendency and functional connectivity in the delta (C3–P3, C3–T6, T4–T6) and theta (P4–O1) bands, with Bayes factors exceeding 3. In contrast, positive partial correlations were observed in the alpha2 (Fp1–T3, F3–T3) band. Spectral power analysis further indicated higher delta power in individuals with higher dissociative absorption tendency.
Conclusions
The lower functional connectivity in the delta and theta bands is consistent with previous research. In contrast, the alpha2 band exhibited a higher connectivity pattern, suggesting the need for a more comprehensive investigation of its relationship with cortical neural activity across different frequency bands. Based on our findings, the relationship between dissociative absorption, functional connectivity, and a mixed state between wakefulness and sleep is discussed.
{"title":"The cortical functional connectivity basis of dissociative absorption tendency: A study using weighted Phase Lag Index","authors":"Shun Sasaki , Hideki Ohira , Masahiro Kawahara","doi":"10.1016/j.ejtd.2025.100570","DOIUrl":"10.1016/j.ejtd.2025.100570","url":null,"abstract":"<div><h3>Background</h3><div>Dissociative absorption is a dissociative experience characterized by deep immersion in activities such as imagination and daydreaming, leading to a diminished awareness of surroundings. Previous research has suggested that dissociative experiences may be associated with lower cortical functional connectivity.</div></div><div><h3>Purpose</h3><div>This study aimed to investigate the relationship between dissociative absorption tendency and resting-state electroencephalographic (EEG) functional connectivity using the weighted Phase Lag Index (wPLI).</div></div><div><h3>Methods</h3><div>Forty-four healthy participants underwent resting-state EEG recordings. Dissociative absorption tendency was assessed using the Dissociative Experiences Scale (DES). Functional connectivity was analyzed across multiple frequency bands using wPLI, and spectral power was also examined.</div></div><div><h3>Results</h3><div>Significant negative partial correlations were found between dissociative absorption tendency and functional connectivity in the delta (C3–P3, C3–T6, T4–T6) and theta (P4–O1) bands, with Bayes factors exceeding 3. In contrast, positive partial correlations were observed in the alpha2 (Fp1–T3, F3–T3) band. Spectral power analysis further indicated higher delta power in individuals with higher dissociative absorption tendency.</div></div><div><h3>Conclusions</h3><div>The lower functional connectivity in the delta and theta bands is consistent with previous research. In contrast, the alpha2 band exhibited a higher connectivity pattern, suggesting the need for a more comprehensive investigation of its relationship with cortical neural activity across different frequency bands. Based on our findings, the relationship between dissociative absorption, functional connectivity, and a mixed state between wakefulness and sleep is discussed.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 3","pages":"Article 100570"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144366127","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}