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Helpful aspects of a psychoeducational program for individuals with complex dissociation: An update for the Finding Solid Ground program 对患有复杂分离的个体的心理教育项目的有益方面:寻找坚实基础项目的更新
IF 2 Q3 PSYCHIATRY Pub Date : 2025-06-08 DOI: 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。
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引用次数: 0
For a living memory of psychotraumatology: creation of a section entitled " Pathways: Translations and Heritage of Psychotraumatology " 精神创伤学的鲜活记忆:创建题为“途径:精神创伤学的翻译和遗产”的部分
IF 2 Q3 PSYCHIATRY Pub Date : 2025-06-03 DOI: 10.1016/j.ejtd.2025.100562
Cyril Tarquinio
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引用次数: 0
For an embodied epistemology of psychotrauma: for the creation of a "Clinical Case Studies" section 精神创伤的具体认识论:创建“临床案例研究”部分
IF 2 Q3 PSYCHIATRY Pub Date : 2025-06-03 DOI: 10.1016/j.ejtd.2025.100561
Cyril Tarquinio
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引用次数: 0
Pour une épistémologie incarnée du psychotraumatisme : pour la création d’une rubrique « Études de cas cliniques » 精神创伤的化身认识论:设立“临床案例研究”栏目
IF 2 Q3 PSYCHIATRY Pub Date : 2025-06-03 DOI: 10.1016/j.ejtd.2025.100559
Cyril Tarquinio
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引用次数: 0
Pour une mémoire vivante de la psychotraumatologie : création d'une rubrique " Passerelles : traductions et patrimoine de la psychotraumatologie" 心理创伤学的鲜活记忆:创建“桥梁:心理创伤学的翻译与遗产”栏目
IF 2 Q3 PSYCHIATRY Pub Date : 2025-06-03 DOI: 10.1016/j.ejtd.2025.100560
Cyril Tarquinio
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引用次数: 0
Traumatic events and sense-making: mobilization of meta-emotional processes 创伤性事件与意义建构:元情绪过程的动员
IF 2 Q3 PSYCHIATRY Pub Date : 2025-05-30 DOI: 10.1016/j.ejtd.2025.100557
Cory Julien , Léa Binaut , Marion Dubois , Vincent Bréjard

Introduction

Analysis of the post-immediate phase of a traumatic event (between 3- and 30-days post-event) is crucial to understanding the mechanisms of chronic development of Post-Traumatic Stress Disorder (PTSD). It has been established that emotional processes are involved from the peritraumatic phase onwards. However, we still have little information about the emotional experience in the post-immediate phase.

Objective

The aim of this study is to explore the experiences of people who have been victims, witnesses or indirect witnesses of a traumatic event, in order to shed light on the traumatic experience, the impact on their emotions and meta-emotions engaged during this temporary period and the identification of new therapeutic interventions.

Method

Eight participants, patients of the CUMP-13, agreed to be recorded during the initial recounting of the event of which they were victims. The discourse was analyzed according to the guidelines of grounded theory and using QDA Miner version 6 software.

Results

A total of 4 themes and 11 sub-themes were identified, including cognitive impact, emotional repercussions, coping strategies and per traumatic contexts.

Conclusion

The results were interpreted and discussed in terms of clinical impact, and new therapeutic approaches were proposed: identification and analysis of the meta-emotion, deconstruction of dysfunctional beliefs and peritraumatic dissociation at the origin of the cognitive conflict.
分析创伤性事件后即刻阶段(事件发生后3- 30天)对于理解创伤后应激障碍(PTSD)慢性发展的机制至关重要。已经确定的是,情绪过程从创伤期开始就参与其中。然而,我们对即时后阶段的情感体验仍然知之甚少。目的探讨创伤性事件受害者、目击证人或间接目击证人的经历,以揭示创伤性事件在这一短暂时期对他们情绪和元情绪的影响,并确定新的治疗干预措施。方法8名参与者,即CUMP-13的患者,同意在他们作为受害者的事件的最初叙述中被记录下来。本文按照扎根理论的指导思想,使用QDA Miner第6版软件进行分析。结果共确定了4个主题和11个副主题,包括认知影响、情绪反应、应对策略和创伤情境。结论本研究结果对临床影响进行了解释和讨论,并提出了新的治疗方法:识别和分析元情绪、解构功能失调信念和在认知冲突起源处进行创伤周围解离。
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引用次数: 0
The psychological experience of children visiting an adult intensive care unit 儿童访问成人重症监护病房的心理体验
IF 2 Q3 PSYCHIATRY Pub Date : 2025-05-30 DOI: 10.1016/j.ejtd.2025.100558
Stéphanie Nguyen , Belaid Bouhemad , Marie-Aude Vangi , Virginie Souppart , Sébastien Pili Floury , Jean Pierre Quenot , Jean-Louis Dubost , Gilles Capellier , Alexandra Laurent

Purpose

Allowing children to visit their parents in the adult intensive care unit (ICU) remains controversial, particularly in light of the risk of trauma associated with the ICU environment. This study aims to provide new insights into the experience and impact of child visits to adult ICUs.

Methods

Qualitative study involving six ICUs in France. Seven days after the visit, children completed an acute stress scale (CRIES-8) and participated in a semi-structured interview. The interviews were transcribed using Phenomenological Interpretative Analysis. All the results were discussed with a psychodynamic perspective.

Participants

A total of 15 children between the ages of seven and 13 participated in the study.

Results

Of the 15 children, nine experienced acute stress one week after the visit. Qualitative results show that, at the time of the visit, the child arrives in intensive care emotionally scarred by the primary event that led to his or her parent's admission to intensive care. Our findings suggest that children have mixed feelings during the visit, experiencing both desire and relief, as well as anxiety and fear. In addition, children express a need to be accompanied and supported throughout the visit by a parent, healthcare professional or psychologist.

Conclusions

Our study shows the importance of respecting children’s desire to visit adults in intensive care, but only under specific conditions, where their reception and support are adapted and tailored to children and are the result of careful consideration and specific training within ICU teams. In order to understand the children's experience, the support must take into account the impact of the primary event, the children's emotional complexity (both positive and negative emotions) and the need for resource people (healthcare professionals, psychologists, accompanying parents) to be attentive, available and to translate the intensive care environment before, during and after the visit.
目的允许儿童在成人重症监护病房(ICU)探望父母仍然存在争议,特别是考虑到与ICU环境相关的创伤风险。本研究旨在为儿童访问成人icu的经验和影响提供新的见解。方法对法国6例icu患者进行定性研究。访问后7天,儿童完成急性压力量表(cry -8)并参加半结构化访谈。访谈记录使用现象学解释分析。所有的结果都从心理动力学的角度进行了讨论。共有15名年龄在7到13岁之间的儿童参加了这项研究。结果15名儿童中,9名在访视一周后出现急性应激。定性结果表明,在访问时,儿童到达重症监护室时,由于导致他或她的父母被送进重症监护室的主要事件而在情感上留下了创伤。我们的研究结果表明,孩子们在访问期间有复杂的感受,经历了欲望和解脱,以及焦虑和恐惧。此外,儿童表示需要在整个访问过程中得到父母、保健专业人员或心理学家的陪同和支持。结论我们的研究表明,尊重儿童在重症监护中访问成人的愿望是重要的,但只有在特定的条件下,他们的接待和支持是适合儿童的,是ICU团队仔细考虑和具体培训的结果。为了了解儿童的经历,支持必须考虑到主要事件的影响、儿童的情感复杂性(积极和消极情绪)以及对资源人员(医疗保健专业人员、心理学家、陪同父母)的需求,这些资源人员在访问之前、期间和之后都要注意、可用并翻译重症监护环境。
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引用次数: 0
Development of the Italian Multidimensional Inventory of Dissociation (I-MID): A Pilot Study 意大利多维解离量表(I-MID)的开发:一项试点研究
IF 2 Q3 PSYCHIATRY Pub Date : 2025-05-30 DOI: 10.1016/j.ejtd.2025.100556
Giuseppe Scimeca , Marianna Ardito , Monica Fiammetta , Jennifer A. Madere , D. Michael Coy , Giuseppe Giacalone
The aim of the present pilot study was to verify the applicability of the Multidimensional Inventory of Dissociation (MID) to the Italian culture. An Italian translation of the MID (I-MID) was developed and evaluated for reliability and validity when administered to an Italian sample consisting of clinical and nonclinical individuals. The I-MID showed strong internal consistency, structural, convergent, and construct validity. The MID's subjective/phenomenological model of dissociation appears to be applicable in the Italian context. The study's limitations are addressed.
本初步研究的目的是验证多维分离量表(MID)对意大利文化的适用性。开发了MID的意大利语翻译(I-MID),并对由临床和非临床个体组成的意大利样本进行了可靠性和有效性评估。I-MID具有较强的内部一致性、结构性、收敛性和结构效度。MID的主观/现象学分离模型似乎适用于意大利的背景。研究的局限性得到了解决。
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引用次数: 0
Psychological methods and techniques for overcoming the emotional state of refugees (mothers, children, and adolescents) fleeing war 克服逃离战争的难民(母亲、儿童和青少年)情绪状态的心理学方法和技巧
IF 2 Q3 PSYCHIATRY Pub Date : 2025-05-29 DOI: 10.1016/j.ejtd.2025.100555
Svitlana Khadzhyradieva , Marianna Todorova , Mariana Palchynska

Background

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.
俄罗斯对乌克兰的全面入侵导致对难民的有效心理社会支持方法的空前需求,其中大多数是妇女和儿童。目的本研究的目的是系统化社会心理支持专业人员的经验,为乌克兰难民建立一个全面的支持系统。方法基于对30位在波兰、德国和挪威从事难民工作的专家的深度访谈,该研究考察了在不同适应阶段提供心理援助的细节。结果研究显示了流离失所期间难民心理状态的动态:从战区的急性阶段,经过撤离和到达新地方的时期,到重新安置后六个月的适应阶段。专家们确定了每个阶段的工作方法,并概述了心理援助的九个主要类别。考虑到与不同年龄组合作的具体情况和东道国的社会文化特点,制订了一项全面的指导方案。根据对专家经验的分析,建立了一个有组织的难民心理支助系统,并就使用各种方法提出了具体建议。这项研究的实际意义在于为心理社会援助领域的专家制定培训方案,并采取不同的方法来处理处于不同适应阶段的难民。
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引用次数: 0
“It's impacted on everything. It's impacted on my work, it's impacted on relationships, it's impacted on everything I have done” said a significant other: A qualitative exploration of the experience of significant others who provide support to individuals attending intervention for complex trauma “它影响了一切。它影响了我的工作,影响了我的人际关系,影响了我所做的一切。”一位重要的人说:“这是对重要的人的经历的定性探索,他们为参加复杂创伤干预的个人提供支持
IF 2 Q3 PSYCHIATRY Pub Date : 2025-05-29 DOI: 10.1016/j.ejtd.2025.100554
Emma Maloney , Clodagh Dowling , Tara Deehan , Niamh Willis , Gary O’Reilly

Background

The support of family and friends is known to be an influential factor in managing the impact of trauma. However, research examining the experience of providing this support and the potential impact this role may have on the relationship between supporters and the supported is limited.

Objective

This study aimed to qualitatively explore the experience of adult significant others as they support their adult loved ones before and during intervention for complex trauma.

Method

Eleven attendees of an established triphasic complex trauma intervention and nine nominated significant others completed semi-structured interviews post-intervention (N = 20). The 3 phases of the intervention were: (1) safety, stabilisation, and connection; (2) remembering and telling your story; and (3) looking forward, reclaiming your life, and reconnecting in relationships. CFT informed the group sessions across all 3 phases, with individual sessions of EMDR or Prolonged Exposure offered during phase 2. Significant others were not included in the intervention. Reflexive thematic analysis was used to analyse data and develop themes summarising key experiences preceding, during and on the conclusion of treatment. Individual interviews were conducted and analysed separately. Four key themes were developed and mapped, capturing independent and overlapping experiences from the perspective of intervention attendees and their significant others: (1) support as multifaceted and integral, (2) the emotional impact and systemic strain of supporting, (3) intervention-associated shifts, and (4) the need for systemic support from services.

Results

The data indicated that significant others experience distress and exert considerable effort to support those managing trauma symptoms. The intervention was suggested to facilitate behavioural, emotional, and relational changes. Participants reported that a lack of available information for supporters unintentionally placed those attending intervention in an educator role. The inclusion of significant others in the intervention was proposed as a means of alleviating strain on both the individual and the support system.

Conclusion

Significant others who provide support to adults experiencing symptoms associated with complex trauma hold an important but challenging role that lacks support from services and is often underacknowledged. Greater but case-specific inclusion of supporters in intervention for complex trauma should be considered.
众所周知,家人和朋友的支持是处理创伤影响的一个重要因素。然而,研究提供这种支持的经验和这种角色可能对支持者和被支持者之间的关系产生的潜在影响是有限的。目的本研究旨在定性探讨成人重要他人在复杂创伤干预前和干预过程中支持其成人亲人的体验。方法:包括已确定的三相复杂创伤干预的参与者和9名被提名的重要他人,在干预后完成半结构化访谈(N = 20)。修井的三个阶段是:(1)安全、稳定和连接;(2)记住并讲述你的故事;(3)向前看,重拾生活,重新建立人际关系。CFT在所有3个阶段通知了小组会议,在第二阶段提供了EMDR或长时间暴露的个人会议。重要的其他人不包括在干预中。反思性专题分析用于分析数据和制定主题,总结治疗之前、期间和结束时的关键经验。个别访谈分别进行和分析。从干预参与者及其重要他人的角度出发,我们开发并绘制了四个关键主题,捕捉了独立和重叠的经验:(1)支持是多方面和整体的;(2)支持的情感影响和系统压力;(3)干预相关的转变;(4)对服务系统支持的需求。结果数据表明,其他重要的人经历痛苦,并付出相当大的努力来支持那些处理创伤症状。建议采取干预措施促进行为、情感和关系的改变。参与者报告说,对支持者来说,缺乏可用的信息无意中使那些参加干预的人扮演了教育者的角色。建议将重要他人纳入干预措施,作为减轻个人和支持系统压力的一种手段。结论为经历复杂创伤症状的成年人提供支持的重要他人扮演着重要但具有挑战性的角色,但缺乏服务支持,并且经常被低估。应考虑在复杂创伤的干预中纳入更多的但具体的支持者。
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引用次数: 0
期刊
European Journal of Trauma & Dissociation
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