Psychological trauma : theory, research, practice and policy最新文献

{"title":"When racial trauma becomes functionally limiting: A conditional conceptual model of disability relevance in higher education.","authors":"Anne Steketee, Elise Assaf, Kerstin Cornell, Shontae Walker","doi":"10.1037/tra0002291","DOIUrl":"10.1037/tra0002291","url":null,"abstract":"<p><strong>Objective: </strong>Race-based traumatic stress (RBTS) is increasingly recognized as a significant source of psychological and physiological harm among students in higher education; however, disability accommodation systems rarely address trauma rooted in racism. This article proposes a provisional, proposition-generating conceptual framework specifying conditions under which RBTS may be associated with disability-level functional impairment within higher education.</p><p><strong>Method: </strong>Drawing on interdisciplinary scholarship in trauma science, disability studies, and higher education policy, as well as a narrative account of lived experience as an illustrative feature, this conceptual analysis integrates existing theory to clarify how RBTS may disrupt functioning, which factors may exacerbate or mitigate such disruption, and when those effects may reach disability-level impairment. To align with disability services frameworks, the model distinguishes between transient distress and persistent impairment and situates disability relevance within interacting social, environmental, and institutional contexts rather than solely in an individual-centered framework.</p><p><strong>Results: </strong>The proposed model delineates pathways through which RBTS-related trauma processes may disrupt executive functioning, emotional regulation, and attention-key capacities for academic participation. Progression to substantial academic limitation is theorized to occur only when symptoms are clinically significant and persistent and meaningfully restrict academic functioning and when institutional recognition and support processes are insufficient to mitigate functional disruption. The model specifies testable propositions regarding boundary conditions, disclosure and documentation pathways, accommodation access, institutional recognition and response, and divergent educational outcomes.</p><p><strong>Conclusions: </strong>RBTS is not inherently disabling; rather, under conditions of sustained severity and demonstrable functional impairment, its effects may meet criteria consistent with disability frameworks in higher education. By specifying a conditional and empirically testable conceptual model, this article delineates how trauma-related impairment may, under defined circumstances, intersect with institutional accessibility frameworks and inform ethically grounded future research. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148866630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parental burnout among military fathers: The moderating roles of unit support, marital satisfaction, and emotional regulation strategies.","authors":"Ofir Ben-Yaakov, Nitzan Scharf, Miriam Chasson","doi":"10.1037/tra0002288","DOIUrl":"10.1037/tra0002288","url":null,"abstract":"<p><strong>Objective: </strong>The military family stress model (Gewirtz et al., 2018) was used to examine the associations between deployment experiences, interpersonal relationships, and four aspects of parental burnout-emotional exhaustion, contrast in parental self, fed-up feelings, and emotional distancing from the child-among military fathers. The study focused on testing main and moderating effects for these variables.</p><p><strong>Method: </strong>A total of 105 Israeli military fathers deployed to combat zones completed self-report questionnaires on deployment exposure, emotion regulation, unit and spousal support, and parental burnout. Hierarchical regressions examined both direct and moderating effects for each burnout dimension.</p><p><strong>Results: </strong>Emotional suppression was positively associated with emotional exhaustion, contrast with previous parental self, and emotional distancing. Importantly, higher unit support predicted lower emotional exhaustion and emotional distancing, but these protective effects were significant only at low and moderate war-related exposure levels, not at high exposure. Marital satisfaction was associated with lower contrast with previous parental self and fed-up feelings, with cognitive reappraisal moderating these associations; when reappraisal was low to moderate, marital satisfaction was protective. No significant main effects were found for the length or frequency of deployment exposure.</p><p><strong>Conclusions: </strong>Findings highlight context-dependent roles of unit cohesion and spousal support in mitigating parental burnout. To bolster family resilience, military units should implement psychoeducational programs focused on flexible emotion regulation and unit cohesion, while clinicians should prioritize couple-focused interventions enhancing meaning-making and emotional attunement. These targeted efforts by military leadership and mental health professionals are essential to support fathers' well-being across varying levels of combat exposure. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148866491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"I don't sleep until dawn\": Nighttime trauma, sensory haunting, and the fragmented psyche after bombing.","authors":"Guido Veronese, Fayez Mahamid, Bilal Hamamra","doi":"10.1037/tra0002281","DOIUrl":"https://doi.org/10.1037/tra0002281","url":null,"abstract":"<p><strong>Objective: </strong>This study examines the psychological, sensory, and temporal dimensions of nighttime trauma among displaced Palestinian women following exposure to bombing during the ongoing mass violence in Gaza. It aims to reconceptualize sleep disturbance not as an isolated symptom but as an embodied manifestation of trauma under persistent threat.</p><p><strong>Method: </strong>A qualitative design was employed using semistructured interviews with 40 Palestinian refugee women aged 23-59 years residing in internally displaced persons' camps in Rafah. Interviews were conducted under conditions of ongoing insecurity. Data were audio-recorded, transcribed verbatim in Arabic, and analyzed using thematic content analysis with a data-driven, bottom-up approach.</p><p><strong>Results: </strong>Six interconnected themes emerged: (a) collapse of rest following the first bombing; (b) embodied trauma-related nightmares, flashbacks, and sensory haunting; (c) erosion of the sleep-wake boundary; (d) nocturnal environments as sensory architectures of fear; (e) hypervigilance driven by auditory memory and bodily anticipation of violence; and (f) temporal distortion, prolonged nights, and a desire for release from unremitting psychological strain. Nighttime was experienced as an extension of the traumatic event itself, wherein darkness, silence, and sound reactivated embodied memories of entrapment, suffocation, and imminent death.</p><p><strong>Conclusions: </strong>Findings indicate that postbombing insomnia and trauma-related nightmares and nocturnal terror experiences among displaced women in Gaza are not discrete sleep disorders but expressions of deeply embodied trauma shaped by displacement, structural violence, and ongoing threat. Trauma theory and practice must move beyond event-based and depoliticized models to address the sensory, temporal, and bodily dimensions of survival in contexts of continuous violence. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148866415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Posttraumatic growth during ongoing war: The mediating role of subjective traumatic outlook and resilience among evacuated Israeli civilians.","authors":"Merav Jedwab, Aya Almog-Zaken, Yan Serdtse","doi":"10.1037/tra0002265","DOIUrl":"10.1037/tra0002265","url":null,"abstract":"<p><strong>Objective: </strong>This study examined the relationship between objective exposure to terror during the October 7 attacks and subsequent war and posttraumatic growth (PTG), focusing on the mediating roles of subjective traumatic outlook (STO) and resilience among evacuated Israeli civilians.</p><p><strong>Method: </strong>A total of 185 Israeli participants (88% female; <i>M</i>_age = 44.88, <i>SD</i> = 6.06) evacuated from high-threat areas completed measures assessing objective exposure to terror events, STO, resilience, and PTG. Parallel mediation models tested whether STO and resilience mediated the association between objective exposure and PTG, controlling for relevant sociodemographic variables.</p><p><strong>Results: </strong>The mediation analysis revealed a distinct pathway to growth. Objective exposure to terror was not directly associated with PTG, nor was its effect mediated by resilience. Instead, the relationship was mediated exclusively by STO: Higher objective exposure predicted greater STO (β = .34, <i>p</i> < .001), which in turn strongly predicted PTG (β = .37, <i>p</i> < .001). Resilience resources, while present, did not contribute significantly to the growth process in this model.</p><p><strong>Conclusions: </strong>These findings indicate that, during ongoing conflict, PTG is driven primarily by the subjective shattering of one's worldview (STO), rather than by objective terror exposure or resilience resources. The lack of association with resilience suggests that high external resources may preserve stability rather than trigger the deep cognitive restructuring required for growth. Clinical interventions should therefore prioritize the cognitive processing of the individual's shattered worldview, rather than focusing exclusively on strengthening resilience resources. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148866653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical and forensic pathways in the treatment and redress of racial trauma.","authors":"Veronica E Johnson-Henry, Katheryn Roberson-Miranda, Jessica Forsyth, Katherine Kirkinis, Robert T Carter","doi":"10.1037/tra0002292","DOIUrl":"https://doi.org/10.1037/tra0002292","url":null,"abstract":"<p><strong>Objective: </strong>Racial trauma, stemming from individual and systemic experiences of racism, has increasingly been recognized as a source of significant psychological and functional harm (Carter, 2007; Mosley et al., 2021). This article examines two frameworks for conceptualizing racial trauma: the diagnostic framework, which emphasizes cumulative trauma and <i>Diagnostic and Statistical Manual of Mental Disorders</i>-5-consistent symptomatology, and the psychological injury framework, which focuses on proximal functional impairment and positions harm as an external consequence of race-based discrimination.</p><p><strong>Method: </strong>We review how these frameworks inform clinical treatment, including symptom assessment and therapeutic interventions, and forensic evaluation, including legal redress and mitigation in civil and criminal contexts.</p><p><strong>Results: </strong>The article highlights points of convergence and divergence between the frameworks, illustrating how each can be applied to different pathways for intervention, treatment, and advocacy.</p><p><strong>Conclusions: </strong>Considering both clinical and forensic perspectives provides insight into racial trauma, supports culturally informed practice, and guides mental health and legal professionals in addressing its impacts. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148866373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychotropic medication use as a marker of psychological distress: Associations with demographic, injury-related, and biochemical factors in war-injured rehabilitation patients.","authors":"Irina Gringauz, Gad Segal, Alexander Berestizshevsky, Diana Pevzner, Itamar Feldman","doi":"10.1037/tra0002296","DOIUrl":"https://doi.org/10.1037/tra0002296","url":null,"abstract":"<p><strong>Objective: </strong>War-related injuries following the October 7, 2023, attacks and the subsequent Iron Swords War have been associated with substantial psychological distress, often requiring pharmacological support during rehabilitation. This study examined associations between demographic variables, injury characteristics, serum biomarkers, psychotropic medication use, and rehabilitation duration during inpatient postinjury rehabilitation.</p><p><strong>Method: </strong>This retrospective study included 346 patients admitted to rehabilitation at Sheba Medical Center after injuries sustained during the Iron Swords War. Data were extracted from electronic medical records. Analyses included univariate tests, multivariable logistic regression models for psychotropic medication use, and multivariable linear regression for rehabilitation duration.</p><p><strong>Results: </strong>Overall, 57% of patients received psychotropic medication: 47% hypnotics, 36% antidepressants, and 18% antipsychotics. Hypnotic use was associated with Intensive Care Unit admission, neurological injury, and hearing impairment. Antidepressant use was associated with Intensive Care Unit admission and neurological injury. Antipsychotic use was associated with hearing impairment and older age. Any psychotropic medication use was associated with Intensive Care Unit admission and neurological injury and was inversely associated with functional mobility at admission. Longer rehabilitation duration was independently associated with lower hemoglobin, neurological injury, and reduced mobility at admission.</p><p><strong>Conclusions: </strong>Psychotropic medication use was associated mainly with injury-related and functional variables, whereas rehabilitation duration was associated with lower hemoglobin, neurological injury, and reduced mobility. Early assessment of these factors may help identify patients at increased clinical need during rehabilitation and support timely multidisciplinary intervention. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148866569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Subjective life expectancy mediates the association between adverse childhood experiences and depression: A parallel process latent growth curve study.","authors":"Xinyu Gao, Xianxi Liu, Qing Yang","doi":"10.1037/tra0002267","DOIUrl":"https://doi.org/10.1037/tra0002267","url":null,"abstract":"<p><strong>Objective: </strong>Adverse childhood experiences (ACEs) are associated with poor mental health outcomes, including depression in later life. Subjective life expectancy (SLE) may mediate the relationship between ACEs and depression. However, the longitudinal relationship between ACEs, SLE, and depression remains underexplored.</p><p><strong>Method: </strong>We used five waves of data from the China Health and Retirement Longitudinal Study and employed a parallel process latent growth curve model to examine the longitudinal relationships among ACEs, SLE, and depression.</p><p><strong>Results: </strong>The model demonstrated good fit (root-mean-square error of approximation = 0.039, comparative fit index = 0.956, Tucker-Lewis index = 0.935, standardized root-mean-square residual = 0.023). ACEs negatively predicted the SLE intercept (β = -0.133, <i>p</i> < .001) and positively predicted the depression intercept (β = 0.258, <i>p</i> < .001). The SLE intercept was negatively associated with the depression intercept (β = -0.873, <i>p</i> < .001), and a lower SLE intercept predicted a faster increase in depressive symptoms over time. Mediation analyses confirmed that the SLE intercept significantly mediated the effects of ACEs on both the initial level and the longitudinal trajectory of depression.</p><p><strong>Conclusions: </strong>SLE plays a key mediating role between ACEs and depression, suggesting that interventions aimed at improving SLE may reduce the long-term psychological burden of ACEs on mental health in later life. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148866611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Different approaches to measuring exposure to potentially traumatic events and their relationship with symptoms of posttraumatic stress, depression, and anxiety.","authors":"Paul A Boelen, Lisanne Asberg, Muriel Hagenaars, Lonneke van Tuijl","doi":"10.1037/tra0002258","DOIUrl":"10.1037/tra0002258","url":null,"abstract":"<p><strong>Objective: </strong>The question which types of potentially traumatic events (PTEs) are specifically associated with posttraumatic stress (PTS), and how to weigh the emotional impact of exposure to multiple PTE types, remains a subject of debate. Our key objective was to examine, in a single large sample, the extent to which exposure to a <i>Diagnostic and Statistical Manual of Mental Disorders</i>, fifth edition, text revision Criterion A event, different ways of counting exposure to multiple PTE types, and latent classes of PTE-exposure patterns are associated with PTS.</p><p><strong>Method: </strong>Measures of exposure to PTE types, PTS, depression, and anxiety were completed by 1,405 university students (<i>M</i>_age = 21.7 years; 20.1% male, 79.1% female, 0.8% other).</p><p><strong>Results: </strong>Findings showed that (a) participants whose most impactful event was a Diagnostic and <i>Statistical Manual of Mental Disorders</i> congruent Criterion A event reported highest PTS levels; (b) the number of directly experienced PTE types was more strongly associated with PTS than the total number of PTE types irrespective of proximity; (c) a high and a low PTE-exposure class emerged, along with two moderate PTE-exposure classes distinguished by the presence/absence of sexual trauma, with classes evidencing moderate PTE exposure plus sexual trauma and high PTE exposure reporting highest PTS; and (d) the number of directly experienced PTEs was most strongly associated with PTS, depression, and anxiety.</p><p><strong>Conclusion: </strong>Clinically relevant PTS remains tied to a single worst event. Our findings suggest that in predicting PTS in clinical and research settings, the number of directly experienced PTEs and patterns of exposure to PTE types may offer greater predictive value. Generalization of our study findings should be done with caution given the reliance on a student sample. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148866559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Willingness to volunteer during continuous traumatic stress: Psychosocial adaptation profiles following the October 7 attacks in a southern Israeli city.","authors":"Ruth Pat-Horenczyk, Ohad Gilbar, Tsachi Ein-Dor, Miriam Schiff","doi":"10.1037/tra0002256","DOIUrl":"https://doi.org/10.1037/tra0002256","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to identify distinct psychosocial adaptation profiles among adults from Ofakim, a southern Israeli city directly and severely affected by the October 7 attacks, based on trauma exposure, trauma history, and selected risk and protective factors.</p><p><strong>Method: </strong>A sample of 722 participants completed measures assessing exposure to the October 7 attacks, trauma history, posttraumatic stress disorder and depressive symptoms, self-rated health, perceived social support, posttraumatic growth, and volunteering-related variables. Latent profile analysis identified subgroups defined by these variables. Sociodemographic characteristics and volunteering-related variables were compared across profiles using three-step procedures that account for uncertainty in latent profile classification.</p><p><strong>Results: </strong>Four profiles emerged: \"normative responses,\" \"resilient,\" \"distressed,\" and \"trauma history.\" Profiles differed significantly by gender, age, education, residence in conflict-affected neighborhoods, length of residence, and volunteering-related variables. The \"resilient\" profile demonstrated low distress, higher protective factors, and the highest willingness to volunteer after October 7, whereas the \"distressed\" profile exhibited high distress, lower protective factors, and the lowest willingness to volunteer. In adjusted manual three-step models, the overall profile difference in willingness to volunteer was attenuated to trend level, but the distressed profile remained significantly lower than the resilient profile.</p><p><strong>Conclusions: </strong>Identifying psychosocial adaptation profiles can inform targeted interventions following mass trauma. Willingness to volunteer after the attacks should be interpreted cautiously as a correlate of current prosocial motivation. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148866623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A multidimensional framework of healing among lesbian, gay, bisexual, transgender, and queer (LGBTQ+) survivors of gender-based violence: Understanding components of recovery through identity-affirming strengths.","authors":"Laura Sinko, Kayleigh Izzo, Brooke Tweedie, Rain Jacobson, Grant Morales, Meg Credit","doi":"10.1037/tra0002247","DOIUrl":"10.1037/tra0002247","url":null,"abstract":"<p><strong>Objective: </strong>Populations under the lesbian, gay, bisexual, transgender, and queer (LGBTQ+) umbrella experience disproportionately high rates of gender-based violence, yet limited research has examined how survivors navigate healing. Guided by sexual and gender minority stress and resiliency theory and the Sexual and Gender Minority Health Disparities Research Framework, this study identified healing pathways among LGBTQ+ gender-based violence survivors, with intentional oversampling of gender-diverse individuals who remain understudied in trauma research.</p><p><strong>Method: </strong>Using purposive sampling, we conducted a two-phase qualitative study with 38 LGBTQ+ gender-based violence survivors recruited through community organizations in Philadelphia, Pennsylvania, and New Haven, Connecticut. Data collection integrated the Clinical Ethnographic Narrative Interview, incorporating social network mapping, body mapping, lifeline construction, and card sorting, with a week-long Photo-experiencing and Reflective Listening process in which participants documented and reflected on daily healing experiences. Thematic analysis was used to identify core dimensions and strengths supporting healing.</p><p><strong>Results: </strong>Seven interconnected dimensions of healing emerged: establishing safety and stability, processing trauma and reframing experiences, managing negative states, nurturing well-being, rebuilding identity, cultivating affirming connections, and reclaiming hope, power, and agency. Each dimension was supported by malleable psychosocial strengths, including boundary setting, emotion regulation, meaning-making skills, cultural reconnection, chosen family development, community engagement, and self-advocacy. Findings illustrate how individual strengths interact dynamically with community-level resources, emphasizing healing as both a personal and collective process.</p><p><strong>Conclusions: </strong>This study advances trauma science by identifying specific psychosocial strengths and healing components that can inform future interventions. The findings challenge individualistic models of trauma recovery and underscore the need for culturally responsive, strengths-based, and community-engaged approaches that honor LGBTQ+ survivors' agency while addressing systemic barriers to healing. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148841219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}