European Journal of Trauma & Dissociation最新文献

{"title":"Evaluation of post-traumatic symptoms and respiratory functions in university students exposed to earthquake (6 February 2023 Kahramanmaraş earthquakes)","authors":"Caglayan Pinar Ozturk ,&nbsp;Neriman Temel Aksu ,&nbsp;Ferdi Baskurt ,&nbsp;Zeliha Baskurt","doi":"10.1016/j.ejtd.2025.100592","DOIUrl":"10.1016/j.ejtd.2025.100592","url":null,"abstract":"<div><div>Background/Aim: Long-lasting psychological and physical problems have been reported in earthquake survivors. This study was planned to observe the relationship between mental symptoms and respiratory functions in university students exposed to earthquakes.</div><div>Material and Methods: In 2024, the study included 118 university students from Suleyman Demirel University, Türkiye. Of these, 57 were classified as Group 1 (earthquake-exposed) and 61 as Group 2 (non-exposed). Post Traumatic Stress Disorder (PTSD) symptoms were evaluated with Posttraumatic Stress Disorder Checklist (PCL-5), depression tendency was assessed with Beck Depression Inventory (BDI), anxiety level was determined with Beck Anxiety Inventory (BAI), and sleep problems were evaluated with Jenkin's Sleep Scale. Respiratory functions were measured using a spirometer (COSMED Pony FX® Spirometry).</div><div>Results: In the group comparison, MIP, MEP, FEV1, FVC, PEF were significantly lower, PTSD symptoms, anxiety level and depression tendency were significantly higher in Group 1, while the FEV1/FVC was similar between the groups. In addition, within each group, certain mental symptoms were found to be associated with specific respiratory functions.</div><div>Conclusion: This study found correlation between mental symptoms and respiratory functions. It is recommended to observe this effect again after natural disasters and to examine the change with intermittent measurements.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 4","pages":"Article 100592"},"PeriodicalIF":1.9,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145118541","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}

{"title":"Integrating group and individual psychotherapy for complex PTSD: A pragmatic case study","authors":"Emilie Ubico ,&nbsp;Christelle Ziebel ,&nbsp;Baptiste Alleaume ,&nbsp;Caroline Vieilleribière ,&nbsp;Christelle Anglade ,&nbsp;Nathalie Duriez","doi":"10.1016/j.ejtd.2025.100593","DOIUrl":"10.1016/j.ejtd.2025.100593","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;div&gt;Young’s Schema therapy has shown effectiveness in treating individuals diagnosed with Complex Post-Traumatic Stress Disorder (C-PTSD) (Ubico et al., 2025). Dissociative symptoms are frequently observed in this clinical presentation. However, how do they evolve over the course of treatment? To address this, we have developed a psychotherapeutic program that integrates group and individual therapy, grounded in Contextual Schema Therapy (Roediger et al., 2018). This program also draws on key principles from psychotraumatology, particularly the theory of structural dissociation of the personality (Van der Hart et al., 2006). While these theoretical frameworks share certain conceptual foundations, they differ in how they understand dissociation and in the therapeutic strategies they propose. Still, given the well-documented influence of therapeutic alliance and group cohesion on treatment outcomes, the common factors model of psychotherapy may offer a valuable, integrative lens. This raises a central question: What mechanisms of change can be observed in an individual with Complex PTSD undergoing a combined group and individual psychotherapy program?&lt;!--&gt; &lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methodology&lt;/h3&gt;&lt;div&gt;This study employs a mixed-methods design grounded in Fishman’s (2017) pragmatic case study methodology. Standardized instruments were administered at four time points: pre-treatment (T0), mid-group therapy (T1; after 10 sessions), post-group therapy (T2; after 20 sessions), and at a three-month follow-up (T3). Variables assessed encompassed complex post-traumatic stress symptoms, psychoform and somatoform dissociative symptoms, quality of life, and the therapeutic alliance. Group cohesion was evaluated at the conclusion of each of the twenty group sessions. The clinician-researcher also conducted monthly assessments utilizing the Dimensions of Therapeutic Movement Instrument (DTMI) for complex trauma. At the conclusion of therapy (T2), an independent clinical psychologist conducted a research interview to explore various dimensions of change. A thematic analysis (Braun &amp; Clarke, 2006) was conducted to identify emerging themes from the interview.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The trajectory of the combined psychotherapy is delineated in detail. By the conclusion of treatment, a substantial reduction in complex post-traumatic symptoms, along with psychoform and somatoform dissociative symptoms, was observed, with these improvements sustained at follow-up. Quality of life also demonstrated notable enhancement. Regarding common therapeutic factors, the therapeutic alliance progressively strengthened throughout the course of treatment. ​In contrast, group cohesion declined sharply at the tenth session but subsequently improved and stabilized following the resolution of a rupture within the group. The research interview highlighted several therapeutic gains, including symptom reduction, the contribution of group therapy, t","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 4","pages":"Article 100593"},"PeriodicalIF":1.9,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145096067","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}

{"title":"“I don’t really exist here”: A reflexive thematic analysis of dissociative symptoms described by adolescents and their parents and clinicians","authors":"Bronwyn Milkins ,&nbsp;Jeneva L. Ohan ,&nbsp;Maryam Boutrus ,&nbsp;Giulia Pace ,&nbsp;Helen Milroy","doi":"10.1016/j.ejtd.2025.100591","DOIUrl":"10.1016/j.ejtd.2025.100591","url":null,"abstract":"<div><h3>Background</h3><div>Dissociative symptoms are associated with a range of negative outcomes, yet little is understood about how adolescents experience dissociation in their daily lives.</div></div><div><h3>Objective</h3><div>This study aimed to describe adolescents’ dissociative symptoms from the perspective of adolescents, their parents, and their treating clinicians.</div></div><div><h3>Methods</h3><div>Semi-structured interviews were conducted with 13 participants about adolescents’ experiences of dissociation. Participants were 6 female adolescent patients (aged 14–17 years, <em>M</em> = 15.67) from a psychiatric outpatient service, 3 parents, and 4 clinicians. Reflexive thematic analysis was used to analyse interview data.</div></div><div><h3>Results</h3><div>Dissociative experiences varied in frequency, duration, and type <em>(theme 1, Dissociation is Diverse: “It can vary a lot”)</em>. However, commonalities were also observed: intense emotions experienced during dissociation were described as qualitatively different from typical emotional dysregulation (<em>theme 2, Emotion Takes Over: “It’s like it just consumes me”)</em>. During dissociation, adolescents reported a pronounced detachment from the present moment (<em>theme 3, Disconnecting from the Present: “I don’t really exist here”</em> with subthemes of <em>Affective Disconnection</em> and <em>Bodily Disconnection)</em>. The dissociative state, not reality, felt real (<em>theme 4, Reality Feels Unreal: “I didn’t feel real”)</em>. Finally, a marked decline in memory and attention was described <em>(theme 5, Problems with Memory and Attention: “My brain stops working”).</em></div></div><div><h3>Conclusions</h3><div>This study is the first to examine adolescent dissociative experiences from the perspective of adolescents, their parents, and their clinicians. Adolescents’ dissociative symptoms mostly aligned with symptoms for dissociative disorders in the DSM-5-TR/ICD-11. However, identity disruption appeared absent, while the presence of fantasy elements was potentially unique and warrants replication and clarification through formal assessment. Findings can inform the refinement of symptom criteria in diagnostic guides and the development of adolescent-focused assessment tools. This may support earlier and more accurate identification of dissociation and enable tailored interventions to improve clinical outcomes for this population.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 4","pages":"Article 100591"},"PeriodicalIF":1.9,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144917033","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}

{"title":"Remission of PTSD and comorbid OCD symptoms through psychotherapy for nightmares: A case report","authors":"Aurore Roland","doi":"10.1016/j.ejtd.2025.100590","DOIUrl":"10.1016/j.ejtd.2025.100590","url":null,"abstract":"<div><h3>Introduction</h3><div>Research on nightmares and psychiatric disorders has predominantly focused on post-traumatic stress disorder (PTSD). This case report aims to explore the impact of treating post-traumatic nightmares on obsessive compulsive disorder (OCD) symptoms that emerged following a traumatic experience.</div></div><div><h3>Case</h3><div>A woman in her mid-twenties with PTSD, post-traumatic nightmares and OCD symptoms was treated with exposure, relaxation and rescripting therapy (ERRT). This therapy consists of altering one’s nightmares and repeatedly imagining the new dream during wakefulness, supplemented with sleep hygiene, time-in-bed restriction, stimulus control, exposure to the nightmares and relaxation techniques.</div></div><div><h3>Results</h3><div>The results indicate that utilizing ERRT for Laura's post-traumatic nightmares has resulted in the remission of PTSD, comorbid OCD symptoms, nightmares, insomnia symptoms and stress, along with a significant reduction in anxiety.</div></div><div><h3>Conclusion</h3><div>This case study illustrates that treating post-traumatic nightmares through ERRT in an individual with comorbid post-traumatic OCD symptoms is feasible and can positively impact both nightmares and OCD symptoms. The underlying mechanism is hypothesized to be that improving sleep enhances both fear extinction learning and emotion regulation—two processes known to be impaired in OCD. In this particular case, the reduction in evening hyperarousal and anxiety, resulting from the time-in-bed restriction, likely also contributed to a decrease in obsessive thoughts.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 4","pages":"Article 100590"},"PeriodicalIF":1.9,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144908863","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}

{"title":"Examining the Efficacy of a Pilot Virtual Group Treatment for Survivors of Complex Trauma","authors":"Jacqueline L. Kinley ,&nbsp;Sandra M. Reyno","doi":"10.1016/j.ejtd.2025.100585","DOIUrl":"10.1016/j.ejtd.2025.100585","url":null,"abstract":"<div><h3>Background</h3><div>Complex trauma experiences can result in a range of chronic and impairing Complex PTSD symptoms and co-morbid mental illness.</div></div><div><h3>Aim</h3><div>This study aimed to evaluate the efficacy of a pilot virtual, group treatment program for individuals with Complex PTSD and comorbid depression and anxiety symptoms.</div></div><div><h3>Method</h3><div>The study employed a within group, pre-post design with 3-month follow-up. Participants completed self-report measures of Complex PTSD symptoms, dissociative symptoms, negative beliefs about self and others, emotion regulation, psychological symptoms (anxiety, depression, stress), resilience, and progress in psychotherapy.</div></div><div><h3>Results</h3><div>Participants reported significant positive changes in severity of psychological symptoms, emotion regulation, beliefs about self and others, resilience, dissociative symptoms, as well as PTSD, DSO (disturbances in self-organization) and Complex PTSD symptoms at post-treatment. These gains were maintained at follow-up except for dissociative symptoms. Participants were significantly less likely to meet diagnostic criteria for PTSD, DSO, and Complex PTSD at post-treatment and for DSO and Complex PTSD (but not PTSD) at follow-up.</div></div><div><h3>Conclusion &amp; Implications</h3><div>Findings suggest that the Dynamic attachment-focused Relational Treatment (DaRT) program is an effective intervention for individuals with Complex-PTSD and comorbid mental illness. The treatment may have significant implications for enhancing service capacity for individuals struggling with the chronic and pervasive residual impacts of complex trauma.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 3","pages":"Article 100585"},"PeriodicalIF":1.9,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144828121","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}

{"title":"From childhood trauma to intimate harm: the role of maladaptive schemas in re-experiencing abusive relationships","authors":"Parisa Khanbeigi ,&nbsp;Fatemeh SadeghMohammadi ,&nbsp;Kosar Shafiei Rezvani Nejad ,&nbsp;Zinat sadat Mirpour","doi":"10.1016/j.ejtd.2025.100584","DOIUrl":"10.1016/j.ejtd.2025.100584","url":null,"abstract":"<div><h3>Background</h3><div>The tendency to re-experience abusive relationships (TREAR) is a maladaptive relational pattern linked to early adverse experiences and ingrained cognitive-emotional schemas. While prior studies have examined these constructions separately, the combined contribution of adverse childhood experiences (ACEs) and early maladaptive schemas (EMS) to TREAR remains underexplored, especially in non-Western populations. The aim of this study was to determine the relationship of the tendency to re-experience abusive relationships with adverse childhood experiences and early maladaptive schemas in Iranians.</div></div><div><h3>Methods</h3><div>The research design was cross-sectional, descriptive, and correlational. The statistical population consisted of individuals over 18 years old residing in Gilan province, Iran. Data were gathered in 2024 using an internet-based convenience sampling method. An online survey was conducted to collect data and included the following instruments: Demographic Characteristics Questions, the Adverse Childhood Experiences–Abuse Short Form (ACE-ASF), the Early Maladaptive Schemas Questionnaire (YSQ-S3), and the Tendency to Re-experience Abusive Relationships Scale (TREARS). A total of 894 individuals received the survey, but only 272 participated in the research. Of the participants, 72.1% were female, 28.3% were married.</div></div><div><h3>Results</h3><div>A large number of participants (81%) reported abuse in childhood, and more than half (56.3%) had high TREAR scores. People with a history of physical, emotional, or sexual abuse were more likely to show signs of TREAR. We found strong links between TREAR and EMS (<em>r</em> = 0.705, <em>p</em> &lt; 0.001), across all 18 schema domains. While demographic factors alone explained just 11% of TREAR, including ACE scores raised this to 18.3%. However, once EMS scores were added, the model explained 55.1% of TREAR, demonstrating that EMS plays a large role in perpetuating this cycle.</div></div><div><h3>Conclusion</h3><div>The result indicated that early maladaptive schemas play a key role in the relationship between adverse childhood experiences and adult revictimization tendencies. These results showed the necessity of combining schema-targeted and trauma-sensitive therapies to stop re-experiencing abusive relationships and help people build safer and healthier relationships.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 4","pages":"Article 100584"},"PeriodicalIF":1.9,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145007831","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}

{"title":"Associations between safety aid usage and posttraumatic stress symptoms in trauma-exposed young adults","authors":"Amanda M. Raines ,&nbsp;Joseph W. Boffa ,&nbsp;Chelsea R. Ennis ,&nbsp;Jason T. Goodson ,&nbsp;Michael J. McDermott","doi":"10.1016/j.ejtd.2025.100587","DOIUrl":"10.1016/j.ejtd.2025.100587","url":null,"abstract":"<div><h3>Introduction</h3><div>Safety aids, also known in the literature as safety behaviors, are maladaptive cognitive and behavioral strategies designed to prevent or reduce anxiety and/or distress. Research has shown that repeated use of such behaviors (e.g., hypervigilance, situational avoidance, checking behaviors, thought suppression) contributes to the development and maintenance of various anxiety and related disorders. However, less work has examined the role of safety aids in posttraumatic stress.</div></div><div><h3>Method</h3><div>Using a trauma-exposed sample of undergraduate students, the current study sought to examine mean levels of safety aid usage among individuals with (<em>n</em> = 35) and without probable PTSD (<em>n</em> = 57).</div></div><div><h3>Results</h3><div>Results revealed a significant difference between the two groups on overall safety aid usage and escape/avoidance and monitoring/vigilance behaviors. In particular, mean levels were higher among trauma-exposed individuals with probable PTSD compared to trauma-exposed individuals without probable PTSD.</div></div><div><h3>Discussion</h3><div>Findings are discussed with regard to prior research and treatment recommendations.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 3","pages":"Article 100587"},"PeriodicalIF":1.9,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144828151","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}

{"title":"What happens to DID clients after an earthquake: A case series","authors":"B. Uysal,&nbsp;M.S. Tepedelen,&nbsp;Z.Z. Kablama-Yardım,&nbsp;E. Akyüz,&nbsp;F.B. Bircan,&nbsp;M.F. Cinisli,&nbsp;M. Yanık","doi":"10.1016/j.ejtd.2025.100586","DOIUrl":"10.1016/j.ejtd.2025.100586","url":null,"abstract":"<div><div>On February 6, 2024, following two major earthquakes in Türkiye, over 35,000 buildings collapsed, and approximately 50,000 people lost their lives. In response, our university psychology department established a psychotherapy center in the affected region as a social responsibility project, providing services for seven months. During this period, 820 clients were reached, and dissociative identity disorder (DID) was identified in 16 of them (around 2%). The identification was made possible by a team experienced in DID, who incorporated it into routine differential diagnosis. The clients, aged 12 to 37, included 13 females. Analysis revealed that DID symptoms worsened for 11 clients after the earthquake, with increased issues such as anger and, in some cases, the emergence of new alternate identities. One child client experienced the first appearance of an alternate identity after the earthquake. These findings emphasize the necessity of monitoring DID patients after disasters and delivering treatments specifically tailored to their needs.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 3","pages":"Article 100586"},"PeriodicalIF":1.9,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144828150","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}

{"title":"Mobilisation du lien au défunt dans le traitement du deuil chronique en EMDR: métaphore de « la mémoire vivante du disparu »","authors":"Pascale Amara,&nbsp;Guy Gimenez","doi":"10.1016/j.ejtd.2025.100582","DOIUrl":"10.1016/j.ejtd.2025.100582","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;div&gt;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.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectif&lt;/h3&gt;&lt;div&gt;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 ».&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Méthode&lt;/h3&gt;&lt;div&gt;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.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Résultat&lt;/h3&gt;&lt;div&gt;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.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Discussion&lt;/h3&gt;&lt;div&gt;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}

{"title":"Trouble dissociatif complexe et régression dans un contexte de traumatisme transgénérationnel: Étude de cas clinique intégrative","authors":"Rimmel Ainad-Tabet,&nbsp;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}