Journal of Trauma & Dissociation最新文献

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A Prospective Examination of Sexual Assault Labeling and Posttraumatic Stress: Does Trust in the Perpetrator Make a Difference?
IF 2.3 3区 医学
Journal of Trauma & Dissociation Pub Date : 2025-04-02 DOI: 10.1080/15299732.2025.2481476
Rebecca L Howard Valdivia, Madison E Edwards, Harper R Jones, Shaina A Kumar, Anna E Jaffe
{"title":"A Prospective Examination of Sexual Assault Labeling and Posttraumatic Stress: Does Trust in the Perpetrator Make a Difference?","authors":"Rebecca L Howard Valdivia, Madison E Edwards, Harper R Jones, Shaina A Kumar, Anna E Jaffe","doi":"10.1080/15299732.2025.2481476","DOIUrl":"https://doi.org/10.1080/15299732.2025.2481476","url":null,"abstract":"<p><p>How survivors label a nonconsensual sexual experience (i.e. sexual assault labeling) has been linked to posttraumatic stress symptoms (PTSS), but past cross-sectional research has been unable to determine the direction of this relation. To inform support approaches following sexual assault, we examined how sexual assault labeling and PTSS were related over time. We also examined the contextual factor of pre-assault trust in the perpetrator on these relations. Participants were 609 college student sexual assault survivors (aged 19 to 25) who completed an initial online survey and were invited to a follow-up survey 1 to 2 months later. When controlling for individual and assault-specific covariates, results of a cross-lagged panel model indicated that greater sexual assault labeling was associated with subsequent elevations in PTSS, and heightened PTSS was associated with subsequent increases in sexual assault labeling. Moreover, pre-assault trust in the perpetrator was a significant moderator. Specifically, participants who reported greater (vs. weaker) pre-assault trust demonstrated more stability in labeling between timepoints, stronger associations between labeling and later PTSS, and weaker relations between PTSS and later labeling. Findings supported a prospective, bidirectional relation between sexual assault labeling and PTSS and underscored the importance of pre-assault trust in the perpetrator, which may make such labeling uniquely distressing. Informal and formal support providers should be prepared for the distress that may be associated with using a sexual assault label, particularly when survivors trusted the perpetrator before the assault.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"1-23"},"PeriodicalIF":2.3,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Internal Moderation Questionnaire (IMQ): A Novel Measure of Self-Regulation.
IF 2.3 3区 医学
Journal of Trauma & Dissociation Pub Date : 2025-03-24 DOI: 10.1080/15299732.2025.2481030
Görkem Ayas, Vedat Sar, Sevin Hun Senol, Tuğba Türk-Kurtça
{"title":"The Internal Moderation Questionnaire (IMQ): A Novel Measure of Self-Regulation.","authors":"Görkem Ayas, Vedat Sar, Sevin Hun Senol, Tuğba Türk-Kurtça","doi":"10.1080/15299732.2025.2481030","DOIUrl":"https://doi.org/10.1080/15299732.2025.2481030","url":null,"abstract":"<p><p>Internal moderation is theorized as a regulatory mental mechanism that mitigates the impact of incongruent stimuli by generating a calibrated internal response. The aim of this study was to develop a standardized self-report instrument designed to measure an individual's current level of internal moderation. An initial version of the Internal Moderation Questionnaire (IMQ), the Dissociative Experiences Scale (DES), the Difficulties in Emotion Regulation Scale (DERS), and the Childhood Trauma Questionnaire (CTQ-33) were applied to 329 college students. A test-retest evaluation was conducted on a separate group of 50 college students with two administrations in a 7-day interval. Reliability and validity analyses yielded a 24-item final version of the questionnaire with excellent internal consistency. The IMQ demonstrated strong to moderate correlations with DES and DERS total scores, while its association with CTQ-33 total scores was rather minimal. In principal components analysis, a three-factor solution yielded the \"dual,\" \"on,\" and \"off\" modes of internal moderation. Higher scores on these modes, and in particular the dual mode score, which represented the largest proportion of the total variance, and the sum of the on and off scores were associated with higher disturbance overall, while the difference between them was not. This preliminary study supported the validity and reliability of the IMQ in a self-referred non-clinical sample of young adults. Further studies on larger, diverse, and clinical samples should identify its significance in detection of prodromal risk syndromes, assessment of treatment response, forensic evaluations, prediction of self-destruction and impulsivity, and decision-making in uncertain conditions.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"1-16"},"PeriodicalIF":2.3,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Changes in Psychological and Relationship Dimensions of Sexuality After Trauma Focused Therapy in Women with Interpersonal Child Abuse Related PTSD. 人际虐待儿童相关创伤后应激障碍女性接受创伤集中疗法后,性心理和性关系方面的变化。
IF 2.3 3区 医学
Journal of Trauma & Dissociation Pub Date : 2025-03-24 DOI: 10.1080/15299732.2025.2481028
Judith Weiss, Pia Bornefeld-Ettmann, Nikolaus Kleindienst, Meike Müller-Engelmann, Kathlen Priebe, Regina Steil
{"title":"Changes in Psychological and Relationship Dimensions of Sexuality After Trauma Focused Therapy in Women with Interpersonal Child Abuse Related PTSD.","authors":"Judith Weiss, Pia Bornefeld-Ettmann, Nikolaus Kleindienst, Meike Müller-Engelmann, Kathlen Priebe, Regina Steil","doi":"10.1080/15299732.2025.2481028","DOIUrl":"https://doi.org/10.1080/15299732.2025.2481028","url":null,"abstract":"<p><p>Women with posttraumatic stress disorder (PTSD) often report problems with sexuality. Relationship dimensions and psychological dimensions of sexuality seem to be impaired. We examined whether trauma focused therapies improve relationship and psychological dimensions of sexuality. In a randomized controlled trial that took part between 2014 and 2016 in Germany, <i>N</i> = 193 cisgender women with PTSD after child abuse (mean age = 36.3 years) completed the Multidimensional Sexuality Questionnaire, assessing psychological dimensions of sexuality and the Resources in Sexuality and Partnership, assessing relationship dimensions of sexuality. PTSD was assessed via Clinician Administered PTSD Scale for DSM-5. Assessments took part in the beginning and after Dialectical Behavior Therapy for PTSD or Cognitive Processing Therapy. Using hierarchical linear modeling, changes in psychological and relationship dimensions of sexuality from beginning to post treatment were assessed, also the association between PTSD symptom reduction and reduction in psychological and relationship dimensions. From beginning to post treatment, relationship dimensions of sexuality improved (<i>p</i> < .01; Cohen's <i>d</i> = .36). PTSD symptom reduction moderated this effect. The psychological dimension sexual satisfaction increased (<i>p</i> < .05; Cohen's <i>d</i> = .32), sexual anxiety (<i>p</i> < .001; Cohen's <i>d</i> = ‒.51) and sexual depression (<i>p</i> < .001; Cohen's <i>d</i> = ‒.44) decreased. PTSD symptom reduction moderated these effects. Sexual esteem and sexual motivation did not change after therapy. Our results suggest that relationship dimensions and some psychological dimensions of sexuality can improve after trauma focused therapy. Other psychological dimensions like sexual esteem might need specific therapeutic interventions to improve.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"1-20"},"PeriodicalIF":2.3,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Challenging Social Taboos in Early Caregiving - Assessing Maternal Intrusive Thoughts and Dissociative Experiences Among Arab Mothers.
IF 2.3 3区 医学
Journal of Trauma & Dissociation Pub Date : 2025-03-24 DOI: 10.1080/15299732.2025.2481481
Samah Mahamid, Miriam Chasson, Orit Taubman-Ben-Ari
{"title":"Challenging Social Taboos in Early Caregiving - Assessing Maternal Intrusive Thoughts and Dissociative Experiences Among Arab Mothers.","authors":"Samah Mahamid, Miriam Chasson, Orit Taubman-Ben-Ari","doi":"10.1080/15299732.2025.2481481","DOIUrl":"https://doi.org/10.1080/15299732.2025.2481481","url":null,"abstract":"<p><p>The current investigation consists of two studies aimed at validating an Arabic version of the Maternal Disintegrative Responses Scale (A-MDRS), designed to evaluate maternal intrusive thoughts and dissociative experiences during early caregiving. The participants consisted of Arab mothers in Israel within 12 months post-childbirth. Study 1 (<i>n</i> = 243) assessed the factorial structure and reliability of the scale, and its correlation with maternal background variables. Study 2 (<i>n</i> = 195) further explored its factorial structure and reliability, as well as its construct validity, by examining associations with postpartum depression, maternal role satisfaction, and psychological flexibility. Confirmatory factor analyses in both studies supported a two-factor solution, demonstrating good reliability. In addition, Study 2 revealed a positive correlation between the A-MDRS factors and postnatal depression, and a negative association with maternal role satisfaction and psychological flexibility. The findings endorse the A-MDRS's value in identifying maternal disintegrative responses during the postpartum period, affirming its factorial structure and reliability.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"1-17"},"PeriodicalIF":2.3,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Influence of Childhood Maltreatment on Schizoid Personality Pathology.
IF 2.3 3区 医学
Journal of Trauma & Dissociation Pub Date : 2025-03-22 DOI: 10.1080/15299732.2025.2481034
Sydney N Stone, Kaleigh M Newcomb, Matthew M Yalch
{"title":"Influence of Childhood Maltreatment on Schizoid Personality Pathology.","authors":"Sydney N Stone, Kaleigh M Newcomb, Matthew M Yalch","doi":"10.1080/15299732.2025.2481034","DOIUrl":"https://doi.org/10.1080/15299732.2025.2481034","url":null,"abstract":"<p><p>Schizoid personality disorder (SPD) is among the most enduring forms of personality pathology. Research suggests that one factor associated with schizoid pathology is childhood maltreatment, although it is unclear which specific experiences of childhood maltreatment may be most impactful. In this study, we examined associations between different experiences of childhood maltreatment (e.g. physical, emotional, and sexual abuse, and physical and emotional neglect) and schizoid pathology in a sample of men and women recruited online (<i>N</i> = 327) using a Bayesian approach to structural equation modeling. Results suggest that emotional neglect had the strongest association with schizoid pathology over and above other forms of maltreatment and other traumatic life events. Findings further indicate that emotional and physical neglect as well as other negative life events are associated with schizoid pathology in men but only emotional abuse is associated with schizoid pathology for women. These findings provide support for the influence of childhood maltreatment on schizoid pathology and have implications for future research and clinical intervention.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"1-10"},"PeriodicalIF":2.3,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143677325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Applying an Institutional Betrayal Lens to Caregiver Perceptions of Child Maltreatment Investigations.
IF 2.3 3区 医学
Journal of Trauma & Dissociation Pub Date : 2025-03-19 DOI: 10.1080/15299732.2025.2481029
Adi Rosenthal, Maria-Ernestina Christl, Naomi Wright, Julie Olomi, Julia Dmitrieva, Anne P DePrince
{"title":"Applying an Institutional Betrayal Lens to Caregiver Perceptions of Child Maltreatment Investigations.","authors":"Adi Rosenthal, Maria-Ernestina Christl, Naomi Wright, Julie Olomi, Julia Dmitrieva, Anne P DePrince","doi":"10.1080/15299732.2025.2481029","DOIUrl":"https://doi.org/10.1080/15299732.2025.2481029","url":null,"abstract":"<p><p>Caregivers involved in child maltreatment investigations depend on the child protection system to safeguard their child from harm. Given this dependence, Institutional Betrayal (IB) may be a useful framework to characterize caregivers' experiences with child protection. However, research has yet to examine IB in the child protection system. The current study sought to understand whether caregiver report experiences that are consistent with key characteristics of IB identified in other systems, such as sexual assault investigations. Caregivers of children involved in child maltreatment investigations (<i>n</i> = 32) were asked open-ended questions. Through content analysis, we identified examples and counterexamples of four key characteristics of IB: exclusion, discrimination, invalidation, and inaction. Caregivers described exclusion from the process (e.g. through uncertainty about their role), discrimination (e.g. through perceptions that socioeconomic factors influenced investigation outcomes), invalidation (e.g. through victim-blaming), and inaction on the part of system personnel (e.g. through lack of follow-through on promised steps). Participants also provided counterexamples to each characteristic. All participants highlighted the importance of communication in experiences of IB. Utilizing caregiver feedback to address IB is crucial for enhancing caregiver engagement and supporting the child protection system's goals of promoting child and family well-being.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"1-17"},"PeriodicalIF":2.3,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143664840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Posttraumatic Stress Disorder and Dissociation in a Clinical Sample of Refugees in the Netherlands: Evidence for a Dissociative Subtype. 荷兰难民临床样本中的创伤后应激障碍和分离:分离亚型的证据。
IF 2.3 3区 医学
Journal of Trauma & Dissociation Pub Date : 2025-03-01 Epub Date: 2025-01-18 DOI: 10.1080/15299732.2024.2448429
Simone de la Rie, Sem Kruijt, Elena Stojimirović, Niels van der Aa, Paul A Boelen
{"title":"Posttraumatic Stress Disorder and Dissociation in a Clinical Sample of Refugees in the Netherlands: Evidence for a Dissociative Subtype.","authors":"Simone de la Rie, Sem Kruijt, Elena Stojimirović, Niels van der Aa, Paul A Boelen","doi":"10.1080/15299732.2024.2448429","DOIUrl":"10.1080/15299732.2024.2448429","url":null,"abstract":"<p><p>An increasing number of studies have been investigating the co-occurrence of posttraumatic symptoms and dissociation in trauma-exposed samples. As traumatized refugees are particularly susceptible to developing posttraumatic stress disorder (PTSD), the aim of this study was to investigate the relationship between PTSD and dissociation in a traumatized refugee sample. Cross-sectional data from a clinical refugee sample (<i>N</i> = 526) were collected. Latent class analysis (LCA) examined different classes of PTSD, based on the Clinician Administered PTSD Scale for DSM-5 (CAPS-5) items. Subsequently, it was examined whether cumulative trauma, sexual trauma and general psychopathology predicted class membership. The LCA identified five classes. The classes were summarized as (1) \"High PTSD,\" (2) \"Moderate PTSD,\" (3) \"High PTSD with high loss of interest,\" (4) \"High PTSD with moderate loss of interest,\" and (5) \"PTSD-DS.\" PTSD DS (10% of the sample) was characterized by high PTSD symptoms, as well as high depersonalization and derealization symptoms. The majority (61.4%) of this group has been exposed to sexual trauma. Overall endorsement of PTSD symptoms was extremely high in this clinical sample of refugees. A group evidencing the PTSD dissociative subtype was identified.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"261-279"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Mediating Role of Emotion Regulation and Basic Psychological Needs: Association Between Childhood Trauma and Young Adults' Psychological Functioning from a Self-Determination Theory Perspective. 情绪调节与基本心理需求的中介作用:自我决定理论视角下童年创伤与青少年心理功能的关系
IF 2.3 3区 医学
Journal of Trauma & Dissociation Pub Date : 2025-03-01 Epub Date: 2024-12-03 DOI: 10.1080/15299732.2024.2429474
Asma Rashid, Jolene van der Kaap-Deeder, Mariangela Abbate, Sebastiano Costa
{"title":"The Mediating Role of Emotion Regulation and Basic Psychological Needs: Association Between Childhood Trauma and Young Adults' Psychological Functioning from a Self-Determination Theory Perspective.","authors":"Asma Rashid, Jolene van der Kaap-Deeder, Mariangela Abbate, Sebastiano Costa","doi":"10.1080/15299732.2024.2429474","DOIUrl":"10.1080/15299732.2024.2429474","url":null,"abstract":"<p><p>Numerous studies have shown the detrimental effects of childhood trauma on individuals' psychological functioning. This study examined the relation from childhood traumatic experiences to dissociation, life satisfaction, and attitude toward seeking psychological help while additionally shedding light on the possible mediating role of emotion regulation and basic psychological needs based on the framework of Self-Determination Theory (SDT). Using a cross-sectional design, data were collected from 489 Italian young adults (<i>M</i>age = 23.63, <i>SD</i>age = 3.53, 68.7% female) through an online survey. Findings indicated positive associations between childhood trauma and emotion dysregulation, suppression, need frustration, and dissociation. In contrast, negative associations were found with emotion integration, need satisfaction, life satisfaction, and attitude toward seeking psychological help. Structural equation modeling analysis supported the hypothesized indirect associations, suggesting that childhood trauma is indirectly associated with 1) higher levels of dissociation through increased emotion dysregulation, emotion suppression, and need frustration; 2) lower life satisfaction via higher emotion dysregulation and need frustration, as well as diminished need satisfaction and emotion integration; and 3) less positive attitude toward seeking psychological help by elevated emotion suppression and reduced emotion integration. These findings validate SDT as a potent framework for understanding the nuanced pathways from childhood trauma to adult psychological functioning, providing the groundwork for intervention development and a pathway for further exploration with clinical populations.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"178-199"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dissociation and Emotion Dysregulation: New Findings and Nuances. 分离和情绪失调:新发现和细微差别。
IF 2.3 3区 医学
Journal of Trauma & Dissociation Pub Date : 2025-03-01 Epub Date: 2025-01-17 DOI: 10.1080/15299732.2025.2454865
Julian D Ford
{"title":"Dissociation and Emotion Dysregulation: New Findings and Nuances.","authors":"Julian D Ford","doi":"10.1080/15299732.2025.2454865","DOIUrl":"10.1080/15299732.2025.2454865","url":null,"abstract":"","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"151-158"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Shame as Affect Regulation in Dissociative Identity Disorder. 羞耻感对分离性身份障碍的影响调节。
IF 2.3 3区 医学
Journal of Trauma & Dissociation Pub Date : 2025-03-01 Epub Date: 2025-01-03 DOI: 10.1080/15299732.2024.2448419
Richard A Hohfeler
{"title":"Shame as Affect Regulation in Dissociative Identity Disorder.","authors":"Richard A Hohfeler","doi":"10.1080/15299732.2024.2448419","DOIUrl":"10.1080/15299732.2024.2448419","url":null,"abstract":"<p><p>The abusive and/or neglectful relational mis-attunement disrupts ongoing developmental growth and binds attachments to abusive caregivers. This shame-based relational frame then becomes a template for subsequent relationships and self-definitions. Shame and dissociation combine to provide a paradoxical and powerful self-protective form of self-regulation via a dis-enlivened existence that enables people with DID to live with otherwise potentially dysregulating affects and relationships. Shame-activated defenses and extreme inhibition of feeling couple with dissociative compartmentalization to limit affective awareness and enable the wounded individual to hide from the life around them and within them.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"218-238"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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