Journal of Trauma & Dissociation最新文献_第2页

Dissociative Experiences Among Survivors of Sex Trafficking. 性交易幸存者的分离体验。

IF 2.7 3区医学

Journal of Trauma & Dissociation Pub Date : 2026-10-01 Epub Date: 2026-07-10 DOI: 10.1080/15299732.2026.2695584

Chase H G MacCabe, George Gharibian, James R Noblitt, Eloiza Alcaraz

{"title":"Dissociative Experiences Among Survivors of Sex Trafficking.","authors":"Chase H G MacCabe, George Gharibian, James R Noblitt, Eloiza Alcaraz","doi":"10.1080/15299732.2026.2695584","DOIUrl":"10.1080/15299732.2026.2695584","url":null,"abstract":"Human trafficking is a worldwide, multibillion dollar industry, profiting from the systematic abuse and exploitation of over 27 million people at present. Sex trafficking, in which one implements force, fraud, or coercion to manipulate another into performing commercial sexual services, constitutes a substantial sector of the industry. Profoundly traumatic, sex trafficking inflicts enduring physical and psychological harm upon survivors, with distressing dissociative symptoms representing a frequently reported consequence. This quantitative study explored sex trafficking survivors' dissociative experiences. Utilizing purposive sampling, the DES-II and a demographics questionnaire were administered to sex trafficking survivors aged 18 and older. The results of 52 completed surveys indicated that adults who had been sex trafficked experienced clinically significant dissociation levels, comparable to levels associated with dissociative disorders. Using a three-factor structure and item assignment delineated in prior literature, the results also revealed depersonalization/derealization and absorption and imaginative involvement were more prominent than amnesia. Additionally, longer durations of sex trafficking, and younger ages at first sex trafficking experiences, were associated with higher dissociation levels. Also, younger ages at first sex trafficking experiences, older ages at last sex trafficking experiences, and amnestic dissociation were associated with longer sex trafficking durations. In conclusion, results illustrate sex trafficking survivors endorse dissociative experiences reminiscent of dissociative disorders, with absorption and imaginative involvement and depersonalization/derealization more common, and longer durations, and younger ages at first experiences, correlating with higher overall dissociation levels.","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"562-576"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425301","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

Latent Profiles of Big Five Personality Traits in First Responders: Associations with PTSD, Psychological Distress, Social Support, Attachment, and Emotion Regulation Strategies. 急救人员五大人格特质的潜在特征：与PTSD、心理困扰、社会支持、依恋和情绪调节策略的关系

IF 2.7 3区医学

Journal of Trauma & Dissociation Pub Date : 2026-10-01 Epub Date: 2026-08-05 DOI: 10.1080/15299732.2026.2713774

Maria Vieira de Castro, Sara Albuquerque, Hélder António, Pedro Gamito, Ricardo J Pinto

引用次数: 0

The Structure of Attachment Trauma: A Confirmatory Factor Analysis and Latent Profile Analysis on the Adult Attachment Trauma Questionnaire. 依恋创伤的结构：成人依恋创伤问卷的验证性因子分析与潜在特征分析。

IF 2.7 3区医学

Journal of Trauma & Dissociation Pub Date : 2026-10-01 Epub Date: 2026-07-27 DOI: 10.1080/15299732.2026.2701714

Andrea Zagaria, Enrico Perinelli, Luigi Lombardi

引用次数: 0

Discriminative Performance of the Italian Multiscale Dissociation Inventory: Total Score Cutoff and Subscale Contributions. 意大利多尺度解离量表的判别性能：总分截止值和子尺度贡献。

IF 2.7 3区医学

Journal of Trauma & Dissociation Pub Date : 2026-09-16 DOI: 10.1080/15299732.2026.2734395

Pierre Gilbert Rossini, Mariagrazia Merola, Daniela Rabellino, Francesca Cotardo, Luca Ostacoli, Francesco Oliva, Sara Carletto

{"title":"Discriminative Performance of the Italian Multiscale Dissociation Inventory: Total Score Cutoff and Subscale Contributions.","authors":"Pierre Gilbert Rossini, Mariagrazia Merola, Daniela Rabellino, Francesca Cotardo, Luca Ostacoli, Francesco Oliva, Sara Carletto","doi":"10.1080/15299732.2026.2734395","DOIUrl":"https://doi.org/10.1080/15299732.2026.2734395","url":null,"abstract":"Multidimensional measures of dissociation enable detailed characterization of dissociative phenomena, yet their clinical use is limited by the lack of validated cutoff scores. The Italian version of the Multiscale Dissociation Inventory (MDI-ITA) has demonstrated solid psychometric properties, but its diagnostic accuracy in identifying clinically significant dissociation has not been investigated. This study reports a secondary analysis of data from the Italian validation of the MDI-ITA, including 439 adults from the general population. Clinically significant dissociation was operationalized using the Dissociative Experiences Scale-II cutoff score (≥30). Receiver Operating Characteristic (ROC) analyses were conducted to evaluate the discriminative accuracy of the MDI-ITA total score and its five subscales (Disengagement [DIS]; Depersonalization-Derealization [DP/DR]; Emotional Constriction [EC]; Memory Disturbances [MD]; Identity Dissociation [ID]). The cutoff for the total score was identified using the Youden Index. The MDI-ITA total score showed good discriminative accuracy (AUC = 0.885). The optimal cutoff value of 52 yielded a sensitivity of 70.6% and a specificity of 90.9%, favoring exclusion of non-cases. Subscale analyses revealed heterogeneous but overall fair discriminative performance, with DP/DR and DIS demonstrating the highest accuracy. Thresholds derived for subscales were interpreted dimensionally and not as independent diagnostic cutoffs. The findings support the use of the MDI-ITA total score as a screening index for potentially clinically significant dissociation. While the multidimensional structure of the MDI-ITA remains essential for dimensional characterization, the availability of the total-score cutoff enhances its applicability in assessment and research contexts requiring both classification and dissociation profiling.","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"1-12"},"PeriodicalIF":2.7,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148983842","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 Narcissism. 童年虐待对自恋的影响。

IF 2.7 3区医学

Journal of Trauma & Dissociation Pub Date : 2026-09-15 DOI: 10.1080/15299732.2026.2734397

Elizabeth N Bedrossian, Emily R Barbera, Matthew M Yalch

{"title":"Influence of Childhood Maltreatment on Narcissism.","authors":"Elizabeth N Bedrossian, Emily R Barbera, Matthew M Yalch","doi":"10.1080/15299732.2026.2734397","DOIUrl":"https://doi.org/10.1080/15299732.2026.2734397","url":null,"abstract":"Research has previously suggested an association between childhood maltreatment and narcissism. However, this research has primarily focused on the grandiose dimension of narcissism. This contrasts with a multi-dimensional approach to understanding narcissistic pathology, which emphasizes both grandiosity and vulnerability. Research suggests that one factor associated with narcissistic grandiosity is childhood maltreatment, although the association between child maltreatment and narcissistic vulnerability is unclear. In this study, we examine the association between different forms of childhood maltreatment and dimensions of narcissism in a sample of men and women recruited online (N = 306) using a Bayesian approach to structural equation modeling. Results suggest that for women, physical abuse was positively associated with grandiose narcissism, and that physical neglect was positively associated with vulnerable narcissism over and above other traumatic experiences. For men, there were no positive associations between maltreatment or other traumatic experiences and narcissism. Study findings clarify the role of childhood maltreatment on narcissism and have potential implications for the treatment of narcissistic pathology.","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"1-12"},"PeriodicalIF":2.7,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148978424","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

Understanding, Preventing, & Healing Dissociation in the Context of Intersectional Inequalities. 在交叉不平等的背景下理解、预防和治疗分离。

IF 2.7 3区医学

Journal of Trauma & Dissociation Pub Date : 2026-07-01 Epub Date: 2026-06-28 DOI: 10.1080/15299732.2026.2675714

Jennifer M Gómez, Robyn L Gobin, Anne DePrince

引用次数: 0

Familismo as Structural Oppression Toward Sexual and Gender Minoritized Latines: The Role of Betrayal and Double-Consciousness in Dissociating for the Familia. 家庭主义是对性和性别少数的拉丁人的结构性压迫：背叛和双重意识在家庭分离中的作用。

IF 2.7 3区医学

Journal of Trauma & Dissociation Pub Date : 2026-07-01 Epub Date: 2026-06-28 DOI: 10.1080/15299732.2026.2674556

Luis R Alvarez-Hernandez, Jennifer M Gómez

{"title":"Familismo as Structural Oppression Toward Sexual and Gender Minoritized Latines: The Role of Betrayal and Double-Consciousness in Dissociating for the Familia.","authors":"Luis R Alvarez-Hernandez, Jennifer M Gómez","doi":"10.1080/15299732.2026.2674556","DOIUrl":"10.1080/15299732.2026.2674556","url":null,"abstract":"Mental health practitioners assess and treat trauma and dissociation by considering the biopsychosocial factors influencing the symptomatology of clients. In this process, clinicians often default to a prescriptive model that inherently assigns generalized cultural values to certain marginalized groups. Particularly for Latines, clinicians may overaccentuate the cultural value of familismo, the centering of family, for all Latine clients. These cultural values often translate into clinicians' expectations that their Latine clients will cherish their familial relationships in ways that make familismo an asset in treatment. However, for multiply marginalized Latines who endure intersectionality, familismo may not only be a detriment to trauma treatment, but the source of psychological distress itself. In this theoretical article, we center sexual and gender minoritized (SGM) Latines as we reconceptualize familismo as a potentially oppressive cultural value that may additionally be a contributing structural factor to both betrayal trauma exposure and dissociation by way of double-consciousness (du Bois, 1903). We define and briefly review the literature on familismo, intersectionality, and secondary marginalization. We also describe how intersectionality may contribute to dissociation and resistance through the framework of double-consciousness. We use a hypothetical case example to demonstrate the role of double-consciousness in dissociative responses to betrayal and discuss the implications for clinical practice and research.","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":"27 4","pages":"519-537"},"PeriodicalIF":2.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148340662","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 Silent Struggle: Marginalized Elites and the Cost of Conformity. 无声的斗争：边缘化的精英和顺从的代价。

IF 2.7 3区医学

Journal of Trauma & Dissociation Pub Date : 2026-07-01 Epub Date: 2026-06-28 DOI: 10.1080/15299732.2026.2641641

Sergio Alexander

{"title":"The Silent Struggle: Marginalized Elites and the Cost of Conformity.","authors":"Sergio Alexander","doi":"10.1080/15299732.2026.2641641","DOIUrl":"https://doi.org/10.1080/15299732.2026.2641641","url":null,"abstract":"This theoretical article centers dissociative fragmentation - a trauma-informed construct drawn from dissociation research - to explain the psychological costs faced by marginalized elites: individuals who attain high-status positions while belonging to historically oppressed groups. Unlike cognitive dissonance, which accounts for episodic tensions, dissociative fragmentation captures the chronic partitioning of identity required to survive conformity-driven elite environments. Marginalized elites are defined with demographic and occupational examples, situating their paradoxical position of authority and exclusion within structures of racism, sexism, heteronormativity, ableism, and classism. The analysis builds on intersectionality and racial trauma literature. Insights from psychology, sociology, and Black feminist thought are synthesized to construct a unified framework. Impostor phenomenon, stereotype threat, and intersectional invisibility are integrated as proximal states within a process model that culminates in identity fragmentation. The framework clarifies how institutional feeling rules, tokenization, and microaggressions foster chronic compartmentalization of self, leading to alienation, burnout, and trauma-like symptoms. Institutional remedies are also proposed - including identity-safety cues, sponsorship structures, intersectional norms change, and healing-centered engagement - that shift responsibility from individuals to organizations. By reframing conformity's toll as structurally induced dissociation, this article advances a trauma-informed, intersectional agenda for research and practice that centers justice alongside psychological well-being.","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":"27 4","pages":"437-461"},"PeriodicalIF":2.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148340682","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

Social Categories, General Theories, and Identity-Specific Predictors of Dissociation in Transgender Adults. 跨性别成人分离的社会范畴、一般理论和身份特异性预测因子。

IF 2.7 3区医学

Journal of Trauma & Dissociation Pub Date : 2026-07-01 Epub Date: 2025-12-12 DOI: 10.1080/15299732.2025.2599756

Jamie L Taber, Christopher B Stults

{"title":"Social Categories, General Theories, and Identity-Specific Predictors of Dissociation in Transgender Adults.","authors":"Jamie L Taber, Christopher B Stults","doi":"10.1080/15299732.2025.2599756","DOIUrl":"10.1080/15299732.2025.2599756","url":null,"abstract":"Transgender and nonbinary (i.e. trans) people commonly report dissociation as a survival strategy in hostile sociopolitical contexts, and initial studies have identified childhood trauma, transphobic marginalization, and gender incongruence as potential predictors of trans dissociation. However, more research is needed to establish transtheoretical explanatory factors using an intersectional lens. We thus sought to use an intracategorical complexity intersectional approach to assess whether social categories, general factors (i.e. childhood trauma, fantasy proneness, cognitive failures, sleep disturbance), and trans-specific factors (i.e. transphobic marginalization, gender congruence, gender dysphoria) would be related to dissociation. A cross-sectional online survey was administered to N = 203 trans adults who were diverse in gender, sexuality, SES, disability status, age, and state of residence, but were mostly White (73.4%). More frequent dissociation among trans men, nonbinary, gender non-conforming, younger, lower-SES, and disabled participants suggests important intersections of cissexism with classism and ableism. All general and trans-specific factors were significantly correlated with dissociation at the bivariate level, except for a non-significant trend with gender congruence; general factors explained additional variance in dissociation above social categories, but trans-specific factors did not. More research is needed to explore interactions of general and trans-specific factors, intersectional marginalization, temporal distinctions, and direct assessment of the unique gender dissociation identified in prior qualitative studies. The current findings may inform decolonized, affirming, intersectional marginalization trauma-informed mental health care, as well as social justice advocacy to reduce exposure to childhood trauma and transphobic marginalization in the current sociopolitical climate.","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"416-436"},"PeriodicalIF":2.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145745085","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

Multidimensional Dissociation, Shame, Trauma and Ethnicity. 多维分离，羞耻，创伤和种族。

IF 2.7 3区医学

Journal of Trauma & Dissociation Pub Date : 2026-07-01 Epub Date: 2026-05-19 DOI: 10.1080/15299732.2026.2674552

Paula Thomson, S Victoria Jaque

{"title":"Multidimensional Dissociation, Shame, Trauma and Ethnicity.","authors":"Paula Thomson, S Victoria Jaque","doi":"10.1080/15299732.2026.2674552","DOIUrl":"10.1080/15299732.2026.2674552","url":null,"abstract":"Dissociation can be regarded as a normal and complex set of mental phenomena that may operate within multiple conditions. This Institutional Review Board approved study examined a group of pre-professional/professional performing artists and college athletes (N = 687) and explored ethnic group differences in multidimensional symptoms of dissociation and shame, as well as cumulative trauma exposure, within four major ethnic groups: Black (14%), Asian (21%), White (43%), and Latinx (22%). The measures included a brief health and demographic screener, the Multiscale Dissociation Inventory, the Internalized Shame Scale, Adverse Childhood Experience Questionnaire, and Traumatic Event Questionnaire. Findings in these exploratory analyses included significant ethnic group differences for cumulative trauma, three shame dimensions, and five dissociation dimensions. The four groups had different prevalence rates for specific trauma types (childhood adversity, non-sexual/sexual assault by stranger or known person, serious life-threatening illness/injury), with the Black group experiencing higher prevalence rates for victim of violent crime, childhood physical abuse, parental separation, and family member incarcerated. The Latinx group had less shame dimensions and dissociative symptoms compared to the other three groups. In general, the Latinx group seemed to exhibit more resilience and less psychological distress compared to the Black, Asian, and White groups. Fragile shame was a predictor of general dissociation for all four ethnic groups. Empty/alone shame significantly predicted general dissociation for the Asian, White, and Latinx groups. Cumulative trauma predicted general dissociation for the Black and White groups. The need to examine intersectionality, inequity, trauma, and dissociation remains essential.","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"501-518"},"PeriodicalIF":2.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976498","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