ArticleClinical psychology & psychotherapy
Disturbances in Self-Organization and Dissociation in the Therapeutic Field: Affective Responses and Relational Disconnection.
Article in Clinical psychology & psychotherapy. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This study examined therapists' assessments of post-traumatic stress disorder (PTSD) symptoms and disturbances in self-organization (DSO), the additional symptom cluster that distinguishes complex PTSD (CPTSD) from PTSD in ICD-11. We investigated how these dimensions, together with patient dissociation, shape therapists' affective responses and in-session disconnection, considering both patient (CADS; observer rated) and therapist (DES; trait) dissociation. Therapists (N = 60) completed measures referring to one selected patient. Measures included PTSD and DSO symptoms, personality organization, self-concept clarity, adverse childhood experiences, interoceptive awareness, patient dissociation, therapist affective responses, therapist dissociation and therapist in-session disconnection. Correlational analyses, MANOVA and hierarchical regressions were conducted. DSO and PTSD showed distinct profiles of functioning. DSO was associated with broader structural vulnerabilities, including impaired personality organization, adverse childhood experiences, reduced interoceptive awareness and higher dissociation, whereas PTSD was primarily associated with reduced self-concept clarity. DSO predicted therapists' feelings of helplessness, whereas patient dissociation predicted overwhelmed/disorganized responses and reduced positive engagement. Patient dissociation and therapist dissociation independently predicted therapists' experiences of in-session disconnection, while their interaction was not significant. Findings highlight distinct relational correlates of DSO and PTSD and identify dissociation as a central mechanism of therapeutic disconnection. Dissociation operates as a shared field phenomenon, with clinical implications for monitoring and addressing in-session relational 'drifts'.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.