PSYREFLECT

Issue #45

June 8, 2026

#1Research

The Mother as Template: How Attachment Style Shapes the Internal Image of Partner and Family

Attachment insecurity did not rewrite where patients came from – it rewrote how they saw the family they were building, and pulled the partner toward the shape of the mother.

attachmentattachment-insecurityECR-Rinternal-representations
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#2Research

The Visual Cortex as the Source of Trauma Intrusions: Causal Evidence from TMS and fMRI

Intrusions may be less a failure of the brain's alarm system than the reinstatement of a stubbornly stable image in the visual cortex itself.

PTSDtraumaintrusive memoriesvisual cortex
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#3Research

Tighter Threat Circuits at Rest: The Largest Map of Amygdala-Hippocampus Connectivity in PTSD

PTSD at rest is not a fear system that switches off and fails – it is a fear-and-memory circuit that never fully lets go of itself.

PTSDamygdalahippocampusresting-state fMRI
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#4Research

Which Schemas Carry Childhood Adversity into Therapist Burnout

Burnout in therapists with adverse histories ran not through feeling flawed, but through never being allowed to stop performing or to have needs of one's own.

schema therapyearly maladaptive schemasmechanismmediation
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#5Tool

A Six-Domain Brief PID-5 for Primary Care: Validating the PID5BF+M

Symptom screeners catch the distress; the trait form catches the structure underneath it – and in primary care, the structure is usually what goes unmeasured.

PID-5maladaptive personality traitsDSM-5 AMPDICD-11
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#6Industry

U.S. Adult Psychiatry Workforce Heads for a 43% Demand Surge Against a Shrinking Supply

Adult psychiatry ranked last among the twenty largest medical specialties for workforce adequacy in 2024 – and is projected to stay there through 2037 under every modelled scenario.

workforce shortagepsychiatryaccess to carehealth policy
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