PSYREFLECT

Issue #65

August 17, 2026

#1Research

Dissociation predicts a flatter response to trauma-focused PTSD therapy. It does not disqualify the patient

In this post hoc analysis baseline dissociation predicted a smaller gain, not a failed treatment: nobody in the trial reliably worsened, and the heaviest dissociators whose symptoms shifted early gained the most.

dissociationcomplex PTSDDBT-PTSDtreatment outcome
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#2Research

The Empty Cell Was Built Into the Questionnaire: Dissociative PTSD and Dissociative Complex PTSD in 57,984 Chinese Adolescents

The zero cell in this table is not a discovery about complex PTSD; it is a consequence of scoring the complex PTSD subscale from the PTSD items plus two.

dissociationcomplex PTSDICD-11screening instruments
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#3Tool

The nest position: two blankets, a severely dissociative sample, and the limits of one session

The registered primary outcome had two halves, and the physiological half was null in both groups at every phase.

dissociationcomplex PTSDstabilisationphysiotherapy
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#4Industry

Two Thirds Leave Early: 100,177 Veterans and the Delivery Problem in US Trauma Care

A system can disseminate a protocol nationwide and still deliver a full course to only about a third of the patients who begin one.

ptsdveterans affairstreatment dropouthealth services research
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#5Industry

A Russian complex-PTSD dataset, and the dissociation it never measured

A questionnaire with no items on depersonalisation cannot tell you how common depersonalisation is.

complex-ptsddissociationitqwar-trauma
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#6Resource

The tenth ESTD congress: Lisbon, 1–3 October, with the whole programme already public

One plenary places EMDR as an adjunct rather than a treatment for dissociative identity disorder, another asks when and how to use it, and reading both beats any paragraph that settles the question for you.

dissociationcomplex PTSDESTDcongress
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