PSYREFLECT

Issue #75

September 21, 2026

#1Research

Ten people with PTSD on the metaphors they hid behind and the ones they built with a therapist

Participants used metaphor to keep the therapist at a distance until they saw the therapist searching for one that fitted, and only then began to change it themselves.

metaphorptsdtherapeutic relationshipqualitative research
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#2Research

Adolescents with high alexithymia heard porridge and foolishness in the Russian words for dizziness symptoms

A clinical word that a teenager hears as porridge or foolishness has asked him about something other than his dizziness.

alexithymiaadolescentsdizzinesssymptom assessment
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#3Tool

An eight-session imagery protocol for PTSD in which the patient rewrites the scene

In ISRT the patient changes the picture of the memory, and the therapist's themes of mastery and nurturing stay optional in the new script.

PTSDimagery rescriptingtrauma therapytreatment protocol
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#4Industry

Samaritans' 2026 media guidelines advise against calling suicides an 'epidemic' or a 'wave'

In the Samaritans guidelines a cluster is a count set against an expectation, and 'wave' keeps the sense of spread while dropping both.

suicide preventionmedia guidelinesmetaphorlanguage
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#5Industry

A New Zealand language guide rewrites "resistant to treatment" and "lacks insight" as what the person chooses and sees

In Te Pou's rewrites the patient becomes the subject of a verb of choice, and the struggle carried by "resistant" and the blindness carried by "lacks insight" leave the sentence.

clinical languageclinical documentationstigmaseclusion
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#6Resource

A map where the holes in the head stay holes

A patient who says there are many holes in their head has already described the experience, and the next question can be about the holes.

metaphorlived experiencenarrative medicineclinical communication
3 minRead analysis
Issue #75 | PsyReflect