Trauma-related dissociation and altered states of consciousness: a call for clinical, treatment, and neuroscience research

The primary aim of this commentary is to describe trauma-related dissociation and altered states of consciousness in the context of a four-dimensional model that has recently been proposed (Frewen & Lanius, 2015). This model categorizes symptoms of trauma-related psychopathology into (1) those t...

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Main Author: Ruth A. Lanius
Format: Article
Language:English
Published: Taylor & Francis Group 2015-05-01
Series:European Journal of Psychotraumatology
Subjects:
Online Access:http://www.ejpt.net/index.php/ejpt/article/view/27905/pdf_59
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author Ruth A. Lanius
author_facet Ruth A. Lanius
author_sort Ruth A. Lanius
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description The primary aim of this commentary is to describe trauma-related dissociation and altered states of consciousness in the context of a four-dimensional model that has recently been proposed (Frewen & Lanius, 2015). This model categorizes symptoms of trauma-related psychopathology into (1) those that occur within normal waking consciousness and (2) those that are dissociative and are associated with trauma-related altered states of consciousness (TRASC) along four dimensions: (1) time; (2) thought; (3) body; and (4) emotion. Clinical applications and future research directions relevant to each dimension are discussed. Conceptualizing TRASC across the dimensions of time, thought, body, and emotion has transdiagnostic implications for trauma-related disorders described in both the Diagnostic Statistical Manual and the International Classifications of Diseases. The four-dimensional model provides a framework, guided by existing models of dissociation, for future research examining the phenomenological, neurobiological, and physiological underpinnings of trauma-related dissociation.
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spelling doaj.art-31bcc2f81c894436b7e16c78764889032022-12-22T00:15:58ZengTaylor & Francis GroupEuropean Journal of Psychotraumatology2000-80662015-05-01601910.3402/ejpt.v6.2790527905Trauma-related dissociation and altered states of consciousness: a call for clinical, treatment, and neuroscience researchRuth A. Lanius0Western University, Lawson Health Research Institute, London, ON, CanadaThe primary aim of this commentary is to describe trauma-related dissociation and altered states of consciousness in the context of a four-dimensional model that has recently been proposed (Frewen & Lanius, 2015). This model categorizes symptoms of trauma-related psychopathology into (1) those that occur within normal waking consciousness and (2) those that are dissociative and are associated with trauma-related altered states of consciousness (TRASC) along four dimensions: (1) time; (2) thought; (3) body; and (4) emotion. Clinical applications and future research directions relevant to each dimension are discussed. Conceptualizing TRASC across the dimensions of time, thought, body, and emotion has transdiagnostic implications for trauma-related disorders described in both the Diagnostic Statistical Manual and the International Classifications of Diseases. The four-dimensional model provides a framework, guided by existing models of dissociation, for future research examining the phenomenological, neurobiological, and physiological underpinnings of trauma-related dissociation.http://www.ejpt.net/index.php/ejpt/article/view/27905/pdf_59Dissociationconsciousnessinteroceptive awarenessdissociative subtypeemotionanterior cingulateinsulacomplex PTSD
spellingShingle Ruth A. Lanius
Trauma-related dissociation and altered states of consciousness: a call for clinical, treatment, and neuroscience research
European Journal of Psychotraumatology
Dissociation
consciousness
interoceptive awareness
dissociative subtype
emotion
anterior cingulate
insula
complex PTSD
title Trauma-related dissociation and altered states of consciousness: a call for clinical, treatment, and neuroscience research
title_full Trauma-related dissociation and altered states of consciousness: a call for clinical, treatment, and neuroscience research
title_fullStr Trauma-related dissociation and altered states of consciousness: a call for clinical, treatment, and neuroscience research
title_full_unstemmed Trauma-related dissociation and altered states of consciousness: a call for clinical, treatment, and neuroscience research
title_short Trauma-related dissociation and altered states of consciousness: a call for clinical, treatment, and neuroscience research
title_sort trauma related dissociation and altered states of consciousness a call for clinical treatment and neuroscience research
topic Dissociation
consciousness
interoceptive awareness
dissociative subtype
emotion
anterior cingulate
insula
complex PTSD
url http://www.ejpt.net/index.php/ejpt/article/view/27905/pdf_59
work_keys_str_mv AT ruthalanius traumarelateddissociationandalteredstatesofconsciousnessacallforclinicaltreatmentandneuroscienceresearch