Neuroscience-based relational art therapy and deep brain reorienting in the treatment of dissociative identity disorder
Frontiers in Psychology,
Journal Year:
2025,
Volume and Issue:
16
Published: Feb. 28, 2025
Art
therapy
(AT)
has
been
proposed
as
a
treatment
for
post-traumatic
conditions,
potentially
by
providing
somatic
sensory
input
that
can
(i)
enhance
the
client’s
sense
of
self
and
embodiment,
(ii)
modulate
arousal,
(iii)
aid
in
rethinking
reframing
traumatic
memories.
However,
evidence
supporting
AT
dissociative
disorders
remains
limited.
The
theoretical
basis
efficacy
is
discussed
relation
to
findings
regarding
traumatized
person’s
brain
mindset,
well
its
altered
functional
network
connectivity.
It
crucial
consider
specific
alterations
networks
associated
with
trauma,
particularly
those
occurring
deep
regions,
which
include
midbrain,
brainstem,
cerebellum.
hypothesis
suggests
early
or
severe
trauma
impair
brain’s
higher
regulatory
functions,
explained
cascade
theory.
This
theory
explains
how
diverse
activation
patterns
within
midbrain’s
periaqueductal
gray
(PAG)
midbrain
influence
limbic
system
cortices,
thereby
modulating
states
being
behavior.
Phase-specific,
resource-oriented,
long-term
complexly
individuals
benefit
from
novel
insights
neuroimaging
studies
inform
therapeutic
methods.
illustrated
clinical
vignette
client
diagnosed
identity
disorder
(DID),
where
reorienting
(DBR)
was
combined
relational
AT.
component
hypothesized
have
facilitated
grounding
present
moment
enhanced
access
her
neurophenomenological
self.
Moreover,
changes
may
occurred
at
implicit
non-verbal
levels.
DBR
believed
helped
remain
previously
avoided
unbearable
internal
experience.
To
validate
these
assumptions,
second
author
conducted
semi-structured
interview
focused
on
experiences
psychotherapy
,
including
effect
when
introduced
after
were
articulated
through
thematic
analysis
interview,
yielded
following
themes:
Loneliness,
getting
help
moving
towards
togetherness
.
Further
research
development
methods
neuroplasticity
necessary
highly
clients
change
heal
are
recommended.
Language: Английский
Clinical patterns in a neuroimaging-based predictive model of self-reported dissociation
medRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2025,
Volume and Issue:
unknown
Published: Feb. 28, 2025
Assessment
of
trauma-related
dissociation
has
been
historically
challenging
given
its
subjective
nature
and
the
lack
provider
education
around
this
topic.
Recent
work
identified
a
promising
neural
biomarker
dissociation,
representing
significant
step
toward
improved
assessment
identification
dissociation.
However,
it
is
necessary
to
better
understand
clinical
factors
that
may
be
associated
with
biomarker.
Participants
were
65
women
histories
childhood
maltreatment,
posttraumatic
stress
disorder
(PTSD),
varying
levels
(e.g.,
co-occurring
dissociative
identity
disorder,
DID).
Data
drawn
from
previously
published
model
predicting
Multidimensional
Inventory
Dissociation
severe
pathological
scores
on
basis
functional
connectivity.
Here,
we
conducted
k-means
cluster
analysis
explore
patterns
in
results
prediction
model.
We
then
investigated
differences
among
clusters
range
clinically-relevant
variables.
The
clustering
four
distinct
groups.
connectivity
best
predicted
those
at
low
(cluster
1,
82%
PTSD)
high
3,
86%
DID)
ends
self-reported
scale.
Cluster
2
also
largely
included
participants
DID
(67%),
but
predictive
was
less
accurate
for
these
individuals.
Follow
up
analyses
revealed
reported
lower
self-state
intrusions,
type
DID-specific
compared
3.
performance
linked
This
suggests
future
signatures
improve
DID.
present
study
aimed
examine
brain
signature
two
groups
individuals
(DID)
who
differed
These
findings
suggest
underscore
importance
comprehensively
evaluating
symptoms.
Dissociative
symptoms
are
difficult
assess
because
experience
highly
many
providers
do
not
receive
training
Objective,
brain-based
metrics
supplement
self-reports
would
invaluable
enhancing
treatment
Language: Английский