Part 2: Hooked on a Feeling: intrusive and ruminative symptoms in PTSD by Kate Dahlgrenn

“Ehlers and Clark (2000) created a cognitive model of PTSD, in which symptoms are modulated and maintained by maladaptive emotion regulation.

They proposed that the clinical presentation of PTSD is a heightened sense of threat or fear that is perpetuated by

1) negative appraisal of the trauma including trauma-associated stimuli (reminders) and

2) memory disturbances regarding the trauma including poor contextualization of the event and strong associative memory.

These two factors influence each other and prime an individual for increased perception of threat (attentional deployment towards threat), which leads to increased fear-response comprised of heightened arousal and anxiety, increased intrusive symptoms, and increased negative emotional response.

In response to this emotional assault, an individual will employ maladaptive emotion regulation strategies.

Avoidance strategies include avoiding reminders of the trauma (situation selection to avoid people and places associated with the event) as well as emotional suppression or numbing; this leads to increased social isolation.

Negative appraisal strategies include rumination with feelings of guilt and self-blame.

This maladaptive emotion regulation forms a feedback loop to further influence the perception of the trauma and exacerbate the symptoms of PTSD.”

5 responses to this post.

  1. Posted by rudid96 on August 24, 2022 at 3:51 pm

    Ah, yes, here is yet another post that is the essence of my life.
    I’m truly trying to heal, to burn new trailheads. Recently, this includes forcing myself to speak & to be out in activity with people. Monday, I attended a movie with a group. I chose not to join them for dinner. I knew the story ahead of time (read the book) but was unfamiliar with the screenplay. I was triggered by scenes in the movie and couldn’t discreetly leave. Long story short, I took medication to stave off any night terrors and spent Tuesday dodging body flashbacks and SH thoughts. I’m furious that every move I make must be run thru a filter of “will this be a trigger?” & “what’s my escape plan?”
    And we wonder if we’ll ever be normal? Hah!

  2. My daughter tries to push me to socialize more

    At times it would do damage or power PTSD

    What’s the escape plan

    I ask how do we grow desire enough to overcome the danger we feel

    I feel like something worse than death is about to happen

    I hardly get satisfaction from public excursions

    Do you gain some incredible benefit from going out to a movie

    That is very passive once you find your seat

    I could do the movie part but dinner is another level of engagement and participation

    The rest of the group probably hangs out a lot, we would be the odd person out

    We would be so retrospect about what they are thinking.

    Can they see my awkwardness and emotional concerns?

  3. Posted by rudid96 on August 24, 2022 at 6:23 pm

    This is exactly the & still be part of a group. My intention was what I believe you’ve mentioned before, my version of immersion & desensitizing.
    Desire wanes when there is not much reward at the cost of distress.

  4. Others can not see or feel.this

    They think going out more will make it pleasurable and one day magically we will be normal

  5. Reblogged this on Denial River.

Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

%d bloggers like this: