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Related Experiment Video

Updated: May 25, 2025

Use of a Psychophysiological Script-driven Imagery Experiment to Study Trauma-related Dissociation in Borderline Personality Disorder

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Published on: March 8, 2018

A randomized controlled trial assists individuals with complex trauma and dissociation in Finding Solid Ground.

Bethany L Brand¹, Hygge J Schielke², Karen Putnam³

¹Department of Psychology, Towson University.

Psychological Trauma : Theory, Research, Practice and Policy

|February 27, 2025

Summary

An online program improved emotion regulation, PTSD symptoms, and self-compassion in individuals with trauma-related dissociation (TRD). This adjunctive therapy enhanced adaptive capacities, showing significant benefits for complex PTSD patients.

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Area of Science:

Psychiatry and Psychology
Trauma Studies
Mental Health Interventions

Background:

Trauma-related dissociation (TRD) requires effective treatments, often presenting with complex PTSD and high suicidality.
Current therapeutic options for TRD, including dissociative disorders, are limited.
The Finding Solid Ground (FSG) program offers psychoeducation for managing trauma-related symptoms.

Purpose of the Study:

To evaluate the efficacy of an adjunctive online psychoeducational program (FSG) for individuals with high trauma-related dissociation (TRD).
To assess changes in symptoms and adaptive capacities in patients receiving FSG alongside standard psychotherapy.
To determine the impact of FSG on emotion regulation, PTSD symptoms, and self-compassion.

Main Methods:

A randomized controlled trial (RCT) involving 291 outpatients with various TRD diagnoses (ICD-10).
Participants were assigned to immediate FSG access or a 6-month waitlist control group.
Standard psychotherapy was continued by outpatient therapists for all participants.

Main Results:

The immediate FSG group demonstrated significant improvements in emotion regulation, PTSD symptoms, self-compassion, and adaptive capacities at 6 months compared to the waitlist group.
Large effect sizes (|g|s = 0.95-1.32) were observed for these improvements from study entry to 12 months in the immediate FSG group.
The waitlist group achieved comparable improvements after 6 months of accessing the FSG program.

Conclusions:

Adding the Finding Solid Ground (FSG) program to psychotherapy significantly improves outcomes for individuals with trauma-related dissociation (TRD).
FSG enhances emotion regulation, reduces PTSD symptoms, increases self-compassion, and improves adaptive functioning in this population.
The study supports FSG as a valuable adjunctive treatment for complex PTSD and related dissociative disorders.