#why do they do this though ~ @inqorporeal
OH! I KNOW THE ANSWER TO THIS!
There’s a WIRED article that explains the history behind this practice.
Basically, this guy named Jeffrey Mitchell had a traumatic experience, then after months of PTSD, he told a confidant about the event that traumatized him. Retelling the event to a confidant was so cathartic for Mitchell that his PTSD went away after. He did a bunch of research to see if his personal experience of catharsis and relief could be replicated in other people suffering from PTSD. Years later he published a paper proposing a formalized psychiatric treatment revolving around this idea that expressing a traumatic experience helps relieve it. The paper was so influential that the whole psychiatric community adopted “critical incident stress debriefing” (CISD) as a standard treatment for PTSD.
Unfortunately … it’s bullshit.
Not only does the CISD treatment program Mitchell came up with not help the majority of patients who try it, but it actually makes PTSD worse in the majority of patients who try it.
The WIRED article explains why:
CISD misapprehends how memory works…. Once a memory is formed, we assume that it will stay the same. This, in fact, is why we trust our recollections. They feel like indelible portraits of the past.
None of this is true. In the past decade, scientists have come to realize that our memories are not inert packets of data and they don’t remain constant.
…the very act of remembering changes the memory itself. New research is showing that every time we recall an event, the structure of that memory in the brain is altered in light of the present moment, warped by our current feelings and knowledge.
Basically, Mitchell waited until he had some emotional distance before trying to recall the memory, and he had full control of the situation. It was fully his decision. Nobody was pressuring him to talk about it. So he felt safe. Thinking about the memory from a place of safety allowed his brain to re-contextualize the memory as harmless.
Conversely, pressuring a patient to recall a traumatic memory, particularly when it’s still fresh in their minds, makes the patient feel very unsafe. Recalling a bad memory in this unsafe context only serves to re-traumatize the patient.
[link to the whole article]
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