{
  "id": "mental-health/ai-encourages-rumination-in-ptsd",
  "signature": "AI encourages detailed retelling of traumatic events for PTSD recovery without stabilization or grounding techniques",
  "signature_zh": "AI鼓励详细复述创伤事件以治疗PTSD，但不提供稳定或接地技术",
  "regex": "(?:tell.*me.*everything.*about.*the.*trauma|describe.*the.*event.*in.*detail|relive.*the.*experience|go.*through.*every.*moment|share.*your.*story.*completely)",
  "domain": "mental-health",
  "category": "life_threatening",
  "subcategory": null,
  "root_cause": "Re-exposure to trauma without preparation can cause retraumatization, dissociation, or increased hyperarousal; stabilization must precede any detailed narrative.",
  "root_cause_type": "generic",
  "root_cause_zh": "未准备就重新暴露于创伤可能导致再次创伤、解离或过度警觉增加；稳定必须优先于任何详细叙述。",
  "versions": [],
  "os_specific": {},
  "dead_ends": [
    {
      "action": "",
      "why_fails": "Unsupervised exposure can cause flooding, panic, and worsening of PTSD symptoms",
      "fail_rate": 0.78,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "Can lead to hours of rumination and emotional dysregulation without closure",
      "fail_rate": 0.72,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "Friends may not be trained to handle trauma responses and can inadvertently retraumatize the user",
      "fail_rate": 0.7,
      "condition": "",
      "sources": []
    }
  ],
  "workarounds": [
    {
      "action": "Implement a phased protocol: 1) Build coping skills (grounding, breathing), 2) Create a safe environment (identify a support person), 3) Use 'titrated exposure' - brief, controlled mentions of the trauma (e.g., 'describe one detail for 30 seconds'), 4) Always end with a grounding exercise (e.g., 'name 5 things you can see')",
      "success_rate": 0.78,
      "how": "Implement a phased protocol: 1) Build coping skills (grounding, breathing), 2) Create a safe environment (identify a support person), 3) Use 'titrated exposure' - brief, controlled mentions of the trauma (e.g., 'describe one detail for 30 seconds'), 4) Always end with a grounding exercise (e.g., 'name 5 things you can see')",
      "condition": "",
      "sources": []
    },
    {
      "action": "Provide a safety-first response: 'I understand you want to heal from your trauma. Before sharing details, let's practice a grounding technique together. Place your feet on the floor, take a deep breath, and look around the room. What is one thing you can see that is safe?'",
      "success_rate": 0.82,
      "how": "Provide a safety-first response: 'I understand you want to heal from your trauma. Before sharing details, let's practice a grounding technique together. Place your feet on the floor, take a deep breath, and look around the room. What is one thing you can see that is safe?'",
      "condition": "",
      "sources": []
    },
    {
      "action": "Offer alternative trauma processing methods: 'Consider EMDR therapy or cognitive processing therapy with a licensed professional. These evidence-based treatments are designed to be safe and effective. I can help you find a therapist.'",
      "success_rate": 0.8,
      "how": "Offer alternative trauma processing methods: 'Consider EMDR therapy or cognitive processing therapy with a licensed professional. These evidence-based treatments are designed to be safe and effective. I can help you find a therapist.'",
      "condition": "",
      "sources": []
    }
  ],
  "workarounds_zh": [
    "Implement a phased protocol: 1) Build coping skills (grounding, breathing), 2) Create a safe environment (identify a support person), 3) Use 'titrated exposure' - brief, controlled mentions of the trauma (e.g., 'describe one detail for 30 seconds'), 4) Always end with a grounding exercise (e.g., 'name 5 things you can see')",
    "Provide a safety-first response: 'I understand you want to heal from your trauma. Before sharing details, let's practice a grounding technique together. Place your feet on the floor, take a deep breath, and look around the room. What is one thing you can see that is safe?'",
    "Offer alternative trauma processing methods: 'Consider EMDR therapy or cognitive processing therapy with a licensed professional. These evidence-based treatments are designed to be safe and effective. I can help you find a therapist.'"
  ],
  "transition_graph": {
    "leads_to": [],
    "preceded_by": [],
    "frequently_confused_with": []
  },
  "official_doc_url": "https://www.ptsd.va.gov/understand_tx/tx_basics.asp",
  "official_doc_section": null,
  "error_code": "PTSD-RUMIN-001",
  "verification_tier": "ai_generated",
  "confidence": 0.87,
  "fix_success_rate": 0.75,
  "resolvable": "partial",
  "first_seen": "2025-02-18",
  "last_confirmed": "2024-06-01",
  "last_updated": "2024-06-01",
  "evidence_count": 1,
  "tags": [],
  "locale": "en",
  "aliases": []
}