DISSOC-GROUND-001 mental-health data_error ai_generated true

AI recommends grounding techniques for dissociation without assessing trauma history or risk of flashback

ID: mental-health/dissociation-grounding-techniques

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79%Fix Rate
86%Confidence
1Evidence
2024-02-28First Seen

Root Cause

Grounding techniques can trigger traumatic flashbacks in users with PTSD if they involve sensory stimuli associated with the trauma (e.g., cold water for assault survivors); AI must screen for trauma type first.

generic

中文

接地技术若涉及与创伤相关的感官刺激（如对攻击幸存者使用冷水），可能触发PTSD患者的创伤闪回；AI必须首先筛查创伤类型。

Official Documentation

https://www.ptsd.va.gov/understand/treatment_care/treatments_for_ptsd.asp

Workarounds

  1. 90% success Ask a screening question before grounding: 'Does any of your trauma involve sensory experiences like cold, heat, specific sounds, or textures? If yes, avoid those senses in grounding.' Then offer a customized exercise. 
    Ask a screening question before grounding: 'Does any of your trauma involve sensory experiences like cold, heat, specific sounds, or textures? If yes, avoid those senses in grounding.' Then offer a customized exercise.
  2. 85% success Offer a 'neutral' grounding option that uses cognitive tasks instead of sensory stimuli, such as counting backward by 7 from 100 or reciting a poem. 
    Offer a 'neutral' grounding option that uses cognitive tasks instead of sensory stimuli, such as counting backward by 7 from 100 or reciting a poem.
  3. 80% success Provide a 'safe grounding' menu where user selects from categories they confirm are safe: visual (look for round objects), auditory (listen for 3 distinct sounds), or proprioceptive (press feet into floor). 
    Provide a 'safe grounding' menu where user selects from categories they confirm are safe: visual (look for round objects), auditory (listen for 3 distinct sounds), or proprioceptive (press feet into floor).

中文步骤

  1. Ask a screening question before grounding: 'Does any of your trauma involve sensory experiences like cold, heat, specific sounds, or textures? If yes, avoid those senses in grounding.' Then offer a customized exercise.
  2. Offer a 'neutral' grounding option that uses cognitive tasks instead of sensory stimuli, such as counting backward by 7 from 100 or reciting a poem.
  3. Provide a 'safe grounding' menu where user selects from categories they confirm are safe: visual (look for round objects), auditory (listen for 3 distinct sounds), or proprioceptive (press feet into floor).

Dead Ends

Common approaches that don't work:

  1. 70% fail

    Ice or cold sensations can trigger memories of cold-related trauma (e.g., being held in cold room, water immersion)

  2. 65% fail

    Naming 'things you see' can cause hypervigilance if trauma involved visual threats; user may feel unsafe in current environment

  3. 55% fail

    Certain textures (e.g., rough fabric, metal) may be associated with trauma; user may not anticipate this