{
  "id": "mental-health/dissociation-grounding-techniques",
  "signature": "AI recommends grounding techniques for dissociation without assessing trauma history or risk of flashback",
  "signature_zh": "AI在未评估创伤史或闪回风险的情况下推荐解离的接地技术",
  "regex": "grounding technique|5-4-3-2-1|name.*things.*see|touch.*ground",
  "domain": "mental-health",
  "category": "data_error",
  "subcategory": null,
  "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.",
  "root_cause_type": "generic",
  "root_cause_zh": "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。",
  "versions": [],
  "os_specific": {},
  "dead_ends": [
    {
      "action": "",
      "why_fails": "Ice or cold sensations can trigger memories of cold-related trauma (e.g., being held in cold room, water immersion)",
      "fail_rate": 0.7,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "Naming 'things you see' can cause hypervigilance if trauma involved visual threats; user may feel unsafe in current environment",
      "fail_rate": 0.65,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "Certain textures (e.g., rough fabric, metal) may be associated with trauma; user may not anticipate this",
      "fail_rate": 0.55,
      "condition": "",
      "sources": []
    }
  ],
  "workarounds": [
    {
      "action": "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.",
      "success_rate": 0.9,
      "how": "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.",
      "condition": "",
      "sources": []
    },
    {
      "action": "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.",
      "success_rate": 0.85,
      "how": "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.",
      "condition": "",
      "sources": []
    },
    {
      "action": "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).",
      "success_rate": 0.8,
      "how": "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).",
      "condition": "",
      "sources": []
    }
  ],
  "workarounds_zh": [
    "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.",
    "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.",
    "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)."
  ],
  "transition_graph": {
    "leads_to": [],
    "preceded_by": [],
    "frequently_confused_with": []
  },
  "official_doc_url": "https://www.ptsd.va.gov/understand/treatment_care/treatments_for_ptsd.asp",
  "official_doc_section": null,
  "error_code": "DISSOC-GROUND-001",
  "verification_tier": "ai_generated",
  "confidence": 0.86,
  "fix_success_rate": 0.79,
  "resolvable": "true",
  "first_seen": "2024-02-28",
  "last_confirmed": "2024-06-01",
  "last_updated": "2024-06-01",
  "evidence_count": 1,
  "tags": [],
  "locale": "en",
  "aliases": []
}