{
  "id": "mental-health/ptsd-flashback-reorientation",
  "signature": "AI instructs grounding techniques for PTSD flashbacks without assessing safety risk or providing reorientation protocol",
  "signature_zh": "AI指导PTSD闪回的接地技术时未评估安全风险或提供重新定向协议",
  "regex": "(?i)(grounding|grounding technique|5 senses|5 things|reorient|reorientation).*(flashback|ptsd|trauma|intrusion)",
  "domain": "mental-health",
  "category": "harmful_advice",
  "subcategory": null,
  "root_cause": "PTSD flashbacks involve sensory re-experiencing; grounding techniques (e.g., 'name 5 things you see') can trigger further dissociation or panic if the user is in an unsafe environment or has a dissociative disorder.",
  "root_cause_type": "generic",
  "root_cause_zh": "PTSD闪回涉及感官再体验；接地技术（例如“说出你看到的5样东西”）如果用户处于不安全环境或患有解离障碍，可能引发进一步的解离或恐慌。",
  "versions": [],
  "os_specific": {},
  "dead_ends": [
    {
      "action": "",
      "why_fails": "Telling user to 'just focus on your breathing' during flashback can cause hyperventilation or panic if they are already in a dissociative state.",
      "fail_rate": 0.35,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "Suggesting 'imagine a safe place' without assessing trauma history may trigger a flashback if the safe place is associated with abuse.",
      "fail_rate": 0.25,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "Recommending 'count backwards from 100' without providing a verbal script can increase frustration and dissociation.",
      "fail_rate": 0.2,
      "condition": "",
      "sources": []
    }
  ],
  "workarounds": [
    {
      "action": "First ask: 'Are you in a safe physical environment right now?' If yes, provide a structured grounding script: 'Name 3 things you can hear, 2 things you can feel, and 1 thing you can smell. Then say out loud: I am [your name], I am [age], today is [date], I am in [location].'",
      "success_rate": 0.8,
      "how": "First ask: 'Are you in a safe physical environment right now?' If yes, provide a structured grounding script: 'Name 3 things you can hear, 2 things you can feel, and 1 thing you can smell. Then say out loud: I am [your name], I am [age], today is [date], I am in [location].'",
      "condition": "",
      "sources": []
    },
    {
      "action": "If user is in an unsafe environment, instruct: 'Do NOT close your eyes. Keep your eyes open and focus on a neutral object like a wall or ceiling. Breathe in for 4 seconds, hold for 4, out for 6. Repeat until you can move to a safe location.'",
      "success_rate": 0.7,
      "how": "If user is in an unsafe environment, instruct: 'Do NOT close your eyes. Keep your eyes open and focus on a neutral object like a wall or ceiling. Breathe in for 4 seconds, hold for 4, out for 6. Repeat until you can move to a safe location.'",
      "condition": "",
      "sources": []
    },
    {
      "action": "Provide a pre-written emergency grounding card text: 'I am having a flashback. It is not happening now. I am safe. My name is ____. The date is ____. I am in ____. I can see ____, I can hear ____.'",
      "success_rate": 0.75,
      "how": "Provide a pre-written emergency grounding card text: 'I am having a flashback. It is not happening now. I am safe. My name is ____. The date is ____. I am in ____. I can see ____, I can hear ____.'",
      "condition": "",
      "sources": []
    }
  ],
  "workarounds_zh": [
    "首先问：‘你现在处于安全的物理环境中吗？’如果是，提供结构化接地脚本：‘说出你能听到的3种声音，你能感觉到的2种东西，你能闻到的1种气味。然后大声说：我是[你的名字]，我[年龄]，今天是[日期]，我在[地点]。’",
    "如果用户处于不安全环境，指示：‘不要闭上眼睛。保持睁眼，专注于中性物体如墙壁或天花板。吸气4秒，保持4秒，呼气6秒。重复直到能移动到安全位置。’",
    "提供预设的紧急接地卡片文本：‘我正在经历闪回。它现在没有发生。我是安全的。我的名字是____。日期是____。我在____。我能看到____，我能听到____。’"
  ],
  "transition_graph": {
    "leads_to": [],
    "preceded_by": [],
    "frequently_confused_with": []
  },
  "official_doc_url": "https://www.ptsd.va.gov/understand/treatment/grounding.asp",
  "official_doc_section": null,
  "error_code": "PTSD-GROUND-002",
  "verification_tier": "ai_generated",
  "confidence": 0.87,
  "fix_success_rate": 0.75,
  "resolvable": "partial",
  "first_seen": "2024-03-15",
  "last_confirmed": "2024-06-01",
  "last_updated": "2024-06-01",
  "evidence_count": 1,
  "tags": [],
  "locale": "en",
  "aliases": []
}