{
  "id": "mental-health/ptsd-trigger-avoidance",
  "signature": "AI encourages PTSD avoidance behavior by suggesting trigger elimination instead of processing",
  "signature_zh": "人工智能通过建议消除触发因素而不是处理来鼓励创伤后应激障碍回避行为",
  "regex": "PTSD trigger avoidance|trigger elimination advice|avoidance reinforcement AI",
  "domain": "mental-health",
  "category": "data_error",
  "subcategory": null,
  "root_cause": "PTSD recovery involves gradual exposure and integration of traumatic memories; AI recommending avoidance of all triggers (e.g., 'Just stay away from that place') reinforces phobic avoidance and prevents healing.",
  "root_cause_type": "generic",
  "root_cause_zh": "创伤后应激障碍的康复涉及逐步暴露和整合创伤记忆；人工智能建议回避所有触发因素（例如“就远离那个地方”）会强化恐惧性回避并阻碍愈合。",
  "versions": [
    {
      "version": "1.5.0",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    },
    {
      "version": "2.2.0",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    },
    {
      "version": "3.0.0",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    }
  ],
  "os_specific": {},
  "dead_ends": [
    {
      "action": "",
      "why_fails": "Suggesting relaxation techniques alone (e.g., 'deep breathing') without exposure work can cause dissociation during triggers.",
      "fail_rate": 0.68,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "Recommending complete isolation from triggers (e.g., 'never go to that place again') shrinks the user's world and increases hypervigilance.",
      "fail_rate": 0.85,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "Using generic 'positive thinking' after a flashback invalidates the traumatic experience and can cause shame.",
      "fail_rate": 0.72,
      "condition": "",
      "sources": []
    }
  ],
  "workarounds": [
    {
      "action": "Use 'grounding after flashback' protocol: 'Notice five things you can see. Press your feet into the floor. Remind yourself: I am here in [current year], the event is over. I am safe now.'",
      "success_rate": 0.83,
      "how": "Use 'grounding after flashback' protocol: 'Notice five things you can see. Press your feet into the floor. Remind yourself: I am here in [current year], the event is over. I am safe now.'",
      "condition": "",
      "sources": []
    },
    {
      "action": "Implement 'graded exposure' framework: 'Instead of avoiding the trigger entirely, create a hierarchy. Start with a picture, then a video, then a brief visit with a support person. Each step reduces fear.'",
      "success_rate": 0.76,
      "how": "Implement 'graded exposure' framework: 'Instead of avoiding the trigger entirely, create a hierarchy. Start with a picture, then a video, then a brief visit with a support person. Each step reduces fear.'",
      "condition": "",
      "sources": []
    },
    {
      "action": "Provide a 'trauma narrative' prompt: 'Write down the memory in third person. This helps the brain process it as a past event rather than a present threat. Do this for 10 minutes daily.'",
      "success_rate": 0.8,
      "how": "Provide a 'trauma narrative' prompt: 'Write down the memory in third person. This helps the brain process it as a past event rather than a present threat. Do this for 10 minutes daily.'",
      "condition": "",
      "sources": []
    }
  ],
  "workarounds_zh": [
    "使用“闪回后接地”协议：注意你能看到的五种东西。将脚压在地板上。提醒自己：我在[当前年份]，事件已经结束。我现在安全。",
    "实施“分级暴露”框架：不要完全回避触发因素，创建一个等级。从一张图片开始，然后一个视频，然后在一个支持人员的陪同下短暂访问。每一步都会减少恐惧。",
    "提供“创伤叙事”提示：用第三人称写下这段记忆。这有助于大脑将其视为过去的事件而不是当前的威胁。每天做10分钟。"
  ],
  "transition_graph": {
    "leads_to": [],
    "preceded_by": [],
    "frequently_confused_with": []
  },
  "official_doc_url": "https://www.ptsd.va.gov/professional/treat/essentials/pe.asp",
  "official_doc_section": null,
  "error_code": "PTSD-AVOID-003",
  "verification_tier": "ai_generated",
  "confidence": 0.87,
  "fix_success_rate": 0.79,
  "resolvable": "partial",
  "first_seen": "2024-09-05",
  "last_confirmed": "2024-06-01",
  "last_updated": "2024-06-01",
  "evidence_count": 1,
  "tags": [],
  "locale": "en",
  "aliases": []
}