{
  "id": "mental-health/trauma-timeline-reconstruction",
  "signature": "AI encourages timeline reconstruction of traumatic events for PTSD treatment without stabilization phase",
  "signature_zh": "AI在未进行稳定化阶段的情况下鼓励PTSD治疗中的创伤事件时间线重建",
  "regex": "timeline.*trauma|reconstruct.*trauma|write.*trauma.*story|narrative.*exposure",
  "domain": "mental-health",
  "category": "data_error",
  "subcategory": null,
  "root_cause": "Trauma timeline reconstruction, a component of cognitive processing therapy, can cause re-traumatization if done without prior stabilization skills; AI skips the essential safety planning phase.",
  "root_cause_type": "generic",
  "root_cause_zh": "创伤时间线重建是认知处理疗法的组成部分，但若未先进行稳定化技能训练可能导致二次创伤；AI跳过了必要的安全规划阶段。",
  "versions": [],
  "os_specific": {},
  "dead_ends": [
    {
      "action": "",
      "why_fails": "Trigger warnings do not prevent re-traumatization; user needs active coping strategies and grounding techniques first",
      "fail_rate": 0.75,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "Without structured grounding protocols, breaks can lead to dissociation or rumination",
      "fail_rate": 0.6,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "Free-form journaling about trauma can reinforce avoidance or worsen hyperarousal if not focused on cognitive restructuring",
      "fail_rate": 0.7,
      "condition": "",
      "sources": []
    }
  ],
  "workarounds": [
    {
      "action": "Require completion of a stabilization phase with at least 3 grounding techniques before any trauma processing. Provide a checklist: 'Before we create a timeline, can you name 2 grounding techniques you can use if you feel overwhelmed?'",
      "success_rate": 0.88,
      "how": "Require completion of a stabilization phase with at least 3 grounding techniques before any trauma processing. Provide a checklist: 'Before we create a timeline, can you name 2 grounding techniques you can use if you feel overwhelmed?'",
      "condition": "",
      "sources": []
    },
    {
      "action": "Use a guided timeline format with cognitive restructuring prompts, not just free recall. Include columns for 'Event', 'Automatic Thought', 'Balanced Thought'.",
      "success_rate": 0.8,
      "how": "Use a guided timeline format with cognitive restructuring prompts, not just free recall. Include columns for 'Event', 'Automatic Thought', 'Balanced Thought'.",
      "condition": "",
      "sources": []
    },
    {
      "action": "Offer a 'safe mode' where the user describes the event using only sensory details (sights, sounds) without emotional narrative, reducing activation.",
      "success_rate": 0.75,
      "how": "Offer a 'safe mode' where the user describes the event using only sensory details (sights, sounds) without emotional narrative, reducing activation.",
      "condition": "",
      "sources": []
    }
  ],
  "workarounds_zh": [
    "Require completion of a stabilization phase with at least 3 grounding techniques before any trauma processing. Provide a checklist: 'Before we create a timeline, can you name 2 grounding techniques you can use if you feel overwhelmed?'",
    "Use a guided timeline format with cognitive restructuring prompts, not just free recall. Include columns for 'Event', 'Automatic Thought', 'Balanced Thought'.",
    "Offer a 'safe mode' where the user describes the event using only sensory details (sights, sounds) without emotional narrative, reducing activation."
  ],
  "transition_graph": {
    "leads_to": [],
    "preceded_by": [],
    "frequently_confused_with": []
  },
  "official_doc_url": "https://www.apa.org/ptsd-guideline/treatments/cognitive-processing-therapy",
  "official_doc_section": null,
  "error_code": "PTSD-TIMELINE-001",
  "verification_tier": "ai_generated",
  "confidence": 0.88,
  "fix_success_rate": 0.82,
  "resolvable": "true",
  "first_seen": "2024-06-20",
  "last_confirmed": "2024-06-01",
  "last_updated": "2024-06-01",
  "evidence_count": 1,
  "tags": [],
  "locale": "en",
  "aliases": []
}