{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T01:19:44Z","timestamp":1787620784120,"version":"build-2736575974"},"reference-count":101,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,7,19]],"date-time":"2026-07-19T00:00:00Z","timestamp":1784419200000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Psychology and Psychoth"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    This study examined therapists' assessments of post\u2010traumatic stress disorder (PTSD) symptoms and disturbances in self\u2010organization (DSO), the additional symptom cluster that distinguishes complex PTSD (CPTSD) from PTSD in ICD\u201011. We investigated how these dimensions, together with patient dissociation, shape therapists' affective responses and in\u2010session disconnection, considering both patient (CADS; observer rated) and therapist (DES; trait) dissociation. Therapists (\n                    <jats:italic>N<\/jats:italic>\n                    \u2009=\u200960) completed measures referring to one selected patient. Measures included PTSD and DSO symptoms, personality organization, self\u2010concept clarity, adverse childhood experiences, interoceptive awareness, patient dissociation, therapist affective responses, therapist dissociation and therapist in\u2010session disconnection. Correlational analyses, MANOVA and hierarchical regressions were conducted. DSO and PTSD showed distinct profiles of functioning. DSO was associated with broader structural vulnerabilities, including impaired personality organization, adverse childhood experiences, reduced interoceptive awareness and higher dissociation, whereas PTSD was primarily associated with reduced self\u2010concept clarity. DSO predicted therapists' feelings of helplessness, whereas patient dissociation predicted overwhelmed\/disorganized responses and reduced positive engagement. Patient dissociation and therapist dissociation independently predicted therapists' experiences of in\u2010session disconnection, while their interaction was not significant. Findings highlight distinct relational correlates of DSO and PTSD and identify dissociation as a central mechanism of therapeutic disconnection. Dissociation operates as a shared field phenomenon, with clinical implications for monitoring and addressing in\u2010session relational \u2018drifts\u2019.\n                  <\/jats:p>","DOI":"10.1002\/cpp.70309","type":"journal-article","created":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T03:16:21Z","timestamp":1784517381000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Disturbances in Self\u2010Organization and Dissociation in the Therapeutic Field: Affective Responses and Relational Disconnection"],"prefix":"10.1002","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6825-1717","authenticated-orcid":false,"given":"Andrea","family":"Scalabrini","sequence":"first","affiliation":[{"name":"Department of Human and Social Sciences University of Bergamo  Bergamo Italy"},{"name":"The Royal's Institute of Mental Health Research University of Ottawa Institute of Mental Health Research  Ottawa Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosy","family":"Esposito","sequence":"additional","affiliation":[{"name":"Department of Human and Social Sciences University of Bergamo  Bergamo Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clara","family":"Mucci","sequence":"additional","affiliation":[{"name":"Department of Human and Social Sciences University of Bergamo  Bergamo Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6473-7034","authenticated-orcid":false,"given":"Lorenzo Lucherini","family":"Angeletti","sequence":"additional","affiliation":[{"name":"The Royal's Institute of Mental Health Research University of Ottawa Institute of Mental Health Research  Ottawa Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Masoumi","sequence":"additional","affiliation":[{"name":"The Royal's Institute of Mental Health Research University of Ottawa Institute of Mental Health Research  Ottawa Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2726-6020","authenticated-orcid":false,"given":"Marco","family":"Cavicchioli","sequence":"additional","affiliation":[{"name":"Department of Dynamic and Clinical Psychology and Health Studies, Faculty of Medicine and Psychology SAPIENZA University of Rome  Rome Italy"},{"name":"Faculty of Psychology Sigmund Freud University  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,19]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"Traumatic Relationships and Serious Mental Disorders","author":"Allen J. 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