{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T14:02:21Z","timestamp":1785420141152,"version":"3.56.0"},"reference-count":33,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T00:00:00Z","timestamp":1761091200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Behav. Cogn. Psychother."],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1352465825101033_as1\">\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Intrusive re-experiencing of traumatic events is a cornerstone of post-traumatic stress disorder (PTSD). Clinicians notice that clients also experience intrusive mental images of what they think might happen during a traumatic event. As mental imagery has a powerful impact on emotion, imagination-based imagery may be implicated in the peaks of distress (\u2018hotspots\u2019) during a trauma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1352465825101033_as2\">\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>A data-only study was undertaken of cognitive therapy for PTSD \u2018hotspot\u2019 charts used by Grenfell Health and Wellbeing Service clinicians after the Grenfell fire disaster. The aim was to establish the prevalence and nature of peri-traumatic \u2018imagination-based hotspots\u2019 in this sample.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1352465825101033_as3\">\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>\n                      Hotspots are described as the worst moments within a trauma. Two clinicians independently rated anonymised hotspot charts (\n                      <jats:italic>N<\/jats:italic>\n                      =26) for the presence and content of \u2018imagination-based hotspots\u2019, defined as \u2018a peak of emotion during a traumatic event that is related to something imagined \u201cin the mind\u2019s eye\u201d as opposed to directly perceived with the senses\u2019.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1352465825101033_as4\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      81% (\n                      <jats:italic>N<\/jats:italic>\n                      =21) of individuals reported an imagination-based hotspot; 38% of all hotspots (\n                      <jats:italic>n<\/jats:italic>\n                      =159) contained an imagination-based component. The most common was an image in which the person watching the fire imagined themselves in the \u2018shoes\u2019 of a tower resident.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1352465825101033_as5\">\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Imagination-based mental imagery appears to be linked to the \u2018hotspots\u2019 of a high proportion of people experiencing PTSD in this sample. Results underline the importance of enquiring about the presence of mental imagery during PTSD treatment. The presence of peri-traumatic mental images has implications for effective updating of \u2018hotspots\u2019 in PTSD treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1352465825101033","type":"journal-article","created":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T09:12:50Z","timestamp":1761124370000},"page":"72-83","source":"Crossref","is-referenced-by-count":0,"title":["The power of imagery: examining the prevalence of imagination-based hotspots after a traumatic event in the Grenfell Health and Wellbeing Service"],"prefix":"10.1017","volume":"54","author":[{"given":"Amy","family":"Chisholm","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05drfg619","id-type":"ROR","asserted-by":"publisher"}],"name":"Grenfell Health and Wellbeing Service, Central and North West London NHS Trust"},{"name":"Central and North West London NHS Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire","family":"Gibson","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05drfg619","id-type":"ROR","asserted-by":"publisher"}],"name":"Grenfell Health and Wellbeing Service, Central and North West London NHS Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Che","family":"Moore","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05drfg619","id-type":"ROR","asserted-by":"publisher"}],"name":"Grenfell Health and Wellbeing Service, Central and North West London NHS Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sameena","family":"Akbar","sequence":"additional","affiliation":[{"name":"Central and North West London NHS Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cathryn","family":"Skerry","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05drfg619","id-type":"ROR","asserted-by":"publisher"}],"name":"Grenfell Health and Wellbeing Service, Central and North West London NHS Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Badri","family":"Bechlem","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05drfg619","id-type":"ROR","asserted-by":"publisher"}],"name":"Grenfell Health and Wellbeing Service, Central and North West London NHS Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Griffin","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05drfg619","id-type":"ROR","asserted-by":"publisher"}],"name":"Grenfell Health and Wellbeing Service, Central and North West London NHS Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Turufat","family":"Yilma","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05drfg619","id-type":"ROR","asserted-by":"publisher"}],"name":"Grenfell Health and Wellbeing Service, Central and North West London NHS Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kerry","family":"Young","sequence":"additional","affiliation":[{"name":"Central and North West London NHS Trust"},{"name":"Oxford Rose Clinic, John Radcliffe Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,10,22]]},"reference":[{"key":"S1352465825101033_ref29","unstructured":"National Institute for Health and Care Excellence (2018). 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