This page was translated automatically from Turkish. Read the original

Bu sayfa, 26. Dünya Psikiyatri Kongresi'nde sunulan çalışmanın yapay zekâ desteğiyle hazırlanmış Türkçe özetidir. Çalışmanın sahibi sunan yazarlardır; atıf için orijinal kaynağa başvurun.

EV0107

Toward a Collective Psychotraumatology of Chronic Sociopolitical Adversity: Seven Theoretical Constructs

TOWARD A COLLECTIVE PSYCHOTRAUMATOLOGY OF CHRONIC SOCIOPOLITICAL ADVERSITY: SEVEN THEORETICAL CONSTRUCTS

Because there is no recovery phase under chronic authoritarian repression, distinct theoretical constructs are proposed to name mechanisms of injury and protection that existing trauma frameworks conflate or overlook.

The study aims to address the gap arising from the assumption in most trauma frameworks that discrete events are followed by a recovery phase; under chronic authoritarian adversity, this recovery phase may be absent, adaptive responses may be misinterpreted as pathology, and significant injuries may remain unnamed. The method is a theoretical synthesis accompanied by a narrative review covering trauma, collective trauma, moral injury, meaning making, and resilience; the constructs were derived from clinical patterns under prolonged political adversity, using Iran as a paradigm, and evaluated for distinctiveness, coherence, clinical relevance, and operationalizability. In the poster, the constructs are presented under the umbrella of collective Type II trauma, defined as the societal-level disruption of shared narratives, memory, and trust in institutions. These are compelled witness injury (guilt arising from helplessly witnessing without the possibility of responding, focused on having seen rather than on being unable to act), present tense existential guilt (guilt about ordinary living and returning to normal while others continue to suffer), perpetual meaning deficit (the inability to complete meaning making without a stable recovery phase), disappointment accumulation (intergenerational cycles of hope and defeat accompanied by expectations of catastrophe), resistive maintenance (the active preservation of values and future orientation under adversity), and mirrored violence as a transitional risk (the discharge of accumulated injury through the reproduction of prior harm). For clinical practice, the poster recommends asking about helpless witnessing, guilt over experiencing pleasure while others suffer, intergenerational cycles of hope and defeat, and what the patient is actively trying to preserve; it cautions against automatically pathologizing moral anger, treating present tense guilt as ordinary survivor guilt, mistaking resistive maintenance for pathology, and assuming a stable environment for conventional stabilization. In conclusion, these constructs are proposed as potentially offering clearer targets for formulation and intervention, with empirical operationalization and testing identified as the next priority.

Tüm WCP 2026 özetleri