Evidence map›Paper›PMID 41230373›Full record

ArticleClinical neuropsychiatry2025

Diagnostic Inclusion of Attachment Trauma: A Commentary on Farina and Schimmenti (2025).

Constance J Dalenberg, Kenneth J Thompson

Abstract read
In one paragraph

Article in Clinical neuropsychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Constance J DalenbergAlliant International University.
Kenneth J ThompsonAlliant International University.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Farina and Schimmenti (2025) offer an intriguing reconceptualization of attachment trauma as a developmental process arising from relational failures, even in the absence of identifiable traumatic events. We support their emphasis on clinical symptom constellations-such as dissociation, emotional dysregulation, and interpersonal detachment-as markers of attachment-related dysfunction. However, we suggest a change in emphasis. We argue that any diagnostic change might target dysfunction in the attachment system itself, rather than infer the presence of trauma. This distinction aligns with diagnostic frameworks that prioritize functional patterns over historical assumptions. We also encourage the development of trauma-informed principles specific to attachment disruptions. These refinements, we believe, would increase diagnostic clarity and better support treatment planning. We believe that the enhanced focus on attachment-related psychopathologies, as proposed by Farina and Schimmenti, is of value but would benefit from further attention to the issue of reliable measurement.

Indexed as

assessmentattachment traumadiagnosistrauma-informed case formulation

Identifiers

PMID41230373
PMCPMC12603936

What Socratic holds

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LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.