What question did this study set out to answer?

This study aims to understand how individuals with PTSD related to childhood maltreatment experience change despite limited numerical improvement in therapy.

June 6, 2026Open Access

Unfinished business: A grounded theory analysis of change among individuals classified as numerical non-responders to psychodynamic psychotherapy for post-traumatic stress disorder related to childhood maltreatment

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Authors

FNFatima NöskeJustus-Liebig-Universität Gießen FDFrederike DöringInternational Psychoanalytic University Berlin MBManfred E. Beutel

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Implication

Qualitative study reveals complex emotional processes in patients with PTSD-CM despite limited numerical response, indicating a need for tailored treatment.

Key Points

This study aims to understand how individuals with PTSD related to childhood maltreatment experience change despite limited numerical improvement in therapy.
Qualitative analysis of eight interviews from a randomized controlled trial.
Participants were individuals diagnosed with PTSD and classified as numerical non-responders based on the CAPS-5 scale.
Client Change Interviews were analyzed using Critical-Constructivist Grounded Theory.
Identified two main areas of experience: ‘Progress—A Double-Edged Sword’ and ‘Building Trust versus Therapeutic Framework’.
Patients reported feelings of relief and increased emotional regulation despite ongoing emotional challenges.
The findings suggest that numerical nonresponse can mask meaningful therapeutic progress that requires more time to unfold.

Cite This Study

Nöske et al. (2026) studied this question.

synapsesocial.com/papers/6a23bafd71a5da9775e769b8 https://doi.org/10.17169/refubium-51707

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Implication

Qualitative study reveals complex emotional processes in patients with PTSD-CM despite limited numerical response, indicating a need for tailored treatment.

Unfinished business: A grounded theory analysis of change among individuals classified as numerical non-responders to psychodynamic psychotherapy for post-traumatic stress disorder related to childhood maltreatment

Discussion

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Implication

Key Points

Cite This Study

Unfinished business: A grounded theory analysis of change among individuals classified as numerical non-responders to psychodynamic psychotherapy for post-traumatic stress disorder related to childhood maltreatment

Discussion

Member takes

Implication

Key Points

Cite This Study

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