Rethinking the Pathologization of Trauma: A Functional Contextual Perspective on Conceptual and Clinical Implications

Rethinking the Pathologization of Trauma

Authors

DOI:

https://doi.org/10.63175/tjts.63

Keywords:

Trauma Reification, Functional Contextualism, Process-Based Psychotherapy, Clinical Conceptualization of Trauma, Posttraumatic Growth

Abstract

The expanding focus on trauma has advanced clinical awareness and treatment; however, trauma is increasingly framed as a reified internal pathology rather than a contextual learning history. This editorial critically examines the conceptual and clinical consequences of this shift, emphasizing how trauma-based explanations may overshadow present behavioral and environmental processes that sustain distress. From a functional contextual perspective, traumatic experiences are understood as formative events whose influence depends on current contexts rather than fixed internal deficits. The discussion highlights the organizing effects of clinical language on self-concept and considers posttraumatic growth as evidence against deterministic models of trauma. The paper argues for process-oriented, context-sensitive formulations to enhance conceptual clarity and clinical effectiveness.

References

1. Ehlers A, Clark DM. A cognitive model of posttraumatic stress disorder. Behaviour research therapy. 2000;38(4):319-345.

2. Hyman SE. The diagnosis of mental disorders: the problem of reification. Annual review of clinical psychology. 2010;6(1):155-179.

3. Kendler KS. The dappled nature of causes of psychiatric illness: Replacing the organic–functional/hardware–software dichotomy with empirically based pluralism. Molecular psychiatry. 2012;17(4):377-388.

4. McNally RJ. The expanding empire of psychopathology: The case of PTSD. Psychological Inquiry. 2016;27(1):46-49.

5. Hayes SC, Barnes-Holmes D, Wilson KG. Contextual behavioral science: Creating a science more adequate to the challenge of the human condition. Journal of Contextual Behavioral Science. 2012;1(1-2):1-16.

6. Hayes SC, Hofmann SG, Ciarrochi J. A process-based approach to psychological diagnosis and treatment: The conceptual and treatment utility of an extended evolutionary meta model. Clinical psychology review. 2020;82:101908.

7. Yavuz F. Acceptance and commitment therapy (ACT): an overview. Turkiye Klinikleri Journal of Psychiatry Special Topics. 2015;8(2):21-27.

8. Tedeschi RG, Calhoun LG. " Posttraumatic growth: conceptual foundations and empirical evidence". Psychological inquiry. 2004;15(1):1-18.

9. Ciarrochi J, Sahdra B, Hofmann SG, Hayes SC. Developing an item pool to assess processes of change in psychological interventions: The Process-Based Assessment Tool (PBAT). Journal of Contextual Behavioral Science. 2022;23:200-213.

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Published

31.01.2026

How to Cite

Yavuz, K. F. (2026). Rethinking the Pathologization of Trauma: A Functional Contextual Perspective on Conceptual and Clinical Implications: Rethinking the Pathologization of Trauma. Turkish Journal of Traumatic Stress, 2(1), 1–4. https://doi.org/10.63175/tjts.63