The Role of Self-compassion in Negative self-perception and Emotional dysregulation in C-PTSD

The recently introduced diagnosis of Complex Posttraumatic Stress Disorder (CPTSD) into the ICD-11 provides a wider conceptualization of posttraumatic stress which not only includes the main symptoms of PTSD but also an additional set of symptoms collectively referred to as the ‘Disturbances in Self-Organization’. These symptoms which include affect dysregulation (hypoactivation & hyperactivation), negative self-perception and disturbances in relationships are more frequently observed in those surviving childhood trauma and are hypothesized to affect individuals’ responses to NICE-recommended trauma-focused psychological therapies.Understanding psychological variables that specifically target disturbances in self-organization is therefore important for extending and refining treatment approaches for CPTSD. There is emerging evidence which points to the important role of self-compassion as a protective factor. Self-compassion, a concept drawn from Buddhist Psychology, is best conceptualized as a positive and healthy attitude extended towards the self. It is associated with several positive mental health functions as well as with reduced severity of PTSD symptoms. However, there exists only a limited understanding of the role of self-compassion in CPTSD and its distinct symptoms of emotional dysregulation, negative self-perception, and disturbances in relationships.

To understand the link between self-compassion and CPTSD, I first examine the association between the variables with the help of a cross-sectional study. This would be followed by a qualitative study with participants that helps develop a greater understanding of the concept of self-compassion for them including an understanding of the barriers and facilitators that are involved in the practice of self-compassion. In the final study, I seek to design an experimental study focused to increase self-compassion amongst the participants involving the activation of support-giving schemas.

Keywords: Self-compassion, Complex PTSD, Emotional dysregulation, Negative self-perception.