Evaluating the Minefield Framework: A Randomized Controlled Trial of a Phase-Based Trauma Psychoeducation Model Adjunctive to Therapy

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Authors: Thomas Gill
Cited by: 0

Abstract

The Minefield Framework is a phase-based, trauma-informed psychoeducational model designed to support trauma survivors in identifying, mapping, and managing trauma activation patterns. The protocol replaces conventional 'trigger'-based language with a structured, multi-dimensional mapping system grounded in Polyvagal Theory, somatic regulation principles, and cognitive-behavioral strategies. Rather than framing trauma responses as passive 'triggers,' the Minefield Framework conceptualizes them as individualized, mappable physiological activation events — characterized by type, range, intensity, and contextual volatility — that can be anticipated and navigated using phase-appropriate coping skills. The model is organized into three primary phases (Green: low activation; Yellow: moderate activation; Red: high activation) with an optional fourth phase (Purple: clinician-led, time-limited exposure) that is never required for full clinical value. This study evaluates the Minefield Framework as a structured psychoeducational adjunct to therapy-as-usual (TAU) in a randomized controlled trial with longitudinal follow-up. Adults receiving outpatient trauma-informed therapy will be randomized to TAU alone or TAU plus the Minefield Framework. Primary outcomes include posttraumatic stress symptoms, depression, and anxiety. Secondary outcomes include emotion regulation, coping self-efficacy, interoceptive awareness, perceived safety in daily life, and implementation feasibility. The study employs session-level micro-assessments to capture short-term symptom trajectories alongside full battery assessments at baseline, post-intervention, and 3- and 6-month follow-up, enabling comparison of short-term gains against longitudinal durability.

Fields of Study & Subjects

Posttraumatic Stress Disorder Research Psychotherapy Techniques and Applications Psychoanalysis and Psychopathology Research

Publication details

Publication date
1 January 2026
Language
EN
Document type
Preprint