Abbonarsi

Rethinking Dual-Task Interventions for Aversive and Traumatic Memories: Immediate Effects, Clinical De-Actualization, and Mechanistic Inferences - 09/09/26

Doi : 10.1016/j.ejtd.2026.100750 
Sarah Lapcevic a, b, Christine Rotonda a, b, , Cyril Tarquinio a, b
a Université de Lorraine, Inserm, INSPIIRE, F-54000, Nancy, France 
b Université de Lorraine, Centre Pierre-Janet, F-57000, Metz, France 

Corresponding author.
In corso di stampa. Manoscritto Accettato. Disponibile online dal Wednesday 09 September 2026
This article has been published in an issue click here to access

Abstract

Dual-task interventions during the reactivation of aversive or traumatic memories, including bilateral alternating stimulation used in EMDR and certain concurrent visuospatial tasks, occupy an important place in contemporary debates on the modification of emotional memories. Their immediate effects on vividness, emotionality, and recall-related distress are relatively well documented, but their mechanistic interpretation remains debated. The literature still tends to bring together, and at times conflate, distinct levels of explanation: concurrent taxation of limited working memory resources, extinction, inhibitory learning, the orienting response, prediction error, and memory reconsolidation.

The effects of dual tasks can only be understood rigorously if several levels of inference are distinguished. A reduction in vividness or distress constitutes an important immediate effect, but it does not, by itself, allow one to conclude that the traumatic memory has been durably transformed. Similarly, a decrease in emotional responding may reflect safety learning or contextual inhibition without necessarily implying modification of the original memory. Reconsolidation constitutes a strong mechanistic hypothesis, but it requires strict conditions of reactivation, novelty, prediction error, and restabilization, which are rarely established with certainty in ordinary clinical contexts.

We therefore propose a critical clarification of the levels of inference involved in interpreting dual-task interventions. This clarification makes it possible to distinguish the immediate effect on the experience of recall, increased tolerance of contact with the memory, the clinical de-actualization of traumatic memory, and the more demanding hypothesis of memory updating. De-actualization does not refer here to a new mechanism, but to the central clinical issue long described in the trauma tradition: the shift from a memory experienced as a threatening presence in the present to a memory recognized as an event located in the past and capable of being integrated into autobiographical memory.

This position leads to a reformulation of the clinical and methodological implications of the field. Clinically, it invites us not to reduce therapeutic change to the immediate decrease in subjective units of distress or image vividness, but to examine the durability of change, its generalization beyond the session, and the transformation of the autobiographical status of the memory. From a research perspective, it calls for protocols capable of separately measuring immediate working memory effects, safety learning, autobiographical contextualization, and the strict conditions required to infer possible reconsolidation. The aim is therefore not to add another explanatory mechanism, but to specify what dual tasks do, and do not, allow us to conclude.

Il testo completo di questo articolo è disponibile in PDF.

Keywords : psychotraumatology, EMDR, dual task, working memory, traumatic memories, de-actualization, reconsolidation, extinction, inhibitory learning, mechanistic inferences


Mappa


© 2026  The Author(s). Pubblicato da Elsevier Masson SAS. Tutti i diritti riservati.
Aggiungere alla mia biblioteca Togliere dalla mia biblioteca Stampare
Esportazione

    Citazioni Export

  • File

  • Contenuto

Benvenuto su EM|consulte, il riferimento dei professionisti della salute.
L'accesso al testo integrale di questo articolo richiede un abbonamento.

Già abbonato a @@106933@@ rivista ?

@@150455@@ Voir plus

Il mio account


Dichiarazione CNIL

EM-CONSULTE.COM è registrato presso la CNIL, dichiarazione n. 1286925.

Ai sensi della legge n. 78-17 del 6 gennaio 1978 sull'informatica, sui file e sulle libertà, Lei puo' esercitare i diritti di opposizione (art.26 della legge), di accesso (art.34 a 38 Legge), e di rettifica (art.36 della legge) per i dati che La riguardano. Lei puo' cosi chiedere che siano rettificati, compeltati, chiariti, aggiornati o cancellati i suoi dati personali inesati, incompleti, equivoci, obsoleti o la cui raccolta o di uso o di conservazione sono vietati.
Le informazioni relative ai visitatori del nostro sito, compresa la loro identità, sono confidenziali.
Il responsabile del sito si impegna sull'onore a rispettare le condizioni legali di confidenzialità applicabili in Francia e a non divulgare tali informazioni a terzi.


Tutto il contenuto di questo sito: Copyright © 2026 Elsevier, i suoi licenziatari e contributori. Tutti i diritti sono riservati. Inclusi diritti per estrazione di testo e di dati, addestramento dell’intelligenza artificiale, e tecnologie simili. Per tutto il contenuto ‘open access’ sono applicati i termini della licenza Creative Commons.