October 7th attack
October 7th attackYousef Mohammed/FLASH90

An article published recently in the American Psychological Association journal "Psychological Trauma: Theory, Research, Practice, and Policy" presents an extensive theoretical literature review that aims to conceptualize and establish a new theoretical understanding regarding the relationship between exposure to trauma, disruption of time perception, and clinical symptoms.

The research was led by Chava Treitel as part of her master’s thesis under advisor Prof. Einat Levy-Gigi from Bar-Ilan University’s Faculty of Education and Gonda (Goldschmied) Multidisciplinary Brain Research Center. "It seems that the issue of time perception changes as a result of exposure to trauma and, since October 7, it is being experienced not only on a personal level but also on a national-collective level," the researchers claim.

The research shows how the perception of time may affect the development of post-traumatic symptoms through two parallel pathways.

First, due to the dual role of time, traumatic events cause disruption and slow down our time perception. Their negative valence affects our experience (every day seems like a week), and this time dilation intensifies the negative feelings.

Second, our brain encodes traumatic events in an elemental manner, and hence, each element may evoke negative feelings and slow down our time perception. Specifically, positive events are encoded in a holistic manner. For instance, if we enjoyed a family dinner, we would remember the entire event -- people, location, smell, time of the day -- as a whole. Altogether, this event is associated with a positive feeling. However, traumatic events are encoded in an elemental manner. Hence, if we had to stay in a shelter for many hours, each element of this experience (the structure of the shelter, the smells, the sounds) is independently associated with our negative trauma-related feelings. Hence, each element may evoke it even in the absence of the other elements. This may explain why children who had to stay in a shelter for many hours during the October 7th attack may develop a fear of being closed in small rooms (even if they are aware of its safety) and why soldiers who return from the battlefield may feel anxious when they hear fireworks (even if they are safe in their hometown). A small-structured room or loud sounds are both neutral stimuli. However, since they were also part of the traumatic experience, they are associated with the traumatic reaction and may independently evoke it, even in safe situations.

Taken together, a chronic slowdown in the perception of time may arise, something that serves as fertile ground for the development of post-traumatic symptoms that last over time.

After exposure to trauma, these two mechanisms create a cruel trap whereby both traumatic and neutral events continue to disrupt our time perception. In this situation, even without further exposure to traumatic events, reality is painted in gloomy colors. Every experience, no matter how neutral, takes on a traumatic tone and reproduces the negative feelings from the initial event. This encourages the formation of additional post-traumatic symptoms that persist over time.

A targeted clinical intervention that enables the development of awareness of time and its disruptions may be an innovative intervention pathway that allows the relief of post-traumatic symptoms without the need for repeated exposure to emotional content linked to the traumatic experience.

In response to their findings, the researchers suggest using a clinical intervention based on metacognitive awareness, which was found to have a positive effect on time perception, to reduce post-traumatic symptoms. Metacognitive awareness includes relearning how to evaluate time, which allows for the reduction of disruptions in the perception of time that characterize people during and after exposure to trauma. The study presents, for the first time, findings indicating that this method has the potential to alleviate post-traumatic symptoms, such as impulsivity or aggression, without the need for a renewed and direct processing of the traumatic content.

"Currently, it can be argued that the trauma of October 7 created a slowdown in the perception of time, such that every day feels like an eternity. Even now, three months after that terrible day, the perception of time for many of us remains distorted. On the one hand, it seems that we experienced it only yesterday, and on the other, there’s a feeling that the war was always here, and it is difficult to remember and connect to events that occurred before the war. It’s also difficult to grasp that even though it is an ongoing situation, it is also ultimately limited in time,” says Prof. Levy-Gigi.

At this time, paying conscious attention to the passage of time may help. For example, continuous counting of the days the hostages have been held captive in Gaza helps us place the traumatic event and more accurately measure our distance from it.

Additional exercises that may help include consciously directing attention to periods of time in the day (for example, a clock that rings every hour and helps us accurately perceive time). Or comparing the period that has passed to the experience of periods of similar duration (for example, the time that has passed since the seventh of October is about the same in duration as the time between the end of one school year and the beginning of another).

Finally, looking at the period from a broad historical perspective, for example, by comparing the war to other wars throughout history and realizing that some of them were also long but, in the end, became points on a timeline. Similarly, the current war will also be a clear and relatively short segment in the history of humanity and the State of Israel and within the person's life experience.