Forecasting Pain: Predictive Processing Model for Trauma-Driven Affective Suppression

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Abstract

This paper introduces the concept of forecasting pain as a trauma-based mechanism grounded in predictive processing theory. Rather than responding to threat in real time, traumatized systems may preemptively simulate emotional or relational harm and initiate protective adaptations before any overt danger occurs. Drawing on hierarchical Bayesian models of brain function, I propose that forecasting pain involves high-precision priors that generate anticipatory affective, behavioral, and interpretive responses. These responses—commonly observed as emotional flattening, interpersonal withdrawal, or misattuned social perception—are frequently misinterpreted as avoidance or resistance. By situating these clinical patterns within a predictive framework, I argue for a reframing of dissociative behaviors as computationally coherent strategies to reduce surprise. The paper outlines four core mechanisms of forecasting pain—somatic pre-activation, affective dampening, relational disengagement, and interpretive bias—and integrates them into the Predictive Dissociation Therapy (PDT) model. Clinical implications are discussed in terms of precision modulation, therapeutic pacing, and model-sensitive interventions. This framework offers a novel contribution to trauma treatment models and supports phase-appropriate care for clients experiencing covert dissociative adaptation in the absence of overt threat.

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