“…Positive internal experiences, for the purposes of the current review, reference subjective experiences of positively-valenced and pleasant memories, cognitions, and emotions. Evidence indicates that trauma/PTSD severity is associated with (1) deficits in positive memory recall, access, and other processes (Contractor, Banducci, et al, 2019; Contractor, Banducci, et al, 2020; Harvey et al, 1998; McNally et al, 1995; Megías et al, 2007; Sutherland & Bryant, 2005); (2) a predominance of negative and reduced positive cognitions (Berntsen & Rubin, 2006; Foa & Kozak, 1986; Janoff-Bulman, 1992) worsened by attentional biases toward negative information/memories (Aupperle et al, 2012; Fani et al, 2012; McNally et al, 1995) and rumination on negative memories prompted by trauma reminders (Ehlers & Clark, 2000); and (3) difficulties experiencing, expressing, and/or regulating intense positive emotions (Litz et al, 2000; Weiss, Contractor, Forkus, et al, 2020; Weiss, Contractor, Raudales, et al, 2020; Weiss et al, 2018; Weiss, Nelson, et al, 2019). Indeed, disturbances in positive internal experiences are at least one of the diagnostic symptoms (D7) of PTSD’s negative alterations in cognitions and mood cluster (American Psychiatric Association, 2013).…”