... Torture is associated with posttraumatic stress disorder (PTSD), complex PTSD, post-cumulative trauma-related disorders, hyperarousal, depression, anxiety, mood changes, insomnia, psychosis, emotional distress, dissociation, executive function deficits, self-control, severe individual and collective identity threats, acute stress disorders, aggression, shame, numbness, distrust, avoidant coping, and suicidality (Abu Suhaiban et al., 2019;Kira, 2017;Kira et al., 2021Kira et al., , 2022McColl et al., 2010;Schippert et al., 2023a;Song et al., 2018;Tamblyn et al., 2011;Weisleder & Rublee, 2018). These mental health sequelae may contribute to interpersonal challenges, and survivors are at risk of impaired marital relations, sexual dysfunction, emotional dysregulation, anxious and avoidant attachments, and intimate partner violence (Abu Suhaiban et al., 2019;Kira, 2017;Lahav et al., 2015;Rees et al., 2018;Zerach, 2015). Furthermore, spouses of survivors may experience similar somatic and psychological symptoms, including decreased marital and sexual satisfaction, guilt, and low self-esteem, in addition to secondary trauma symptoms (Lahav et al., 2016(Lahav et al., , 2019. ...