John Briere, PhD
9:00am – 4:00pm, Saint Paul University, Ottawa
Light refreshments served
Risky Business: Working with Compulsive and Self-endangering Behaviours in Trauma Survivors is Dr. John Briere’s newest, most innovative seminar.
Survivors of trauma and early attachment disturbance are at elevated risk of a variety compulsive and self-endangering behaviours, ranging from suicidality and self-injury to substance abuse, indiscriminant sexual activities, and binge eating.
Many of these difficulties are seen as symptoms of a personality disorder, behavioural addiction, or impulse control disorder. However, emerging research indicates that they are more accurately understood as coping/homeostatic responses to triggered childhood memories and inadequate emotional regulation capacities.
Calling on his upcoming book, Treating Risky and Compulsive Behaviour in Trauma Survivors John Briere presents an innovative, integrated approach to self-endangering behaviour, the Reactive Avoidance model (RAm). Calling on new research on memory reconsolidation, implicit processing, and revisions to habituation theory, this treatment system directly targets the memory/dysregulation dynamic, with interventions such as
• emotional regulation training;
• mindfulness, metacognitive awareness, and emotion surfing procedures;
• implicit memory processing;
• in vivo treatment of implicit memory activations; and
• harm reduction.
A new treatment component, trigger management, increases client autonomy, resilience, and problem-solving. Approaches to three risky behaviours will be presented in detail: self-injury, risky sexual behaviour, and bingeing and purging. Attendees will be provided with newly developed worksheets and assessment instruments that organize and inform the treatment process.
John Briere, Ph.D., is Professor of Psychiatry and the Behavioural Sciences at the Keck School of Medicine, University of Southern California, and Director of the USC Adolescent Trauma Training Center of the National Child Traumatic Stress Network. A past president of the International Society for Traumatic Stress Studies, he is recipient of the Award for Outstanding Contributions to the Science of Trauma Psychology from the American Psychological Association.
He is author or co-author of over 140 articles and chapters, 15 books, and 9 trauma-related psychological tests. At USC, he teaches and consults in the burn unit, inpatient psychiatry, and emergency services. Dr. Briere’s newest book is Treating Risky and Compulsive Behaviours in Trauma Survivors (Guilford, 2018).
Attendees will be able to:
• Describe the Reactive Avoidance model (RAm)
• List three different distress reduction behaviours
• Outline the central components of trigger management
• Discuss the limitations of classic prolonged exposure and habituation
• Describe two ways in which implicit processing occurs in RAm-based therapy.