John Briere, PhD
Leading Edge Seminars
new location: Knox Church, 630 Spadina Ave, Toronto.
With his typical comprehensiveness, thought-provoking insight and compassion, John Briere returns to update previous research, revise common misperceptions and introduce exciting new developments specific to complex trauma treatment. You will learn about inhibitory learning theory, interspersal trigger management, how to foster metacognitive insight into triggered states, extinction deepening, the role of reconsolidation theory in counter-conditioning implicit memories and more.
We now know that complex trauma exposure typically involves a combination of early attachment disturbance, child maltreatment and later traumas. It is a major risk factor for a variety of adolescent and adult difficulties, including PTSD, substance abuse, suicide and other self-endangering behaviours, eating disorders, aggression, “borderline personality” and relational difficulties.
From his early work on trauma to his visionary integration of mindfulness and relational issues in psychotherapy, John continues to be a major contributor in the evolution of our understanding of trauma and how to treat it. Drawing on work from his recent and upcoming books, he argues that standard therapies for complex trauma cited in evidence-based literature are often the same ones recommended for single-event traumas and simple anxiety/PTSD outcomes. These therapie s generally call on theories developed in the 1980s and 1990s, despite newer findings that tend to contradict some of the central assumptions of these models.
For example, in contrast to widely promoted principles, he shows that in most cases, classical exposure therapy does not fully eliminate PTSD, and may motivate dropout rates in excess of 50%; that trauma memories do not have to be extinguished as much as inhibited by newer, therapy-based learning; that exposure need not be prolonged in order to be effective; and that several non-exposure treatments appear to be at least as helpful as exposure therapy in addressing posttraumatic stress.
Join John Briere to learn about his latest ideas and treatment formulations, based on decades of clinical experience and research.
You Will Learn:
• New approaches to therapeutic exposure that are less likely to overwhelm and may broaden treatment effects
• How to work with treatment-activated attachment memories as they arise in the session
• Trigger management techniques, including trigger identification, breath-based relaxation, grounding, emotion/urge surfing, strategic distraction and harm reduction
• How to capitalize on the neurobiology of attachment when counter-conditioning relational trauma
• About the use of metacognitive learning to decrease client posttraumatic distress and susceptibility to triggers
• About the “suppression effect” and the pain paradox as they relate to intervening in avoidance responses
About the Presenter:
John Briere, PhD., is Professor of Psychiatry and the Behavioral 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, and the William N. Friedrich Lecturer: Outstanding Contribution to the Field of Child Psychology from the Mayo Clinic. 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 Behaviors in Trauma Survivors. The third edition of Principles of Trauma Therapy, co-authored with Catherine Scott, MD, is due in late 2020.