Risky Business: Working with Compulsive and Self-Endangering Behaviors in Trauma Survivors
Survivors of trauma and early attachment disturbance are at elevated risk of a variety of compulsive and self-endangering behaviors, ranging from suicidality and self-injury to substance abuse, indiscriminate sexual activities, and binge eating. Dr. Briere presents an innovative, integrated approach to self-endangering behavior, 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; ReGAINing; 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 behaviors will be presented in detail: self-injury, risky sexual behavior, and bingeing and purging. J&K will provide participants with newly developed worksheets and assessment instruments that organize and inform the treatment process.
J&K Seminars does not provide NBCC credit for this program.
All orders include the entire presentation with handouts and a CE test.
Streaming videos and audio downloads will be available immediately after checkout
Mailed CD and DVD formats include the printed handouts and CE test in an attractive portfolio
Objectives
Participants will be able to:
· Describe the Reactive Avoidance model (RAm)
· List three different distress reduction behaviors
· 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
Topics
Self-Endangering Behavior
· Borderline personality disorder, impulse control disorder(s), and behavioral addictions
· Another (evidence-based) view: The Reactive Avoidance model (RAm)
An overview &Assessing Distress Reduction Behavior (DRB) in context
· Self-injury, risky sexual behavior, bingeing and purging, reactive aggression
· Non-DRBs that involve maladaptive coping
· Immediate risks and comorbidities
· New assessment tools
Safety, Stabilization, and Harm Reduction
· Environmental safety and stability
· Safety from self-harm
· Reducing the destabilizing effects of triggered states
· Harm reduction strategies
Acceptance and Mindfulness
· Settling, metacognitive awareness, and letting go
· Urge and emotion surfing
· Mindfulness applications for DRBs
· A hybrid approach
Trigger management
· Psychoeducation on triggers
· Identification: Direct and indirect
· Trigger linkage
· Intervening in triggered states
ReGAINing for DRBs
· Recognize
· Ground
· Allow
· Investigate
· Non-identify
Processing trauma-related and attachment-related memories
· Emotional processing
· Implications of new reconsolidation research
· Multiple memory targets: Sequential processing
· Processing explicit versus implicit memories
· Steps of processing
Intervening in three forms of compensatory avoidance
· Self-injury
· Risky sexual behavior
· Food bingeing and purging