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Risky Business: Working with Compulsive and Self-Endangering Behaviors in Trauma Survivors

12.00 CE Hours Available

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

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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



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