COURSE DESCRIPTION:
When trauma exposure involves early, repetitive, interpersonal maltreatment, or when there have been multiple and prolonged traumas in adulthood, the outcome may involve not only classic posttraumatic stress, but also dysfunctional relationship styles and schema, affect dysregulation, overdeveloped avoidance responses (especially dissociation, tension reduction behaviors, and substance abuse), and a variety of other affective and behavioral outcomes.
Drawing on the latest trauma research and theory, Dr. Briere describes a nonpathologizing, developmentally-informed therapy for these complex posttraumatic presentations. This approach incorporates both cognitive-behavioral and relational principles to support (a) the processing of implicit and explicit traumatic memories through carefully titrated exposure, (b) the development of increased self-capacities (especially identity and affect regulation), and (c) the reworking of activated relational schema and other implicit memories within the therapeutic relationship.
PRESENTER BIO
John Briere, Ph.D.
John Briere, Ph.D., is the Associate Professor of Psychiatry and Psychology at the Keck School of Medicine, University of Southern California, and Director of the Psychological Trauma Program at LAC-USC Medical Center. He is a past president of the International Society for Traumatic Stress Studies (ISTSS), and recipient of the Robert S. Laufer Memorial Award for Scientific Achievement from ISTSS and the Outstanding Professional Award from the American Professional Society on the Abuse of Children (APSAC). Recently designated as "Highly Cited Researcher" by the Institute for Scientific Information, he is an author or co-author of over 70 articles, 20 book chapters and encyclopedia entries, 10 books, and 8 psychological tests in the areas of trauma, child abuse, and int Principles of Trauma Therapy, in press with Sage Publications. His Web site is www.JohnBriere.com.
COURSE OBJECTIVES:
Upon completion of training, participants can be expected to:
- List the major impacts of early and prolonged interpersonal trauma
- Describe the use and function of the therapeutic window
- List the central components of effective trauma treatment
- Explain why a good therapeutic relationship is technically necessary for the resolution of complex posttraumatic disturbance
- Understand the need to discuss and review continuity of care and coordination of care with other behavioral health specialists for patients with trauma.
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OUTLINE AND SCHEDULE:
Introduction (3 Minutes)
Course Objectives (2 minutes)
Prevalence and phenomenology of complex posttraumatic outcomes (20 minutes)
* Posttraumatic stress
* Depression, anxiety
* Borderline symptomatology
* Avoidance activities
* Tension reduction activities (e.g., self-mutilation)
* Substance abuse
* Dissociation
* Suicidality
* Relational disturbance
Intervention in complex posttraumatic outcomes (30 minutes)
* The importance of a therapeutic relationship
* Titrated exposure and the "therapeutic window"
* Components of trauma processing
* Developing affect regulation capacity
* Supporting identity development
* Role of medication
* Role of consultation and collaboration with other behavioral health specialists
Summary (5 minut
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