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An Integrated Approach to Complex Trauma for Older Adolescents and Adults

John Briere

August 2 - 6, 2010
Cape Cod, MA

About the Presenter

 

John Briere, Ph.D., is 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.

The developer of two relational, yet empirically-informed therapies, Dr. Briere has written or co-written a number of books, articles, and psychological tests in the area of trauma and interpersonal violence. His highly acclaimed books and treatment guides include Integrative Treatment of Complex Trauma for Adolescents: A Guide for the Treatment of Multiply-Traumatized Youth; Principles of Trauma Therapy; Psychological Assessment of Adult Posttraumatic States: Phenomenology, Diagnosis, and Measurement; Therapy for Adults Molested as Children; and Child Abuse Trauma: Theory and Treatment of the Lasting Effects.

John teaches internationally on the treatment of trauma-related distress, as well as on the interface between Buddhist mindfulness/philosophy and trauma treatment.

Symposium Description

Recent research indicates that trauma-related disturbance can be quite complex. When trauma exposure involves early, repetitive, interpersonal maltreatment, especially in the context of ongoing psychological neglect or parental disattunement, the outcome may involve not only classic posttraumatic stress, but also dysfunctional attachment styles, altered relational schema, affect dysregulation, and overdeveloped avoidance responses.

Drawing on the latest research and theory, Dr. Briere will present a nonpathologizing, developmentally-informed therapy for these complex posttraumatic presentations. His approach incorporates relational, cognitive-behavioral, and mindfulness principles to support the processing of implicit and explicit traumatic memories through careful therapeutic exposure, and the development of increased affect regulation capacities so that avoidance behaviors such as substance abuse or tension reduction activities are less necessary for psychological equilibrium. Participants also will learn to describe the reworking of cognitive responses and activated relational schema within the therapeutic relationship, and a reconsideration of culturally transmitted assumptions regarding emotional pain, suffering, and the need to avoid “negative” internal states.

SYMPOSIUM SCHEDULE

Monday

  • Introduction to complex trauma and its effects
  • Western models of emotional injury, pain, suffering, and avoidance as a solution

Tuesday

  • Trauma gestalts: Memory and conditioned emotional-cognitive responses
  • Naturalistic recovery responses
  • Emotional processing of traumatic memory and the therapeutic window

Wednesday

  • Trauma-related attachment disturbance
  • Dysregulated attachment effects: Identity, affect regulation, and relatedness
  • Curative aspects of the therapeutic relationship
  • Processing relational gestalts

Thursday

  • Cognitive effects of child maltreatment
  • Cognitive reconsideration
  • Mindfulness I: Changed relationship to one's cognitions and other internal states
  • Brief meditation period (voluntary)

Friday

  • Mindfulness II: Existential reconsideration of pain, chaos, and self
  • Brief meditation period (voluntary)
  • Questions and answers
 
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