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Reconsidering Trauma:
Treatment Advances, Relational Issues, and Mindfulness in Integrated Trauma Therapy
John Briere, PhD
 Until recently, post-traumatic stress was considered a
relatively straightforward response to a single traumatic event. However, recent research indicates that trauma-related disturbance can be quite complex symptomatically involving a
variety of symptoms and difficulties beyond PTSD. When trauma exposure involves early, repetitive, interpersonal maltreatment (e.g. sustained child abuse and neglect), or when
there have been multiple and prolonged traumas in adulthood (e.g. torture, war, or ongoing domestic violence), the outcome may involve not only classic post-traumatic stress, but also
dysfunctional attachment styles, affect dysfunctional attachment styles, affect dysregulation, overdeveloped avoidance responses (including dissociation and substance abuse), easily activated nonverbal schema and sensory
memories, conditioned cognitive-emotional responses, and a variety of other affective and behavioral outcomes.
These responses are often viewed as symptoms of borderline personality disorder and related “Axis II pathology”. In fact, they are relatively common among complex trauma survivors,
and are often best treated as trauma responses rather than personality defects or dysfunctions.
Drawing on the latest trauma research and theory, Dr. Briere will present a nonpathologizing, developmentally informed therapy for these complex post-traumatic presentations that
integrates cognitive-behavioral and psychodynamic perspectives.
Workshop Objectives
Attend this powerful workshop and enhance your ability to:
- Discuss ways in which complex trauma differs from “simple” trauma
- Identify the traumatic base for borderline personality disorders
- Describe the use and function of the therapeutic window
- Explore the central components of any effective trauma treatment
- List ways in which treatment for complex trauma is different from treating PTSD
- Explain why a good therapeutic relationship is technically necessary for the resolution of complex post-traumatic disturbance
Workshop Agenda
Day One
7:45 am Registration and CE/CME Check-in
8:30 am Recent Paradigm Shifts in the Trauma Field
- Classic “Criterion A” versus cumulative trauma
- Intervention
- Short-term versus longer term
- Cognitive-behavioral versus relational/psychodynamic
- How to incorporate the best of both worlds
Complex Trauma: What Is It?
- Onset
- Duration and Frequency
- Relationality
- Complexity
- Social transformation: from trauma to “personality disorder”
Lunch NOON (on your own)
1:00 pm Clinical Presentation
4:00 pm Adjourn
Workshop Agenda
Day Two
7:45 am Registration and CE/CME Check-in
8:30 am The Central Steps of Trauma-Focused Treatment
- Exposure, activation, disparity, extinction/counter conditioning, and resolution
- Need for avoidance in context of affect dysregulation and flooding
- Foci of processing
- Post-traumatic stress
- Relational “gestalts”
- Altering the triggers - cognitive effects on post-traumatic activations
- How new narratives and increased insight may reduce activations
Working within the Therapeutic Window
- The balance between therapeutic challenge and overwhelming internal experience
- Optimal processing and window dynamics
Lunch NOON (on your own)
1:00 pm Cognitive Interventions
4:00 pm Adjourn
Workshop Information
Check-in begins at 7:45 am and the workshop hours are 8:30 am - 4:00 PM with an hour lunch on your own from 12:00 PM - 1:00 PM and two fifteen minute breaks.
Earn 12 CE/CME Hours
Current Dates and Locations
Please see Calendar Page
Registration Information
$269 Early registration (sent 14 days prior to workshop)
$289 Regular registration (on-site reg. is $309, space available)
Aide positions must be filled by phone, fax or mail. Please call for availability.
To register by phone call 800-258-8411. Or register online on the Calendar Page
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