Introduction

1. Reactive Avoidance and Risky Behavior

2. An Overview of Specific Distress Reduction Behaviors

3. Key Treatment Recommendations

4. Assessing Distress Reduction Behaviors in Context

5. Safety, Stabilization, and Harm Reduction

6. Acceptance and Mindfulness

7. Trigger Management

8. Processing Trauma- and Attachment-Related Memories

9. Treatment Planning and Implementation: Bringing It All Together

10. Special Considerations for Certain Distress Reduction Behaviors and Patterns

Conclusion

Appendix 1. Breathing Exercises

Appendix 2. Review of Distress Reduction Behaviors (Rev-DRB)

Appendix 3. Trigger Review (TR)

Appendix 4. Functions of Distress Reduction Behaviors (F-DRB)

Appendix 5. Triggers-to-Memories Worksheet (TMW)

Appendix 6. In-Session Emotional Regulation and Activation Scale (ERAS)

Appendix 7. Re GAIN for Triggered States

References

Index

John Briere, Ph D, is Professor Emeritus of Psychiatry and Behavioral Sciences at the Keck School of Medicine, University of Southern California (USC); Director of the USC Adolescent Trauma Training Center of the National Child Traumatic Stress Network; and Remote Program Faculty at the Institute for Meditation and Psychotherapy. Past president of the International Society for Traumatic Stress Studies (ISTSS), Dr. Briere is a recipient of the Award for Outstanding Contributions to the Science of Trauma Psychology from Division 56 of the American Psychological Association and the Robert S. Laufer Memorial Award for Scientific Achievement from ISTSS, among other honors. At USC, he teaches and consults in the burn center and in the inpatient psychiatry and emergency services. He lectures internationally on trauma, therapy, and mindfulness.