Treating Self-Injury and Sexual Compulsivity From an Attachment-Trauma Perspective

Treating Self-Injury and Sexual Compulsivity From an Attachment-Trauma Perspective
Thumb main image treating self injury and sexual compulsivity

Some survivors of childhood trauma and early attachment disturbance are easily triggered into self-endangering behaviors that are not only risky for them but also highly distressing for therapists who seek to help them. This workshop examines two of the most problematic of these, each of which is the focus of many therapist consultation requests: self-injury and compulsive sexual behavior. A concrete, compassionate, in-depth approach to these behaviors is offered and specific interventions are detailed, including trigger management, meta-cognitive awareness, harm reduction, relational processing of implicit attachment and abuse memories, and emotional regulation skills development.

In Part One we consider the many reasons and motives for self-injury, triggers that occur within and outside of the therapy session that can result in self harm, ways to manage the therapeutic relationship so that self-injury is acknowledged but not reinforced, and suggestions for addressing therapist’s understandable countertransferential feelings, including fears of inadequacy, responsibility, and, potentially, liability.

In Part Two the trauma/attachment basis for compulsive sexual behavior will be outlined, and a nonstigmatizing, compassionate treatment approach presented. Among the topics in this section are processing shame issues, dealing with sexualized responses to the therapist, and harm reduction interventions to reduce risk of sexually transmitted infections (including HIV/AIDS) and the possibility of sexual revictimization arising from indiscriminate partner choice.

Learning Objectives

  • Attendees will be able to:
  • Describe the Reactive Avoidance model as it relates to self-injury and compulsive sexual behavior
  • Define meta-cognitive awareness
  • Discuss the most typical countertransferential reactions to client risky behavior
  • Describe one way that the therapist can deescalate client sexualized behavior in the session
  • Outline three central aspects of trigger management for self-endangering behaviors

Providers Terms
  • Your registration includes: Handout, 6 month access to the recording and Certificate of participation.
  • Registration is for individual use only. Links to live webinars and recordings cannot be shared with others.
  • All payments must be made by Credit Card - Visa and MasterCard only. All credit card payments will incur a surcharge of 1.6% per transaction.
  • Group bookings 4+ people must be from the same organization and paid with one payment.
  • Invoicing is only available for group bookings of 4+ in the same training.
  • All fees in $AUD. Fees inclusive of GST.
  • NO SPECIAL EXCEPTIONS on fees or policies are possible.
  • Student discount on application where meet criteria – download application form.
  • No scholarships available for webinars.
  • Please provide your direct email and contact details for webinar materials / updates – ensure this is provided where an AGENCY funds your registration.
  • Confirmation with your tax-deductible receipt will be emailed within 3 days (contact +61 (02) 9431 8600 immediately if not received).
  • Registration is only available for the whole training. It is not possible to register for particular parts of a training when it runs over more than one webinar. If you are unable to attend part / all of the webinar, you will receive the recording(s) as part of your registration package. Refunds are not available for parts you may be unable to attend live.
  • PAYMENT must be received by the closing date of the registration category you registered under. If payment has not been received by the closing date of the category registered under, your registration will automatically be transferred to the next registration category. If payment is not received 2 working days prior to the event, your registration will be cancelled.
  • Transfer registration to another webinar is not permitted.
  • All dates subject to expiry at 5pm in Victoria, Australia
  • Time Zone: Webinars are scheduled for Australian Eastern Standard Time (AEST) from first Sunday of April - to first Sunday of October, when it changes to Australian Eastern Daylight Time (AEDT). Please check your time zone. A link to a time zone convertor will sent with your link to the webinar. Delphi Training and Consulting is not responsible for miscalculations relating to the webinar start time in your area and will not issue refunds due to timing mix-ups.
  • A link to the webinar and any handouts will be emailed to you at the email address on your registration 48 hours prior to the training. Please notify us if you do not receive it for any reason.
  • Technical issues: We will do everything we can to eliminate technical difficulties within our control and we will have a contact person available for technical issues during the live webinar. Refunds will not be issued for technical issues on the attendees side.
  • CANCELLATIONS: Must be made in writing. A refund minus $25 for 90 minute webinars, $55 for 3 hour webinars, and $75 for 6 hour webinars administration fee will be issued up to 7 days (including weekend days) prior to the webinar for which you are registered. NO REFUND after this date. There will be no administration fee charged for cancellations from countries in the South Asia and Asia Pacific Region listed in the World Bank country classification by income level tier system. This applies to countries in the region listed as tier IV - V - VI.
  • All webinar recordings are copyright of The Delphi Centre Pty Ltd and may not be copied, shared or shown in public or professional settings without written permission. Purchasing webinars is an agreement to uphold copyright laws.
  • In the unlikely event circumstances beyond our control result in the postponement or cancellation of a webinar, we will reschedule as soon as practical. A full refund or opportunity to transfer to the re-scheduled webinar will promptly be provided to registrants. 
Super Saver (GST Incl.)$188Closed
Early Bird (GST Incl.)$203Book
Regular (GST Incl.)$217Book


Super Saver (GST Incl.)ClosedEarly Bird (GST Incl.)$203Regular (GST Incl.)$217
Contact Hours:

6.0 hrs


Fri, 06 May 2022

Start Time:

12:00 PM


Afternoon Session







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John Briere


John Briere, Ph.D., is a Professor Emeritus of Psychiatry and the Behavioral Sciences at the University of Southern California Keck School of Medicine and the USC Adolescent Trauma Training Center of the National Child Traumatic Stress Network. A past president of the International Society for Traumatic Stress Studies, he is recipient of the Award for Outstanding Contributions to the Science of Trauma Psychology from the American Psychological Association and the William N. Friedrich Lecturer: Outstanding Contribution to the Field of Child Psychology from the Mayo Clinic.

He is author or co-author of over 140 articles and chapters, 15 books, and 9 trauma-related psychological tests. His recent (2019) book with Guilford Press is Treating risky and compulsive behavior in trauma survivors.

His website address is

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