Accumulating evidence is moving us away from moral, criminal, and reductive disease models and instead toward understanding substance use as a psychobiosocial process with multiple dimensions and individual variations. This shift calls for a personalized, Integrative Harm Reduction Psychotherapy (IHRP) for problematic substance users.
In this comprehensive workshop, Dr. Tatarsky will discuss the limitations of the dominant disease model and abstinence-only recovery narrative and introduce the psychobiosocial model of addiction and IHRP based on it. IHRP integrates harm reduction principles into psychotherapy and substance use treatment.
This new model of treatment combines relational psychoanalytic, cognitive behavioral, and mindfulness techniques in a harm reduction frame to support positive change in substance use and related issues.
IHRP’s seven therapeutic tasks will be described:
- Managing the therapeutic alliance with harm reduction listening;
- The therapeutic relationship heals;
- Enhancing self-regulation and self-management skills;
- Assessment as treatment;
- Embracing ambivalence;
- Harm reduction goal setting;
- Strategizing for change: ideal use plan.
Specific skills and strategies that participants can begin using immediately will be demonstrated. The workshop will also give special attention to understanding the potential benefits and risks associated with Marijuana and the application of IHRP to develop ideal relationships with this substance.