Andrew Tatarsky – A Harm-Reduction Approach to Addictions

Outline

Introduction

• Addiction as a Dilemma
• Valerie Case Study

Compassionate Pragmatism

• Compassion
• Pragmatism

Harm Reduction Principles

• Curiosity, Respect, Acceptance
• Small Incremental Change
• Collaboration
• Public Health/Medical Harm Reduction

Challenges & Diversity of People with Risky & Addictive Behavior

• Clinical Challenges
• Limitations in the U.S.
• The Tyranny of “Abstinence-Only”
• Motivational Stages of Change
• Scientific Revolution/Paradigm Shift

Theoretical Models

• Multiple Meanings Model
• Relational Psychoanalysis & Meaning
• Cyclical Psychodynamics
• Psychobiosocial Model

Integrative Harm Reduction Psychotherapy

• Seven Therapeutic Tasks of IHRP