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Traumatic Incident Reduction and Critical Incident Stress Management: A Synergistic Approach (Tir Applications) [Paperback]

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Item description for Traumatic Incident Reduction and Critical Incident Stress Management: A Synergistic Approach (Tir Applications) by John Durkin...

From the Foreword:
TIR offers an opportunity for the members of a CISM team to deal with any accumulated emotional baggage that their involvement in crisis-intervention has created. Training in TIR adds another tool to the toolkit of crisis-intervention techniques and enables peer-support to ad-dress an extended range of crisis-reactions, even those that might justify a clinical diagnosis. If virtually all the emotional reactions of a colleague in crisis could be ac-commodated and addressed through CISM and TIR, then the difference to the individual, the CISM team and the community would be immense. I look forward to the day that what practitioners of CISM and TIR already know is recognized in order for these approaches to be embraced and enjoyed more widely.

What Traumatologists Are Saying about TIR and CISM...
"Now, as a psychologist, I think I can see what would have helped me-after the injury that led to PTSD andretirement as a firefighter-and why. I now train firefighters and paramedics in the crisis-intervention tactics of CISM and offer TIR training to the same people." -John Durkin,

"After the crisis is over, and the CISM team has done crisis management briefings and debriefings, both crisis responders and victims who continue to be negatively affected by the traumatic incident will benefit greatly by using TIR to get back to normal as quickly as possible." -Nancy Day, CTS, TIR Trainer

"Specific training in TIR skills speeds the process of a person moving from novice to fully effective practitioner. One idea would be for this skill set to be included in CISD training." -Jill Boyd, RN, MS

"TIR has developed crucial understanding and training by managing communication and the development of rules of practice that can surely inform and enrich CISD sessions as well as other similar techniques." -Carlos Velazquez-Garcia, Psych., CT (Puerto Rico)

"Each modality can be enhanced by the skills and training that the other provides. CISM without TIR is missing the opportunities to complete the process. TIR without CISM training is missing the structure for working with and understanding the bigger process." -Gerry Bock, MA, RCC (Vancouver, BC)

About the TIR Applications Series
This new series from Loving Healing Press brings you information and anecdotes about Traumatic Incident Reduction and related techniques. Practitioners around the world use these Applied Metapsychology techniques. It is our opinion that stories of real-world experience convey the opportunity for healing that TIR provides. Readers interested in the theories behind TIR and Applied Metapsychology (the subject from which TIR is derived) should also consider the Explorations in Metapsychology Series from Loving Healing Press.

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Item Specifications...

Pages   164
Est. Packaging Dimensions:   Length: 8.8" Width: 6" Height: 0.5"
Weight:   0.5 lbs.
Binding  Softcover
Release Date   Sep 23, 2006
Publisher   Loving Healing Press
ISBN  1932690298  
ISBN13  9781932690293  

Availability  113 units.
Availability accurate as of May 28, 2017 03:13.
Usually ships within one to two business days from La Vergne, TN.
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More About John Durkin

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Product Categories

1Books > Subjects > Health, Mind & Body > Mental Health > General
2Books > Subjects > Health, Mind & Body > Personal Health > Stress > Post-Traumatic Stress Disorder
3Books > Subjects > Health, Mind & Body > Psychology & Counseling > General
4Books > Subjects > Medicine > Allied Health Professions > Emergency Medical Services
5Books > Subjects > Professional & Technical > Medical > Allied Health Professions > Emergency Medical Services

Reviews - What do customers think about Traumatic Incident Reduction and Critical Incident Stress Management: A Synergistic Approach (Tir Applications)?

a good resource  Jan 10, 2007
The book is useful to compare and contrast CISD and TIR, as well as identifying the possibilities of using these methods together to help persons experiencing trauma events.
A must have book for responders  Dec 29, 2006
Reviewed by Paige Lovitt for Reader Views (12/06)

"Traumatic Incident Reduction and Critical Incident Stress Management," is the first book in a series. Traumatic Incident Reduction (TIR) involves utilizing techniques taken from applied metapsychology developed by Frank A. Gerbode, M.D. Critical Incident Stress Management (CISM) took the lessons of military psychiatry, community liaison psychiatry and developed them into a peer-support model for emergency responders. Both TIR and CISM offer "success in preventing and overcoming the debilitating psychological aftermath of traumatic experience."

TIR is defined as, "a brief, one-on-one, non-hypnotic, person-centered, simple and highly structured method for permanently eliminating the negative effects of past traumas." In it the client repeatedly reviews the traumatic memory, like watching a video, under safe conditions. The facilitator guides the client through the process without offering counseling by giving advice or interpretations. Using this process, it takes about 15-20 hours to eliminate Post Traumatic Stress Disorder symptoms. If the person is only experiencing Post Traumatic Stress because of an incident, then much less time is involved. It provides a way for the client to confront a painful incident and enables them to feel like they are developing mastery over the situation.

CISM is a "comprehensive, phase sensitive and integrated, multi-component approach to crisis/disaster intervention." This type of intervention targets the response, not the event. It involves using a short-term, supportive, helping process. It is not like psychotherapy. There are four goals in CISM: stabilization; symptom reduction; return to adaptive functioning; and facilitation if access to continued care. Critical Incident Stress is considered to be a normal response occurring as a result of an abnormal event.

This book clearly defines CISM and TIR. It carefully explains which clients would benefit most from the treatment and which ones would not. Those that would not benefit include people that are psychotic or under the influence of drugs. It also offers the DSM criteria for Post Traumatic Stress Disorder. I found this book to be very informative and think that it should be read by persons in both the mental health field and those whose careers involve dealing with people in crisis events, such as paramedics and firemen. People who work in these fields are also at risk for developing symptoms from dealing with stressful incidents. They might read "Traumatic Incident Reduction and Critical Incident Stress Management," and discover that they would also benefit from this form of treatment. It might save some valuable employees from having to face early retirement.

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