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A talk for Emergency Response Crew and Volunteers at Pakistan International Airline, conducted Feb-24-2014.
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Problem Solving with People in Trauma: Emotions First, Problems Second
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Passion
Rahila Narejo
1. Understanding the Emotional Reaction in Trauma
2. Your Role in Special Assistance
3. Communicating in Crisis
4. Problem Solving in Crisis: Apply HEAT
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S-‐P-‐O-‐T S-‐P-‐O-‐T S-‐P-‐O-‐T
1. 5 _________ channel information to your brain.
2. The information first goes to the _____________ , then the _______________.
3. We _______ before we ________.
1,000 40
1,000 30
1,000 20
1,000 + 10
1,000 40
1,000 30
1,000 20
1,000 + 10
4,100
“NT”?
PEAKS, Slows down JOSH
Rational Behavior HOSH
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¡ “the emotional, cognitive, behavioral and physiological experiences of individuals who are exposed to, or who witness, events that overwhelm their coping and problem solving abilities”
(Lerner & Shelton, 2001)
Traumatic Stress
Time
Toxicity
First Trigger
Second Trigger
Third Trigger
Full Scale Hijacking
¡ Trauma victims are hindered in their ability to:
§ think
§ learn tasks that promote reparation
§ develop positive responses to challenging situations
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Pre-event planning
Crisis Response During The
Critical Event Let-down
Phase Re-entry Phase
Crisis Strikes
Typical Crisis Response Plans
Acute Traumatic Stress Management
Special Assistance Team Support
• Emotional • Physical
Emotional Support
• Listening
• Providing First Hand and Credible Information
• Consoling
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Remember that listening helps the other person feel heard,
understood, important, valued, respected and cared about.
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One Word Can Make a
BIG Difference
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“I” Messages Examples of "I"
Messages 1. I couldn't understand
what you said. 2. I would like to help you
get the information. 3. I understand that you
are upset.
Examples of "You" Messages
1. You aren't making any sense.
2. You won't be able to
get the information. 3. You shouldn’t be
upset.
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“I” Messages
"You" messages tend to:
"I" messages tend to:
·Place blame. Puts people down
·Clarify your position, feelings, or opinions.
·Alienate, anger, make others defensive
·Build trust.
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Replace You-‐messages
with I-‐messages.
Just One Change…
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“I've learned that people will forget what you said,
people will forget what you did,
but people will never forget how you made them feel.”
Maya Angelou quotes (American Poet b.1928)
¡ Generally, in communicating with an angry or upset person, try to be more of a LISTENER than a TALKER.
¡ Deal with the EMOTION first, then the PROBLEM.
Slow down
Rational Behavior
Trigger
A specialized form of Active Listening.
Apply some HEAT!!!
• Hear them out
• Empathize
• Ask/Answer questionsà YES!
• Tell and take responsibility
H
E
A
T
Slow down
Problem Solve
Supportive Comments
Rational Behavior
Paraphrase in the form of questions
Active Listening
• “Accidents are not planned”
• “We always had a good safety record”
• “It was better for them this way”
• “It could have been worse…”
• “At least only 5 people died”
• “All things happens for a reason…”
• “It was their destiny”
• “They are sitting right beside God enjoying paradise”
Inappropriate “E” Responses
• “I am truly sorry for your loss.”
• “I regret the difficulty this has caused.”
• “I am here to assist you in any way possible.”
Effective “E” Responses
¡ Drink plenty of water and eat healthy snacks
¡ Take frequent, brief breaks from the scene as practicable
¡ Talk about their emotions to process what they have seen and done
¡ Stay in touch with family and friends
¡ Pair up with another responder to monitor one another’s stress
Responder Tips
Last words
Knowledge is…
POWER
APPLIED
All the Success!