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Problem Solving with People in Trauma: Emotions First, Problems Second

Emotion first, problem second

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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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Copyright  NarejoHR  (Pvt.)  Ltd.  All  Rights  Reserved  

Educa>

on  

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on  

Passion  

Rahila  Narejo  

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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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Copyright  NarejoHR  (Pvt.)  Ltd.  All  Rights  Reserved  

S-­‐P-­‐O-­‐T  S-­‐P-­‐O-­‐T  S-­‐P-­‐O-­‐T  

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1.  5  _________  channel  information  to  your  brain.  

2.  The  information  first  goes  to  the  _____________  ,  then  the  _______________.  

3.  We  _______    before  we  ________.  

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1,000 40

1,000 30

1,000 20

1,000 + 10

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1,000 40

1,000 30

1,000 20

1,000 + 10

4,100

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“NT”?  

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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  

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Time

Toxicity

First  Trigger  

Second  Trigger  

Third  Trigger  

Full  Scale  Hijacking  

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¡ 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

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Special Assistance Team Support

• Emotional • Physical

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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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Copyright  NarejoHR  (Pvt.)  Ltd.  All  Rights  Reserved  

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)

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¡ 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.  

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Slow down

Rational Behavior

Trigger

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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

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Slow down

Problem Solve

Supportive Comments

Rational Behavior

Paraphrase in the form of questions

Active Listening

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•  “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  

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•  “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  

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¡  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  

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Last words

Knowledge is…

POWER

APPLIED

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All the Success!