reactions to personal crisis how you may feel emotionally after a traumatic incident
TRANSCRIPT
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REACTIONS TO PERSONAL CRISIS
How you may feel emotionally after a traumatic incident.
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Professional People
• Used to dealing with crises
• Able to stand back
• Self control
• Role boundaries
• Human!
• Emotions
• Feelings
• Personal Life
• Caring people
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Understandable reactions to abnormal events. Although intense and difficult to put up with, these are the way ordinary people can feel.
Normal set of responses to an abnormal occurrence.
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Definitions:
• TRAUMA - ‘a powerful shock that may
have long-lasting consequences’.[OED]
• POST TRAUMA STRESS - ‘The normal
reactions of normal people to events which,
for them, are unusual or abnormal’
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Definitions:
• POST TRAUMATIC STRESS DISORDER - ‘The development of certain characteristic symptoms following a psychologically distressing event which is outside the range of normal human experience’ [DSM IVR]
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Beginning of transitionTIME
MO
OD
NUMBNESS
DENIAL
INTERNALISATION
SEARCH FOR MEANING
DEPRESSION
[ANGER]
ACCEPTANCE OF REALITY/LETTING
GO
TESTING
Seven stages of Transition
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Basic Beliefs
• Invulnerability - ‘bad things happen to
other people’
• Meaning & purpose - the reason to live
and carry on. Life makes sense.
• Self-respect (image,esteem,confidence)
- ‘I’m OK’, value
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In the first weeks and months
• Re-experiencing incident• Flashbacks & Dreams• Sadness• Anger• Numbness• Helplessness• Shame & Guilt• Fear. Living on borrowed time
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Effects on your body
• Tiredness and exhaustion• Racing heart and ‘shakes’• Rapid breathing• Profuse sweating• Headaches, neck and backache• Tightness in throat and chest• Gastro-intestinal problems• Sleep problems
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In the longer term
• Loss of interest
• Loss of confidence
• Personality change
• Avoidance behaviour
• Inappropriate behaviour
• Excessive smoking or drinking
• Relationship difficulties
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Trauma Support Programme
• legitimises the impact of trauma;
• acknowledges organisational
responsibility;
• provides appropriate and effective
support.
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Critical Incident Review - Facts
• Before the Incident
• During the Incident
• After The Incident
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Critical Incident Review - Feelings
• Feelings experienced during the
incident
• Sensory Impressions
• Emotional Reactions
• Feelings
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Critical Incident Review - Future
• Normalisation
• Information
• Recommendations
• When to seek help
• Support
• Personal care
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Appropriate Intervention
• Critical Incident Review
• Counselling
• GP / Force Medical Officer
• Referral to Psychiatric Service
• Evaluation and Monitoring
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‘Each man must find within himself the various methods to contain and control the pain and confusion within. There are no ready-made answers. It is a slow process of rediscovery, where denial or flight from inward turmoil is the antithesis of self-healing. We go that road alone. We may be helped but we cannot be pushed or misdirected. We each have the power within us to re-humanise ourselves. We are our own self healers.’
Brian Keenan, The Guardian 09/08/91 following the release of fellow hostage John McCarthy