Facilitating Processes in Disaster & Crisis Intervention Building Community Resilience and Self-Reliance Workshop created by Gilbert Brenson-Lazan All rights reserved. Duplication, distribution, adaptation is strictly prohibited without prior permission. Global Facilitator Service Corps, Inc. © 2006 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 2 “Any given problem can be a justification for some and a challenge for others: take your choice.” Anonymous 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 3 Workshop Objectives 18 July 2006 • Identify the relationship between change, crisis and disaster. • Use the GFSC grief process model for assisting people affected by a crisis, change or disaster. • Explore facilitation and resilience-building techniques that can be applied to psychosocial reconstruction. • Develop specific strategies to take care of ourselves and other caregivers and develop appropriate strategies to use as we assist others in their recuperation. • Develop curriculum and intervention strategies to use in communities impacted by natural or manmade disasters for psycho-social recuperation. All rights reserved. Global Facilitator Service Corps, Inc. © 2006 4 Agenda for Day One • Crisis and change • Grief process and its management • Facilitation skills • Project/curriculum development 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 5 Crisis In oriental thinking, crisis is the composite of “danger” and “opportunity” 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 6 Crisis... • normal, natural and necessary aspect of human life • present in every change and transition in life 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 7 Crisis and Change Any change can create a crisis 18 July 2006 Small Change = Minor Crisis Big Change = Major Crisis All rights reserved. Global Facilitator Service Corps, Inc. © 2006 8 The Process Of Crisis TRAUMATIC EVENT DENIAL INITIAL REACTIONS DANGER OPPORTUNITY SECONDARY CRISIS 18 July 2006 PSYCHOSOCIAL RECONSTRUCTION All rights reserved. Global Facilitator Service Corps, Inc. © 2006 9 A Traumatic Event Share your experience in the traumatic event when it had just happened. 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 10 Recovery Process • • • • Existence Significance Options Resources TRAUMATIC DENIAL EVENT 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 11 Denial We tend to deny: the existence of a problem the significance of the problem the options available to change that resources or people can help No! This is a normal reaction that helps prepare us for facing reality. 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 12 Recovery Process • • • • Existence Significance Options Resources TRAUMATIC EVENT DENIAL INITIAL REACTIONS • Physical • Psychological • Social • Spiritual 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 13 Initial Reactions We react in every dimension of our being: 18 July 2006 Physical Mental/ Emotional Social Spiritual All rights reserved. Global Facilitator Service Corps, Inc. © 2006 14 Physical Reactions • Somatic reactions • • Alteration of sleep patterns Alteration of eating habits • Changes in appearance 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 15 Emotional & Psychological Reactions • Nervousness • Energy level (animation) extremes • Perceptual distortion • Inappropriate use of money and objects • Loss of desire to live • Heightened emotional susceptibility 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 16 Emotional & Psychological Reactions Sadness • • 18 July 2006 Fear A deep and recurring sense of loss during a sometimes long period of time. Crying is normal, natural and even necessary in an intense period of sadness. Different kinds of fear appear and reappear: • Of another crisis • Of not being able to survive • Of financial loss • Of the consequences of these on others All rights reserved. Global Facilitator Service Corps, Inc. © 2006 17 Emotional & Psychological Reactions Anger Guilt or Self Blame Illogical as it may be, it is also normal and natural to feel anger, even rage at: • Many feel guilty for something they did. • Others feel guilty for what they think they failed to do. • Some people even blame themselves in some way for natural tragedies. Nature • Government • Family • • • • 18 July 2006 Friends Volunteers & Aid Workers Even at God! All rights reserved. Global Facilitator Service Corps, Inc. © 2006 18 Social Reactions • Group and interpersonal relationships also feel the impact of a crisis. • There can be a tendency toward isolation or the other extreme, permanent attachment. • Relational Stress most often seen in individual behaviors 18 July 2006 Aggressive Passive All rights reserved. Global Facilitator Service Corps, Inc. © 2006 19 Spiritual Reactions 18 July 2006 • Increase in magical or mystical thinking • Spiritual rejection, distortion or fanaticism All rights reserved. Global Facilitator Service Corps, Inc. © 2006 20 “The road to successful change requires a patient compassion for the pain and fear of all those involved.” Thomas Merton 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 21 “Everything can be taken from a person except one thing: the freedom to choose a specific attitude when faced by a crisis.” Man’s Search for Meaning by Viktor Frankl 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 22 Coping Strategies 18 July 2006 Danger Use of ineffective strategies Opportunity Use of effective strategies All rights reserved. Global Facilitator Service Corps, Inc. © 2006 23 Recovery Process: Needs, Stages, Leadership Styles • • • • Existence Significance Options Resources TRAUMATIC EVENT DENIAL INITIAL REACTIONS NEEDS Survival Security Autonomy Transcendence • Physical • Psychological • Social • Spiritual Recovery Stage: Leadership Style: 18 July 2006 Reactive Directive Receptive Coordinating Proactive Monitoring All rights reserved. Global Facilitator Service Corps, Inc. © 2006 Interactive Consulting 24 Ineffective Strategies: Pseudosolutions 18 July 2006 • Pseudosolution (Watzlawick, 1984) • What we do, with the best of intentions, when we try to solve a problem and end up making it worse. • Like drinking salt water to satisfy a thirst. All rights reserved. Global Facilitator Service Corps, Inc. © 2006 25 Agitate: Get Away • Avoid thinking about my reality by continued isolation or excessive social stimulation. • Avoid reality by abusing psychiatric, recreational or alcoholic drugs. • Dysfunctional strategy to meet survival needs. 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 26 Recovery Process: Ineffective Strategies • • • • Existence Significance Options Resources TRAUMATIC EVENT NEEDS DENIAL INITIAL REACTIONS Survival Security Autonomy Transcendence Agitate: Get Away • Physical • Psychological • Social • Spiritual Recovery Stage: Leadership Style: 18 July 2006 Reactive Directive Receptive Coordinating Proactive Monitoring All rights reserved. Global Facilitator Service Corps, Inc. © 2006 Interactive Consulting 27 Abdicate: Get Helpless 18 July 2006 • Refusing to accept responsibility for my thoughts, feelings and actions. • Dysfunctional strategy to meet security needs. All rights reserved. Global Facilitator Service Corps, Inc. © 2006 28 Recovery Process: Ineffective Strategies • • • • Existence Significance Options Resources TRAUMATIC EVENT NEEDS DENIAL INITIAL REACTIONS Survival Agitate: Get Away • Physical Security Autonomy Transcendence Abdicate: Get Helpless • Psychological • Social • Spiritual Recovery Stage: Leadership Style: 18 July 2006 Reactive Directive Receptive Coordinating Proactive Monitoring All rights reserved. Global Facilitator Service Corps, Inc. © 2006 Interactive Consulting 29 Automate: Get Stuck • The lack of interest or flexibility to change my unproductive behaviors, struggle against something that can’t be changed, etc. • Dysfunctional strategy to meet security and some autonomy needs. 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 30 Recovery Process: Ineffective Strategies • • • • Existence Significance Options Resources TRAUMATIC EVENT NEEDS DENIAL INITIAL REACTIONS Survival Agitate: Get Away • Physical Security 18 July 2006 Transcendence Abdicate: Get Helpless • Psychological • Social • Spiritual Recovery Stage: Leadership Style: Autonomy Automate: Get Stuck Reactive Directive Receptive Coordinating Proactive Monitoring All rights reserved. Global Facilitator Service Corps, Inc. © 2006 Interactive Consulting 31 Alienate: Get Control 18 July 2006 • Excessive priority given to my own interests at the cost of those of others. • Dysfunctional strategy to meet security and some autonomy needs. All rights reserved. Global Facilitator Service Corps, Inc. © 2006 32 Recovery Process: Ineffective Strategies • • • • Existence Significance Options Resources TRAUMATIC EVENT NEEDS DENIAL INITIAL REACTIONS Survival Agitate: Get Away • Physical Security Autonomy Transcendence Abdicate: Get Helpless • Psychological • Social • Spiritual Automate: Get Stuck Alienate: Get Control Recovery Stage: Leadership Style: 18 July 2006 Reactive Directive Receptive Coordinating Proactive Monitoring All rights reserved. Global Facilitator Service Corps, Inc. © 2006 Interactive Consulting Secondary Crisis 33 Secondary Crisis • 18 July 2006 Frequently choosing dysfunctional strategies to cope with initial reactions can rapidly become a personal and social pathology. All rights reserved. Global Facilitator Service Corps, Inc. © 2006 34 Secondary Crisis Risk Factors • A delay in the start of the grieving process. • Excessive dependency on the deceased. • A previous ambivalent relationship with the deceased or the lost possessions. • Difficulty in tolerating or expressing emotions. • A lack of preparedness for the loss, both in the mental and material sense. Previously unresolved losses • • An absence of moral and spiritual values. The death of a key figure during childhood • • Traumatic anxiety at the same time of the loss. Depression or other psychological problems. • 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 35 Manifestations of A Secondary Crisis • Permanent Hyperactivity • Extended Periods of Apathy • Excessive Identification • Chronic Psychosomatic Disorder • Relational Crisis • Drug/alcohol Dependency • Aggression or Suicide Attempts • Psychotic Depression 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 36 New Learning Model Group-based, experiential Living and working together Learn to Develop as a person 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 New skills and ways to live Jacques DeLors 1999 37 Ladder of Needs Transcendence Autonomy Security Survival Reactive Directive 18 July 2006 Proactive Receptive Interactive Consulting Monitoring Coordinating Effective strategies meet our needs in ways that help us grow and learn. All rights reserved. Global Facilitator Service Corps, Inc. © 2006 38 Recovery Process: Effective Strategies • • • • Existence Significance Options Resources TRAUMATIC EVENT DENIAL INITIAL REACTIONS Accommodate: Come Through NEEDS Survival Agitate: Get Away • Physical Security Autonomy Transcendence Abdicate: Get Helpless • Psychological • Social • Spiritual Automate: Get Stuck Alienate: Get Control Recovery Stage: Leadership Style: 18 July 2006 Reactive Directive Receptive Coordinating Proactive Monitoring All rights reserved. Global Facilitator Service Corps, Inc. © 2006 Interactive Consulting Secondary Crisis 39 Intervention Strategies RECOVERY STAGE & BASIC NEED Reactive stage to meet Survival needs 18 July 2006 EFFECTIVE STRATEGY ACTIVITIES Accommodate/ Come Through Awareness about the new reality and its impact. • Necessary to begin a catharsis, releasing the emotions related to the grief. • Necessary for adapting to the new situation of survival. All rights reserved. Global Facilitator Service Corps, Inc. © 2006 SKILLS NEEDED • • Physical Mental • Social • Spiritual Survival 40 Recovery Process: Effective Strategies • • • • Existence Significance Options Resources TRAUMATIC EVENT DENIAL INITIAL REACTIONS Accommodate: Come Through Assimilate: Come Along NEEDS Survival Agitate: Get Away • Physical Security Autonomy Transcendence Abdicate: Get Helpless • Psychological • Social • Spiritual Automate: Get Stuck Alienate: Get Control Recovery Stage: Leadership Style: 18 July 2006 Reactive Directive Receptive Coordinating Proactive Monitoring All rights reserved. Global Facilitator Service Corps, Inc. © 2006 Interactive Consulting Secondary Crisis 41 Intervention Strategies RECOVERY STAGE & BASIC NEED Receptive stage to meet Security needs 18 July 2006 EFFECTIVE STRATEGY Assimilate/ Come Along ACTIVITIES Identify, understand and admit personal reactions to the crisis as something normal, natural and necessary for healing and growth. Necessary to • understand the implications, • explore new options and • recognize the positive aspects of the negative event. All rights reserved. Global Facilitator Service Corps, Inc. © 2006 SKILLS NEEDED Accept the new reality with • awareness • persistence • reflection • compliance • analysis • observation • flexibility • adaptation, etc. 42 Recovery Process: Effective Strategies • • • • Existence Significance Options Resources Activate: Come Forward TRAUMATIC EVENT DENIAL INITIAL REACTIONS Accommodate: Come Through Assimilate: Come Along NEEDS Survival Agitate: Get Away • Physical Security Autonomy Transcendence Abdicate: Get Helpless • Psychological • Social • Spiritual Automate: Get Stuck Alienate: Get Control Recovery Stage: Leadership Style: 18 July 2006 Reactive Directive Receptive Coordinating Proactive Monitoring All rights reserved. Global Facilitator Service Corps, Inc. © 2006 Interactive Consulting Secondary Crisis 43 Intervention Strategies RECOVERY STAGE & BASIC NEED Proactive stage to meet Autonomy needs 18 July 2006 EFFECTIVE STRATEGY Activate/ Come Forward ACTIVITIES Remember, use and actively develop all one’s inner and external resources (those from before the tragedy, presently and those that will continue despite the tragedy. Necessary to: • achieve personal growth. • implement plans • introduce new alternatives. All rights reserved. Global Facilitator Service Corps, Inc. © 2006 SKILLS NEEDED Participate in one’s own growth by • doing, • becoming, • assertiveness, • validation, • authenticity, • personal mission, • empowerment, • achievement, • creativity, • accountability, etc. 44 Recovery Process: Psychosocial Reconstruction Effective Strategies Associate: Come Together • • • • Existence Significance Options Resources Activate: Come Forward TRAUMATIC EVENT DENIAL INITIAL REACTIONS Accommodate: Come Through Assimilate: Come Along NEEDS Survival Agitate: Get Away • Physical Security Autonomy Transcendence Abdicate: Get Helpless • Psychological • Social • Spiritual Automate: Get Stuck Alienate: Get Control Recovery Stage: Leadership Style: 18 July 2006 Reactive Directive Receptive Coordinating Proactive Monitoring All rights reserved. Global Facilitator Service Corps, Inc. © 2006 Interactive Consulting Secondary Crisis 45 Intervention Strategies RECOVERY STAGE & BASIC NEED Interactive stage to meet Transcendence needs 18 July 2006 EFFECTIVE STRATEGY Associate/ Come Together ACTIVITIES Contribute, cooperate, collaborate and cocreate with others so that together the problem can be converted into an opportunity for personal and group growth. All rights reserved. Global Facilitator Service Corps, Inc. © 2006 SKILLS NEEDED Strengthen social bonds and intimacy through • affiliation • sharing • advocacy • solidarity • alliances • win-win cooperation, etc. 46 Coping Strategies Discussion Identify approaches for helping disaster survivors recognize • that their behavior is dysfunctional and • how to create the opportunity to discuss other, more functional behaviors in the situation. 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 47 Summary of Functional Strategies NEED & BEHAVIORAL STAGE Stage: Reactive Need: Survival Stage: Receptive Need: Security Stage: Proactive Need: Autonomy Stage: Interactive Need: Transcendence 18 July 2006 FUNCTIONAL STRATEGIES & LEADERSHIP STYLE Functional: Accommodate/ Come Through ACTIVITIES • • Leadership: Directive Functional: Assimilate/ Come Along Leadership: Coordinating Functional: Activate/ Come Forward Leadership: Monitoring Functional: Associate/ Come Together Leadership: Consulting • • • • • SKILLS Create awareness about the new reality and its impact. Initiate a catharsis of the emotions related to the grief so that the person adapts to the new situation of survival. Survival Skills: • Physical • Mental • Social • Spiritual Identify, understand and accept personal reactions to the crisis as something normal, natural and necessary for healing and growth. Necessary for understanding the implications, exploring new options and recognizing the positive aspects of the negative event. Accept the new reality with • awareness, observation, • reflection, analysis, • compliance, flexibility, • adaptation, persistence, • etc. Remember, use and actively develop all the internal and external resources that one has, had in the past and will continue to have despite the tragedy Necessary to achieve personal growth, implement plans and introduce new alternatives. Participate in one’s own growth by: • doing, becoming, • assertiveness, validation, • authenticity, empowerment, • personal mission, • achievement, creativity, • accountability, etc. Contribute, cooperate, collaborate and co-create with others so that together the problem can be converted into an opportunity for personal and group growth. Strengthen social bonds and intimacy through: • affiliation, sharing, • advocacy, solidarity, • alliances, win-win, • cooperation, etc. All rights reserved. Global Facilitator Service Corps, Inc. © 2006 48 Summary of Strategies PRINCIPAL PERCEIVED NEED & BEHAVIORAL STAGE Need: SURVIVAL FUNCTIONAL PROCESS FUNCTIONAL STRATEGIES DYSFUNCTIONAL PROCESS Accommodate : Come Through Self-Protection: denial or discounting (of existence, significance or options) and initial systemic reactions Abdicate: Get Away Behavior: REACTIVE Need: SECURITY Assimilate: Come Along Behavior: RECEPTIVE Need: AUTONOMY Behavior: INTERACTIVE 18 July 2006 Adaptive Learning: reflection, grief management, persistence, compliance Attenuate: Get Helpless PSEUDOSOLUTIONS LEADERSHIP INTERVENTIONS STYLE & GOALS Escape: suicide attempts, hallucination, prolonged denial, desperation, psychotic depression Directive: Organize a structure that facilitates physical, psychological and social survival. PassiveDependence: co-dependency, clinical depression, substance abuse, isolation, pseudocatharsis Coordinating: Facilitate awareness and new competencies through training and workshops. Activate: Come Forward Personal Growth: flexibility, optimism, assertiveness, creativity, leadership, authenticity, empowerment, accountability Automate: Get Stuck Inflexibility: overvaluing of the past or of the status quo, obstinacy, rigidity, manipulation, obsessive-compulsive behaviors, sociopathic behaviors Monitoring: Facilitate individual and group selfdevelopment and achievement. Associate: Come Together Solidarity: affiliation, synergy, advocacy, win-win, cooperation, group consensus, teamwork Alienate: Get Control Domination: Excessive individualism, aggressiveness, competitiveness, winlose, need for control, power struggle Consulting: Facilitate consensus and mentor processes of interpersonal and group synergy. Behavior: PROACTIVE Need: TRANSCENDENCE DANGER OPPORTUNITY All rights reserved. Global Facilitator Service Corps, Inc. © 2006 49 Recovery Process Psychosocial Reconstruction Associate: Come Together • • • • Existence Significance Options Resources Activate: Come Forward TRAUMATIC EVENT DENIAL INITIAL REACTIONS Accommodate: Come Through Assimilate: Come Along NEEDS Survival Agitate: Get Away • Physical Security Autonomy Transcendence Abdicate: Get Helpless • Psychological • Social • Spiritual Automate: Get Stuck Alienate: Get Control Behavioral Stage: Leadership Style: 18 July 2006 Reactive Directive Receptive Coordinating Proactive Monitoring All rights reserved. Global Facilitator Service Corps, Inc. © 2006 Interactive Consulting Secondary Crisis 50 Crisis Intervention Techniques 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 51 Crisis Intervention Techniques • Creating Interpersonal and Group Rapport • Linguistic Empowerment and Language of Suggestion • Catharsis Facilitation • Critical Incident Debriefing and Focused Conversation • Suicide Risk and Referral Criteria • Building Group Resilience • Developing Transitional Communities • Avoiding Conflict Escalation • Caring for the Caregivers and Developing Personal Resilience 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 52 Creating Interpersonal & Group Rapport • Active Listening • Reframe Attitudes • Pacing • Use Adequate Recognition 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 53 Rapport and Communication • Listen in such a way that others want to talk to you. • Talk in such a way that others want to listen to you. Click to return to list of Crisis Intervention Techniques 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 54 Linguistic Empowerment • The use of linguistic structures which facilitate recollection of meanings and increase our and other people’s options. • Critical for the development of personal, group and community potential. 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 55 4C’s of Linguistic Empowerment • Correspondence • Capacity • Clarity • Coherence 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 56 Correspondence: Identify Responsibilities Not Empowered: July’s goal has been met! Empowered: The Region Five salesmen met the goal for July! N: Maria makes me feel guilty when I am late. E: I feel guilty when Maria complains for me being late. 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 57 Capacity: Recognize Options N: I have to see Juan at 3:00. E: I am going to see Juan at 3:00. N: I cannot talk to you now. E: I'd rather not commit myself in talking to you now. Can we talk this afternoon? 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 58 Clarity: Agreed Meanings N: Can you give me that “whatchamacallit” over there? E: Can you hand me the tape recorder that is in the left drawer, please? N: She is always “dissing” someone, showing no respect! E: I don’t like how she responds to the customers! 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 59 Coherence: Consistent Messages N: I want to sell more but competition is tough. E: I want to sell more in spite of the tough competition. N: Don’t you think it would be better to do this tomorrow? E: I think it is better to do this tomorrow. What do you think? 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 60 Internal Empowerment I can change the way I talk and think! Example: N: The noise in here does not let me work. E: I lose my concentration when there is so much noise. 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 61 Dialogic Empowerment • Tracking Clarify empowered words by asking for specific information. • Paraphrasing In your own words, restate what you understood, in an empowered way. 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 62 Tracking Ask specific questions to clarify Who? When? What? Why? Where? How? Examples: Nobody helps in this office. Specifically, how would you like us to help you? The interview went well. 18 July 2006 What results did you get? All rights reserved. Global Facilitator Service Corps, Inc. © 2006 63 Paraphrasing Do you mean that… is that right?” Wow, she really is listening. I think she’s taking me seriously. Restate in your own words, and in an empowered form, what you understood. 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 64 Dialogic Empowerment Recommendations Internally empower ourselves first; otherwise, others perceive our incongruity and we lose credibility. While external empowering techniques are excellent work tools, their use can generate problems in some interpersonal relationships (family, couple, etc.). 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 65 Language of Suggestion 18 July 2006 • Linguistic Presupposition • Implicit Question • Implanted Suggestion All rights reserved. Global Facilitator Service Corps, Inc. © 2006 66 Linguistic Presupposition Examples: 18 July 2006 Do you want to practice?” vs. Do you prefer to practice today or on Monday?” Do you have hope for...?” vs. What’s your hope….?” Do you feel guilty?” vs. Up to what extent do you feel….?” All rights reserved. Global Facilitator Service Corps, Inc. © 2006 67 Implicit Question Examples 18 July 2006 “It would be interesting to know…..” “I ask myself if…..” “I don’t know if you would like to tell me……” All rights reserved. Global Facilitator Service Corps, Inc. © 2006 68 Implanted Suggestion Examples: “Do you want to tell me what….?” “Could you explain me how.... ?” “Do you want to move to....?” Click to return to list of Crisis Intervention Techniques 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 69 Catharsis Facilitation • Talk with the person about his/her emotions. • Carefully choose an appropriate time and place. • Many people do not want to express their feelings. • Repressing feelings for an extended period of time often provokes a secondary crisis. 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 70 Be Alert for… • The stage of total denial lasting more than one day • Any initial reaction that extends beyond six months • Any dysfunctional pattern that has become a habit • Any secondary crisis that is not improving • Suicide threats and especially attempts 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 Click to return to list of Crisis Intervention Techniques 71 Critical Incident Management/Debriefing Guidelines: 18 July 2006 Situation Actions/Behaviors Learning Continuity Perspective All rights reserved. Global Facilitator Service Corps, Inc. © 2006 72 Focused Conversation • Objective Level • Reflective Level • Interpretive Level • Decisional Level Stanfield, R. Brian 1997, ICA, Toronto Click to return to list of Crisis Intervention Techniques 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 73 Suicide Risk & Referral Criteria • Chronic lack of sleep (total insomnia) • Personal or family history of suicide attempts • Chronic illness or handicap • Desperation or hopelessness • Hallucinations (voices or visions) that give commands • An increase in drug abuse or alcoholism • Openly expressed opinion by relatives or friends that it would be "better" (because of handicaps, etc.) if the person died • Loss of several or all of their loved ones • Suicide-related behaviors • Suicide threats 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 Click to return to list of Crisis Intervention Techniques 74 Building Group & Social Resilience Derivation Physics: elasticity, buoyancy, the ability to quickly return, often stronger, to the original shape Biology: survival of the most resilient (Darwin) Sociology: observations and studies of o Children o Adults Families o Groups o 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 75 Social & Group Resilience “The ability to face internal or external crisis and not only effectively resolve it but also learn from it, be strengthened by it and emerge transformed by it, both individually and as a group.” Brenson-Lazan, 2003 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 76 Factors in Developing Resilience 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 77 Personal Development How does a group stimulate & reinforce personal development of each member? 18 July 2006 Enhances a sense of personal identity and role Maintains perceptual and behavioral flexibility Provides self-awareness and self-correction Reinforces self-esteem and self-confidence All rights reserved. Global Facilitator Service Corps, Inc. © 2006 78 Interpersonal Development How does a group create and reinforce effective interpersonal synergy? 18 July 2006 Values diversity Listens with empathy Participates and dialogues Demonstrates mutual affection, forgiveness and self-help All rights reserved. Global Facilitator Service Corps, Inc. © 2006 79 Vision How does the group develop its direction? 18 July 2006 Creates a set of shared values Envisions a promising future Integrates individual goals and aspirations with those of the group All rights reserved. Global Facilitator Service Corps, Inc. © 2006 80 Strategic Thinking How does the group determine its mission and the competencies necessary to achieve it? 18 July 2006 Sets realistic goals Elaborates strategies to achieve them Promotes group reflection, introspection and self-correction Constructively and creatively resolves challenges, problems and conflicts Asks for help when it is needed Monitors, measures and evaluates results All rights reserved. Global Facilitator Service Corps, Inc. © 2006 Click to return to list of Crisis Intervention Techniques 81 Developing Transitional Communities • • 18 July 2006 Facilitate activities that help form new structures for emotional support Self-supportive groups Cultural and recreational activities Organization of the shelters for displaced people Self-administration of the shelters Assure and mentor a leadership style appropriate for the level of development within the new social structure. All rights reserved. Global Facilitator Service Corps, Inc. © 2006 82 CADI: Facilitating Self-Help Communities “The CADI is a small group of people who agree to form a community of holistic selfdevelopment both personal and professional, with a Group Mentor-Facilitator.” Brenson, Sarmiento & Rodas, 2001 Characteristics: Purpose Communication Identification Image Governance Sub-groups Environment Trust Exchange Participation Borders (Limits) History Click to return to list of Crisis Intervention Techniques 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 83 How Does Conflict Arise? 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 84 The Process of Conflict GOAL 2 GOAL 1 NEED 1 18 July 2006 NEED 2 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 85 Process of Conflict Escalation DISCOUNTING INFLEXIBILITY • • • Hardening Persuasion Manipulation Responds best to conciliation • AGGRESSION Polarization (us vs. them) • • Loss of respect • Threats Responds best to conciliation or mediation • • Verbal Aggression Physical Aggression Destructive Behaviors Responds best to mediation or binding arbitration Adaptation of F.Glasl by Gnass-Brenson, 1998 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 86 Verbal Expressions of Conflict • Hardening: “I know I´m right." • Persuasion: “I have to convince them that I am right." • • 18 July 2006 Manipulation: “I´ll do whatever is necessary to show that they are wrong." Polarization: “Those of us that know I am right are now all together." • Loss of Respect: “It isn´t even worth talking to them." • Threats: “We have to dominate those that are not with us." • Verbal Aggression: "That person is a #%$*&!" • Physical Aggression: “Take this!" • Destructive Behaviors: “I may lose but I´ll take some of them with me." All rights reserved. Global Facilitator Service Corps, Inc. © 2006 87 Dynamics of Intervention P1 P1 P1 F F F P2 P2 1 2 P2 3 Click to return to list of Crisis Intervention Techniques 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 88 Caring for the Caregiver • Know your personal limits. • Practice active grieving. • Maintain a strong support network. • Generate more endorphins and reduce cortisol. 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 89 Cortisol A hormone secreted by the adrenal glands in response to any kind of physical, emotional or psychological stress 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 90 Endorphins A chemical substance that creates feelings of well-being and stimulates the immunilogical system. 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 91 The Constant Battle • Our attitudes, thoughts, feelings and behaviors can generate Endorphins and Cortisol. • Endorphins and Cortisol destroy each other. • Therefore it is not enough to just lower Cortisol or raise Endorphins. • Both must be done simultaneously. 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 92 How We Generate Cortisol Mentally: Physically: Nutritional imbalance Negative thoughts Smoking (directly or indirectly) Repression of emotions Stubborness or Inflexibility Mockery and belittlement Excessive use of alcohol Socially: Spiritually: Arguments Spiritualization Telling and hearing lies Dependence Negative Recognition Escapism “Stuck” Relationships Excessive proselytism Excessive competition 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 93 How We Generate Endorphins Physically: Exercise Massage and touching Orgasmic sexual relations Deep Breathing Balanced Diet Socially: Dialogue Family Networks Give and receive positive unconditional “strokes” Participation and Consensus Good friends 18 July 2006 Mentally: Smiling and laughing Positive Thinking Alpha-stimulating relaxation Using creativity Flexibility Spiritually: Prayer and meditation Connecting with Nature Singing and Dancing Samaritan Syndrome Defined and lived values All rights reserved. Global Facilitator Service Corps, Inc. © 2006 94 Personal Resilience …is the combination of: The innate human capacity to face adversity and resist destruction The willingness to evolve and develop oneself in spite of adverse conditions The use of the adversity itself to learn and transform oneself Stefan Vanistendael, 1994 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 95 Caregiver Transition Productivity & Self-Esteem TRANSFORMATION TRAUMATIC EVENT DENIAL PSEUDOTRANSITION PROCESS OF COMMITMENT TO CHANGE INITIAL REACTIONS Expressed Hidden Zone Decision to try new options Decision to abandon the process TIME Actual State 18 July 2006 Unfreezing Transition All rights reserved. Global Facilitator Service Corps, Inc. © 2006 Refreezing Desired State 96 • Through our support of volunteer facilitators worldwide, Global Facilitator Service Corps helps build the capacity of communities to work through their challenges and create sustainable solutions. • GFSC believes that people and communities are capable of self-determination and that facilitation is an effective catalyst to build, rebuild and sustain self-reliant communities. • By sharing our knowledge, experience, and caring, we enable communities and the institutions that serve them, to identify and achieve their goals. 18 July 2006 All rights reserved. Global Facilitator Service Corps, Inc. © 2006 97
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