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Traumatic Incident Reduction (TIR) and Smoking Cessation
ÿThe experiences of "Samantha" as a client will be used to illustrate how Traumatic Incident Reduction and Life Stress Reduction strategies have helped her overcome her smoking addiction. Samantha, age 25, is a young pregnant woman who is presently working at a shop as an accounting assistant. She is living with her boyfriend of 10 years. He is a mechanic who also smokes and is frequently verbally abusive toward Samantha. Samantha is currently in the first trimester of her second pregnancy; her first pregnancy resulted in a spontaneous miscarriage. Samantha is afraid she will lose this baby and has recently become aware of the connection between a miscarriage and smoking, thus she would like to quit. Yet, she is finding it difficult, especially since she has become aware, from her own mother, that Samantha?s conception was due to a rape her mother had experienced, but did not tell Samantha about till now.
Substance Dependency, PTSD and Traumatic Incident Reduction (TIR) in South Africa: A Social Work Perspective
This article briefly reflects the extent to which substance dependency and traumatic events, which may lead to a diagnosis of a post-traumatic stress disorder, are becoming a feature of life all over South Africa. Many social workers are familiar with current evidence-based approaches and are skilled at adapting them to local cultural and contextual conditions. Exploring and continuing learning various evidence-based approaches to render more effective services are an important aim of social work practice. Metapsychology and Traumatic Incident Reduction (TIR), an Applied Metapsychology technique, are introduced to challenge social workers to render more integrated and effective services. The...
Sexual Addiction and Traumatic Incident Reduction (TIR)
ÿ?Sexual addiction is strongly anchored in shame and trauma. Research conducted over the past fifteen years has consistently shown the prevalence of emotional, physical and sexual abuse in this population? (Cox & Howard, 2007, p. 1). As well, there is also high co-morbidity of sexual addiction with other addictive disorders. An additional layer of sexual addiction is the underlying shame associated with the actions and behaviors the client engages in for this addiction. This intense shame is likely to fuel and perpetuate the cycle of the addiction. With such a strong link, it is important for clinicians to address the underlying trauma while assisting clients with sexual addiction (Cox & Ho...
Looking Through the Trauma Lens
ÿI developed renewed faith in the power of psychotherapy after I attended a Traumatic Incident Reduction (TIR) course in 2011. It opened many doors for me as I began to understand the impact of previously overlooked, objectively minor traumatic incidents on psychological disorders and problems. This article is about the application of this powerful tool over the entire spectrum of psychological problems and disorders and how this brings about impressive and permanent change. The optimal use of this tool in psychotherapy requires a shift in epistemology in which we begin to view mental health through a trauma lens. The definition of psychological trauma can vary. From a TIR perspective, trau...
Brief Treatment of Trauma-Related Symptoms in Incarcerated Females with Traumatic Incident Reduction (TIR)
ÿThe following article is based on materials presented at the Proceedings of the Tenth National Symposium on Doctoral Research in Social Work (1998).ÿ Statement of the Research Problem Conducted in the Tallahassee Federal Correction Institute (FCI) in Florida, this experimental outcome study examined the effectiveness of Traumatic Incident Reduction (TIR) (Gerbode, 1989) in treating trauma-related symptoms of female inmates who were victims of interpersonal violence. TIR is a brief (in this case, one session), straightforward, memory-based, therapeutic intervention most similar to imaginal flooding. A memory-based intervention implies that the symptoms currently experienced by a client are...
The Dissociation of Abigail
ÿAmong the most profound manifestations of childhood trauma is that of Dissociative Identity Disorder (DID). Theorists suggest DID can be both adaptive and dysfunctional in nature. "The Dissociation of Abigail" will illustrate how childhood trauma can affect the perception, cognition, and behavior of an individual into their adult years. This case study will discuss client intake, assessment, and potential treatment.ÿ Abigail, a tall, attractive, and well-groomed divorced mother of 5 children in her late 30s, presents herself in the therapist?s office complaining of the inability to remember key periods of her life. Discussion with the client reveals she is, in fact, extremely intelligent,...
Traumatic Incident Reduction (TIR) and Primary Resolution of the Post-Traumatic Stress Disorder (PTSD)
ÿ?Traumatic Incident Reduction (TIR) and Primary Resolution of the Post-Traumatic Stress Disorder? provides a brief discussion illuminating the concept of PTSD: how it arises, what maintains it, how it progresses to increasingly constrain a person?s life. PTSD also involves faulty thinking, but focus on such present-time reactions is ineffective without addressing the original trauma. PTSD is the consequence of attempts to avoid re-experiencing. Traumatic Incident Reduction (TIR) is a technique for overcoming this tendency, allowing the sufferer to experience the traumatic incident in a special, safe way. In the case of multiple traumas, this can be complex, needing to deal with each. It is...
Sexual Addiction and Traumatic Incident Reduction (T.I.R.)
"Sexual addiction is strongly anchored in shame and trauma. Research conducted over the past fifteen years has consistently shown the prevalence of emotional, physical and sexual abuse in this population" (Cox and Howard, 2007, p. 1). As well, there is also high co-morbidity of sexual addiction with other addictive disorders. An additional layer of sexual addiction is the underlying shame associated with the actions and behaviors the client engages in for this addiction. This intense shame is likely to fuel and perpetuate the cycle of the addiction. With such a strong link, it is important for clinicians to address the underlying trauma while assisting clients with sexual addiction (Cox and ...
Rough Justice
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