Individuals suffering from psychiatric or substance use disorders sometimes display any one of a number of frightening behaviors: verbal outbursts, physical threats and even violence. In this comprehensive guidebook, Ellis Amdur walks professionals working in healthcare and social services settings through a multitude of steps they can take to keep themselves, their colleagues, and their clientele safe. The focus of this book is behavior not diagnosis. The first sections of the book discuss specific behaviors ranging from such relatively minor irritants as reluctance to complete tasks and…mehr
Individuals suffering from psychiatric or substance use disorders sometimes display any one of a number of frightening behaviors: verbal outbursts, physical threats and even violence. In this comprehensive guidebook, Ellis Amdur walks professionals working in healthcare and social services settings through a multitude of steps they can take to keep themselves, their colleagues, and their clientele safe. The focus of this book is behavior not diagnosis. The first sections of the book discuss specific behaviors ranging from such relatively minor irritants as reluctance to complete tasks and obsessive concerns to more troubling, pervasive syndromes such as psychosis, mania and disorganization. In one very important section, he discusses interactions with anti-social and psychopathic individuals, people who present danger to the psychological and physical well being of both staff and patients. The second major section of the book focuses on us: what we can do to achieve a state of integrity and powerful calm. Rather than abstract pronouncements, he offers specific strategies, including a method of breathing that is for the purpose of maintaining one's center in emergency situations. He then moves on to direct face-to-face encounters, covering situations that may occur within a clinic or office, as well as out in the community, be it someone's residence, on the street, or even one's car. This includes how to handle tense situations before they deteriorate into chaos, and how to de-escalate once a crisis has started. Amdur elucidates the various motivations that drive aggression and further delineates the different types of aggression that result. De-escalation tactics are specific - one learns how to instantly recognize what mode of aggression the person is in, and then, well-trained and practiced, one can almost instantaneously shift into the correct de-escalation tactic that fits the aggression one is facing. The final sections of the book offer a macro-view: how to establish and maintain a culture of safety both within your agency and your personal life. The likelihood that one will have to use de-escalation skills or other self-protective strategies is far diminished when such a culture of safety is in place.
Ellis Amdur received his BA in psychology from Yale University in 1974 and his MA in psychology from Seattle University in 1990. He is both a National Certified Counselor and a State Certified Child Mental Health Specialist. Since the late 1960s, Amdur trained in various martial arts systems, spending thirteen years studying in Japan. He is a recognized expert in classical and modern Japanese martial traditions and has authored three iconoclastic books as well as one instructional DVD on this subject. Since his return to America in 1988, Ellis Amdur has worked in the field of crisis intervention. He has developed a range of training and consultation services, as well as a unique style of assessment and psychotherapy. These are based on a combination of phenomenological psychology and the underlying philosophical premises of classical Japanese martial traditions. Amdur's professional philosophy can best be summed up in this idea: the development of an individual's integrity and dignity is the paramount virtue. This can only occur when people live courageously, regardless of the circumstances, and take responsibility for their roles in making the changes they desire. Ellis Amdur is a dynamic public speaker and trainer who presents his work throughout the United States and internationally. He is noted for his sometimes outrageous humor as well as his profound breadth of knowledge. His vivid descriptions of aggressive and mentally ill people and his true-to-life role playing of the behaviors in question give participants an almost firsthand experience of facing the real individuals in question. His books are considered unique in that he uses his own experiences, often hair-raising or outrageous, as illustrations of the principles about which he writes, but it is also backed by solid research, and boots-on-the-ground experience.
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