The Four-Day Workshop on Traumatic Incident Reduction (TIR)

The Traumatic Incident Reduction Association (TIRA) regularly teaches and/or co-sponsors this Workshop--a 4-day, 28 hour Clinical Skill Development Program for the Helping Professions. Continuing Education Materials and Certificate are provided on request at any TIR workshop sponsored by the Association. In addition to developing clinical skills, participants often describe the workshop as a valuable personal growth experience.

Program curriculum and statement of learning objectives

For TIRA-approved Workshops, see TIRA Calendar.

Fees and cancellation policies vary depending on instructor and venue. In some instances, group rates are available.

Continuing Education: If sponsored or co-sponsored by TIRA, this program provides 30 hours of professional continuing education credit.

Provider Approval: TIRA is approved by the American Psychological Association (APA) to offer continuing education for psychologists, and by the Association of Trauma and Stress Specialists to offer CE credits towards certification or re-certification by the International Certification Board of Trauma Counseling. The Association maintains responsibility for the program.

Participants in all specialties will be provided with a certificate for this workshop upon completion of attendance and skill demonstration requirements. This certificate may be used to secure CE credits from participants respective licensure boards and/or professional associations.

I)  Conditioned Response Phenomena
    A. Post Traumatic Stress Disorder with obvious flashbacks
       1. The nature of trauma
       2. Pavlovian principle and the four permutations of the
           stimulus-response mechanism
    B. Related conditioned response disorders with absent flashback
       1. Conditioned response chains
       2. Primary and secondary trauma
       3. The Traumatic Incident Network
       4. The mechanics of restimulation
    C. Primary and secondary approaches to remediation
       1. Cognitive, desensitization, and imaginal technique

II)  Theory of Traumatic Incident Reduction (TIR)
    A. How TIR works
    B. Narrative TIR
    C. Thematic TIR
    D. Facilitation and Viewing

III)  Establishing a Safe Environment
    A. Rules of Facilitation
    B. Communication exercises
    C. Facilitator exercises

IV)  TIR Procedure
    A. Steps of the procedure
    B. TIR exercises

V)  Experiential - Supervised facilitation
    A. Giving one or more TIR sessions
    B. Receiving one or more TIR sessions

Also includes Unblocking, a TIR-related adaptable technique which can be applied to broad areas of life (e.g. "your marriage", "your job", etc.). Unblocking can be used to prepare a client for TIR, or address areas of life that don't fit the single-incident or thematic model.

By the end of the course, participants should be able to:

• Comprehend the nature of restimulation and destimulation;
• Comprehend the mechanics of a conditioned response chain;
• Define the Traumatic Incident Network;
• Distinguish between primary and secondary traumatic incidents;
• Describe the procedural logic of narrative and thematic TIR;
• State the session prerequisites for TIR;
• Define the roles of viewer and facilitator in TIR;
• Correctly identify the proper end point of any TIR procedure;
• Employ TIR successfully in the rapid resolution of trauma-related conditions in both formal and informal settings.
• Be comfortably present in the face of traumatic material;
• Deliver TIR and Unblocking instructions smoothly and clearly;
• Handle the communication cycle and use acknowledgements to encourage or complete communication
• Handle a variety of client concerns that may arise within a session so that TIR can be succesfully completed

The workshop schedule

• First day begins at 8:30 a.m. and ends at 5:00 p.m.;
• The remaining three days start at 9:00 a.m., end at 5:00 p.m..
• Breaks mid-mornings and mid-afternoons
• Lunch on your own from approximately 12:00 to 1:00 p.m.

(Note: this is an intensive, small group experience. Please arrange to attend all sessions.)

Applications of TIR and related techniques to address specific issues such as handling anger, dealing with guilt and shame, improving relationships, and empowering a client to move beyond a survivor identity. (Formerly known as Advanced TIR Workshop)

Objectives: At the end of this workshop, the student should be able to demonstrate competence using the following techniques:

• Constructing viewing instructions
• Unblocking relationships
• Creating a Time Line
• Examining and resolving fixed identities
• the Anger program
• Managing transference when using TIR and related techniques

TIRW II Workshop Course Outline

Outline for the 3 day workshop:
1. Review of communication skills particular to this type of work
   a.  Using the Unblocking relationships technique to highlight this
       Note that this is practical application.
2. Patterns of viewing techniques
   a. Retrospection
   b. Exploring
   c. Repetition
   d. Checklist
   e. Loops
3. Constructing viewing instructions
   a. theory
   b. practical exercise
4. Getting stuck during TIR
   a. theory
   b. Additional questions to use
   c. future TIR
   d. review of thematic TIR with practical exercise
   e. Beyond survivor - fixed ideas and fixed identities theory
   f. practical exercise using beyond survivor material
5. Anger
   a. theory
   b. practical exercise using anger program
6. Guilt and Shame
   a. theory
   b. Communication with a departed loved one - practical
7. Dissociation in session
8. Transference and the therapeutic relationship in TIR

This workshop aims to give the student some solutions to complex and difficult TIR sessions along with teaching a variety of additional related techniques that can be used in conjunction with TIR with traumatised people. The workshop is about 40% theory and 60% experiential. The workshop includes techniques for:

• Unblocking relationships
• Handling Anger
• Dealing with guilt and shame
• Dissociation in session
• Helping a client to move from a "survivor" identity built at the time of the trauma
• Handling transference when using metapsychology techniques

It also includes: Additional questions for TIR when the session gets "stuck" Future TIR to use in situations in which the client's trauma is an anticipated one Creating a Time Line for use during assessment Constructing viewing instructions to allow the counsellor to begin to create his/her own set of instructions which can be adapted to different presenting problems.

There will be the opportunity to use most of the techniques taught on the workshop during the workshop. This is an intensive workshop.

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