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  • Format: ePub

Individuals suffering from psychiatric or substance abuse disorders sometimes display any one of a number of frightening behaviors: verbal outbursts, physical threats and even violence. First responders must deal with such individuals on a frequent basis. In this comprehensive guidebook, Ellis Amdur and John K. Murphy offer firefighters and EMTs a comprehensive set of strategies to keep themselves and their patients safe, while functioning at the highest level of professionalism. The first section of this book is tactical: everything from field safety and strategic planning on one side, to…mehr

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Produktbeschreibung
Individuals suffering from psychiatric or substance abuse disorders sometimes display any one of a number of frightening behaviors: verbal outbursts, physical threats and even violence. First responders must deal with such individuals on a frequent basis. In this comprehensive guidebook, Ellis Amdur and John K. Murphy offer firefighters and EMTs a comprehensive set of strategies to keep themselves and their patients safe, while functioning at the highest level of professionalism. The first section of this book is tactical: everything from field safety and strategic planning on one side, to honing your intuition to pick up early signs of danger on the other. In the second section of the book, the authors focus on us: what we can do to achieve a state of integrity and powerful calm. Rather than abstract pronouncements, they offer specific strategies, including a method of breathing for the purpose of maintaining one's own center in crisis situations. They then move on to the heart of the book, discussing specific behaviors ranging from confusion and obsessive concerns to psychosis, mania and acute disorganization. In one very important section, they discuss interactions with opportunistic and manipulative individuals (at worst, those referred to as sociopaths), people who present a danger to the psychological and physical well-being of anyone with whom they come in contact. Amdur and Murphy do not merely confine themselves to the important subject of despondent suicidal individuals who attempt to kill themselves. They also offer strategic interventions for 'para- suicidal' individuals, those who either threaten to harm themselves, or repetitively do so, requiring almost constant involvement of EMS, police, hospitals and the mental health system. They then move on to a discussion of anger and potentially violent behavior, whether directed at fire- fighters and EMTs or others. The authors give succinct information on how to immediately recognize different modes of aggression, whether displayed by adults, youth, or children, and then outline how to quickly and effectively implement de-escalation or control tactics best suited to deal with the type of aggression one is facing. Finally, in three essential appendices, they present protocols for physical and chemical restraint, current information on positional and compression asphyxiation (authored by Dr. Gary Vilke), and a protocol, specific to fire and EMS, on excited delirium (authored by Lieutenant Michael Paulus, ret.) Rather than abstract information, more useful in a consulting room than in the field, Cooling the Flames is tactically based, from start to finish. This book provides a comprehensive course of study of 'boots-on-the-ground' encounters with emotionally disturbed individuals.


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Autorenporträt
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.