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"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 necessary to find the original trauma, which invariably has led to more recent ones, and fully resolve it in one sitting. This provides complete relief from the burden of the past trauma. An individual session, designed to handles a single incident, may take between 20 minutes and 3 hours (average 1.5 hours). The primary incident may be obvious to the sufferer, or hidden. People with anxiety problems but no flashbacks may find forgotten traumas, the resolution of which through "Thematic TIR" can eliminate current symptoms. Currently occurring emotional and somatic symptoms are traced back in time until a root incident is found. Emotion and thinking are intertwined: correcting one will correct the other. TIR focuses on the emotion. Once the trauma is fully processed, the person is able to think rationally about it. Dr. Moore is a licensed marriage and family therapist, school psychologist and mental health counselor with graduate degrees in counseling psychology from Lehigh (1965) and Walden (1977) Universities. He is a Fellow and Diplomate of the American Board of Medical Psychotherapists; a Diplomate of the International Academy of Behavioral Medicine, Counseling and Psychotherapy. With over thirty years of practice, seventeen as Director of the Institute for Rational Living in Florida, he has co-edited or contributed to six popular books by Albert Ellis; authored chapters on various applications of Cognitive Behavior Therapy and Traumatic Incident Reduction for professional texts by Windy Dryden, Larry Hill and Janet Wolfe; hosted his own nationally syndicated daily talk radio program; and produced over three hundred psychologically-topical news and public service segments for radio and television. "Dr Moore's monograph will guide you in deciding whether you will benefit from TIR, and may inspire you to train to become a 'facilitator' who can help others with this powerful family of techniques." --Bob Rich, PhD, www.anxiety-and-depressionhelp.com For more information about TIR and PTSD, please visit www.TIR.org

Program developer Edna B. Foa, Ph.D. summarizes Prolonged Exposure (PE) therapy as a cognitive-behavioral treatment program for individuals suffering from Post-Traumatic Stress Disorder (PTSD). The program consists of a course of individual therapy designed to help clients process traumatic events and thus reduce trauma-induced psychological disturbance. The standard treatment program consists of nine to twelve 90-minute sessions. (SAMHSA, 2003) Frank A. Gerbode, M.D., psychiatrist, and one of the principal developers of Traumatic Incident Reduction (TIR) summarizes TIR as a procedure that involves tracing back sequences of traumatic incidents to their roots while completing the incomplete receptive cycles that have accumulated in the sequences. What must be assimilated and accommodated from a traumatic incident are one's reactions to the incident--including one's thoughts, sensations, feelings, and perceptions. (Gerbode, 1995) Although there are some remarkable similarities between PE and TIR, there are also some very distinct differences. In this paper, I'll both compare and contrast Prolonged Exposure with Traumatic Incident Reduction. For more information on TIR, please visit www.TIR.org From the Metapsychology Mongraphs series at Loving Healing Press www.LovingHealing.com

Kelly Bouldin Darmofal suffered a severe TBI in 1992; currently she holds a Masters in Special Education from Salem College, NC. Her memoir Lost In My Mind: Recovering From Traumatic Brain Injury (TBI) tells her story of tragedy and triumph. Kelly will be teaching "TBI: An Overview for Educators" at Salem College. Kelly's "tips" were learned during two decades of recovery and perseverance; they include: ·Ways to avoid isolation and culture shock post-TBI ·Tips for staying organized in the face of instant chaos ·Strategies for caretakers and teachers of TBI survivors ·Life philosophies that reject despair ·How to relearn that shoes must match ·Why one alarm clock is never enough, and ·A breath of humor for a growing population with a "silent illness"--TBI Those who suffer from TBI should benefit from Kelly Darmofal's advice. She speaks often of the value of a sense of humor in dealing with TBI symptoms and quotes Viktor Frankl who believed that humor was one of the "...soul's weapons in the fight for self preservation." I strongly recommend her work. --Dr. George E. Naff, NCC, LPC, Diplomate in Logotherapy Kelly is a wonderful resource about TBI for survivors, caregivers, teachers, and the entire community. The wisdom gained from her own experience makes her believable; the frankness and sense of humor that she reveals as she writes makes her authentic... Kelly and her publications have become a trusted resource for our clients who are surviving from a TBI. --Barbara Saulpaugh, Regional Executive Director, CareNet Counseling, an affiliate of Wake Forest Baptist Health Learn more at www.ImLostInMyMind.com From Loving Healing Press www.LHPress.com

Let's consider why Traumatic Incident Reduction (TIR) would be expected to be different with an autistic client. One of the hallmarks of autism is a lack of connection with the real world, so the world view of an autistic individual is limited and often very inaccurate. A second hallmark of autism is difficulty with intrapersonal and interpersonal relationships so that insight into how to make relationships better, or work at all, would be expected to be limited. So, within a TIR session where we expect our clients to come up with their own insights, that's really a tall order. Then the meltdowns I've talked about; as a Davis facilitator I understand these as prolonged and severe disorientations, analogous to a PTSD episode, in which the emotional reaction is really out of sync with true facts and conditions in the current situation. Added to all this are the phobias and the extreme aversions that many autistic individuals experience, which can limit full participation in life. One of the things that makes working with autistic clients challenging is that often we simply have to wait until they give us that little window of time when they are able and willing to proceed. If I were to use the guidelines in my TIR Workshop manual, I would have to conclude that there was not enough ego strength or resiliency in these individuals for them to be able to engage for a successful TIR session. You know what they say about fools who rush in where angels fear to tread... A less foolish person than I am, and especially someone new to TIR, would likely never have tried to use TIR with autistic clients. However, based on the wonderful results I have seen using TIR with many of my other clients who do not have autism, and some of the really significant problems that some of my autistic clients were presenting, I decided to try TIR with a few of them. In the remainder of this lecture, we'll consider two specific case studies. Veronica, a sixteen-year old who basically lived as a recluse in her mother's basement, and , a young boy obsessed with drum kits who was given to periods of extremely oppositional behavior. Cathy Dodge Smith uses Davis Methods in her practice (Davis Dyslexia Correction Program, Davis Autism Approach, and Davis Attention Mastery ). She is also a Certified TIR Facilitator. This article is from her presentation at the 2014 Symposium. Originally appeared in AMI/TIRA Newsletter, Volume XII, Number 1 (March 2015).

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