QUICK INDEX FOR THIS SECTION:
• WHAT IS TRAUMATIC INCIDENT REDUCTION (TIR)?TIR, or Traumatic Incident Reduction, is a one-on-one non-hypnotic highly structured and systematic method of locating, reviewing and resolving traumatic events. It involves repeated viewing of a traumatic memory under conditions designed to enhance safety and minimize distractions. Once a person has used TIR to fully and calmly view a painful memory or sequence of related memories, life events no longer trigger it and cause distressing symptoms.
The TIR technique, which has roots in psychoanalytic theory and exposure theory, is a unique regressive, repetitive, desensitization procedure. The protocol is highly focused, directive, and controlled, yet at the same time it is carried out in a wholly person-centered, non-interpretive, non-judgmental and respectful context.
Although Traumatic Incident Reduction is best known as an extremely effective brief therapy in the rapid resolution of trauma-related conditions, including post-traumatic stress disorder (PTSD), it also proven useful in relieving a wide range of fears, limiting beliefs, suffering due to losses (including unresolved grief and mourning), depression, anxiety and other PTSD symptoms.
Traumatic Incident Reduction (TIR) - along with Cognitive Behavioral Therapy (CBT) and Eye Movement Desensitization and Reprocessing (EMDR) - is one of the Green Cross | Academy of Traumatology approved brief treatments for post-traumatic stress disorders. The Green Cross Academy of Traumatology (formerly the Green Cross Foundation) was founded by professor Charles Figley and established in 1997 to bring together world leaders in the study of traumatology for the purpose of establishing and maintaining professionalism and high standards for this new field.
The Traumatic Incident Reduction Association (TIRA) regularly teaches and/or co-sponsors this Workshop - an intensive and hands-on four-day, 28 hour Clinical Skills Program for mental health professionals and others in the helping and healing professions.
The TIR Workshop offers experiential training that can have an immediate impact on your personal and professional life. Through this intensive, small group experience, participants will develop a deeper understanding of how trauma can impact individuals and how to set up conditions to help them heal completely from such traumas, whether they occurred recently or as long ago - as is often the case - as childhood.
The TIR Workshop presents a new paradigm for helping another person and valuable data on how to create a safe space in which healing can occur. In addition to developing clinical skills, participants often describe the workshop as a valuable personal growth experience.
To learn more on TIR, please see FAQs, Essays & Literature on Traumatic Incident Reduction.« Return to the Quick Index for Training for Trauma Therapists | The Traumatic Incident Reduction (TIR) Workshop
• WHO CAN ATTEND THE TRAUMATIC INCIDENT REDUCTION TRAINING WORKSHOP?Successful graduates of the TIR Workshop include:
- Mental health professionals including psychiatrists, psychologists, social workers, mental health counselors and marriage and family therapists
- Physicians, nurses, hospice workers and other health care professionals
- Clergy, chaplains, veterans vocational consultants, rape counselors, professionals in the field of grief and death as well as other qualified lay practitioners
- Although Traumatic Incident Reduction is not meant to be a first response treatment, the skills learned in the TIR workshop can be extremely useful for CISD debriefers, direct care personnel including emergency managers, fire and police personnel, victims' advocates, and first responders to emergencies and disasters. (Read what one TIR workshop graduate writes to Senior Trainer, Gerald French, about the usefulness of the course while he was working as a volunteer with the Green Cross Projects in New York City immediately after the 9/11 disaster).
Unlike some other methods of addressing trauma, professional licensure is not a prerequisite for use of TIR. The necessary practical and ethical conditions for use of Traumatic Incident Reduction will be discussed in this workshop.« Return to the Quick Index for Training for Trauma Therapists | The Traumatic Incident Reduction (TIR) Workshop
• THE TRAUMATIC INCIDENT REDUCTION TRAINING WORKSHOP | COURSE OUTLINE
- Conditioned Response Phenomena
- Post Traumatic Stress Disorder (PTSD) with obvious flashbacks
- The nature of trauma
- Pavlovian principle and the four permutations of the stimulus-response mechanism
- Related conditioned response disorders with absent flashback
- Conditioned response chains
- Primary and secondary trauma
- The Traumatic Incident Network
- The mechanics of restimulation
- Primary and secondary approaches to trauma remediation
- Cognitive, desensitization, and imaginal techniques
- Theory of Traumatic Incident Reduction (TIR)
- How TIR works
- Narrative TIR
- Thematic TIR
- Facilitation and Viewing
- Establishing a Safe Environment
- Rules of Facilitation
- Communication Exercises (CE's)
- Facilitator exercises
- Unblocking Ç an adaptable TIR-related technique
- TIR Procedure
- Steps of the Traumatic Incident Reduction (TIR) procedure
- TIR exercises
- Experiential Ç supervised facilitation
- Giving one or more TIR sessions
- Receiving one or more TIR sessions« Return to the Quick Index for Training for Trauma Therapists | The Traumatic Incident Reduction (TIR) Workshop
• PROGRAM OBJECTIVES OF THE TRAUMATIC INCIDENT REDUCTION TRAINING WORKSHOPBy the end of the Traumatic Incident Reduction (TIR) Workshop, 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 Identify cases that are appropriate for resolution with Traumatic Incident Reduction (TIR) Describe the procedural logic of narrative and thematic TIR State the session protocols and prerequisites for TIR; Assess client readiness for TIR Define the roles of viewer and facilitator respectively in TIR Create a "safe space" for the client in which traumatic incidents can be reviewed to resolution Be comfortably and unwaveringly "present" with the client, regardless of the content of the traumatic material 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 Deliver TIR and Unblocking instructions smoothly and clearly Handle the communication cycle and use acknowledgments to encourage or complete communication Handle a variety of client concerns that may arise within a session so that TIR can be successfully completed
• TIR TRAINING WORKSHOP SCHEDULES AND POLICY INFORMATION OVERVIEWAMI/TIRA1 Certified trainers offer a series of workshops in both the Traumatic Incident Reduction (TIR) and Metapsychology curricula. Although you will learn everything you need to do Traumatic Incident Reduction (TIR) in the first workshop, those who are committed to mastery of the subject can improve the depth of their knowledge and concomitantly achieve improved results for clients in less time. Completing the TIR Workshop is a prerequisite for all other training courses.
The Traumatic Incident Reduction (TIR) Workshop is a four-day intensive small group experience and workshop schedules and fees vary, depending on the location and the instructor/trainer. Generally, the workshops are held over a 4-day weekend (e.g. Thursday through Sunday, Friday through Monday, Saturday through Tuesday), though they are occasionally held over two consecutive 2-day weekends.
A typical example of a daily schedule might look something like this:
- 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.
Fees and cancellation policies vary depending on instructor and venue. In some instances, group rates are available. In some cases, if you have enough participants in your area and can cover the cost of his/her travel, it may be possible to bring a trainer to your area to conduct a training workshop.
For specifics on:
please contact your nearest trainer through the AMI/TIRA website or email email@example.com.
- Training locations
- Fees and what is included in the course fee
- Deadlines for cancellation and refunds
- Requesting special accommodation for disability
To obtain an Attendance Certificate for continuing education credits for any workshops you must:
- Complete course requirements, including attending all sessions
- Pass the workshop quiz
- Demonstrate competency in the skills taught to the satisfaction of your trainer
- Turn in a completed course evaluation
The certificate of attendance will be mailed directly to the graduate from AMI upon receipt of workshop information from the trainer.
Please refer to the continuing education section for additional information.
• CONTINUING EDUCATION CREDITS FOR PROFESSIONALS | ACCREDITING AGENCIES AND ORGANIZATIONSMany of the training workshops listed in the Calendar Section are co-sponsored by Applied Metapsychology International (AMI) and the trainer delivering the workshop. For those that are co-sponsored, continuing education credits as listed in more detail here may be issued upon successful completion of the workshops. Contact the individual trainers for information regarding which continuing education credits will be available for the workshops they have listed on the calendar.
Some of the accrediting organizations and associations are listed below:
- The Association of Traumatic Stress Specialists (ATSS) and The Academy of Traumatology The credit hours for Traumatic Incident Reduction (TIR) workshops may be applied towards certification and re-certification as a Trauma Specialist, a Trauma Responder, and a Trauma Services Specialist with ATSS.
- The Canadian Counselling Association (CCA) Each of the three TIR workshops for are recognized for CEUs. Please notify your trainer in advance if you will require an application for CCA CEUs for a workshop you will be attending.
- The American Psychological Association (APA) There is a nominal fee for a certificate for continuing education credit for psychologists recognized by the American Psychological Association (APA). AMI is a recognized provider of continuing education by the APA for all trainings that meet its educational goals.
- The National Association of Social Workers (NASW) The NASW has recognized the three workshops: The Traumatic Incident Reduction (TIR) Workshop, TIR - Expanded Applications (TIR-EA), and Case Planning for TIR and Life Stress Reduction (CP-LSR) as suitable for continuing education for social workers.
For your convenience, AMI/TIRA provides a link to the Association of Social Work Boards for social workers who wish verify requirements in their own jurisdiction. Please refer to AMI/TIRA's Continuing Education Credits Website Page for the most up-to-date continuing education information.
• CALENDER OF TRAUMATIC INCIDENT REDUCTION TRAINING WORKSHOPSDue to time constraints in keeping the information up-to-date, we no longer carry listings of the dates and locations for Traumatic Incident Reduction (TIR) Workshops on this website. Instead, we ask that you refer to:
- AMI/TIRA Website's Calendar of Trainings, which also lists other Metapsychology workshops.
Training workshops have been held in major cities in the United States and Canada, as well as in England, Belgium, France, Switzerland, Italy, Portugal, Germany, Norway, Russia, Israel, South Africa, Australia, Puerto Rico, Argentina, and Brazil.
If you would like to organize a TIR workshop in your city, please email AMI/TIRA at firstname.lastname@example.org and they will put you in contact with a trainer who can assist you.
• REVIEWS, COMMENTS AND EVALUATIONS OF THE TRAUMATIC INCIDENT REDUCTION (TIR) TRAINING WORKSHOP
"It's hard to avoid superlatives over this workshop. The four days were perfectly structured, with clear content. I found what I was taught to be totally applicable to the population I work with. The instructors [French & Malnati] were a superb team; and I would unquestionably recommend the workshop."
David Greenberg, MD, MRCPsych
Senior Lecturer in Psychiatry
Hebrew University - Hadassah School of Medicine
Editor, Israel Journal of Psychiatry
Director, Herzog Hospital's Community Out-Patient Services
"It's hard to avoid superlatives over this workshop ..."
"One of the best trainings I have ever attended. [TIR] works, and after this training, I feel prepared to use it.... Learned many new skills. If I had been trained in TIR when I worked with crime victims and witnesses, I would never have left that field."
Laura K. DeCorte, LCSW
"...[TIR] works, and after this training, I feel prepared to use it ..."
"The results I have obtained... with this innovative therapy are nothing short of miraculous..."
"... More than worth every bit of time and expense of traveling to America for the training."
"In the early 90's, my practice involved 70 hours/week of face-to-face therapy in which the number of my clients/patients with trauma related matters was growing alarmingly. Through increasing medical referrals, my practice was progressively becoming unmanageable, and I began to seek more efficient ways of dealing with trauma. By chance, I came across an article written by Dr. Robert Moore of Florida, extolling the virtues of a new approach to resolving trauma known as Traumatic Incident Reduction (TIR). I went to Menlo Park in 1994 to train at Moore's recommendation with Gerald French, the most experienced trainer in and - along with Frank Gerbode, MD, and others - one of the developers of this new method.
The results I have obtained since returning to Australia with this innovative therapy are nothing short of miraculous. TIR has done nothing to reduce my workload, but it has increased my efficiency enormously. My trauma-related patients now number something like 45/week, up from the 20 or so that I was seeing at the time I went to California, and at the same time TIR has, in fact, enabled me to produce better, faster, and much more thorough results in dealing with trauma and related matters than have any other techniques at my disposal. Quite fantastic, really. More than worth every bit of time and expense of traveling to America for the training."Alex D. Frater, CTS
Certified Trauma Specialist
"Gerald French is a superb teacher, and took us through the process with patience, care, and wisdom. TIR is a powerful tool and provided a rich experience, both in facilitation and as a reviewer of my own [issue]."Paul Roy, PhD
Institute of Transpersonal Psychology
Palo Alto, California
" ... Gerald French is a superb teacher ...
... TIR is a powerful tool and provided a rich experience ...."
"I have found TIR to be an effective and simply elegant intervention - one that gets results ...
... I am unable In good conscience to have [interns] work here without their first being trained in TIR."
"I am a therapist at The Greenville Sexual Trauma Center in Greenville, South Carolina. I work predominantly with women 18 years and older who are either adult survivors of childhood sexual abuse or survivors of assault in adulthood. Most can be diagnosed with PTSD. Those who cannot have many of the symptoms.
I had been introduced to Traumatic Incident Reduction (TIR) some time earlier but had not received training. Within days of beginning work with this population, I determined that I must get trained in TIR as quickly as possible. Within a month I began my training. I have found TIR to be an effective and simply elegant intervention - one that gets results. It has become the primary intervention I employ in my work. At the end of treatment I always have my clients write about their experience. Each one mentions TIR as having been instrumental in her recovery.
I have interns who want to work under my supervision at the agency. At this point, I am unable In good conscience to have them work here without their first being trained in TIR."
Joyce Callis, LMFT
Greenville, South Carolina
. I have been doing TIR treatments for the last two years, since I was trained by Gerald French. I employ it on a regular basis, and I find it very, very useful. Although I'm also trained in EMDR, I find TIR more user friendly, especially when people need to understand what happened to them and why. The protocol is easy and simple, and people take advantage of this approach. TIR permits patients to achieve stable relief from their suffering, to arrive at useful insights, and to leave the past in the past."
Director, Centro de Estudios del Trauma Psicologico y el Stress
Buenos Aires, Argentina
"... TIR permits patients to achieve stable relief from their suffering, to arrive at useful insights, and to leave the past in the past."
"This was a powerful workshop from my professional and personal perspective.
I have already used this approach with several severe PTSD vets, and have seen major changes in their lives..."
"... It was a revelation ..."
"This was a powerful workshop from my professional and personal perspective. I have already used this approach with several severe PTSD vets, and have seen major changes in their lives. The components of TIR are not new, are well-validated in research, and practiced by clinicians everywhere daily. TIR has taken what we know as scientists that works, and provided us with a method to apply this knowledge systematically.
It is a combination of Rogerian therapy and imaginal exposure therapy that is well-supported in the field. The beauty of it is that it is a self-directed flooding technique that is well-tolerated by Vietnam vets with authority problems.
I was burned out. I'd been the Team Leader of a Vet Center in Alaska for 8 years! I was seeing lots of vets with PTSD and I was telling them what they should do. I was facing a tidal wave, and bracing myself for it. Then I completed the four day Traumatic Incident Reduction (TIR) Workshop given by Gerald French. It was a revelation. Empowerment to the veteran!"
Ken Green, PhD
Vet Center Team Leader
"This feels like the risen Atlantis of PTSD work, and far, far exceeds other subject-related workshops I've attended. Also, the techniques offered are applicable to a number of other problems presented in psychotherapy. Gerald French both delights and teaches, which is to say, his workshop can be experienced as a work of art."
Howard Frankl, LCSW, MFT
Santa Cruz, California
"... the risen Atlantis of PTSD work ... far, far exceeds other subject-related workshops I've attended."
"I've used TIR in my private psychiatric practice for about a year. I've had outcomes which I cannot describe as other than brilliant ...
I strongly recommend TIR..."
"Since Gerald French taught the workshop here, I've used TIR in my private psychiatric practice for about a year. I've had outcomes which I cannot describe as other than brilliant. I've had patients with a history of little apparent benefit from years of psychotherapy, in whom TIR sessions ... led to major changes in their level of functioning and quality of life experience.
I've found TIR a useful adjunct to other psychotherapies, with its power to effectively resolve painful memories.... I strongly recommend TIR as a useful new strategy to add to one's therapeutic armamentarium.
Michael S. Armstrong, MD
President, Institute of Australasian Psychiatrists
"TIR has been invaluable. We have been amazed at the successes we have had with it. Re-Entry is using TIR with both veterans and spouses, and ninety percent of the clients we have used it with have experienced an overwhelming sense of relief."
Margaret Melotti, CTS
Director, Re-Entry Associates, Inc.
"... ninety percent of the clients we have used it with have experienced an overwhelming sense of relief."
"... I've been to a lot of trainings in my life, but I've never invested four days which were worth so much to me ..."
" I wanted to thank you again, Gerald. I can finally look suffering people in the eye and tell them that I know something we can try that stands a good chance of liberating them from their suffering. I've been to a lot of trainings in my life, but I've never invested four days which were worth so much to me as that basic TIR class with you."
Elizabeth Ruegg, LCSW
Director, Counseling Works!
Port Richey, Florida
"Great balance of material, content, and methods. This was the most informative and well-presented workshop I have ever attended. One of the 'practice' sessions I did was easily the single most productive 'therapy' hour I ever received."Father Sean O'Laoire, PhD
San Francisco, California
" ... This was the most informative and well-presented workshop
I have ever attended ..."
• HOW TO ENROLL IN THE TRAUMATIC INCIDENT REDUCTION WORKSHOPTo enroll in a Traumatic Incident Reduction (TIR) Training Workshop, please contact:
- The Traumatic Incident Reduction Association (TIRA)
Phone: 1-800-499-2751 (toll-free in USA or Canada) +1-734-761-6268 (elsewhere)
The Traumatic Incident Reduction Association (TIRA) is a division of Applied Metapsychology International (AMI) • AMI/TIRA is a non-profit 501(c)3 corporation
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