A New Tool For Critical Incident Management in the Workplace - Verbal First Aid

Within the last decade, the American workplaceblood vessels. When this occurs in the uterus, it
has changed. Where there was free and openinterferes with conception.
access, there are now layers of security. NationalDomar also took a long, hard look at a 10-week
EAPs have been virtually inundated with calls formind/body workshop she created that included
debriefings, information sessions on trauma, andrelaxation, yoga, imagery and cognitive
support services for employees.restructuring. By changing the negative thoughts
"It's acceptable now to have emotions in the("I'll never have a baby") to positive thoughts ("I'm
workplace," says Kristen Nagle of Longviewdoing everything I can to get pregnant"), they
Associates in White Plains, NY. "Corporations havewere able to change the body's response. The
been more sensitive to the psychological anddata speak for themselves: Fifty-five percent of
emotional needs of employees virtually across thethe women in the experimental group (those who
board. They know the importance of theirused relaxation, yoga, imagery, and cognitive
support, particularly since 9/11. It's not only aboutrestructuring) got pregnant, in contrast with only
productivity anymore. It's been about doing thetwenty percent of women in a control group.
right thing."What we say to ourselves is as important as
Corporate support has taken manywhat we say to others. Equally important is how
forms--conferences, counseling services, trainingswe say it.
on issues ranging from post-traumatic stress toVerbal First Aid: The Language of Healing
Internet security. Businesses have begun not onlyWhat we say can do more than change a frown
to react, but to respond proactively, giving theirto a smile-it can generate a cascade of chemicals
employees the tools they need to handlethat can turn off pain, reduce inflammation, or
emotional and physical crises.help stop bleeding.
For that reason, corporations are payingA young lady I know cut herself terribly and was
particularly close attention to Verbal First Aidbleeding profusely. When I got there, she was
because they are discovering that it is a way ofalready holding a compress to the wound, but she
using words in moments of crisis (emotional orwas clearly very unnerved as was everyone else
physical) to calm, relieve pain, promote healing andaround her. The bleeding was indeed copious. I
even save lives. How can words do that?took her aside and spoke to her firmly, calmly,
The Physical Power of Suggestionlovingly. "I'm here. I'm going to help you. Will you
I sit down with you across a table. I tell youdo what I say?" She nodded, instantly and visibly
about my vacation in Argentina. I begin with asoothed, the tension draining from her face. I told
journey across the pampas, describing the endlessher a story of another young girl who had been
fields of grass, a parting sea of sepia betweenhurt and had stopped the bleeding all by herself
the hooves of horses, tumbling and tearing up theand suggested to her that she, too, could stop
dry soil as we gallop towards the mountains in thethe bleeding. Within a few minutes, she was able
distance. I tell you about the cold water we drinkto stop the bleeding so that by the time she
as we come up to a mountain stream leading toarrived at the doctor's for treatment, truly the
a cave and the strain in our muscles as we getworst was over.
off the horses. You are with me as we swing ourFirst and foremost, I "paced" her, which means
flashlights up to see the top of the cave, 50 feetthat I matched her behavioral and emotional state
up, and the thousands of bats sleeping quietlyby being present with her, in her discomfort and
there.her fear. I didn't rush in to "cheer her up" or
Every conversation is based on the power ofdismiss her pain. But I did it with the calm,
suggestion. I tell you about my journey so thatsure-footed authority that someone is willing to be
you can experience it with me. I share my joysguided by. Then, with that rapport, I "led" her to
and sorrows with you so you can feel what I feel.stop the bleeding. In that moment, I was able to
And just as words can take you around thespeak directly with her body and offer the
world-through pampas or down the Seine-totherapeutic suggestions she needed to begin the
enjoyment, words can bring you pain.healing.
We all know this instinctively: a harsh word isAltered States-Portals to the Healing Zone
heard as a "punch in the gut." When we areWhen we are frightened, shocked, confused, hurt,
embarrassed, we all know the experience ofworried, wounded, we go into what clinicians call
blood rushing to our faces and our hands"altered states" in which we "dissociate" slightly (or
sweating. When we are worried, we all can recallin some cases, a great deal) from our
the rapid beating of our hearts, the way ourenvironments. In these moments, we are highly
bodies tremble, the dryness of our mouths. Ourfocused, most often on some internal process,
bodies and our minds are not just connected.which changes the way we see ourselves and the
They are one.world. It may not last longer than a few
Words Help, Words Harmmoments. It may last years.
Stress, which many experts now define as theSome studies have suggested that symptoms of
effect of any strong emotion (fear, anger, pain,dissociation have been found in up to 96% of
sadness), has very clear physiological effects onthose who were exposed to high levels of stress
our bodies. Our emotional and mental states(1). Other studies have suggested that even
affect our neuro-endocrine systems, our immunethose witnessing a traumatic event showed
systems, even our reproductive systems.marked alterations in consciousness (2).
Alice Domar, Ph.D., a researcher at HarvardWe have found that people in those
Medical School recently conducted a study thatstates-whether they occur when your boss walks
showed the positive effects of stress-reductioninto your office with an angry look on her face,
on women who were trying to get pregnant. Sheor you've been in a car accident-are highly
contended that psychological distress can havesensitive to what is being said to them and what
effects on multiple systems: inhibition ofis going on around them. When people are scared,
hypothalamic GnRH, activation of thewe look for a benevolent authority to tell us what
hypothalamic-pituitary-adrenal axis, and alterationsto do, how to find safety. It is instinctive to all
of the immune system. Adrenaline is a by-productsocial animals. What we do and say in those
of many forms of stress. And while adrenalinemoments is particularly important. Do we use
helps us to prepare for emergency action, thethose sensitive moments thoughtlessly, fanning
chemical cascade it initiates inhibits our ability tothe flames of anxiety or do we serve as a
repair ourselves, to digest food properly, or toguiding light to lead someone to emotional and
reproduce. Epinephrine (one of the secretions ofphysical safety. With Verbal First Aid, the choice
the adrenal glands) has been shown to constrictand the task are easy.