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PTV PreTraumatic Vaccination. ניר עישר ישראל רוזין איתן אברהם רונן סער. תוכניות מניעה קיימות. לפני אירוע: פינוי מאחזים התנתקות חילוץ מוטס אחרי האירוע: דיבוב (debriefing). אפשר לשנות הכל, מספיק לרצות ליישם. ניתן ללמוד בכל שלב של החיים המגבלה היחידה היא הרצון להתנסות ולתרגל
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PTV PreTraumatic Vaccination ניר עישר ישראל רוזין איתן אברהם רונן סער
תוכניות מניעה קיימות לפני אירוע: • פינוי מאחזים • התנתקות • חילוץ מוטס אחרי האירוע: • דיבוב (debriefing)
אפשר לשנות הכל, מספיק לרצות ליישם • ניתן ללמוד בכל שלב של החיים • המגבלה היחידה היא הרצון להתנסות ולתרגל • הכנה מקצועית טכנית אינה מספקת • התערבות אחרי אירוע אינו יעיל ללא הכנה קודמת
מחקר • Sample (n = 25) • 13 rescuers who underwent the intervention • 12 rescuers who did not undergo the intervention. • All were exposed for the first time to a disaster since their training. • All the participants filled the IES (Impact of Event Scale) and DES (Dissociative Experience Scale) questionnaires thirty-six hours after leaving the disaster site. • Analysis of variance showed no significant difference in the results of the IES score between the two groups. • DES scores, as shown in the Figure, were found to be significantly lower in the intervention group (P< 0.01).
Conclusions • The results indicate that our prior intervention may have prevented the development of dissociative symptoms. As • There were no significant differences between the groups in variables such as • Previous training, • Sex So, our results are likely to reflect the impact of the intervention, rather than other, nonspecific effects.
Commanders comments during debriefing • “They made less mistakes” (x 3) • “They were more focused at work” (x 2) • “They didn’t endanger others nor themselves” • “I could actually recognize those who underwent PTV according to their performance” • “I want anyone who joins my team to have had this mental preparation”
Concerning Literature • We didn't find in the literature papers comparing the correlation between any pre traumatic intervention and a future exposure to a traumatogenic event.
The Sources of PTV(Pre-Traumatic Vaccination) • Basic traumatic science • Exposure therapy • Military experience • Antiterrorist and contra suicide-bombers preparation experience
Ingredients of PTV(Pre-Traumatic Vaccination) • Teaching what causes trauma • Showing that preparation • is effective • can be learned by anyone • everyone is mighty if he has the mental and physical preparation • Teaching the physiological and psychological, normal, events • before, during and after a critical incident
Ingredients of PTV(Pre-Traumatic Vaccination) • Finding the best personal ways of action • Finding the individual strength and their behavioral means • Augmenting the feeling of reality • Films • Training settings • Veterans talk • Progressive habituation to horrifying scenes, by cognition, exercises and films
Ingredients of PTV(Pre-Traumatic Vaccination) • Challenging • Change of negative unfolding • Interpersonal helping skills • Other, according to group needs and requests – ex.: Group cohesion Training period for the specific unit of IDF: 2-3 days during the basic preparation skills course.
Film Dissociation and part of its Meaning Dissociation in real lives of emergency personel Film Dissociation and part of its Meaning FILM