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Author: Nigel Brunsdon

Hacks for Verbal Active Listening

In terms of verbal communication, it is most important that harm reduction staff or volunteers remain as calm and centered as possible during the event. Remember the primary purpose of de-escalation is to make the exchange safe for everyone by reducing agitation and tension. Some important techniques to do this include:

  • Don’t personalize or be defensive. Keep in mind that the person is not responding to you; even if they are yelling at you or insulting you, they are responding to the situation and, more importantly, their own agitation and trauma. The participant cannot hurt you as long as they remain verbal.
  • Maintain compassion. Despite the confrontational nature of the participant, they are likely reacting to fear or pain that have little to do with you.
  • Maintain boundaries. Explain limits, rules, and consequences in an authoritative and firm, but always respectful tone. Give choices where possible in which both alternatives are safe ones (e.g. “Would you like to continue our discussion or would you prefer to stop now and talk later?”)
  • Respect and meet needs whenever possible. There is no functionally useful reason not to fulfill a participant’s reasonable request, even if it is being presented in a rude, hostile, or belligerent manner.
  • Do not argue or try to convince; give choices, empower, and maintain boundaries.
  • Limit authority figures, but team up. Do not step into an escalating situation between participants and other program staff or volunteers. Instead, rely on them to handle the situation but stand silently, well back from the action, and observe and support them. Stepping in without being asked will only undermine their authority and make the participant feel as if you are “ganging up” on them. Observing calmly can help diffuse the situation.
  • Don’t be judgmental. Harm reduction participants sometimes behave chaotically or have behavioral health issues, but it is the responsibility of staff or volunteers to be non-judgmental of this, in order to practice harm reduction and, in case of escalation, to de-escalate the situation. Judgment always breeds shame and makes a bad situation worse.
  • Do not get loud or try to yell over a screaming person. Wait until they take a breath; then talk. Speak calmly, in an even tone, and at an average volume.
  • Respond selectively; answer all informational questions no matter how rudely asked, e.g. “Why do I have to do this g-d intake?” This is a real information-seeking question.
  • DO NOT answer abusive questions (e.g. “Why are all of you people (an insult?)”) This question should get no response whatsoever.
  • Empathize with feelings but not with behavior (e.g. “I understand; you have every right to feel angry, but it is not okay for you to treat me or others this way.”)
  • Do not ask how a person is feeling or interpret feelings in an analytic way. This may make them defensive and is not functionally useful.
  • Do not argue or try to convince the person. Be concrete, set boundaries, and give choices.
  • Wherever possible, tap into the person’s thinking mode.
  • DO NOT ask “Tell me how you feel.” Instead ask: “Help me to understand what you’re saying to me.”People are not attacking you while they are teaching you what they want you to know.
  • Invite criticism. Agitated people often have valid points and, if that is the case, being heard may deflate them, so agree with criticism where appropriate.
  • Where possible try to agree, collaborate, or apologize. If you can meet an agitated person on common ground through agreement or apologizing, DO SO! It costs you nothing and may diffuse a potentially volatile situation which is your goal.

Hacks for Non-Verbal Active Listening

When someone is agitated or in distress, how we carry ourselves can make a huge difference. Non-verbal cues—like posture, breathing, and personal space—can either calm a situation or escalate it further. The following tips offer guidance on using body language to reduce tension, show respect, and create a safer, more grounded interaction.

Some things to keep in mind in terms of body posture or non-verbal communication that will reduce overall stress and agitation include:

  • Breathing—As discussed, breath literally tells the brain to calm itself. Remember to keep breathing as deeply and calmly as possible during the incident. Avoid holding your breath or breathing rapidly as these behaviors can increase cortisol levels and tension. This can take practice.
  • Try to always be at the same eye level. Encourage the person to be seated, but if they need to stand, you stand up also. Try to never be in a position looking down on the participant.
  • If possible, allow extra physical space.
  • Do not turn your back on the participant. This can feel disrespectful, may agitate them, and puts you in a more vulnerable position.
  • Do not stand directly in front of a participant. Stand at an angle, it is less confrontational and allows you to sidestep away if needed.
  • Maintain a full-leg “kick distance” away from the agitated person.
  • Do not maintain eye contact as this can feel challenging and may exacerbate the situation. Allow the participant to break their gaze and look away.
  • Do not point or shake your finger.
  • DO NOT smile. This could look like mockery or anxiety.
  • Do not touch, even if some touching is generally culturally appropriate and usual in your setting. Agitated participants may misinterpret physical contact as hostile or threatening.
  • Keep your hands visible and relaxed, not fisted or hidden.

Reflective vs. Directive Responses

Obviously, this reflective technique is not always appropriate to the circumstances and to your needs or purposes. At times you may want to be more directive and less reflective in your interactions. You may want to argue, advise, or confront. Thus once you have learned to use the reflective mode of listening, you need to consider when to use it, when to shift from that mode to a more directive mode, and when not to be reflective at all. Here are some reasons and times for using this reflective technique:

  • When you need or want to understand the other person’s feelings more completely
  • When you sense that the other person has not yet revealed his thoughts and feelings about the situation
  • When you sense that the other person is not sure of their true feelings

Thus active listening with reflective responses is often the first stage of an interaction. Then, once you feel you really understand the person’s perspective, you can switch to a more directive, confrontational, or persuasive approach. Here, you can lead as well as respond and speak from your own frame of reference as well as the other person’s.

Hacks for Empathetic Active Listening

Once you have grounded yourself during an escalated situation, next engage in active listening with the person who is agitated. This can seem counterintuitive or difficult when you are dealing with somebody who is, for example, screaming at you, and it may feel like you’re rewarding them for being completely irrational. But it is key to getting them more centered and grounded so they’re less agitated and less likely to become a danger to themselves or others.

Active listening is a term often used to describe a general approach to listening that helps you gain more information, improve your understanding of other points of view, and work cooperatively with superiors, subordinates, and peers. This approach requires not just that you learn and remember more of what the other party has said, but also that you communicate your interest and involvement to that party as well. Active listening requires effective use of verbal and nonverbal communication, as well as mental and emotional discipline. It is actually two different things: Both nonverbal active listening skills and verbal active listening skills.

Active listeners:

  • Look and sound interested in the speaker. By conveying your interest, you can encourage the speaker to communicate more extensively and to clarify and expand on thoughts and feelings. Communicate your interest by maintaining good eye contact. (In American culture and many Western cultures, this means looking into the other person’s eyes much, though not all, of the time. Too much eye contact may make the speaker feel self-conscious, but too little will make them feel ignored). Maintain a body position and facial expression that indicate attentiveness, not boredom. Nod encouragingly to show understanding and interest. Avoid drawing, playing with your pen, or other distracting behaviors. (Conversely, try not to be distracted by the speaker’s mannerisms.) Use vocalizations such as “uh-huh” and “yes” to encourage them to continue.
  • Adopt the speaker’s point of view. You will understand and remember the speaker’s points most effectively if you try to see things from their point of view, at least initially. Try to listen, not to interrupt, finish sentences, or rush the speaker. Most of all, try to suppress your initial reactions and to hear and understand the speaker’s perspective. Try to listen and respond from the speaker’s frame of reference, not your own. Listen for feelings, not just words. Try to empathize with their position. Depending on the context and purpose of your communication, you may later shift modes into a discussion in which you also present your own point of view; but to be a good active listener, you shouldn’t do that until you thoroughly understand the speaker’s point of view.
  • Clarify the speaker’s thoughts and feelings. You will listen better if you are not talking too much yourself. When you are in active listening mode, limit your talking to things that will contribute to getting the fullest informational and emotional content from the speaker. Avoid inserting your own marginally-related experiences and minimize interruptions. When the speaker pauses, ask open-ended questions (e.g., “How do you feel about X?” “Tell me about X.” “What concerns you about X?” ) rather than questions that can be answered in a single word or phrase (” Are you satisfied with X?” “Is X on schedule?”). Use reflective response techniques (described in more detail below) to check the accuracy of your understanding of the speaker’s ideas and especially feelings (e.g., “So you are frustrated at your inability to progress on X?”). You may adapt active listening techniques to different types of listening, with your role ranging from minimal intervention to more active solicitation and even into giving advice, depending on your needs and the situation.
  • Offer reflective responses. Reflection, or reflective response technique, borrowed from certain types of counseling methods, is designed to elicit the speaker’s thoughts and feelings as fully as possible. It is a way of helping someone explore their own personal feelings. This technique involves reflecting back to the speaker what you believe they have said in order to verify (or clarify) your understanding and to encourage the speaker to continue elaborating on their point of view. Reflect the speaker’s thoughts and feelings: Restate what you believe the speaker has said to check for the accuracy of your understanding (e.g., “So you couldn’t finish the assignment on time.” “Then you think the time allotted was inadequate?”). Even more importantly, reflect back the speaker’s feelings as you have heard or inferred them (e.g., “You seem to feel anxious because you couldn’t finish the assignment on time.”). This interpretation of feelings is more tricky because it often requires you to read between the lines, to infer feelings underlying what has been said (e.g., “You seem angry about the reorganization,” rather than ” So the department was reorganized.”). Thus you may want to use wording or voice tone to phrase your inferences as questions, rather than statements (e.g., “So you feel anxious because you couldn’t finish the assignment on time.” becomes “Do you feel anxious because you couldn’t finish the assignment on time?”).
  • Respond rather than lead the conversation. Let the speaker’s thoughts and feelings be your guide in the conversation. Don’t guide the conversation by asking questions or interjecting ideas or suggestions that lead the speaker into new areas of interest to you (e.g., “Have you thought about X?” “Maybe you should ask about Y.”). Instead, respond to and reflect back what was actually said or what you sense is implied by what was said (e.g., “So you feel trapped by this project?”). Try to stay within the speaker’s frame of reference, rather than asking questions or making suggestions that come from your own frame of reference. Even asking “Why?” may distract the speaker from one line of thoughts or feelings into defending and justifying thoughts, feelings, or actions.
  • Respond to feelings, rather than content. As suggested earlier, feelings are generally a better indication of personal meanings than content is. Thus you will help the speaker’s self-exploration more by responding to their feelings (e.g., “So you resent Susan’s frequent absences?” ) than to the content (e.g., “How often was Susan out of the office?”) There is a corollary to this guideline: You can get at a person’s feelings better by responding to the more personal aspects of what they say. Whenever possible, choose the specific, personal points (e.g., “So you and Inez disagree about what goes in outreach kits?”) rather than the abstract generalizations (e.g., “So everybody is just doing whatever they want?”) to respond to and reflect back at the speaker. This encourages them to explore those personal feelings more thoroughly and to make clear their own assumptions.

A Note on the Cycle of Violence

The cycle of violence was originally developed as a model for intimate partner or domestic violence. Over time experts have come to recognize that the cycle of violence applies to almost all forms of violence, including violence that might erupt in harm reduction spaces.

The Cycle of Violence starts with a tension-building phase, followed by explosion, and then a reconciliation phase known as the “honeymoon” phase.

Understanding the cycle of violence in this context is crucial for developing effective intervention strategies and offering support. Recognizing the phases allows you to intervene appropriately at each stage to break the cycle and prevent further abuse.

The STAMP Hack—Staring, Tone and volume of voice, Anxiety, Mumbling, and Pacing

STAMP (Staring, Tone and volume of voice, Anxiety, Mumbling, and Pacing) is a set of assessment criteria created for emergency room nurses at the City College London based on their observations of violent patient behavior. Utilization of this tool is as simple as learning the acronym and observing the behavior of agitated participants. Clients exhibiting some or all of these factors are much more likely to become highly agitated and should be approached for de-escalation:

  • S – Staring: Prolonged or intense staring can indicate heightened aggression or agitation. It can make others feel uncomfortable or threatened.
  • T – Tone and Volume of Voice: Changes in tone or volume, such as speaking loudly, harshly, through clenched teeth, or with a threatening tone, can be a sign of agitation.
  • A – Anxiety: Visible signs of anxiety, such as fidgeting, restlessness, or a tense posture, can indicate that a person is becoming agitated or distressed.
  • M – Mumbling: Incoherent or under-the-breath speech can be a sign of frustration or agitation. It may indicate that the person is internalizing anger or struggling to communicate effectively.
  • P – Pacing: Restless movements, such as pacing back and forth, can be a sign of agitation or an inability to remain calm.

Hacks for Recognizing Behavioral Signs of Escalation

Recognising early signs of agitation or distress can help prevent conflict and keep harm reduction spaces safer for everyone. While every situation is different, there are some common behavioural cues that may signal someone is beginning to escalate.

Behavioral signs of escalation include:

  • Heightened irritability.
  • Raised voice.
  • Increase in speech or rapid speech.
  • Sudden silence or social withdrawal.
  • Mood swings.
  • Difficulty concentrating or impaired memory.

Hacks for Staying Present

As discussed in the part of the site on preventing escalation, it is essential for harm reduction workers to stay present and remain centered and relatively calm during escalated events.

This is one of the hardest things to do, but staying present and centered during any kind of escalated situation at your harm reduction site is essential to de-escalation.

Here are some hacks:

  • Breathe—This is the most critical thing you can do when you are emotionally agitated, which is inevitable if somebody is yelling at you—especially if you have a history of trauma yourself. If you feel yourself becoming agitated, think of your breath and practice deep breathing. Consciously inhale for four counts, and then exhale for four counts. This can help calm your nervous system and help you focus without becoming engaged with the agitated person.
  • 5-4-3-2-1 Technique—The 54321 technique is a technique to help ground you in an agitated situation. Identify five things that you can see, four things that you can touch, three things that you can hear, two things that you can smell and one thing that you can taste. This helps you ground and refocus yourself in your body.
  • Body Scan—The body scan technique moves your attention from your emotions to your body. Slowly scan your body from your feet to the top of your head, directing your attention and awareness to each part of your body. This will pull you away from immediate response to the agitating person.
  • Math—This sounds a little odd, but doing arithmetic in your head can pull you into your frontal lobe and make you less emotionally reactive. Simply adding or subtracting simple numbers in your head can help bring your own emotional reactivity into control. Combine this with other techniques for it to be especially effective.
  • Name the Emotion—Most of us, when we’re having an emotional reaction, are so caught up with it that it’s hard for us to even think in words. Naming your emotions will help refocus and ground you.
  • Reality Check—Remind yourself that being triggered doesn’t mean that you need to respond to your body. Remember, just because you feel a certain way doesn’t mean that what you’re feeling is something real or something you need to respond to. Check in with yourself about the facts. This is especially useful when somebody is insulting you to your face. It can be very easy to become reactive unless you’re very carefully reality testing to see whether this person’s opinion is actually meaningful.

Hacks for Phone and Cyber Security

In an era of increased surveillance and risk for criminalized populations, it is increasingly essential for harm reduction organizations to think about electronic security and hygiene. Here are some tips from harm reduction leaders that are also supported by cyber civil liberties groups like the Electronic Frontier Foundation, Access Now,  and others:

  • Use unique, strong passwords for every account (6+ digits or alphanumeric)
  • Enable full disk encryption (FileVault, BitLocker, VeraCrypt)
  • Keep devices and apps updated
  • Install only trusted apps
  • Use end-to-end encrypted apps (Signal, Element/Matrix)
  • Avoid SMS, Facebook Messenger, and Instagram DMs
  • Turn on disappearing messages in Signal
  • Use a password manager (Bitwarden, KeePassXC, 1Password)
  • Enable Two-Factor Authentication (2FA) using an authenticator app
  • Turn off location service and/or use Airplane Mode or disable GPS/Wi-Fi/Bluetooth while in the field
  • Disable Google/Apple location history
  • Use privacy-focused apps like OsmAnd or offline maps
  • Think about using a burner phone with minimal apps and contacts
  • Remove or log out of personal accounts before actions
  • Back up your data in advance
  • Think before posting or sharing pictures, pages and/ or videos and always remove metadata before doing so
  • Do not rely on anonymity unless using anonymizing tools
  • Compartmentalize work and personal digital life