Amdur’s focus is based on behavior rather than diagnosis. The first sections of the book discuss specific behaviors ranging from such relatively minor irritants as reluctance to complete tasks and obsessive concerns to more troubling, pervasive syndromes such as psychosis, mania and disorganization. In one very important set of chapters, he discusses interactions with individuals with borderline, anti-social and psychopathic traits, people who may present danger to the psychological and physical well being of both staff and patients.
In the second major section of the book, he focuses on us: what we can do to achieve a state of integrity and powerful calm. Rather than abstract pronouncements, he offers specific strategies, including a method of breathing that is for the purpose of maintaining one’s center in crisis situations. Strategies concerning de-escalation of aggression are specific — one learns how to instantly recognize what mode of aggression the person is in, and then, well-trained and practiced, one can almost instantaneously shift into the correct de-escalation tactic that fits the aggression one is facing.
The final sections of the book offer a macro-view: how to establish and maintain a culture of safety both within your agency and your personal life.