Chapter 1: Crisis Intervention Strategies
- Pacific Life Bible College
- Professional Counseling
- Professional Counseling 203
- Chapter 1: Crisis Intervention Strategies
Last Modified: 2012-03-10
- People are in a state of crisis when they face an obstacle or impediment to important life goals and they believe that they do not have resources or customary choices and behaviours to overcome
Definition of a Crisis
- Crisis is a crisis, because the individual knows no response to deal with a situation
Definition of a Crisis:
Crisis is a personal difficulty or situation that immobilizes people and prevents them from consciously controlling their lives.
Crisis develops in 4 distinct stages.
Stage 1 of Crisis Development:
Characterisitcs of a crisis:
The nature of crisis is such that it contains both danger and opportunity.
- Danger, because it can overwhelm and cause serious pathology, including homicide and suicide.
- Opportunity, because the pain it induces causes the person to seek help.
Various reactions to a crisis:
- Some cope effectively and develops strength from the experience.
- Some appear to survive, but block the hurtful effect from awareness
- Some break down psychologically and need further assistance.
Difference between PTSD and Transcrisis state:
Key Differentiating element:
Transcrisis states are residual and recurrent and always present to some degree.
- Personality traits
- Substance abuse
- Chronic environmental stressors.
- Resolve (What can we do to resolve the problem?)
- Anxiety and Personality Disorders (as per DSM - IV - TR )
- Chronic problematic thinking, feeling and acting
- Uncontrollable tempers, behaviours. action
- Those with psychoses who quit their meds
Assessment of people in transcrisis states:
- Transcrisis points can be seen as benchmarks that are crucial to progressive stages of positive therapeutic growth.
- These points are characterized by 1) approach -avoidance behavior in seeking help, 2) taking risks, and 3) initiating action steps toward forward movement.
- Occur frequently in transcrisis states within the therapeutic intervention.
- They are generally marked by the client coming to grips with new developmental stages or other dimensions of the problem.
- Do not occur in regular, predictable, linear progression, ex. battered spouse may go through multiple transcrisis points in talking to a crisis worker before making the decision to leave the battering relationship.
- Transcrisis points of severity nevertheless occurs again with geographic move, and hunting for a job. Overwhelming disequilibrium follows.
- It is at these transcrisis points (of overwhelming diequilibrium) that standard therapeutic strategies and techniques are suspended, and the therapist must operate in a crisis intervention mode.
- Can be seen as benchmarks that are crucial to progressive stages of positive therapeutic growth.
- These points are characterized by approach avoidance behavior in seeking help, taking risks, and initiating action steps toward forward movement.
- Encountering these transcrisis points, a person will experience the same kind of disorganization, disequilibrium, and fragmentation that surrounded the original crisis event.
- The initial crisis as well as each transcrisis point needs intervention as it occurs.
- Are not to be confused with the jumps and starts that go with working through typical adjustment problems.
- the onset of transcrisis points are sudden, dramatic, and extremely potent.
- They may require extra effort from workers to help the client regain control.
- Is basically an enduring crisis state of which the effects of the original crisis may extend beyond 6 - 8 weeks
- May last a life time
- What occurs during the immediate aftermath of the crisis determines whether or not the crisis will become a disease reservoir that will be transformed into a chronic and long-term state.
- Emotional disequilibrium for extended periods of time ranging from months to years
- Example: an adult with unresolved anger towards dead parent who transfers anger to other authority figures such as supervisors and employers
- Can be at the root of transference problems, and not poor relational skills as often thought.
- The original trauma needs to be addressed in order for the phsychological roller coaster to end.
- Refers to a transcrisis state wherein the original trauma re-imerges with a new stessor in the form of disequilibrium and / transference.
- Defensive Repression is a transcrisis state that calls for crisis intervention techniques.
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