Psych T3 Sp19.docx - Exam 3 Outlines Chapter 13 Crisis...

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Exam 3 Outlines Chapter 13: Crisis Intervention VIV Crisis- a sudden event in one’s life that disturbs homeostasis during which usual coping mechanisms cannot resolve the problem Any stressful situation can precipitate a crisis; Crisis results in a disequilibrium Crisis intervention- requires problem solving skills that are often diminished by the levels of anxiety accompanying disequilibrium Assistance with problem solving during a crisis preserves self esteem and promotes growth with resolution CHARACTERISTICS OF A CRISIS 1. Crisis occurs in all individuals and is not necessarily equated with psychopathology 2. Crises are precipitated by specific identifiable events 3. Crises are personal by nature Meaning what may be considered a crisis situation by one individual may not be so for another 4. Crises are acute , not chronic, and will be resolved within a brief period 5. A crisis situation contains the potential for psychological growth or deterioration Individuals who are in crisis feel helpless to change They don’t believe they have the resources to deal with the stressor Levels of anxiety rise to the point that the individual becomes nonfunctional, thoughts become obsessional, and all behavior is aimed at relieving the anxiety The feeling is so overwhelming it affects the individual physically and psychologically Random chinese quote shit: chinese symbol for crisis consists of the characters for danger and opportunity. Opportunity to grow by resolving issue and move towards change Danger if experience is overwhelming and cannot make necessary changes → maladaptive coping behavior PHASES IN THE DEVELOPMENTAL CRISIS Crisis development follows a relatively predictable course: Phase 1: The individual is exposed to a precipitating stressor Anxiety increases Previous problem-solving techniques are employed Phase 2: Previous problem-solving techniques do NOT relieve the stressor Anxiety increases further Begin to feel discomfort Coping techniques that have worked before fail so feelings of helplessness occur Feelings of confusion and disorganization prevail Phase 3: All possible resources (internal and external) are called on the resolve the problem and relieve the discomfort May try to view the problem from a different perspective Resolution may occur at this phase the individual may return to a higher, lower, or previous level of premorbid functioning Phase 4: If no resolution in previous phases: tension mounds beyond a further threshold/its burden increases over time to a breaking point . Major disorganization of the individual with drastic results often occurs Anxiety may reach panic level Cognitive functions are disordered, emotions change easily, and behavior may reflect psychotic thinking.

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