Exam 1

Question 1

Characteristics of Crisis

Answer 1

Must have both Danger and Opportunity

Question 2

Definition of Crisis

Answer 2

There is no real defiinot of crisis because it is very situational

Question 3

4 Elements of a crisis

Answer 3

1. Precipitating Event
2. Perception of the Event as Threatening or Damaging
3. Perception Leading to Subjective Distress
4. Failure of a person’s usual coping methods

Question 4

Crises formation

Answer 4

Precipitating event ->perception-> stress ->lower functioning

Question 5

Process of increasing function

Answer 5

Cognitive Reframing-> Acquiring New Coping Skills
-> Decreases Stress ->
Increases functioning

Question 6

Goal of Crises Intevention

Answer 6

Helping individuals cope during emotionally stressful times or those in the middle of crises

Question 7

Developmental Crises

Answer 7

Normal transitional phases that should be expected (puberty, school, learning to drive, marriage)

Question 8

Situational

Answer 8

Uncontrollable, unexpected events with no way to forecast or prepare for (Tornado, fire, tsunami)

Question 9

Caplans 7 Characteristics of people who climb out of trauma better

Answer 9

1. Explore issues and search for information
2. Freely expressing positive and negative feelings/tolerate frustration
3. Invoke hope from others
4. Breaking problems down into manageable bits/work thru them 1 at a time
5. Awareness of fatigue and pacing coping efforts/maintain control of functions
6. Master feelings but be flexible
7. Trust in oneself and others/stay optimistic

Question 10

Suicide Prevention

Answer 10

Started in the 1960’s with hotlines calls. Relied on non-professional volunteers. This blossomed into community outreach into self-abortion clinics, rape and abandoned women shelters etc.

Question 11

Managed Care

Answer 11

Clinics used for short term crises/ emergency. This is a result of insurances not paying for therapy and complications with Medicare and payment to insurances.

Question 12

Pscyhoanalytic

Answer 12

Treatment of people in crises through psychology -ego, id, psychological strength

Question 13

Existential Theory

Answer 13

Crises treatment over long periods of time, danger and opportunity cause growth

Question 14

Humanistic approach

Answer 14

Helps clients realized their potential in battle crises through optimism and hope

Question 15

Cognitive Behavior Therapy

Answer 15

Goal oriented, problem, solving, list making (defining problem, ideas on correcting problem, brainstorm ideas, commit to ideas)

Question 16

Brief Therapy

Answer 16

Short Term, Explore past patterns of behavior and why it did or did not work

Question 17

Law

Answer 17

Standard, principles, processes, rules adopted, administered, and enforced by government that regulates behavior

Question 18

Ethics

Answer 18

Moral principles that govern a persons behavior and the conduct of an activity: Customs and mores. APA stuff

Question 19

What should the relationship be like between the responder and the client be like?

Answer 19

Strictly Therapuetic

Question 20

Why are ethics important?

Answer 20

These people are in crisis and it would be easy to take advantage… don’t.

Question 21

What should responders be aware of?

Answer 21

1. Their own emotions
2. Values and opinions
3. Behaviors

Question 22

All interactions are confidential, except for when?

Answer 22

1. There is danger to self or others
2. Abuse
3. Patriot act
4. Court summons

Question 23

Countertransference

Answer 23

Occures when unresolved issues rise up during other situations and you take it out on others/situation

Question 24

Competence

Answer 24

Awareness of other cultures… don’t be stupid. Acknowledge all subgroups… LGBT, cultures, religions. No imposition of own views.

Question 25

Burnout

Answer 25

Physical/emotional exhaustion because of negative self-concept, negative job attitudes, and loss of cocern

Question 26

What can cause burnout?

Answer 26

- Too much time and not enough recovery. - Can't help as much as you'd like --reality sets in - Too much stress from family - Lack of personal drive

Question 27

Preventing burnout

Answer 27

- Life style... food, exercise, family, - See a therapist - Know your limits

Question 28

Edge of compassion

Answer 28

Find middle ground between don't care and over-involvement

Question 29

Secondary stress management for crises workers

Answer 29

When Crisis responders get PTSD or trauma from the the people they assist.

Question 30

ABC Model of Crisis Intervention

Answer 30

Attending Beliefs Coping

Question 31

Attending

Answer 31

Developing and Maintaining Rapport

Question 32

Rapport

Answer 32

State of understanding and comfort. Built trust. Be calm, understanding, and attentive to client.

Question 33

Questions

Answer 33

Open ended questions to get stories | Closed answer questions for factual details

Question 34

Paraphrasing

Answer 34

Repeating words back to clarify, helps client feel understood

Question 35

Reflections of feelings

Answer 35

Short, focused on emotions (KISS)

Question 36

Summarization

Answer 36

- Tie it all together - Includes cognition, emotions, and facts during interview - Lead interview into other areas

Question 37

Beliefs

Answer 37

Listeners need to identify the nature of the crisis

Question 38

Focus of belifes

Answer 38

Focusing on event, cognition, emotions and function

Question 39

Cognitive Tree

Answer 39

How does the event that happened lead to the emotional distress

Question 40

Beliefs stage, what to do with ethical issues?

Answer 40

Address them

Question 41

Therapeutic Interactive statements

Answer 41

Positive validation, educational statements, re-frame situation

Question 42

Coping

Answer 42

Having clients explore situations answers for what they think they should do. Coping on their own usually means they will do better with following through with it.

Question 43

Suicide

Answer 43

Self-directed injurious behavior with intent to die

Question 44

Attempt

Answer 44

Attempting to kill oneself but means are not fatal

Question 45

Ideation (suicidal)

Answer 45

Thinking or consideration of suicide

Question 46

Symptoms/clues of suicidal ideation

Answer 46

``` Giving things away, Writing will, Withdrawal from activities/social settings, Preoccupied with death, Hopelessness and worthlessness ```

Question 47

Risk Factors of suicide

Answer 47

``` Previous attempts, depression, mental disorders, hopelessness substance abuse access to lethal means ```

Question 48

Ideation to action model

Answer 48

Development of ideation, strong vs. moderate ideation, progression from ideation to attempt

Question 49

Three step theory of suidice

Answer 49

Are you in pain and hopeless? yes Does your pain exceed your connectedness? yes Do you have the capacity to attempt suicide? Yes Attempt

Question 50

Predictors of attempt

Answer 50

Depression, burdensome and no belonging, defeat and entrapment

Question 51

Predictors of suicide

Answer 51

Depresssive episodes, bipolar PTSD.

Question 52

Types of disasters

Answer 52

Manmade and natural

Question 53

Manmade

Answer 53

Shootings, structures falling, oil spills, bombings

Question 54

Natural

Answer 54

Tsunami, earth quakes, tornadoes

Question 55

Issues from disasters

Answer 55

Lack of materials, blame, insurance, helplessness

Question 56

4 phases of community disaster

Answer 56

Heroic, honeymoon, disillusionment, and reconstruction

Question 57

Heroic phase

Answer 57

Everyone pulls together and is ready to go!

Question 58

Honeymoon phase

Answer 58

Our community is strong together!

Question 59

Disillusionment

Answer 59

Loose good feelings and reality sets in

Question 60

Reconstruction

Answer 60

You have to do the rebuilding and cant wait for more help