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Crisis, Trauma and PTSD > Exam 1 > Flashcards

Exam 1 Flashcards

1
Q

Characteristics of Crisis

A

Must have both Danger and Opportunity

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2
Q

Definition of Crisis

A

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

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3
Q

4 Elements of a crisis

A
  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
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4
Q

Crises formation

A

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

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5
Q

Process of increasing function

A

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

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6
Q

Goal of Crises Intevention

A

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

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7
Q

Developmental Crises

A

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

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8
Q

Situational

A

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

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9
Q

Caplans 7 Characteristics of people who climb out of trauma better

A
  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
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10
Q

Suicide Prevention

A

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.

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11
Q

Managed Care

A

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.

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12
Q

Pscyhoanalytic

A

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

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13
Q

Existential Theory

A

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

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14
Q

Humanistic approach

A

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

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15
Q

Cognitive Behavior Therapy

A

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

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16
Q

Brief Therapy

A

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

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17
Q

Law

A

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

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18
Q

Ethics

A

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

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19
Q

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

A

Strictly Therapuetic

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20
Q

Why are ethics important?

A

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

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21
Q

What should responders be aware of?

A
  1. Their own emotions
  2. Values and opinions
  3. Behaviors
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22
Q

All interactions are confidential, except for when?

A
  1. There is danger to self or others
  2. Abuse
  3. Patriot act
  4. Court summons
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23
Q

Countertransference

A

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

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24
Q

Competence

A

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

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25
Q

Burnout

A

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

26
Q

What can cause burnout?

A
  • 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
27
Q

Preventing burnout

A
  • Life style… food, exercise, family,
  • See a therapist
  • Know your limits
28
Q

Edge of compassion

A

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

29
Q

Secondary stress management for crises workers

A

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

30
Q

ABC Model of Crisis Intervention

A

Attending
Beliefs
Coping

31
Q

Attending

A

Developing and Maintaining Rapport

32
Q

Rapport

A

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

33
Q

Questions

A

Open ended questions to get stories

Closed answer questions for factual details

34
Q

Paraphrasing

A

Repeating words back to clarify, helps client feel understood

35
Q

Reflections of feelings

A

Short, focused on emotions (KISS)

36
Q

Summarization

A
  • Tie it all together
  • Includes cognition, emotions, and facts during interview
  • Lead interview into other areas
37
Q

Beliefs

A

Listeners need to identify the nature of the crisis

38
Q

Focus of belifes

A

Focusing on event, cognition, emotions and function

39
Q

Cognitive Tree

A

How does the event that happened lead to the emotional distress

40
Q

Beliefs stage, what to do with ethical issues?

A

Address them

41
Q

Therapeutic Interactive statements

A

Positive validation, educational statements, re-frame situation

42
Q

Coping

A

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.

43
Q

Suicide

A

Self-directed injurious behavior with intent to die

44
Q

Attempt

A

Attempting to kill oneself but means are not fatal

45
Q

Ideation (suicidal)

A

Thinking or consideration of suicide

46
Q

Symptoms/clues of suicidal ideation

A 
Giving things away, 
Writing will,
Withdrawal from activities/social settings,
Preoccupied with death,
Hopelessness and worthlessness
47
Q

Risk Factors of suicide

A 
Previous attempts, 
depression,
mental disorders,
hopelessness
substance abuse
access to lethal means
48
Q

Ideation to action model

A

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

49
Q

Three step theory of suidice

A

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

50
Q

Predictors of attempt

A

Depression, burdensome and no belonging, defeat and entrapment

51
Q

Predictors of suicide

A

Depresssive episodes, bipolar PTSD.

52
Q

Types of disasters

A

Manmade and natural

53
Q

Manmade

A

Shootings, structures falling, oil spills, bombings

54
Q

Natural

A

Tsunami, earth quakes, tornadoes

55
Q

Issues from disasters

A

Lack of materials, blame, insurance, helplessness

56
Q

4 phases of community disaster

A

Heroic, honeymoon, disillusionment, and reconstruction

57
Q

Heroic phase

A

Everyone pulls together and is ready to go!

58
Q

Honeymoon phase

A

Our community is strong together!

59
Q

Disillusionment

A

Loose good feelings and reality sets in

60
Q

Reconstruction

A

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

Crisis, Trauma and PTSD (2 decks)

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