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Crisis intervention > Test 1 > Flashcards

Test 1 Flashcards

1
Q

Eye contact

A

client eye contact will tell a lot about their emotional levels

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2
Q

voice

A

tone is used to communicate internal feelings

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3
Q

Verbal tracking

A

staying with client’s topic, making sure they stay on topic

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4
Q

selective attention

A

type of verbal tracking, we tend to listen to some things and ignore others

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5
Q

body language

A

body tells about internal feelings
pay attention to the distance between you

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6
Q

nonattention

A

o Sometimes it is helpful to not pay attention to certain conversations/statements
 Ex. if client brings something up over and over, you may ignore it so they can move on

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7
Q

open questions

A

questions that are answered in multiple words/sentences

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7
Q

closed questions

A

Answered in few words (yes or no questions)

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8
Q

encouragers

A

o Head nods, open gestures, positive facial expression, vocal reactions

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9
Q

paraphrasing

A

o Goal is to clarify the issue through simpler terms
 Try to stick with words client uses
 Make clear what they shared

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10
Q

o Reaction emotion

A

understanding your own feelings

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11
Q

o Parallel emotion

A

understanding client’s feelings

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12
Q

o Cultural empathy

A

understanding another races feelings towards something, and how it is different from yours

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13
Q

check out

A

end of paraphrasing (did I miss anything?)

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14
Q

Facial expression

A
  • Eyebrows, lips, pupils, breathing, color changes, and smiling at inappropriate times
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15
Q
  • Movement synchrony
A

counselor and patient have identical positions (hand movements, sitting, etc.)

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16
Q
  • Movement complementarity
A

passing the conversation from each other very quickly, they speak one after the other

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17
Q
  • Movement desynchrony
A

lack of harmony in movement is common between people in disagreements

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18
Q
  • Echoing
A

seeing the client change body language, and you unconsciously a line with client

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19
Q

Confrontation

A

o Identify mixed messages (patterns!)
o Work through conflict to resolution
o Intervention on client change and growth after the resolution

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20
Q
  • Reflection of feeling
A

add to paraphrase effective and affection words that the client has used, including tones
o Focus on clients’ emotions instead of just words (not just things they share with you)

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21
Q
  • Reflecting meaning
A

paraphrase of actions of self or others
o Do not make assumptions, do not interrupt
o What and why questions (why are you disappointed?)

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22
Q
  • Individual crisis
A

A crisis is the perception or experience of an event or situation as an intolerable difficulty that exceeds the person’s current resources and coping mechanisms

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23
Q
  • Behavioral emergency
A

crisis escalates to immediate danger for injury or death to someone involved in the crisis

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24
Q
  • Parasuicide
A

when a person in crisis accidentally or intentionally places themselves in a position to be killed
o Ex. Driving really fast, OD, bridge, cop suicide

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25
Q
  • Systemic crisis
A

a traumatic event occurs such that people, institutions, communities, and ecologies are overwhelmed, and response systems are unable to effectively contain and control the event in regard to both physical and psychological reactions to it
o Ex: 9/11, product shutdown

26
Q

Metastasizing crisis

A

occurs when a small, isolated incident is not contained and begins to spread (homelessness)

27
Q

o Primary prevention

A

stopping a problem/crisis before it starts

28
Q

o Secondary intervention

A

minimizing the harmful effects that have already occurred

29
Q

In what ways is crisis a positive thing

A

it creates dangerous opportunities for change

30
Q

what are quick fixes to crisis

A

no quick fixes, only defense mechs and avoidance

31
Q

Crises are both universal and unique

A

everyone will have a crisis; everyone will have a different reaction

31
Q

Transcrisis

A
  • A transcrisis state occurs when unresolved issues from a previous traumatic event resurface because of a current stressor
    o Ex. current boyfriend is distant, and your trauma kicks in, and you assume he is cheating on you like your ex
32
Q

what is the difference between transcrisis and PTSD

A

PTSD is a specific type of transcrisis

32
Q

Transcrisis points

A

are about moving forward and opportunities past the transcrisis

33
Q

Basic crisis theory (Lindamont)

A
  • Behavioral responses related to grief are normal and temporary and can relived with short-term intervention techniques
34
Q

brief therapy

A

o Brief therapy attempts to remediate ongoing emotional issues
 Counseling technique; NOT FOR CRISIS

35
Q

Expanded crisis theory

A
  • Explores social, environmental and situational factors of a crisis
36
Q

o Psychoanalytic theory

A

 Early childhood experiences determine why a traumatic event becomes a crisis

37
Q

o General systems theory

A

 Examines the interdependence and relationships among people and between people and events
* Ex. One person is NOT suicidal because they have a support system

38
Q

o Ecosystems

A

 Extension of systems theory to include an environmental context
o Race, gender, class, living conditions, etc.

39
Q

o Adaptational theory

A

 Crisis is sustained through maladaptive behavior
 Ex. Alcohol use, ice cream and Netflix

40
Q

o Interpersonal theory

A

 A state of crisis can not be sustained if a person has an intact sense of self-worth and has a healthy support system
 Ex. strong relationships as support

41
Q

o Chaos theory

A

 The theory of evolution applied to human functioning as a self-organizing system
 Ex. humans incapable of seeing why something happens (why crisis happens)

42
Q

o Developmental theory

A

 The potential for crisis arises from developmental tasks that are not accomplished
 Ex. someone who does not know how to manage finances, navigate self-living, identiy of being an all A’s student

43
Q

Normal developmental crises

A

o Consequences of events in typical human developmental that produce an abnormal response
 Ex. birth of child, graduate school, career challenge

44
Q

applied crisis theory

A

4 cores: normal development, situational crisis, Existential crises, Ecosystemic crises

45
Q

Situational crises

A

o Occurs when an uncommon event, that the individual or system has no way to predict or control, causes extreme stress
 Ex. terrorist attacks, automobile accidents, sudden illness, breakup

46
Q

Existential crises

A

o A result of intrapersonal conflicts related to one’s sense of purpose, responsibility, independence, freedom or commitment

47
Q

Ecosystemic crises

A

o When a natural or human-caused disaster overtakes a person or system through not fault of their own
 Natural phenomena (hurricanes, tornadoes, fires)
 Biological derived (COVID

48
Q
  1. Equilibrium model
A

o Crises are seen as a state of psychological disequilibrium
 Ex. boyfriend cheats on you with your best friend
o Main focus is on stabilizing the individual

49
Q
  1. Cognitive model
A

o The crisis is a result of distorted thinking related to an event, not the event itself
o The goal is to help people change their perception of the crisis event

50
Q
  1. Psychosocial transition model
A

o Assumes that people are products of their genes and their environmental
o Goal is for the person to gain coping mechanisms and establish a support system

51
Q
  • Task 0: Safety
A

o Assessing physical and psychological safety is a continuous process being safe
o Safety must be obtained and maintained

52
Q
  • Task 1: Engaging
A

o Clients may not want to talk or may be so out of control that they are not even aware of the crisis worker’s presence
o Engage in such a way that clients will be receptive to intervention

53
Q
  • Task 2: Problem Exploration
A

o Define the problem from the client’s point of view (EMPATHY)
 May be difficult during the middle of a chaotic situation

54
Q
  • Task 3: Providing support
A

o Communicate concern for the client
o Three types of support

55
Q

psychological support

A

unconditional positive regard and empathy

56
Q

logistical support

A
  • Physical support (food, water, shelter, etc.)
  • Education
  • Resources
57
Q

social support

A
  • Examine the client’s primary support system
58
Q
  • Task 4: Examining Alternatives
A

 Situational supports
 Coping mechanisms
 Positive thinking patterns

59
Q
  • Task 5: Planning
A

o Create a plan includes:
 Identifying resources for immediate support
 Develop coping mechanisms

60
Q
  • Task 6: Obtaining commitment
A

o If lethality is involved, a commitment may need to be written and signed by both parties
o If there is any hesitation, crisis worker may need to revisit earlier tasks

61
Q
  • Task 7: Follow-up
A

o Time frame of minutes, hours, or days
o Inquire about the client’s ability to maintain mobility and equilibrium
Reinforces the crisis worker’s support of the client

Crisis intervention (2 decks)

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