Psych MID 1

• Crisis 


  Internal distrurbance caused by a stressful event or perceived threat that momentarily renders the person's normal coping mechanisms inadequate
• Crisis


  Turning point in one's life where major decision making ability is impared and previous coping mehcanisms prove ineffective
• Crisis


  Emerging from a crisis is a form of new maturity or growth to a person
• Crisis


  unexpected

  potential risk

  disturbed
• Coping Strategies

  Defense mechanisms
• Crisis is:

  • state of disequilibrium or severe stress
  • ineffective coping
  • highly individualized
  • self-limiting (4-6 weeks)
  • occurs in all stages
• 3 types of crisis:

  1. Maturation or Developmental Crisis
  2. Situational Crisis
  3. Adventitious Crisis or Social Crisis
• Maturation Crisis

  Developmental Crisis
• Maturation Crisis


  Expected normal and predicatable growth and development
• Developmental Crisis

  Require role changes in these transition periods
• Maturation Crisis or Developmental Crisis


  Predictable events in the normal course of life such as:

  leaving home for the first time

  getting married

  having a baby

  beginning a career

  puberty
• Situational Crisis


  Unexpected crisis that originates from personal, physical, or psychosocial event
• Situational crisis originates from?

  Personal, physical, or psychosocial events
• Situational Crisis


  Death of a loved one

  Loss of a job

  Accidents
• Adventitious Crisis

  Social Crisis
• Social Crisis


  Beyond the control of man
• Adventitious Crisis


  Floods

  Earthquakes

  Hurricanes

  War

  Rape

  Murder
• Phases of Crisis

  1. Pre-crisis Phase
  2. Impact Phase
  3. Crisis Phase
  4. Resolution Phase
  5. Post Crisis Phase
• Pre-Crisis Phase


  In the state of equilibrium
• Pre-Crisis Phase


  Prevention or preparation

  Reducing the risk that it would lead to crisis
• Impact Phase


  High level of stress with confusion and possible panic
• Crisis Phase

  Acute Phase
• Crisis Phase


  Ineffective and disorganized behavior, avoids or withdraws or denies problem
• Crisis Phase


  Point of no return
• Resolution Phase


  Acknowledges and attempts to solve problem successfully leading to less anxiety
• Resolution Phase


  Body returns to normal level
• Resolution Phase


  Marks general sense or well-being
• Post Crisis Phase


  Achieves higher level of maturity and new coping skills
• Post Crisis Phase


  Crisis must come to an end
• What do you achieve in post crisis phase?

  Higher level of maturity and new coping skills
• Crisis Intervention - PARE

  • Protect
  • Assist
  • Return
  • Eliminate
• Crisis Intervention - PARE

  Protect from additional stress and other harm
• Crisis Intervention - PARE

  Assist in organizing mobilizing resources or support system
• Crisis Intervention - PARE

  Return to pre-crisis state or higher level of functioning
• Crisis Intervention - PARE

  Eliminate emotional stress
• Crisis Intervention

  Goal: Return client to level of pre-crisis state
• Steps in Crisis Intervention

  • Assess situation
  • Define event
  • Assist client to develop cognitive awareness of event
  • Assist client in managing feelings
  • Explore available resources
  • Assist in action planning
• Grief


  Subjective emotion and affect that are normal response to the experience of loss
• Grief


  Encompasing response a person experiences after the loss of a significant person, object, belief, or relationship
• Grief

  Encompases: physical, psychological, cognitive, and behavioral