Crisis Counseling and Therapy

From Pearl Harbor to the events of September 11, 2001, to the ravages of Hurricane Katrina, tragedy can leave indelible scars. Its many forms are now visibly present in our local, national, and international communities. Crisis intervention, as a clinical technique employed to combat the debilitating effects of stress that accompany crisis, is quickly becoming a social movement. Crisis Counseling and Therapy provides comprehensive instruction in this important and rapidly burgeoning field with a systemic three-phase method that is simple and practical. This innovative model can easily be incorporated into the clinician's practice to provide effective, strategic intervention.

Preface	p. xi
An Introduction to the Systemic Model of Crisis Counseling	p. 1
Introduction	p. 1
Defining Crisis	p. 3
Critical Moments of Development	p. 7
The Systemic Model of Crisis Counseling	p. 9
Characteristics of the Crisis Counselor	p. 12
Contemporary Standards and Models of Practice	p. 15
Introduction	p. 15
Three Dimensions	p. 16
Self-Psychology Theory	p. 23
Developmental and Normative Crises	p. 28
Systemic Crises	p. 32
Models for intervention	p. 34
Models of Assessment	p. 42
Models of Treatment	p. 45
Profile of an Individual in Crisis	p. 55
Introduction	p. 55
Affect	p. 59
Cognition	p. 64
Behavior	p. 68
Spirituality	p. 72
Multicultural Aspects of Crisis Counseling	p. 78
The Systemic Crisis Intervention Model	p. 81
Introduction	p. 82
Narrative Therapy	p. 82
Cognitive and Cognitive-Behavioral Therapy	p. 86
Family Systems Theory	p. 89
Experiential/Existential Therapy	p. 93
Memory Work and Trauma	p. 97
Remembering the Crisis	p. 101
Introduction	p. 101
Share the Story	p. 102
Validate the Emotional Impact	p. 106
Evaluate the Context of the Crisis	p. 110
Protect Vulnerable Family Members	p. 112
Negotiate a Solvable Problem	p. 116
Network with Relevant Resources	p. 119
Reorganizing the System After Crisis	p. 121
Introduction	p. 121
Formulate a Plan for Change	p. 121
Identify Developmental Issues	p. 125
Engage Therapeutic Tools	p. 131
Assign Homework	p. 136
Support Systemic Rules, Roles, and Rituals	p. 138
Restoration and Exiting the System	p. 145
Introduction	p. 145
Track Progress Toward Goals	p. 148
Acknowledge Indicators of the Time to Terminate	p. 152
Address Future Sources of Stress	p. 154
Refer for Continuing Treatment	p. 156
Exit the System	p. 158
The Impact of Crisis in the Lives of Children and Adolescents	p. 161
Introduction	p. 161
Developmental Characteristics of Children in Crisis	p. 162
Family Characteristics and Crisis	p. 166
Classification of Crises	p. 167
Death: A Crisis of Loss	p. 170
Crisis Related to Family Pathology	p. 180
Resilience	p. 183
Application	p. 187
Introduction	p. 187
Natural Disaster	p. 187
The Crisis of Sexual Assault	p. 203
The Crisis of a Life-Threatening Illness: Acute Lymphocytic Leukemia	p. 218
Integrating the Stress of Crisis	p. 233
Introduction	p. 233
Reflexivity and Agency	p. 233
Confusion	p. 237
Fear and Anxiety	p. 239
Helplessness	p. 242
Moving Toward Recovery	p. 244
Meaning Making and Coping with Crisis	p. 247
References	p. 251
Index	p. 261
Table of Contents provided by Ingram. All Rights Reserved.

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Crisis Counseling and Therapy

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