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Sanitha
Libin
Definition
Psychological terms
It is a stressor which focus an
individual to respond and to adopt in same way
B T Basanthappa 2007
An internal disturbances result
from stressful event or a perceived threat to self
precipitatory events
Crisis is a subjective experience in which old
ways of closing things no longer assure success
and arrival
A crisis situation is the result of persons
perception and emotional response to a loss or
threat of loss of self esteem from events
It is a state of disequilibrium resulting from the
interaction of an event with the individuals or
family coping mechanism
CRISIS PRONENESS
Dissatisfaction in life may be with employment
or lack of employment
History of unresolved crisis
History of Substance abuses
Lack of Support system.
severe family disorders
Perceived loss
Difficulty in coping with everyday situation
Poor Self-esteem unworthiness,
A loofness lack of loved ones for showing
Concern, emotional isolation
under utilization of resources & Supportive
system
Characteristics Of Crisis
Individual totally involved, get hurt of all heightened
feeling of stress.
Disorganization OF
Biological Cognitive
Behavior Emotional Experience
indicating unpleasant emotional feeling
unable to interpret and perceive the Circumstances of
crisis environment
Crisis are personal by nature
crisis are acute, will be solved by one/ another
with in a brief period
universal experiences
It is self limiting lasts for 4-6 weeks
Individual is most open for intervention
Developmental phases of crisis
In 1964 caplan described 4 specific phases
through which individual progress into crisis in
response to a participating stressor
Phase one
exposed to stressor ………………….. Anxiety
Use effective technique to solve problem . Situational
support is provided………………………………
problem will be solved
Coping mechanism activated
Phase two
When coping mechanism are
ineffective…………………………………
produce anxiety discomfort
helplessness
Decrease the ability to overcome the situation
of crisis
Confusion
Personal disorganization
Phase Three
individuals try to use the problem
solving skill but it tends to get failed in this phase
so further disorganization take places
Phase Four
There will be a profound
physiological and psychological problems
Therefore individual might have severe to panic
level anxiety. Referral to the appropriate treatment
measures are essentials
Signs and Symptoms
 Anxiety .. Individual feels heavy burden of anxiety
 Depression
 Anger
 Guilt
 Neglect responsibilities even daily care
 Irrational and blame others
Process of crisis(Resolution of crisis)
 Depend upon 3factors
 Realistic appraisal of the participating events ie
recognition of the relationship between event
and feeling of anxiety is necessary for effective
problem solving to occur
 Availability of supporting system
 Availability of coping measures over a lifetime
Pseudo- resolution
in this the individual uses
repression and pushes out of consciousness
the incident and the intense emotions
associated with it . Resulting in the individual
functioning at the same earlier level. But in
the future if and when a crisis occurs the
repressed feeling may surface and influence
the feeling aroused by the new crisis. In such
situation the particular crisis may be more
difficult to resolve.
Unsuccessful resolution
in this the victim use
the pathological adaptation at any phase Of crisis
resulting in a lower level of functioning. The victim
rather than accepting loss and reorganizing his life
keeps ruminating over the loss
Successful resolution
In this the victim will go
through varies phases of crisis but reaches phase
III where various coping measures are utilized to
resolve the crisis . The individual develops better
problem solving ability.
Principle of crisis intervention
Motivate the client to express the feelings
Listen for fact and feelings
Guide the individuals in confronting reality
Allow the patient to clarify the doubts
Use a specific and concise statements during
conversation

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Crisis intervention.Psychiatric Nursing.

  • 2. Definition Psychological terms It is a stressor which focus an individual to respond and to adopt in same way B T Basanthappa 2007 An internal disturbances result from stressful event or a perceived threat to self precipitatory events
  • 3. Crisis is a subjective experience in which old ways of closing things no longer assure success and arrival A crisis situation is the result of persons perception and emotional response to a loss or threat of loss of self esteem from events It is a state of disequilibrium resulting from the interaction of an event with the individuals or family coping mechanism
  • 4. CRISIS PRONENESS Dissatisfaction in life may be with employment or lack of employment History of unresolved crisis History of Substance abuses Lack of Support system. severe family disorders
  • 5. Perceived loss Difficulty in coping with everyday situation Poor Self-esteem unworthiness, A loofness lack of loved ones for showing Concern, emotional isolation under utilization of resources & Supportive system
  • 6. Characteristics Of Crisis Individual totally involved, get hurt of all heightened feeling of stress. Disorganization OF Biological Cognitive Behavior Emotional Experience indicating unpleasant emotional feeling unable to interpret and perceive the Circumstances of crisis environment
  • 7. Crisis are personal by nature crisis are acute, will be solved by one/ another with in a brief period universal experiences It is self limiting lasts for 4-6 weeks Individual is most open for intervention
  • 8. Developmental phases of crisis In 1964 caplan described 4 specific phases through which individual progress into crisis in response to a participating stressor
  • 9. Phase one exposed to stressor ………………….. Anxiety Use effective technique to solve problem . Situational support is provided……………………………… problem will be solved Coping mechanism activated
  • 10. Phase two When coping mechanism are ineffective………………………………… produce anxiety discomfort helplessness Decrease the ability to overcome the situation of crisis Confusion Personal disorganization
  • 11. Phase Three individuals try to use the problem solving skill but it tends to get failed in this phase so further disorganization take places Phase Four There will be a profound physiological and psychological problems Therefore individual might have severe to panic level anxiety. Referral to the appropriate treatment measures are essentials
  • 12. Signs and Symptoms  Anxiety .. Individual feels heavy burden of anxiety  Depression  Anger  Guilt  Neglect responsibilities even daily care  Irrational and blame others
  • 13. Process of crisis(Resolution of crisis)  Depend upon 3factors  Realistic appraisal of the participating events ie recognition of the relationship between event and feeling of anxiety is necessary for effective problem solving to occur  Availability of supporting system  Availability of coping measures over a lifetime
  • 14. Pseudo- resolution in this the individual uses repression and pushes out of consciousness the incident and the intense emotions associated with it . Resulting in the individual functioning at the same earlier level. But in the future if and when a crisis occurs the repressed feeling may surface and influence the feeling aroused by the new crisis. In such situation the particular crisis may be more difficult to resolve.
  • 15. Unsuccessful resolution in this the victim use the pathological adaptation at any phase Of crisis resulting in a lower level of functioning. The victim rather than accepting loss and reorganizing his life keeps ruminating over the loss
  • 16. Successful resolution In this the victim will go through varies phases of crisis but reaches phase III where various coping measures are utilized to resolve the crisis . The individual develops better problem solving ability.
  • 17. Principle of crisis intervention Motivate the client to express the feelings Listen for fact and feelings Guide the individuals in confronting reality Allow the patient to clarify the doubts Use a specific and concise statements during conversation