Effective crisis intervention

Crisis intervention techniques in a community-based setting, including factors of immediacy of response, location, prior identification and flexibility of service, are examined. Using a community-based program which has received and dealt with 231 crisis situations over a 2-year period as a model, this study shows crisis intervention techniques to be viable and valuable in the identification of problems in the family and individual. Families which request service due to a crisis must be dealt with differently from those who seek service through traditional channels. Preventive intervention is employed to reduce the onset of more serious personality disturbance and family decomposition. Using Caplan's phases of crisis as a guide, most families dealt with in the model program showed signs of reduced conflict and a greater willingness to seek more traditional types of services.     

Ego crisis with recovery

Summary A case is reported in which the patient felt the frightening presence of God and had an extraordinary subjective time-sense. This patient illustrates the border between psychiatry and religion. The existentialist psychology is applied for understanding and the indication for consultation with clergy is considered.     

危机中的希望——2009年新年献词

2009年的冬天，人间似乎格外寒冷。郁积已久的金融危机使所有的传播媒体几乎都充斥着“救助”、“裁员”、“破产”、“倒闭”之类的字眼。华尔街这座眼中的金山、银海，突然崩塌和呼啸起来。塌落的不仅是股票的面值，还有人们对建造这座金山的制度的信心，对经管这座金山的人们的信任。因为在银海呼啸的浪潮里，翻出了以往被掩盖的腐朽：圣贤原是骗子，英雄乃是罪犯。     

情绪在危机新闻框架和团体危机回应中的作用

采用2(新闻框架类型:诱发气愤情绪或诱发悲伤情绪)×2(危机事件团体回应类型:惩罚型或补偿型)×2(团体回应中情绪感染力的呈现情况:呈现或缺乏)的被试间实验设计,探讨不同版本的危机事件新闻报道诱发出的不同情绪如何影响个体的信息加工,以及情绪反应怎样影响个体对组织随后回应策略的偏好。结果发现:气愤情绪促使公众采用启发性加工方式,悲伤情绪促使公众采用系统性加工方式;相比于悲伤情绪,气愤情绪会导致公众对公司更加负面的态度;惩罚型回应信息的可信性更高;惩罚型和补偿型回应信息使公众对企业的态度从比较消极转变为偏向积极;具有强烈情绪感染力的回应信息更容易降低气愤组对企业的责任归因程度,并进而促进公众对企业态度的改变;公众的气愤和悲伤情绪水平在接受企业回应后明显减弱,但没有达到基线水平。结果表明,在面对危机事件时,新闻框架的类型、企业对危机事件的回应方式以及回应中的情绪感染力,会结合在一起,制约公众对危机事件的知觉以及对企业的判断。     

Theory of crisis intervention

Pastoral Psychology -     

A student-operated crisis center

In this article we describe an attempt to meet a university community's needs for emergency mental health services through the establishment of a student-operated telephone emergency service. The service provides an interesting model for use of nonprofessionals in mental health services, in which the professional functions primarily as a trainer and consultant rather than offering direct services. We describe the structure of the center and then discuss further innovations and projects.     

An evaluation of crisis hotline outcomes. Part 1: Nonsuicidal crisis callers

The effectiveness of telephone crisis services/hotlines, examining proximal outcomes as measured by changes in callers' crisis state from the beginning to the end of their calls to eight centers in the U.S. and intermediate outcomes within 3 weeks of their calls, was evaluated. Between March 2003 and July 2004, 1,617 crisis callers were assessed during their calls and 801 (49.5%) participated in the followup assessment. Significant decreases in callers' crisis states and hopelessness were found during the course of the telephone session, with continuing decreases in crisis states and hopelessness in the following weeks. A majority of callers were provided with referrals and/or plans of actions for their concerns and approximately one third of those provided with mental health referrals had followed up with the referral by the time of the follow-up assessment. While crisis service staff coded these callers as nonsuicidal, at follow-up nearly 12% of them reported having suicidal thoughts either during or since their call to the center. The need to conduct suicide risk assessments with crisis callers and to identify strategies to improve referral follow-up is highlighted.