MFT Exam Chapter 23 Crisis
Management Verified 2024
Additional considerations may add to therapist safety - ANSWER-- Work in groups with
a co-worker
- Don't take foolish risks
- Never meet anyone at night by yourself
- Have a well-lighted facility
- Build relationship with police department
- Know how to diffuse a violent person's emotions and de-escalate an explosive
situation
- Never chase after a client who storms out of session
Beavers-Timberlawn Model - ANSWER-- defines styles as either
"centripetal": the dynamic of response pulls family members inwards or "centrifugal": the
dynamics of response pushes members outward
- Beavers proposed that families function best when both dynamics are available and
can be used flexibly
Circumplex Model, FACES - ANSWER-- based on the belief that balanced families will
manage problems better than unbalanced ones
- adaptability= flexibility in problem solving
- cohesion= quality of bonding and attachments
- flow of communication= the most important family characteristic
- families are scored on an X - Y axis
- relationships are on the x-axis representing cohesion
- rules are on the y-axis representing adaptability
Client Self-care and Crisis Management - ANSWER-Set clear expectations for the
client's own self-care (when immediate protection and safety are not priorities).
- Make a list of warning signs that the client will keep handy.
- Rehearse steps to take when the situation becomes dangerous.
- Attendance to self help meetings such as AA.
- Construction of concrete decision tree for use in emergencies.
Common signs of secondary trauma - ANSWER-- intrusive thoughts
- chronic fatigue
- sadness
- anger
- poor concentration
- loss of confidence
- detachment
- emotional exhaustion
Crisis addressed in family therapy models: 'Leaving Home' Intervention- Haley -
ANSWER-- Haley proposed that symptomatic behavior develops in relationships, not
inside individuals, but between individuals
- adolescents who suddenly develop psychiatric symptoms are attempting to hold
together a family that is deteriorating
- It requires that parents "take charge" and that adolescents address his own life.
Crisis addressed in family therapy models: Crisis in Constructivits Family Therapy -
ANSWER-- proposes the use of narratives and biographies to address crises by gently
exposing family members to one another's view of what is happening
- Suggestions of new beliefs ultimately will lead to less negative explanations and
change.
Crisis addressed in family therapy models: Failure to Individuate - ANSWER-- Murray
Bowen proposes that an individual's crisis in various stages of life stems from a failure
to separate psychologically from the previous generation
Crisis addressed in family therapy models: Minuchin's Lunch Intervention - ANSWER--
Minuchin outlined a family systems approach to working with anorexia
- Minuchin proposed an enactment of the problem, typically over a family lunch.
- The anorexic client describes non problematic and positive aspects of his life,
changing the role away from the dysfunctional patient.
- When some progress is made the therapist asks the more willing parent to direct the
child to eat.
Crisis addressed in family therapy models: Multiple Impact Therapy (MIT) - ANSWER-
This method combines specialists into a team that then applies a variety of resources
and interventions to the family in distress
- This approach is sometimes referred to as "wrap-around" services because it attempts
to provide a full range of services that will "hold" the family and then move it toward
solutions
Crisis addressed in family therapy models: Psychoeducation and recidisvism -
ANSWER-- focuses on providing advice and information about how best to help a family
member in crisis.
- this method is effective for reducing conflict and improving support, and reduced re-
hospitalization for individuals diagnosed with mental illness
Crisis from the family systems perspective - ANSWER-1. Other family members or the
entire family may also be in crisis (son abusing drugs).
2. If other family members are not in crisis, they will be affected by the client's crisis.
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