Generic and Individual Approaches to Crisis Intervention

Jacobson, Gerald F.; Strickler, Martin; Morley, Wilbur E.

doi:10.1097/00043764-197005000-00028

Cited by 3 publications

(5 citation statements)

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“…Le déséquilibre généré par ces événements amène à recourir au système de santé en urgence. L'application d'une intervention de crise telle qu'elle est proposée dans les modèles de psychiatrie communautaire [80,81], vise à apporter une solution psychologique immédiate et à retrouver un niveau de fonctionnement égal voir supérieur à celui d'avant la crise. La crise est un moment de vulnérabilité et une occasion d'enrichissement.…”

Section: Les Interventions Auprès Des Soignantsunclassified

Le fardeau du soignant dans la démence: déterminants et stratégies d'intervention

2004

Swiss Arch Neurol Psychiatr

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SummaryMichon A, Weber K, Gargiulo M, Canuto A, Giardini U, Giannakopoulos P. [Caregiver burden in dementia: determinants and interventions.] Schweiz Arch Neurol Psychiatr 2004;155:217-24. Caring for a family member with Alzheimer's disease or other types of dementia has significant physical, psychological and social consequences for the caregiver. Negative aspects of care giving experience were clearly documented, as caregiver depression, perceived poor health and increased risk of morbidity.The caregiver burden depends on patient's variables, such as behavioural problems, but is mainly associated with caregivers' variables such as sex (women report a higher level of burden than male carers), lack of information, satisfaction of social support and quality of the past relationship between the carer and the patient. Recent studies attempted to identify positive aspects of care giving and examined how they are associated with caregiver outcomes. Sense of duty, meaning of care giving, companionship, rewarding are associated with lower burden scores. Several studies showed that patients living with highly distressed caregivers exhibit higher frequencies of behavioural problems compared to those living with less distressed caregivers. A knowledge of basic issues in dementia care giving, including predictors and determinants of burden, caregivers' resources, coping strategies and subjective experience, is necessary in order to provide efficient support to the families. Most of proposed interventions aim at alleviating the caregiver's distress, by improving information, social support and coping strategies. Family interventions should assess and define the family's difficulties and focus on their defence mechanism, relieve the members from guilt and favour expression of emotions and communication between the patient and the family. The present article offers a critical overview of the literature in this field and comments on new proposals of family support, with special reference to the concepts of crisis and rehabilitation in psychiatry. We propose to focus family interventions on the process of burden itself, and more precisely on the caregiver's subjective experience, taking the context of crisis periods or rehabilitative times into account. Crisis interventions transform periods of disorganisation lived by the family into opportunity for change, and psychosocial rehabilitation interventions offered by professional caring networks allow continuous assessment and advice to the family.

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Section: Les Interventions Auprès Des Soignantsunclassified

Le fardeau du soignant dans la démence: déterminants et stratégies d'intervention

2004

Swiss Arch Neurol Psychiatr

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“…The maximum goal is improvement above the precrisis level (Aguilera, 1990). Jacobson, Strickler, and Morley (1968) conceptualize two complementary categories of crisis intervention: generic and individual. The generic approach focuses on the characteristic course of the particular kind of crisis (e.g., stages of grief response) rather than on the psychodynamics of each individual in crisis.…”

Section: Theory Of Crisis Interventionmentioning

confidence: 99%

“…"Interventions are designed to be effective for all members of a given group rather than for the unique differences of one individual" (Aguilera, 1990, p. 21). Interventions include direct encouragement of adaptive behavior, general support, environmental manipulation, and anticipatory guidance (Jacobson et al, 1968), and can be carried out by non-mental health professionals. The individual approach emphasizes professional assessment, treatment planning, and intervention for the unique needs of the individual in crisis.…”

Section: Theory Of Crisis Interventionmentioning

confidence: 99%

“…There, Strickler and Allgeyer's (1967) pilot study, and the subsequent work by Morley, Messick, and Aguilera (1967), Jacobson, Strickler, and Morley (1968), and Morley and Brown (1969), among others, have had a significant influence on the development and use of crisis groups. There is no single, definitive model of a crisis group (Joyce et al, 1988).…”

Section: A Comparison Of Crisis Groups and Cisdmentioning

confidence: 99%

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Critical Incident Stress Debriefing and crisis groups: A review of the literature

Wollman

1993

Group

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“…This leads to heightened anxiety and all the maneuvers typical of a person in crisis. Crisis theory would say that when the person so used seems to become the object defended against, the old, characterologicaliy determined coping has broken down and the individual enters a period of crisis (this has been well described; see Jacobson, , 1967Jacobson et al, 1965Jacobson et al, , 1968) which may result in decompensation if healthier alternative methods of coping are not found or the old ones restored.…”

mentioning

confidence: 99%

The relationship of interpersonal acting-out to the process of decompensation

Bonnefil

1973

Clin Soc Work J

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Generic and Individual Approaches to Crisis Intervention

Cited by 3 publications

References 0 publications

Le fardeau du soignant dans la démence: déterminants et stratégies d'intervention

Le fardeau du soignant dans la démence: déterminants et stratégies d'intervention

Critical Incident Stress Debriefing and crisis groups: A review of the literature

The relationship of interpersonal acting-out to the process of decompensation

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