AMFTRB Comprehensive Exam Questions Complete verified 2023 updated solution.

Definition of Crisis - A situation in which client's goals/intentions are interrupted in such a way that they cause an emotional response from client; person may feel fear, anger, shock, anguish about the situation Four Phases when dealing with crisis - 1. Crisis occurs, client responds, often in negative manner that involves difficult feelings 2. Client may then become more frustrated/stressed, depending on the continuation of crisis situation 3. Some clients easy their own tension about situation depending on how they handle it; instituting coping mechanisms, acting out in fear/anger, giving up, attempting to solve the problem 4. Situation surrounding crisis is somehow resolved, whether it is because the client successfully dealt with situation, repressed/avoided managing it Crisis Intervention - Stepping into a potentially harmful/stressful situation to avoid escalation on part of client First, assess situation to determine if client/anyone else is in danger Then, decide what type of help is most appropriate EX: critical event (suicide) requires swift/successful intervention, not a support group Then carry out necessary treatment/help Help client become calm to talk about feelings/identify coping mechanisms Stabilize situation and bring client down from state of crisis Crisis Intervention Approach to Social Work Practice - - Psychodynamic, ego psychology (Freud, Erikson, Rapoport) and Lindemann's work on loss/grief - Intellectual development (Piaget) - Social science: stress theory, family structure, role theory Human Behavior Assumptions in Crisis Intervention Approach - - Individual has tendency to a natural progressive growth the prevails over regression - Stress during crisis induces disequilibrium/anxiety that allow therapeutic accessibility; crisis can create opportunities to develop new coping mechanisms/growth or give rise to dysfunctional behavior - Crisis occurs when established coping skills dont resolve stress effectively; crisis inflicts an array of affective, cognitive, behavioral tasks; crisis can reactivate old problems - An individual in crisis is not ill but is dealing with a challenge that is part of the human condition; crisis therapist doesnt necessarily assume the presence of a pathological/DSM disorder; individual in crisis is affected by the past but present situation is more relevant