PSY 465 Lecture Notes - Lecture 8: Impulsivity, Hallucination, Borderline Personality Disorder
Document Summary
Intervention strategies for dealing with suicidal crises: Mobility the ability to utilize one"s resources to resolve problems. Person in crisis/crisis therapist is: mobile/non-directive, partially mobile/collaborative, immobile/directive. With therapeutic activism : delaying the suicidal impulse separate feeling from action, no suicide contract. Not acting on feelings: restoring hope. Communicate that you are willing to do anything to help them remain alive. Working with them to help them believe that their problems can get better: decreasing isolation/disconnectedness. As a helper, do not disconnect from patient: anticipating consequences of suicidal act. Challenge their distortions: developing a plan for safety !!! 24-hour observation with family with sp increased therapeutic contact, support system involvement with sp increased therapeutic contact with sp. Sp = structured plan: structure time, support/resources, therapeutic contact, environmental manipulation. Making use of resources; ambulance, support groups, police, hotlines, physician (medication) Guard against being the sole support for pic. Choice of a killing response: conditioned by:
