Kales J D, Kales A
Am Fam Physician. 1975 Nov;12(5):109-15.
Thorough assessment of the crisis requires skilled use of interviewing techniques, such as facilitating the flow of verbalization, selective focusing, ventilation and catharsis. Family interviewing is especially challenging. Conveying interest and preserving neutrality are essential while deciphering relationships among family members. Treatment modalities include individual and family counseling, psychoactive drugs, environmental manipulation (hospitalization, vacation) and the use of community resources. Intervention at the appropriate time can break a vicious cycle of repetitive disorganization and crisis.
对危机进行全面评估需要熟练运用访谈技巧,如促进言语表达流畅、选择性聚焦、情绪宣泄等。家庭访谈尤其具有挑战性。在解读家庭成员之间的关系时,表达关心并保持中立至关重要。治疗方式包括个体和家庭咨询、精神活性药物、环境调整(住院、休假)以及利用社区资源。在适当的时候进行干预可以打破反复混乱和危机的恶性循环。