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May 1970

Decision Counseling MethodExpanding Coping at Crisis-in-Transit

Author Affiliations

Chicago; Rockford, Ill
From the Department of Psychiatry, Northwestern University Medical School, Chicago, and the H. Douglas Singer Zone Center, Rockford, Ill.

Arch Gen Psychiatry. 1970;22(5):462-467. doi:10.1001/archpsyc.1970.01740290078010

INNOVATION in psychiatric method is particularly active regarding management of the crisis-in-transit interval and management of transitions across the well-sick role interface. Professional interests highlighted in crisis work are management in social position, prompt, brief entry, and minimal institutionalization.

Management in social position, when possible, helps maintain a person's integrity in his usual social system following crisis-intransit. Constructive use of key people from his social network aborts the operation of alienating and extruding tendencies. Arranging the treatment system to achieve close timing between precipitating events and the entry of help, takes maximum advantage of the unusual flexibility of cognition and affectional attachments during the crisis state. Minimal use of institutionalization and environmental controls enhances the likelihood of a skill increase during crisis, and of a crisis solution pertinent to ordinary environments.

Decision counseling is cognitively oriented and is central to several clinical methods

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