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Co-Occurring Disorders and Crisis Intervention

James & Gilliland (2013) present the case of Gordon, a professional man who is married and has two children and has become increasingly dependent on alcohol to deal with the stress and depression in his life.

James and Gilliland (2013) use a client, Gordon, to demonstrate various aspects of his treatment. In the assessment phase, counselors consider Gordon's self-motivation for change, and determine that confrontation is needed to give impetus to Gordon's treatment. This is a slightly different aspect of crisis theory.

Offer at least three points of intervention that you strongly agree with and give reasons why or you can use others.

One point of intervention is confrontation.

A second point of intervention with which environmental cues which lead to substance use.

The third point of intervention is pharmacological intervention.

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*Offer at least three points of intervention that you strongly agree with and give reasons why or you can use others.

One point of intervention is confrontation.

Studies conducted on the reaction of victims, relatives and helping persons have provided evidence of serious health consequences as a result of psychic trauma. Based on one study, a crisis intervention occurred when 23 children and 11 adult passengers crashed into a tunnel wall in Norway (Wink & Ulvik, 1995). The crisis involved a major accident in Norway that left family members traumatized. The victims were given a "confronting" support program; and the relatives were helped to confront and actively cope with some of the stressful situations. The support program began with the victims completing a questionnaire designed to evaluate the stressful situation. Wink & Ulvik sugest that confrontation may facilitate avoidance and the anxiety-provoked confrontation with a terrifying new reality, which is a central issue in this crisis intervention approach. For example, Winje and Ulvik (1995) assert that in a state of helplessness trauma victim holds views such as: (a) a strong feeling of unreality, (b) stress felt through overprotection, and (c) avoidance of further stressful situations. On this basis, they assert that often approaches that try to shield trauma victims from the harsh reality of their situation are not effective. Instead,Wink & Ulvik insist that confrontation minimizes the chance for the overprotection of the victim, and offers avoidance measures. Confrontation helps the victims to confront a new reality and learn to cope with it.

A second point of ...

Solution Summary

The solution involves assessing a case study regarding alcohol dependency and crisis theory. The discussion goes into detail about types of intervention.

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