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AbstractWith a recent quantitative increase, stepfamilies now reflect a major variant in family structure in our society. This chapter identifies characteristic problems in family interaction that emerge in stepfamily formation which can lead to crises in one or more stepfamily members.

KEY FEATURES: Descriptions of crises, assessment considerations, and intervention responses in every chapter provide readers with the tools they need to effectively manage crises. Consideration of populations across the lifespan includes children, adolescents, adults, and older adults, as well as individuals, groups, and families. Practical guidelines in each chapter provide readers with the dos and don'ts for handling various types of crises. Coverage of essential skills for all mental health professionals makes the text helpful for psychiatric social workers, psychiatric nurses, licensed psychologists, and alcohol and drug counselors. Content reflective of CACREP standards makes the book ideal for future counselors. Real-life case studies and realistic examples provide those new to handling crises with recommendations for appropriately communicating with clients. Resources for Chapter Enrichment at the conclusion of chapters include suggested readings and websites.

The author explores the possible effects of the worker's use of humor in crisis intervention. A schematic of the possibilities for this type of intervention is presented. Humor has the potential to cause both positive and negative reactions in clients. The author argues that humor is an effective therapeutic tool, providing the practitioner is willing to work with any potential outcome. A set of questions is presented to aid workers in determining whether humor is appropriate in specific situations.

1. Definition and Nature of Crisis 2. Public vs. Private Crisis 3. Events that Precipitate a Crisis 4. Twelve Characteristics and Indicators of a Crisis-Prone Person 5. Types of Crises 6. Burgess and Roberts' Stress-Crisis-Trauma Continuum 7. Psychophysiological Reactions to a Crisis 8. Stress Symptomatology and the General Adaptation Syndrome 9. Common Signs, Symptoms, and Psychological Responses to Crisis (Emotional, Cognitive, and Behavioral) 10. Roberts' Seven Stage Crisis Intervention Model (R-SSCIM) 11. The Crisis Management Plan 12. Dos and Don'ts for Crisis Hotline Workers

This study proposes that the goal of crisis intervention for persons with personality disorders should be to return them to their pre-crisis level of functioning, even though this is maladaptive. This is contrasted with standard crisis intervention, which aims to return normal or neurotic persons to their pre-crisis normal or neurotic functioning, usually by means of few and short-term therapeutic encounters. The modification proposed costs more time and resources in persons with personality disorders in crisis and fits the intervention to the personality type. This is illustrated by the case of Eve, a patient in crisis, whose pre-crisis functioning was maladaptive because of a dependent personality disorder. The goal of (modified) crisis intervention in this case was to return the patient to her dependent lifestyle, by means of pharmacotherapy combined with intensive supportive psychotherapy during 3-4 months of partial (day) hospitalization. The special nature of crisis in personality disorders is discussed.

An underlying theme that emerged in therapeutic interviews with middle-aged men is the desire to be adolescent again in order to start life anew

The staff of a family agency design a treatment method called crisis psychotherapy, describe the process, and examine its value to clients