Depression - Christian Mental Health Services

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Transcript Depression - Christian Mental Health Services

Pastoral Care & Introductory
Crisis Intervention Skills
教牧輔導與危機應變基本技巧
香港浸信會神學院
Melvin W. Wong, Ph.D.
黃偉康博士
Licensed Clinical Psychologist, California, U.S.A.
ChristianMentalHealth.com
[email protected]
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Schedule
December 30-31, 2003 & January 2-3, 2004
1. Tuesday: Basic Didactic Understanding
2. Wednesday: AM: teaching, PM: cases
3. Thursday: New Year Holiday: off
4. Friday: AM: teaching, PM: cases
5. Saturday: AM: teaching, PM: cases
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Daily Schedule
09:00 to 10:30 AM
10:30 to 10:45 AM
10:45 to 12:00 PM
12:00 to 01:00 PM
01:00 to 02:30 PM
02:30 to 02:45 PM
02:45 to 05:00 PM
05:00 to 05:30 PM
Instruction session 1
Break 1
Instruction session 2
Lunch
Instruction 3 (Cases)
Break 2
Instruction session 4
Q/A Individual Time
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教牧輔導與危機應變基本技巧
1. Since this is a new course designed
specifically for the pastoral staff of Hong
Kong, there is no text book available in
the market for a course of this nature
2. PowerPoint slides available for reference:
www.ChristianMentalHealth.com and a
compilation of these materials and
resources as hand-outs to be provided by
the instructor
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教牧輔導與危機應變基本技巧
預期中的同學輪廓
1. This is a non-clinical, non-technical
course primarily for the MPC program
2. Non-MPC program students are also
welcome to register for credit and audit
purposes
3. A larger audience will also be welcome to
audit this course
4. Participants on this basis are busy pastors,
lay-leaders or mental health professionals
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教牧輔導與危機應變基本技巧
同學必須有的基本輔導技巧基礎
1. General personal maturity
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•
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Spiritual maturity: Driven by Biblical principles
Emotional maturity-stability: Empathy
Ability to make good judgment and decisions
2. Basic counseling skills
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Do not give insensitive-simplistic responses
3. Basic communication skills
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Can practice “Active Listening”
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教牧輔導與危機應變基本技巧
課程目標
1. What makes the difference between an
urgent situation versus a crisis situation?
2. What are some key guiding principles a
pastor has to work with during a crisis?
3. What skills can be used to de-escalate a
crisis versus escalating it?
4. What are some typical and unavoidable
crises in the ministry of an effective
church?
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教牧輔導與危機應變基本技巧
課程目標
5. What to do after a crisis has struck?
6. Are crises preventable and if so how?
7. Where is God when a crisis is unavoidable?
8. What can a pastor do to help himself
or herself after confronting a crisis?
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Course Requirements 1 (20%)
Students are required to present a twopage reading report
of a recent newspaper-magazine article
on any crisis issue of his or her selection
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Course Requirements 1 (20%)
This report is to be presented in class
orally for more interactive learning with
the instructor
(Extra Credit Available: +10%)
Either the original newspaper article or a
photocopy of the same is to be stapled
in the back of this report
(Sign Up Sheet)
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Course Requirements 2 (80%)
Each student is expected to complete a
Term Paper
A case study on ONE aspect of following
eight content areas to write a paper on
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教牧輔導與危機應變基本技巧
Course Requirements 2 (80%)
Accidental or sudden death of a loved one
Self-harm crisis: Suicide threat
Harm-to-others: Homicide threat
Sexual Abuse: Molestations and rapes
Relationships in crises
Financial crises
Gender-Identity
Workplace crises
Spiritual crises
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教牧輔導與危機應變基本技巧
Course Requirements 2 (80%)
Students are required to present a sample crisis
situation experienced before
(someone that you have counseled over a crisis,
someone that you know as a friend or relative)
will suffice.
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教牧輔導與危機應變基本技巧
Course Requirements 2 (80%)
Give an introduction, a family history with
a genogram
A description of the crisis or events leading
up to the manifestation of the crisis
A formulation of the spiritual-moralcultural correlations and some
suggestions for a brief crisis
intervention strategy will be required
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教牧輔導與危機應變基本技巧
Course Requirements 2 (80%)
If a case is used from a
newspaper or magazine
The original story or stories in
original or photo-copy format
must accompany the report
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教牧輔導與危機應變基本技巧
Course Requirements 2 (80%)
There is an option if the students do not have a
sample crisis case.
The student may use a case reported by the
media, usually a newspaper article or
magazine to use it as a case for study in a
report.
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教牧輔導與危機應變基本技巧
Course Requirements 2 (80%)
A BRIEF written summary
(3,500 to 4,000 words)
is to be presented to the instructor by the timeline delineated by the seminary.
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教牧輔導與危機應變基本技巧
Course Requirements 2 (80%)
Term Paper Deadline
By Friday, January 30th , 2004
(Submit to registrar’s office)
Within three weeks from the end of class
Must have your hard copy mailed
Do not just email your work to me!
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Session One
Introduction
Orientation
Schedule and Time Table
Time-Content Assignment
Evaluation-Expectation
********
Didactic Instruction 1.
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Job receives bad news that his herds were stolen and his workers killed
The walls of the home collapse from the strong desert winds,
killing Job's children
Credit: Gustave Doré
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Job is Tested (1:1–2:13)
(credit: Life Application Bible)
Job, a wealthy and upright man, lost his
possessions, his children, and his health. Job
did not understand why he was suffering.
Why does God allow his children to suffer?
Although there is an explanation, we may not
know it while we are here on earth. In the
meantime, we must always be ready for
testing in our lives
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Three Friends Answer Job (3:1–31:40)
(credit: Life Application Bible)
Job’s friends wrongly assumed that suffering always
came as a result of sin. With this in mind, they
tried to persuade Job to repent of his sin.
But the three friends were wrong. Suffering is not
always a direct result of personal sin.
When we experience severe suffering, it may not be
our fault, so we don’t have to add to our pain by
feeling guilty that some hidden sin is causing
our trouble
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A Young Man Answers Job (32:1–37:24)
(credit: Life Application Bible)
A young man named Elihu, who had been listening
to the entire conversation, criticized the three
friends for being unable to answer Job.
He said that although Job was a good man, he had
allowed himself to become proud, and God was
punishing him in order to humble him.
This answer was partially true because suffering
does purify our faith. But God is beyond our
comprehension, and we cannot know why he
allows each instance of suffering to come into
our lives. Our part is simply to remain faithful
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God Answers Job (38:1–41:34)
(credit: Life Application Bible)
God himself finally answered Job.
God is in control of the world, and only he
understands why the good are allowed to suffer
This only becomes clear to us when we see
God for who he is.
We must courageously accept what God
allows to happen in our lives and remain
firmly committed to him
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Job is Restored (42:1-17)
(credit: Life Application Bible)
Job finally learned that when nothing else was left,
he had God, and that was enough.
Through suffering, we learn that God is enough for
our lives and our future. We must love God
regardless of whether he allows blessing or
suffering to come to us.
Testing is difficult, but the result is often a deeper
relationship with God. Those who endure the
testing of their faith will experience God’s great
rewards in the end
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List Price: $29.99
Price: $20.99
Hardcover
460 pages ;
1.15 x 9.46 x 6.36
Publisher:
Regal Books;
(May 2003)
ISBN: 0830732411
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教牧輔導與危機應變基本技巧
Webster's collegiate dictionary
cri•sis \krī-səs\ noun plural cri•ses \krī-sēz\
[Middle English, from Latin, from Greek krisis, literally, decision,
from krinein to decide — more at certain] (15th century)
1 a : the turning point for better or worse in an acute
disease or fever
b : a paroxysmal attack of pain, distress, or
disordered function
c : an emotionally significant event or radical change
of status in a person’s life 〈a midlife crisis〉
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教牧輔導與危機應變基本技巧
Webster's collegiate dictionary
2 : the decisive moment (as in a literary plot)
3 a : an unstable or crucial time or state of affairs in
which a decisive change is impending;
especially : one with the distinct possibility of a
highly undesirable outcome 〈a financial crisis〉
b : a situation that has reached a critical phase 〈the
environmental crisis〉
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危機 Crisis
危險危難 Danger Disaster
機會 Opportunities
危難裡面的機會
Paradigm Shifts in Crises: Growth
Emotional-Spiritual Growth: Faith
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Anatomy of a Crisis
William Ury and Richard Smoke
William Ury and Richard Smoke,
"Anatomy of a Crisis,"
in Negotiation Theory and Practice,
eds. J. William Breslin and Jeffery Z. Rubin,
(Cambridge: The Program on Negotiation at
Harvard Law School, 1991), pp.47-54.
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Anatomy of a Crisis
William Ury and Richard Smoke
1. The stakes are high in a crisis environment
2. There is little time available to deliberate
3. It is characterized by great uncertainty
4. It involves a sense of narrowed options
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Anatomy of a Crisis
William Ury and Richard Smoke
Crisis Escalation
As a crisis intensifies, each of these elements
also intensifies. Time runs out.
The stakes go up and this increases uncertainty.
Options become further polarized in the face
of increasing uncertainty and not enough
time to deliberate effectively.
These factors also contribute to a growing
sense of hostility.
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Anatomy of a Crisis
William Ury and Richard Smoke
Defusing Crises
The key to defusing a crisis is to enable
high-quality decision-making.
Enabling better decision-making during
a crisis requires control of the four
basic crisis elements.
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Anatomy of a Crisis
William Ury and Richard Smoke
Defusing Crises
First, parties seek to control the perceived stakes.
Second, they must slow the rate of action and
reaction to allow sufficient time for the sides to
consult with each other, and to deliberate.
Third, accurate and trustworthy information must be
made available about the other side's intentions
and the situation.
Fourth, the parties must remain flexible and generate
a range of options.
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教牧輔導與危機應變基本技巧
1. Effective Crisis Evaluation
2. De-escalation Skills in Crisis Management
3. Common Crises in Pastoral Care
Ministries
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教牧輔導與危機應變基本技巧
1.Effective Crisis Evaluation
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教牧輔導與危機應變基本技巧
1.Effective Crisis Evaluation
1.
2.
3.
4.
5.
Immediacy
Out-of-control potential
Bodily harm potential
Emotional volatility
Confusion
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教牧輔導與危機應變基本技巧
2. De-escalation Skills in Crisis
Management
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教牧輔導與危機應變基本技巧
2. De-escalation Skills in Crisis Management
Understanding dichotomized thinking in the
presence of an emotional crisis
1. Emotional flooding causes emotional exhaustion
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Emotional instability: Lack of regulation-control
Brain tries to simplify perceptions: To make sense
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Details-nuances are lost: “Big picture” preserved
“Good or Bad” “Black or White” “Friend or Foe”
People with traumatized childhoods: Fear driven
3. Rigidity & dogmatism ensues: Inflexibility
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教牧輔導與危機應變基本技巧
2. De-escalation Skills in Crisis Management
1. Keeping calm and rational in the middle
of a stressful-catastrophic situation?
2. Self-understanding
3. Developing emotional self-modulation
4. “Talking Down” techniques in the way
you talk
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教牧輔導與危機應變基本技巧
2. De-escalation Skills in Crisis Management
5. Taking temporary control of a crisis by
making short-term decisions
6. “Blame-free” and “Guilt-free” speech in
reducing emotional volatility
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教牧輔導與危機應變基本技巧
2. De-escalation Skills in Crisis Management
1. Keeping calm and rational in the middle
of a stressful-catastrophic situation?
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Your emotional-safety needs are provided for
Expect crisis all the time: “Going to work”
Prepare, prepare and prepare
Practice, practice and practice
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教牧輔導與危機應變基本技巧
2. De-escalation Skills in Crisis Management
2. Self-understanding
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Not everyone is best suited to do crisis work
It does not mean that you are weak if you can’t
It takes ability to deal with ambiguity
Are you an optimist or pessimist? Faithfulness?
Know what you can do best “Do one small part”
Knowing when to “bow out” (exit) is wisdom
Practice your “routine”: Regularity helps
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教牧輔導與危機應變基本技巧
2. De-escalation Skills in Crisis Management
3. Developing emotional self-modulation
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How do you know you are stressed?
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Pulse rate, Blood pressure, Face-flushed
Stomachache, Indigestion, Heart-Racing
Can’t concentrate, Irritability, Emotions unstable
Take deep breaths, Deep breathing exercise,
Depend on policy & a routine
“Physician Heal Thyself”: Can’t heal self
Depend on your peers (spouse & staff) for
support, encouragement & guidance
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教牧輔導與危機應變基本技巧
2. De-escalation Skills in Crisis Management
4. “Talking Down” Technique
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Engage: Visually (eye contact), Verbally (speech)
Preparing to Listen: Get as much background &
history of this situation as possible
Start to listen: As much as speaker ready to share
Listening to control: As clarifying questions?
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Don’t ask why? Say “The reason for…?”
Use soft voice, talk below the position of speaker
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教牧輔導與危機應變基本技巧
2. De-escalation Skills in Crisis Management
4. “Talking Down” Technique
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Nod your head “approvingly”
Start to empathize: Find something true to agree
– Begin “emotional catharsis”
– “I can understand why you are so mad!”
– “I can understand why you are so sad!”
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Start to manage the crisis: “Take a break?”
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Offer something concrete: Soda, Tea, Food
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教牧輔導與危機應變基本技巧
2. De-escalation Skills in Crisis Management
4. “Talking Down” Technique
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Clarify feelings after a “coffee break”
– “How are you doing?”
– “How are you feeling now?”
When “Talking Down” Technique Fails
Suspect substance abuse: Drug & alcohol
Serious mental illness: Schizophrenia
Spiritual influence & demon possession
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教牧輔導與危機應變基本技巧
2. De-escalation Skills in Crisis Management
5. Take temporary control: By making
short-term decisions
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It is okay to make some short-term decisions
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Where to spend the night after “wife-battering”
Encourage victim to make a police report
Encourage victim to call a crisis line for help
Principle: To assist person in crisis to decide
Provide a “break” away from the crisis to restore
personal judgment skill after emotional flooding
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教牧輔導與危機應變基本技巧
2. De-escalation Skills in Crisis Management
6. “Blame-free” and “Guilt-free” speech in
reducing emotional volatility
• Saying the right thing is important in crisis
• Avoid “loaded” speech: “Shame & Blame”
• Principle of “Trauma & Drama”
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Principle: To reduce victim’s emotional stress
Victim is most emotionally vulnerable: Avoid
sensitive-personal issues (for now)
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教牧輔導與危機應變基本技巧
3.Common Crises in Pastoral Care
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教牧輔導與危機應變基本技巧
3.Common Crises in Pastoral Care
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2.
3.
4.
Accidental or sudden death of a loved one
Self-harm crisis: Suicide threat
Harm-to-others: Homicide threat
Sexual Abuse: Molestations and rapes
5. Relationships in crises: Break-up & Pregnancy
6. Financial crises
7. Gender-Identity, Spiritual crises
8. Workplace crises
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教牧輔導與危機應變基本技巧
3.Common Crises in Pastoral Care
1.
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Accidental or sudden death of a loved one
Unavoidable with aging: Increases
Unanticipated: Accidents: Most difficult
Anticipated: Prolonged illnesses: Treatment
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Relationship with deceased critical to recovery
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Good: Easier to resolve with closure: Goodbye
Bad: Unresolved issues with closure: Goodbye
Christians vs. Non-Christians: Issue of hope
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教牧輔導與危機應變基本技巧
3.Common Crises in Pastoral Care
1. Accidental or sudden death of a loved one
Stages of Coping
1. Shock: Emotional Instability: Needs Structure
2. Denial: Emotional Numbness: Frozen
3. Bargaining: “Why?” Rationalizes: Wants Control
4. Anxiety-Depression: “How?” Fear-Insomnia
5. Resolution-Acceptance: Emotions return
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教牧輔導與危機應變基本技巧
3.Common Crises in Pastoral Care
2. Self-harm crisis: Suicide threat
1. Evaluate lethality of suicide threat by
doing a good suicide assessment
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教牧輔導與危機應變基本技巧
5150 Emergency Hospitalization
Suicide Assessment
1. Suicide Intent: Communicated?
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Credible? Cry for Help? Substance Influence?
Suicide Intent: Communicated?
2. Suicide History: Proven Intent to kill self?
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Suicide Gesture? Suicide Attempt?
3. Lethality: “Instrument of Death” present”
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Disarming? Obstructing it?
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教牧輔導與危機應變基本技巧
3.Common Crises in Pastoral Care
2. Self-harm crisis: Suicide threat
2. What to do if the threat exists?
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First Priority: Preserve safety of person
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Voluntary hospitalization: By family, clergy
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Even against the “best judgment” of patient
Less stigmatizing
Involuntary hospitalization: Evaluation
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Can be shameful: Social Workers, Nurses, Police
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教牧輔導與危機應變基本技巧
5150 Emergency Hospitalization
Show Probable Cause
“Imminent Threat of Bodily Danger-Harm”
1. Danger to Self: Suicide Threat
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Suicide Assessment: Duty to Protect
2. Danger to Others: Homicidal Threat
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Tarasoff Warning: Duty to Warn
3. Grave Disability: Unable to Self-Care
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Food, Shelter, Money-Management
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教牧輔導與危機應變基本技巧
California Standards for Crisis Intervention
5150 Welfare and Institution Code
“72-Hour Hold” “5150 Advisement”
“For Mental Evaluation”
“Probable Cause”
1. Harm to Self
2. Harm to Others
3. Grave Disability
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教牧輔導與危機應變基本技巧
5150 Emergency Hospitalization
5150. When any person, as a result of mental disorder, is a danger to others, or to
himself or herself, or gravely disabled, a peace officer, member of the
attending staff, as defined by regulation, of an evaluation facility designated
by the county, designated members of a mobile crisis team provided by
Section 5651.7, or other professional person designated by the county may,
upon probable cause, take, or cause to be taken, the person into custody and
place him or her in a facility designated by the county and approved by the
State Department of Mental Health as a facility for 72-hour treatment and
evaluation. Such facility shall require an application in writing stating the
circumstances under which the person's condition was called to the
attention of the officer, member of the attending staff, or professional
person, and stating that the officer, member of the attending staff, or
professional person has probable cause to believe that the person is, as a
result of mental disorder, a danger to others, or to himself or herself, or
gravely disabled. If the probable cause is based on the statement of a person
other than the officer, member of the attending staff, or professional person,
such person shall be liable in a civil action for intentionally giving a
statement which he or she knows to be false.
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教牧輔導與危機應變基本技巧
5150 Emergency Hospitalization
5157. (a) Each person, at the time he or she is first taken into custody under
provisions of Section 5150, shall be provided, by the person who takes such
other person into custody, the following information orally. The information
shall be in substantially the following form: My name is
____________________________________________. I am a
________________________________________________. (peace officer,
mental health professional) with
__________________________________________________. (name of
agency) You are not under criminal arrest, but I am taking you for
examination by mental health professionals at _____
_______________________________________________________. (name
of facility) You will be told your rights by the mental health staff. If taken
into custody at his or her residence, the person shall also be told the
following information in substantially the following form: You may bring a
few personal items with you which I will have to approve. You can make a
phone call and/or leave a note to tell your friends and/or family where you
have been taken.
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教牧輔導與危機應變基本技巧
3.Common Crises in Pastoral Care
3. Harm-to-others: Homicide threat
1. Usually in the suicide plan of causing
endangerment to the lives of family
members and loved ones
2. Aggressive homicidal threat to others
•
•
Male: Avenge perceived injustice, wrong
Female: Avenge a relationship: “Borderlines”
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教牧輔導與危機應變基本技巧
3.Common Crises in Pastoral Care
3. Harm-to-others: Homicide threat
3. If “probable cause” exists:
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“Duty to warn”: “Do a Tarasoff” warning
Notify the patient this is taking place: Intake
Not notify the patient this is taking place
Written record of “completing the Tarasoff”
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“Chart notes” (A written record): Discharge duty
Police record: Take the case number
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教牧輔導與危機應變基本技巧
3.Common Crises in Pastoral Care
4. Sexual Abuse: Molestations and rapes
1. What is “worse than” rape?
•
“It is your loved one does not believe you!”
2. The injury is physical and emotional
3. Always take “rape claims” seriously
•
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Gender differences: female vs. males claims
“Borderline-histrionic” females claims
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教牧輔導與危機應變基本技巧
3.Common Crises in Pastoral Care
4. Sexual Abuse: Molestations and rapes
4. Practical-concrete aspects of rape reporting
•
•
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Age of the victim: Minors vs. adults
Adults: Encourage self-report to authorities
Children: Encourage report to parents first
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Encourage parents-guardians to do reporting
“Duty to report” on authority figures: Ethical-legal
Age differences between victim and aggressor
Issue of consent: (Canada: 14 year-old, USA: 18)
Record keeping
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教牧輔導與危機應變基本技巧
3.Common Crises in Pastoral Care
4. Sexual Abuse: Molestations and rapes
5. Psychological-emotional aspects of rape
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“My fault”: Rationalization of powerlessness
“Dirty, unclean”: Self-image-esteem injured
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“No one will love me anymore” “Damaged goods”
“I can’t try men any more!” “Men-hating”
Ego self-repair: Protection
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Multiple layer of clothes, short hair,
“Why did God let this happen to me?” “Not care?”
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教牧輔導與危機應變基本技巧
3.Common Crises in Pastoral Care
5. Relationships in crises
1. Marital discord: Threats of separation & divorce
2. Extramarital affairs
3. Affairs of the mind: After discovering that your
spouse is a pornography addict
4. Breaking-up of a dating relationship: Being “left
behind” and abandoned
5. Parent-child conflicts: Physical and sexual abuse
6.
Crisis pregnancies: Break-ups: No-Abortion options?
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She had no choice but…
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教牧輔導與危機應變基本技巧
Session Two Notes
Begins Here
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Emotions & Crises
Crisis is related to Emotions
Crisis is related to Impaired Judgment
Unstable Emotions give rise to Crises
Emotionally Immature People give rise
to more Crises
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夫婦間的危機
母親和兒子間的危機
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傷害一 母女關係 女性是犧牲者
傷害二 母女關係 女性彼此折磨
傷害三
丈夫妻子關係 壞男人
傷害四 母親兒子關係 男人是受害者
Identity Crisis: A Precipitant
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被強姦的危機
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什麼比被強姦更痛苦?
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The only thing she can do for her
daughter
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教牧輔導與危機應變基本技巧
Common Crises in Pastoral Care
Financial crises
1. “Negative-equity” of property owners
• Urgent but not a crisis by itself
• Guard against it becoming a precipitant
2. Gambling debts: Always urgent
• Repayment of debt burden: A Crisis
• Buy time vs. more money loans
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教牧輔導與危機應變基本技巧
Common Crises in Pastoral Care
Gender-Identity, spiritual crises
1. Discovered that sexual attraction is
toward the same sex
2. Generally around the age of 12-14: Males
3. Females: Later age but more subtle

4.
5.
“Liking for a teacher, coach” Older female 1st
Myth of “inborn-gay”: Genetics vs. Parenting
Support groups: Exodus, Living Waters, Books
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教牧輔導與危機應變基本技巧
Common Crises in Pastoral Care
Workplace crises
1. Less common in Hong Kong
2. Concerns: Loss of job & status
3. More an urgent than a crisis
4. Can be a precipitant but not a cause
5. Problem with work stress: Volume
6. Problem with work fit: Personality-Style
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教牧輔導與危機應變基本
Crises prevention strategies
Most crises are preventable
1. “Prevention is better than the cure?”
2. Is “Crises Prevention” an oxymoron, thus a
mutually exclusive concept?
3. What you can learn from a crisis to prevent it
from happening again?
4. Re-designing or adding a topic to enrich
Christian education in your church to make it
more comprehensive? Prevention oriented?
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教牧輔導與危機應變基本技巧
The presence of God in a crisis
1. Can you answer the question: “Where is
God when it hurts?”
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約翰福音 9:1-5
(新譯)
耶穌走路的時候,看見一個生
下來就瞎眼的人。
他的門徒問他:
「拉比,這人生下來就瞎眼,
是誰犯了罪? 是他呢,還
是他的父母呢?」
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約翰福音 9:1-5
(新譯)
耶穌回答:
「不是他犯了罪,
也不是他的父母犯了罪,
而是要在他身上彰顯上帝的作為。
趁著白晝,我們必須作那差我來者的工;
黑夜一到,就沒有人能作工了。我在
世上的時候,是世界的光。」
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約翰福音 9:6-7
(新譯)
說了這話,就吐唾沫在地上,用
唾沫和了一點泥,把泥抹在瞎
子的眼睛上,
對他說:「你去西羅亞池洗一洗吧。」
於是他就去了,洗完了,走的時
候,就看見了。
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教牧輔導與危機應變基本技巧
The presence of God in a crisis
1. Can you answer the question: “Where is
God when it hurts?”
2. While sin is mostly associated with
suffering, there are exceptions: “Job”
3. Suffering is related to Spiritual “Refining”
4. Furnish option of “Meaning in the Suffering”
5. “The Wounded Healer” Concept: Give back
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教牧輔導與危機應變基本技巧
Need for debriefing after a crisis
1. What are the key elements for a closure?
2. How can a pastor and leaders do self-care
3. While waiting for the next crisis, what are
some coping strategies a pastor can have?
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教牧輔導與危機應變基本技巧
Self-Care for the Pastor
1. The need to “process” after a crisis
2. The need for reflection & insight
•
•
What could have been done in a better way?
How was God’s name been glorified?
3. Need support from spouse and peers
•
Talk to a counselor, consult your mentor:
Advice & accountability
4. “Re-entry stress”: Family life after a crisis
5. Outcome: More faithful, More dependent on
God and His Will: Just do the “right” thing
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How To Contact Us?
ChristianMentalHealth.com
(510) 794-8898
Internet Search Engine
Google, Alta Vista, Yahoo
“Dr. Melvin Wong”
“Melvin Wong Psychologist”
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