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Counseling

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Counseling
List the typical reactions to transitions of loss/crisis: (1-7) (1) Shock and disorganization (2) Expression of anguish and/or relief (3) Experience of denial and minimization of the loss (4) Sadness and lowered self-esteem (5) Taking hold of a new way of life and letting go of the past (6) Final acceptance of change and planning for the future (7) Reflections on learning from the transition experience

Define stress reation: (8-12)
A condition characterized by physiological tension and persistent choice conflict.

List the four defining criteria of crises: (13-16)
(1) Are temporary
(2) Result in distress and often dysfunction
(3) Involve loss of coping capacity
(4) May have long term negative or positive consequences

List the four phases of crisis as described by Caplan: (17-20)
(1) Initial tension is experienced, which arouses habitual adaptive responses
(2) Tension increases under continuous stimulation and lack of success is experienced in coping and tension reduction. This frustration is complicated by distress and inefficiency.
(3) Tension increases until emergency resources, internal and external, are mobilized. The crisis may be eased temporarily though emergency coping mechanisms, see the problem differently, or relinquishing unrealistic goals.
(4) An acute phase follows if the crisis is not eased in stage 3, or averted by denial or resignation. Tension mounts to the point where the major dysfunctions in behavior develop and or emotional control is lost.

Define support and list its three primary sources: (21-28)
Support is a condition in which the helpee feels secure and comfortable psychologically. It includes awareness of well-being and satisfaction of “ affect hunger.” Support offers a healing process- an integration of all parts of the person. (1) The relationship itself, where the helpee experiences the helper’s acceptance and warmth.
(2) Direct counseling help in the form of reassurance or

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