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Crisis Theory in Behavioral Health:. PRESENTED AT APA IN NEW ORLEANS 2006. Michael Bütz, Ph.D. Aspen Practice, P.C. Corey Schwinn, LCSW Washington County Psychotherapy Associates Linda Chamberlain, Psy.D. Pasco-Hernando Community College. Moving from stasis to developmental adaptation….
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Crisis Theory in Behavioral Health:
PRESENTED AT APA IN NEW ORLEANS 2006
- Michael Bütz, Ph.D.
- Aspen Practice, P.C.
- Corey Schwinn, LCSW
- Washington County Psychotherapy Associates
- Linda Chamberlain, Psy.D.
- Pasco-Hernando Community College
Moving from stasis to developmental adaptation…
Bütz and Schwinn 2004
Transformative Crisis Intervention
- These terms represent developmental movement through successive states…
Dynamic Steady State
Progression
Transformative State
Dynamic Steady State
Developmental Movement
Regression
Adaptation
Bütz and Schwinn 2004
Transformative Crisis Intervention
- Striving, via a Resource Structural Maladaptations (RSM) may prove to be a risk to a system akin to a fever left uncontrolled – by the act of attempting to heal itself, it harms itself.
Dynamic Steady State
Progression
Dynamic Steady State
Transformative State
Developmental Movement
Developmental Movement
RSM
Regression
Adaptation
Bütz and Schwinn 2004
Add In Nonlinear Dynamics…
Progression
Dynamic Steady State
Transformative State
Developmental Movement
RSM
Regression
Adaptation
Bütz and Schwinn 2004
Encourage & Support
NO
Provide Safety & Slow Process
Dynamic Steady State
Progression
Developmental Movement
Regression
Chaos
Adaptation
Complexity
Nonlinear Dynamics Informed Approach...- Does the client have the internal structure & external resources to push through the crisis?
Bütz and Schwinn 2004
Considering the above Matrix…
- Internal structure
- (Caplan Matrix; level of organization) &
- External resources
- (Halpern, et. al., Matrix; human eco-system)
Encourage & Support
Provide Safety & Slow Process
Dynamic Steady State
Progression
Developmental Movement
Regression
Chaos
Adaptation
Complexity
Bütz and Schwinn 2004
Principles in Action
- Case Studies
- Open vs. Closed
- Internal Structure?
- External Resources?
Bütz and Schwinn 2004
Crisis Domains: Updating the Matrix
Open
Internal Structure/Resources
External Structure/Resources
High Risk
Moderate Risk
Low Risk
Closed
Bütz and Schwinn 2004
