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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

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

slide2

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

slide3

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
Add In Nonlinear Dynamics…

Progression

Dynamic Steady State

Transformative State

Developmental Movement

RSM

Regression

Adaptation

Bütz and Schwinn 2004

nonlinear dynamics informed approach

YES

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
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
Principles in Action
  • Case Studies
    • Open vs. Closed
    • Internal Structure?
    • External Resources?

Bütz and Schwinn 2004

crisis domains updating the matrix
Crisis Domains: Updating the Matrix

Open

Internal Structure/Resources

External Structure/Resources

High Risk

Moderate Risk

Low Risk

Closed

Bütz and Schwinn 2004