Sally and Mike have experienced the tragic loss of their son. Their differential coping mechanisms are creating new conflict in the marital relationship. Sally reports morbid reflection and possible suicidal ideation. Mike has possibly reached a state of acceptance about their son's death, but he might also be stuck at the first stage of Kubler-Ross's model, which is denial. There are several layers of this crisis, but it is important to target issues in a straightforward way to keep the crisis intervention brief, as it is designed to be.
Crisis interventions using the ABC Model are designed to be brief and to the point. In the case of Sally and Mike, the ABC Model can be combined with the application of Kubler-Ross's Five Stages of Death and Dying. These five stages include Denial, Anger, Bargaining, Depression, and Acceptance. Reaching a point of acceptance is a treatment goal.
The ABC Model of Crisis Intervention entails first developing contact and building rapport. Active listening and the cultivation of empathy are the tools used to achieve this goal. Second, the therapist identifies the actual problem. It is a critical part of the crisis intervention process. It is important to stay focused, and find key cognitive clues for change. Finally, coping is the last phase of the ABC model. It is the coping phase, during which time client and counselor work together to create a maintenance plan.
Intervention strategies begin with the A in ABC: establishing rapport. While it is tempting for the therapist to rush through this phase to get to the root of the crisis in step B, not much will be achieved without first establishing trust and building empathy. In this case, the therapist establishes rapport with both Sally and Mike. Hopefully, Sally and Mike are able to reach a place of empathy for each other. The therapist can serve as a role model for empathy by developing rapport early in the dialogue. One of the cornerstones of step A is the use of specific and targeted communication strategies. Most of these strategies involve active listening, which means paraphrasing and checking in often with the clients. "Use of these basic rapport-building communication skills invites the client to talk, brings calm control to the situation,...
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