Cognitive-Behavioral Strategies in Crisis Intervention

Third Edition

Edited by Frank M. Dattilio and Arthur Freeman
Foreword by Aaron T. Beck

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July 24, 2007
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This invaluable practitioner guide and text shows how cognitive-behavioral interventions can help people weather situations of extreme stress and build needed skills for the future. Leading authorities describe effective, time-efficient approaches to managing different types of crises: those related to particular psychological problems, such as panic disorder, suicidal depression, and personality disorders; medical crises; child and family crises; and environmental and situational crises, including large-scale traumatic events. Vivid case material illustrates what the interventions look like in action and how to tailor them to individual clients' needs.

“The book is broad enough and deep enough to cover two audiences well. For those who are specifically involved as crisis intervention workers on an, individual, organizational, or community level, the text's expertise will undoubtedly be a resource for some time to come. For the private practitioner the text is not only an expert review of the fundamentals for general stress/trauma theory and intervention, but an invaluable resource to have on the shelf when looking for a reference and guidance on a specific type of crisis. Common and uncommon crises for which the text can be a resource include: Impulsive and dangerous behaviors, acute trauma, medical crisis, marital abuse, childhood abuse, suicide, or on a family or even community level, such as marital separation, school bullying/violence, and natural or man-made disasters. Even if one chooses not to be involved as a crisis intervention worker, this text should be required reading. Every clinician will have to face the inevitable common crises in the lives of average adults and children, not to mention being prepared for the increasingly interesting times into which we seem to be moving.”

Cognitive Behavioral Therapy Book Reviews


“Dattilio and Freeman have included the most common themes in crisis intervention, describing techniques and strategies that are short term and time effective. The volume is a 'must read' for everyone from dedicated crisis workers and private practitioners to clinical researchers. Students and seasoned professionals alike will find practical and invaluable information within these pages. It is an unfortunate estimate that 70% of us will undergo a traumatic event in our lifetimes, and this masterful volume addresses the immediate needs of trauma survivors.”

—Barbara Olasov Rothbaum, PhD, ABPP, Professor of Psychiatry and Director, Emory Healthcare Veterans Program and Trauma Anxiety Recovery Program, Emory University School of Medicine


“The third edition of this outstanding resource expands the scope of the earlier volumes while maintaining the high quality of the contributions. The editors are uniquely well qualified to provide an authoritative perspective on crisis intervention, and their recognized expertise in cognitive-behavioral treatment underscores the relevance of this volume to the field. Once again, this edition will provide graduate students and professionals with the latest, most effective intervention approaches. A special strength of the book is its expanded coverage of large-scale traumatic events such as terrorist attacks and devastating natural disasters.”

—James Neal Butcher, PhD, Department of Psychology (Emeritus), University of Minnesota


“An international group of outstanding authors have crafted a remarkably useful guide to understanding traumatic experiences and using practical cognitive-behavioral strategies to help crisis victims. Methods for responding to diverse types of crises are clearly explained and illustrated. The chapters on disaster trauma and terrorism provide especially relevant guides to coping with some of the most troubling issues of our times. The case report of a 9/11 survivor is in itself a compelling reason to read this book.”

—Jesse H. Wright, MD, PhD, Professor and Kolb Endowed Chair of Outpatient Psychiatry and Director, Depression Center, University of Louisville


“This excellent text offers effective treatment approaches for a variety of mental health problems and crises. Filled with practical case examples, the volume covers specific cognitive-behavioral techniques for both assessment and treatment, making it an essential resource for students and experienced mental health professionals alike.”

—Christopher G. Mitchell, PhD, Jane Addams College of Social Work, University of Illinois at Chicago


“I know of no better introduction to crisis intervention founded on empirically supported approaches to treatment. Cognitive-behavioral therapies represent the state of the art of crisis intervention services, and a superb array of authors have contributed chapters to this impressive third edition. All psychotherapists serving clients in crisis will find this book most useful and comprehensive. It would be a great text for the crisis intervention class we offer our second-year clinical MSW students.”

—Bruce A. Thyer, PhD, College of Social Work, Florida State University

Table of Contents

Foreword, Aaron T. Beck

1. Introduction, Frank M. Dattilio and Arthur Freeman

I. Psychological Crises

2. Depression and Suicide, Mark A. Reinecke, Jason J. Washburn, and Emily Becker-Weidman

3. Panic Disorder, Frank M. Dattilio and Philip C. Kendall

4. Crisis Intervention Strategies for Treating Law Enforcement and Mental Health Professionals, Laurence Miller

5. The Crisis-Prone Patient: The High-Arousal Cluster B Personality Disorders, Gina M. Fusco and Arthur Freeman

II. Medically Related Crises

6. Traumatic Brain Injury, Mary R. Hibbard, Wayne A. Gordon, and Lynne Kothera

7. Substance Misuse and Dependency: Crisis as Process or Outcome, Sharon Morgillo Freeman and Misti Storie

8. Crisis with Medical Patients, Frank M. Dattilio, Elizabeth A. Davis, and Robert M. Goisman

9. Acute and Chronic Pain, Sharon Morgillo Freeman

III. Child and Family Crises

10. Child Sexual Abuse, Anne Hope Heflin and Esther Deblinger

11. Spousal Abuse, L. Kevin Hamberger and Amy Holtzworth-Munroe

12. Couple Problems, Stephen E. Schlesinger and Norman B. Epstein

13. Families in Crisis, Frank M. Dattilio

14. Anger and Aggression in Children and Adolescents, Arthur Freeman and Stephen Timchack

15. Crisis with Older Adults, Helen M. DeVries and Suzann M. Ogland-Hand

IV. Environmental and Situational Crises

16. Disaster Trauma, Lata K. McGinn and Carrie Spindel

17. Terrorism, Stevan E. Hobfoll, Tamar Galai-Gat, Dawn M. Johnson, and Patricia J. Watson

18. Problem Solving in Crisis Intervention, Joop J. Meijers

19. Rape Trauma, Elizabeth Muran

20. Traumatic Stress Disorders, Laurence Miller

V. General Issues in Crisis Work

21. Legal and Ethical Issues in Crisis Intervention, Leon VandeCreek and Samuel Knapp


About the Editors

Frank M. Dattilio, PhD, ABPP, holds faculty positions with the Department of Psychiatry at Harvard Medical School and the University of Pennsylvania School of Medicine. He is also in the private practice of clinical and forensic psychology and marital and family therapy in Allentown, Pennsylvania. With more than 280 professional publications in the areas of couple and family problems, anxiety and behavioral disorders, and forensic and clinical psychology, Dr. Dattilio has presented extensively on CBT throughout the world. His works have been translated into more than 30 languages and are used in over 80 countries. He serves on the editorial boards of a number of professional journals, including the Journal of Marital and Family Therapy and Contemporary Family Therapy. Dr. Dattilio is a recipient of numerous awards for outstanding achievement in the fields of psychology and psychotherapy, including, most recently, the MFT of the Year Award from the Pennsylvania Association for Marriage and Family Therapy and the Outstanding Contribution to Marriage and Family Therapy Award from the American Association for Marriage and Family Therapy.

Arthur Freeman, EdD, LLD (h.c.), ABPP, until his death in 2020, was Professor Emeritus of Psychology at the Philadelphia College of Osteopathic Medicine. A leading expert on cognitive-behavioral therapy, he was a past president of the Association for Behavioral and Cognitive Therapies and of the International Association for Cognitive Psychotherapy, and a Distinguished Founding Fellow of the Academy of Cognitive and Behavioral Therapies. Dr. Freeman's research and clinical interests included marital and family therapy and cognitive-behavioral treatment of depression, anxiety, and personality disorders. The author of over 100 chapters and articles, he lectured in 45 countries and his work has been translated into 20 languages.

Contributors

Emily Becker-Weidman, BA, Department of Psychiatry and Behavioral Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois

Frank M. Dattilio, PhD, ABPP, Department of Psychiatry, Harvard Medical School, and Department of Psychiatry, University of Pennsylvania School of Medicine

Elizabeth A. Davis, MD, Massachusetts General Hospital and Department of Psychiatry, Harvard Medical School, Boston, Massachusetts

Esther Deblinger, PhD, Child Abuse Research Education and Service Institute, University of Medicine and Dentistry of New Jersey, School of Osteopathic Medicine, Stratford, New Jersey

Helen M. DeVries, PhD, Department of Clinical Psychology, Wheaton College, Wheaton, Illinois

Norman B. Epstein, PhD, Department of Family Studies, University of Maryland, College Park, Maryland

Arthur Freeman, EdD, Department of Psychology, Governors State University, University Park, Illinois, and Philadelphia College of Osteopathic Medicine, Philadelphia, Pennsylvania

Sharon Morgillo Freeman, PhD, Center for Brief Therapy, Fort Wayne, Indiana

Gina M. Fusco, PsyD, Department of Psychology, Philadelphia College of Osteopathic Medicine, and Alternative Behavioral Services, Philadelphia, Pennsylvania

Tamar Galai-Gat, MA, The Israel Center for the Treatment of Psychotrauma, Herzog Hospital, Jerusalem, Israel

Robert M. Goisman, MD, Massachusetts Mental Health Center and Department of Psychiatry, Harvard Medical School, Boston, Massachusetts

Wayne A. Gordon, PhD, Department of Rehabilitation Medicine, Mount Sinai School of Medicine, New York, New York

L. Kevin Hamberger, PhD, Department of Family and Community Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin

Anne Hope Heflin, PhD, Department of Clinical Psychology, American School of Professional Psychology of Argosy University, Arlington, Virginia

Mary R. Hibbard, PhD, Departments of Psychology and Rehabilitation Medicine, Mount Sinai School of Medicine, New York, New York

Stevan E. Hobfoll, PhD, Applied Psychology Center, Summa-KSU Center for the Treatment and Study of Traumatic Stress, Kent State University, Kent, Ohio

Amy Holtzworth-Munroe, PhD, Department of Psychology, Indiana University, Bloomington, Indiana

Dawn M. Johnson, PhD, Applied Psychology Center, Summa-KSU Center for the Treatment and Study of Traumatic Stress, Kent State University, Kent, Ohio

Philip C. Kendall, PhD, Department of Psychology, Temple University, Philadelphia, Pennsylvania

Samuel Knapp, EdD, Pennsylvania Psychological Association, Harrisburg, Pennsylvania

Lynne M. Kothera, PhD, Department of Rehabilitation Medicine, Mount Sinai Medical Center, New York, New York

Lata K. McGinn, PhD, Graduate School of Psychology, Yeshiva University/Albert Einstein School of Medicine, Bronx, New York

Joop J. Meijers, PhD, Department of Clinical Child and Educational Psychology, School of Education, Hebrew University, Jerusalem, Israel

Laurence Miller, PhD, private practice, Boca Raton, Florida

Elizabeth Muran, PhD, private practice, New York, New York

Suzann M. Ogland-Hand, PhD, Pine Rest Christian Mental Health Services, Grand Rapids, Michigan

Mark A. Reinecke, PhD, Department of Psychiatry and Behavioral Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois

Stephen E. Schlesinger, PhD, private practice, and Department of Psychiatry and Behavioral Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois

Carrie Spindel, PsyD, Cognitive and Behavioral Consultants of Westchester, White Plains, New York

Misti Storie, MS, NAADAC, the Association for Addiction Professionals, Alexandria, Virginia

Stephen Timchack, MA, MS, Department of Psychology, Philadelphia College of Osteopathic Medicine, Philadelphia, Pennsylvania

Leon VandeCreek, PhD, School of Professional Psychology, Wright State University, Dayton, Ohio

Jason J. Washburn, PhD, Department of Psychiatry and Behavioral Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois

Patricia J. Watson, PhD, National Center for PTSD, White River Junction, Vermont, and Department of Psychiatry, Dartmouth Medical School, Hanover, New Hampshire

Audience

Clinical psychologists, psychiatrists, clinical social workers, and counselors, and professionals in related fields, including both crisis workers and private practitioners; graduate students and residents.

Course Use

Serves as a core text in graduate-level courses in crisis intervention.
Previous editions published by Guilford:

Second Edition, © 2000
ISBN: 9781572305793

First Edition, © 1994
ISBN: 9780898622218
New to this edition: