Author: Zhao Xiaoming Editor's Layout: Cui Guanli
No chance in life is the greatest opportunity, and the key is whether the value is maximized.
Quotes from Bob
Some students asked: The intervention of the suicide psychological crisis at the beginning of the TV series "Female Psychologist" is gripping, and the suicide victim is successfully rescued. I have just become a psychology teacher in school, and I want to ask Teacher Xiaoming, what should I pay attention to in crisis intervention?
Vol. 1
Facing a client who commits suicide
Visitor: I want to kill myself.
Xiaoming case discourse supervision: The most important thing in suicide intervention is to communicate with the parties, maintain communication, and increase the amount of language of the parties.
Female Psychologist: What is the reason?
Visitor: I don't want to say. (There is some trembling in the voice, and the voice is hoarse)
Female Psychologist: So why did you choose this special day today?
Xiaoming case discourse supervision: Try not to use such language as a special day, which is easy to enhance the negative cues of the person concerned about suicide. It is also easy to strengthen the suicidal awareness of the client.
Vol. 2
Avoid some mistakes
Female Psychologist: Is this good? We play a game where we give your suicidal impulse a score. A score of zero is without any impulse, a hundred points, and is completely out of your control. What are the points of your impulse to kill yourself on the roof just now?
Xiaoming case discourse supervision: Here is the use of behaviorist scoring leveling technology, but in the suicide crisis intervention, allowing the parties to score their own suicide risk level may also have a negative implication of reinforcement.
Visitor: :( tears kept flowing, and he turned the knife in his hand, and the tip of the knife pointed towards himself. 95 points
Female psychologist: Then this impulse is already very strong, but even so, you still have not completely given up the desire to survive. What are these five points that make you unwilling to give up your life?
Xiaoming case discourse supervision: Here should not say that the other party's impulse is already very strong, because similar language is also easy to strengthen the negative hints of the parties.
Having parties discuss 5 points is a postmodern technique that can be used in normal consultations. There is a certain risk in using it here, and if the other party replies that there are no 5 points now, it will be difficult for the consultant to deal with it.
All in all, the conversation in the previous sentence leads the person to a suicide hierarchy discussion is not a safe approach.
Vol. 3
The right use of affective techniques
Female Psychologist: You think of your parents, and you don't want them to be sad about it, right? (The visitor is silent,)
Xiaoming case discourse supervision: In crisis intervention, the relationship between relatives or acquaintances and the parties is used as a certain implied risk of persuasion for the parties to commit suicide, if the relationship between the parties and their parents or acquaintances is not good, or the parties are going to use suicide as punishment for others, it becomes negative reinforcement.
Xiaoming case talk supervision: In suicide crisis intervention, the safest technology is empathy, the counselor can say, I want to know how you feel now, I want to know more about you, similar language to maintain communication with the person. Establish a certain relationship of trust through communication. Until this stage is reached, try not to use the techniques of ordinary psychological counseling.
Vol. 4
Try not to use technical terms
Teacher Chen: Teacher Qian, I originally just wanted to talk to Yuna about Xiao Zhe, but she was suddenly very emotionally unstable, she is now in the school swimming pool, you hurry up. (The tone is very anxious)
Client: Hey, Teacher He, I think I have 100 points for my current suicidal impulse. (Phone voice low and helpless)
Xiaoming case discourse supervision: the parties can say that their suicidal impulse is 100 points, such a professional terminology expression, originated from the previous consultant to the parties hints, and then the parties agreed with the counselor's language. This is why in psychological counseling, counselors try not to use technical terms.
Female psychologist: Can you calm down first, I will always accompany you here, can you take a deep breath with me first? (Open eyes to visitors)
Xiaoming case verbal supervision: In crisis intervention, the other party is required to be calm, and sometimes it is easy for the other party to understand it as an invisible attack such as "you say I am not calm". Therefore, the consultant should try to use neutral words.
At this time, the best way is to generate the possibility of communication, the consultant can say, I want to talk to you, can I?
If the other person does not speak, the counselor can also say, then I say you listen, how?
Then in the process of speaking, step by step, the application of the threshold effect, put forward some small goals, small requirements for the parties, for example, we both sat down and said, okay?
Vol. 5
Recognize the displacement
Visitor: Teacher He, aren't you sad that the person in the video says that to you? (Looking down, I was still tugging at the edge of my blouse when talking to the female psychologist, and my feet were pulling back closer to the edge of the jumping platform)
Visitor: As soon as I heard the voice, I knew it was you, but you obviously weren't like that, you still saved me, why did they say that about you? (Frowning, questioning tone, more excited)
Female psychologist: (after opening her mouth and bowing her head 3 times) Thank you, Yuna, you still care about me now, but the teacher will also have times when it is not well considered.
Visitor: No, it's not (emotional)
Xiaoming Case Talk Supervisor: The best way to talk at this time is, yes, why did they do that, do you think?
The purpose of this is to generate communication. The person's unfairness with the counselor is actually a replacement mechanism in the psychological defense mechanism, that is, borrowing your own affairs and talking about your own experience.
Client: The world is like this, no matter how well you do, people who don't believe it won't believe you. (Facial angry expression, while feet continue to retreat to the edge, falling into the water)
People can live any way they want, and they can't live by jumping.
Original public account: Heart Partner (ID: xhbeap)
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