THE FAMILY CRISIS INTERVENTION LITERATURE: WHAT IS MEANT BY “FAMILY”?*

Family crisis intervention is a rapidly growing area of clinical care in family therapy which lacks clear conceptualization, especially with respect to how “family” fits into crisis intervention theory. This paper integrates recent concepts from the family therapy literature into three views: family as background, family as context, and family as a unit. The family crisis intervention literature (56 publications) is reviewed and categorized according to these three views. Clarity in how “family” is viewed and consistency between theory and practice are examined. Recommendations for improving the conceptualization of “family” in family crisis intervention theory and practice are made.     

Attenuating public skepticism: Effects of pre-crisis corporate engagement and post-crisis CSR initiatives on corporate evaluations

This study examined the effects of stated motives in post-crisis corporate social responsibility (CSR) messages, CSR-crisis issue congruence, and pre-crisis corporate engagement on public skepticism toward CSR and subsequent corporate evaluations. We conducted a 3 (motive of post-crisis CSR initiative: no statement vs. firm-serving vs. public-serving) x 2 (issue congruence: CSR initiative incongruent vs. congruent with crisis) x 2 (pre-crisis corporate engagement: absence vs. presence) between-subjects online experiment via Qualtrics panel (N = 378). The findings showed that stating a public-serving motive or launching a CSR initiative incongruent with a crisis heightened some aspects of CSR skepticism. We further found that pre-crisis corporate engagement interacted with stated motive and issue congruence to influence corporate evaluations. Implications of the findings and directions for future research are discussed.     

Crisis perceptions,relationship, and communicative behaviors of employees: Internal public segmentation approach

This study examines when and why employees engage in external communicative behaviors during the periods of a corporate crisis. Combining a cross-situational factor (i.e., pre-crisis relationship quality) and a situational factor (i.e., crisis-specific perceptions), this study segments internal publics to understand employees’ motivations of becoming advocates for or adversaries of their organization. The results of an online survey demonstrated that employees’ pre-crisis relationship to their organization plays a critical role in encouraging them to advocate for their company; meanwhile, their crisis-perception—whether they feel fewer constraints in solving a crisis—is more likely to make them share negative information externally. Segmented groups of employees with high levels of both relationship and activeness are most likely to engage in both positive and negative external communication behaviors. Theoretical and practical implications for public relations and internal crisis communication are suggested.     

Issue management and crisis management: An integrated,non-linear,relational construct

Despite extensive attempts to define and differentiate issue management and crisis management, the definitional approach – and linear life-cycle models which focus on the elements – fail to capture the full dynamics of the disciplines. Instead of a focus on definitions, this paper proposes a non-linear, relational construct which considers issue and crisis management in the context of interdependent activities and clusters of activity which must be managed at different stages. This includes the role of issue management in both the pre-crisis and post-crisis phases. The model addresses some of the limitations of linear approaches and helps analyze the outcomes and overlaps between activity clusters in order to optimize strategic relationships and enhance bottom-line effectiveness.     

A Use of Social Exchange Theory in Family Crisis Intervention*

This paper explores the practical application of social exchange theory in conceptualizing a working hypothesis in family crisis intervention. It is hypothesized that the range of exchange content in a family crisis situation is proportional to the frequency of negative communication. The contention is made that offering specific behavioral exchange equivalents to family members based on need-response patterns allows for resolution of the family conflict. A case example illustrates support for the hypothesis and implications for future empirical research in family crisis studies are noted.     

Adolescent crisis and suicidal behavior: Dynamics and treatment

Suicide among adolescents is increasing. Three interacting factors—the crisis of adolescent development, family dysfunctioning, and social factors—create vulnerability to feelings of rejection and worthlessness among suicidal adolescents. Long-term family problems that are not openly acknowledged but for which the adolescent feels responsible are particularly relevant. The authors recommend a multiple approach to assessment and treatment in which crisis intervention is employed initially; and individual treatment for the adolescent and family therapy are utilized concurrently on a long-term basis.     

The interplay between post-crisis response strategy and pre-crisis corporate associations in the context of CSR crises

How should a company respond to a crisis that is related to its social responsibility by capitalizing on consumers’ existing corporate associations? To answer this question, the present study focuses on two primary types of corporate associations, corporate ability (CA) associations and corporate social responsibility (CSR) associations, and proposes two different types of response strategies that are association-based: CA strategy and CSR strategy. Drawing on the framework of CA-CSR, Expectancy Violation Theory, and information processing literature, this study examines whether and how these crisis response strategies interact with consumers’ pre-crisis associations and collectively influence consumer reactions in times of CSR crises. Results of two experiments render support for the predicted interaction effect. Furthermore, the results show that crisis response diagnosticity and novelty, as perceived by consumers with varied pre-crisis associations, serve as the underlying process explanations that drive the observed interaction effect. Theoretical contributions and practical implications of these results to crisis communication are also discussed.     

Examining the interplay of an organization's prior reputation,CEO's visibility,and immediate response to a crisis

In one of only a few crisis communication research studies taking a relational approach, examining the effects of a company's prior reputation in publics’ responses to a given crisis situation, Lyons and Cameron (2004) found that both reputation and response profoundly affected publics’ attitude and behavioral intentions toward an organization involved in a crisis situation, using hypothetical, fictitious organizations and crises. Using actual organizations and crises, our research team designed a 2 (reputation: good vs. bad) × 2 (crisis response: apologetic vs. defensive) × 2 (CEO visibility in immediate crisis response: visible vs. invisible) within-subjects experiment (N = 102) to examine the variances in stakeholders’ attitudes and behavioral intentions toward a company after being exposed to online video that delivered a corporate crisis response. Findings were counter-intuitive: a defensive response to a crisis is as acceptable to crisis stakeholders as an apologetic response if the CEO is visible (or audible) in the response and if the pre-crisis company-stakeholder reputation is positive. Good reputation, defensive crisis response and CEO visibility in immediate response to a crisis resulted in the best stakeholder attitudes and purchase intentions.     

Implementing a short-term family support group

1. Although family involvement has been increasingly recognized as a vital component in the treatment and care of the mentally ill, little has been written about efforts to provide education and support to the families of patients hospitalized for short-term evaluation and treatment. 2. The family education and support group provided emotional support and critical information to increase family members' coping and problem solving abilities, and enabled them to return to a pre-crisis or higher level of functioning. 3. The family education and support group not only enhances the assessment and planning phases of the nursing process, but it also can serve as a useful intervention for strengthening the patient's major support system.     

The child in family services: expanding child abuse prevention

Child welfare concerns have drifted to an inappropriate focus on crisis intervention and a punitive approach to child protection intervention at the expense of community-based preventive child welfare programs. Recent attempts to divert cases from the child protection system through differentiated response mechanisms have been criticised for failing to provide access to relevant services or preventing vulnerable families from re-entering the child protection process. A tension inherent in providing both child protection and family support within the one agency is also identified as a barrier to effective service delivery. This paper discusses the value of the UK Children in Need approach as a model for enhancing support to children and families outside the statutory child protection system. Information from an evaluation of a trial implementation of the UK Children in Need approach in Victoria is used to discuss the implications for policy and practice of placing responsibility for coordinating a response based on the needs of children and their families within family support services.     

The role of crisis in family crisis intervention: Do crisis experience and crisis change matter?

Evaluation studies of crisis intervention have focused on prevention of out-of-home placement of children or family functioning, but largely neglected the aspect of crisis. The present study examined crisis in 183 families receiving Family Crisis Intervention (FCI), addressing crisis characteristics and crisis change. In questionnaires children and parents were asked about their definition and experience of crisis and about their need for help. Results show that all families but one were in crisis at the beginning of the intervention, although the perception and extent of crisis differed among respondents. Crisis decreased from baseline to posttest according to clients and crisis intervention workers, but was not absent after the intervention. Combined with an unexpected pattern of reported family balance in the months before FCI, this result challenges the 4-6 weeks time span assumption of a crisis period. Variations in perception of crisis, clients' need for help, and possible crisis patterns are discussed, addressing theoretical and practical implications for family crisis intervention.     

Family crisis intervention

Family crisis intervention is based on crisis theory and involves the use of individual crisis intervention techniques with one or more family members starting with the person who initiates the request for help. In addition, the relationship between the crises of the individuals involved is formulated and articulated, including the identification of distinct and common hazards and themes. The usual emphasis with children and young adolescents in crisis is on helping their parents to help them. The paper does, however, treat the issue of direct work with children. As in individual crisis intervention, the treatment contact is limited to six weeks, clients are self-selecting, and the goal is the most adaptive resolution of an immediate problem that is possible given the existing inner and outer resources of the family and its members. This implies that the resolution should not impair the functioning or well-being of any individual family member.     

After Cleveland: a crisis of confidence

SUMMARY. The article argues that social work is experiencing a crisis of confidence about child abuse. This lack of confidence is examined from various points of view; the social work skills needed to work with abused children and their families; the theoretical framework underpinning assessment and intervention; public confidence in social work; the legal processes; and departmental policy and practice. It suggests ways of overcoming the problems associated with the crisis of confidence including increased and better quality training, a more open approach to the community and an acceptance of professional independence     

A FAMILY SYSTEMS APPROACH TO CRISIS REACTIONS IN COLLEGE STUDENTS

This article presents a systemic orientation to the conceptualization and treatment of crisis reactions in college students. Crisis reactions are explained as an expression of and a "solution" to the dilemma of feeling the need to both achieve for, and remain overinvolved with, the family system. It is proposed that this dilemma occurs in the context of enmeshed systems in which unfulfilled aspirations from prior generations are transmitted to the student in crisis. Based on this conceptualization, a treatment approach that incorporates the use of strategic and structural interventions within a predominantly family of origin framework is provided.     

Kin Keeper

Abstract

Cancer mortality issues for African-American women are undeniably real. It is also apparent that to address the issue of this unequal burden, different intervention approaches are necessary. Employing a family systems approach for African-American women and their families holds benefits for both cancer prevention and cancer treatment. The Kin Keeper Modelis based on the premise that the natural ways African-American women communicate various health messages to females in their family can be used to influence their cancer prevention and screening behaviors. This paper reports empirical research that demonstrates significant familial influence on African-American women's cancer prevention screening behaviors. Findings indicated that family influence provides insight into the intersection of family altruism with cultural familial decision-making. In addition, the findings underscore the strong influence family has on African-American women's propensity to     

Mahler applied

Conclusion It is crucial to recognize that individuation is not a smooth or painless process. Indeed, some of the pressures on the individuating client as a member of a family come from his spouse and the family system. Marriage itself is a partial symbiosis out of which one or both members individuate, with the ideal being an optimal distance between them. The developmental approach to the family notes that there is a crisis in the life cycle whenever there is a passage from one stage to the next, i.e., birth of the first child, the last child beginning school, the last child leaving home. The adolescent's attempt to separate from his family is another well-known crisis situation, at times being expressed through schizophrenic breakdown in the family. The extreme on the continuum of resistance to individuation comes from the schizophrenic family, where individuation creates excessive anxiety, as differences among members upset the homeostatic balance. It is the task of the therapist to avoid being drawn into the family's symbiotic system, and instead to aid the client in achieving a higher level of differentiation.What is apparent in studying Mahler's work is the complexity of the entire process of becoming an individual. Working with clients who are striving for mastery in this area, and with those who fear it, is further dramatic proof that separate functioning demands great psychic investment as well as a significant amount of time. Mahler has provided clinicians with a valuable framework for intervention and guidelines for assessment of individual growth.     

Child abuse: An existential process

This paper discusses child abuse as an existential crisis. It describes exostential counseling as an approach to helping abusive parents to become more responsible and better able to cope with this particular crisis of their existence. Three types of crises are identified: developmental or maturational, acute, and chronic. each appears receptive to existential counseling within a framework of crisis intervention. Themes and the basic philosophy of existentialism are discussed. A case example provides an illustration of existential couseling in child abuse. Suffering is viewed as a dynamic concept within the framework of the existential psychotherapy of Victor Frankl, called Logotherapy, which is the primary one employed in this paper.     

Identifying the needs of parents with learning disabilities: A review

Despite the success of some programmes in raising the parental competency of parents who have learning disabilities, many services are still providing only minimal support to such families, often following crisis intervention. Recent legislative changes within the UK have meant that statutory services are now required to adopt a preventative approach to children and families in need. A review of the literature reveals that children of learning-disabled parents are particularly vulnerable to abuse/neglect and removal from their natural family. This article addresses the difficulties that many clinicians currently experience in the early identification of parents who have learning disabilities. It also emphasizes the need for a systematic approach in the assessment of these parents prior to the implementation of parental teaching programmes.     

‘I Just Don't Agree’: A Voice-Oriented Analysis of An IFPS Case of Alleged Child Maltreatment

In contrast to the many outcome studies of Intensive Family Preservation Services (IFPS), little is known about the underlying personal and relational dynamics of family crisis interventions. This article focuses on the core evolving dynamics of the changing self-presentations of a parent involved in an intensive home-based family preservation case of alleged child maltreatment. Three key family intervention sessions were videotaped and transcribed including both verbal and nonverbal behavior. The Listening Guide Method – a theoretically flexible, qualitative, relationally oriented method of in-depth interpretative analysis – served as our guide for this case analysis. In the processes of change toward a jointly constructed meaningful narrative on responsibility and self-care, two key elements emerged as playing a pivotal role: (1) the momentum of a potential referral of children to out-of-home care that precedes the start of an IFPS intervention and (2) the rhizomatic or root-like intertwinement of the voices of both parent and therapist with respect to the rationale for any involvement of society in the family. We argue that discourses on imminent placement in the context of family preservation deserve a genuine and valuable position in the initial discourse of a family therapist when entering a family in the context of crisis intervention. Both in understanding and driving any processes of change, we may need to reconsider our own willingness to step into the blending interplay of discourse and counter-discourse with our clients on the subject of our often drastic intervention. Consequently, we may read this narrative analysis as an invitation to reflect on the conceptualization of ‘client readiness’ in psychotherapy and to shift our thinking on preconditions for therapy from a client's readiness toward a therapist's attentiveness to listen.     

An Operational Framework for Working with Rural Families in Crisis*

This paper presents a variation of short term crisis treatment adapted to the specific needs of rural families in Northern New Hampshire. The life style and culture of the client population are seen through the eyes of a formerly “urban” therapist. The intent of the paper is to validate existing tenents of family crisis therapy with some slight modifications and emphases; suggesting that crisis intervention may well be the treatment of choice in a rural setting.