As the clinician and Bob worked through the severity of his behavioral and cognitive reactions both decreased to severity rating of 5, yet Bob’s affective reaction remained stable at 7. This rating did not surprise the clinician because the intervention did not directly address his affect. Also given the experience of Bob’s spouse’s becoming ill and dying within a week, Bob’s affective reaction was likely to remain elevated for a longer period, but how long was difficult to determine. However, because he had activated a support system in the form of Bob’s extended family and provided him with a plan to verify his financial status, the clinician believed that Bob would be able to resolve his crisis.
On reflection, the clinician learned the importance of understanding a crisis from the client’s perspective. This point is critical for provision of effective and efficient interven- tions. Too often we have supervised clinicians who were confused and wondered why clients did not respond to their intervention. We frequently discover that the clinician has failed to appreciate the client’s perspective. The clinician has either made an assumption about the nature of the crisis or imposed his or her perspective on the situation. Fortu- nately, in this case illustration, the clinician was able to recover from the faulty assump- tion and provide guidance to Bob.
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