Strategies and techniques of providing crisis psychological assistance to adolescents depending on psychological state and personality characteristics

Abstract

The provision of effective assistance to minors in crisis situations is a complex task for specialists
 of different specialties. To define the patterns of providing crisis psychological assistance to adolescents with
 anti-vital experiences and self-injurious behavior depending on the stage of development of crisis states, 60 adolescents
 (24 boys and 36 girls, the average age was 15.7±6 years ) were examined by a therapist in medical and
 psychological services in Moscow. Analysis of the obtained data allowed to identify three groups of adolescents
 differing in personal characteristics, the peculiarities of response in a traumatic situation and structure of manifestations
 of suicidal markers, anti-vital and auto-aggressive trends: sensitive-schizoid/narcissistic (25%), emotionally
 unstable/borderline (45%), depressive/obsessive-compulsive (30%). Tree stages of development of crisis
 states are considered: acute, sub-acute and chronic. Depending on the actual stage of the crisis state the authors
 described the strategies of psychological intervention. The proposed structure of providing psychological assistance
 to minors in crisis situations allows to organize the structural and dynamic features of various stages of
 rendering psychiatric assistance, but also increases the likelihood of a favorable prognosis due to the unified efforts
 of different specialists