Safe Haven

SAFE HAVEN – Table of Contents

In Gratitude for Expert Critique

Introduction

A Note on Terminology

Preface

Section I

1 Communication with Concrete Thinkers

2 High Functioning Autism

3 Information Processing and Retention

4 Coping with Stubborn Refusals

5 Coping with Repetitive Demands, Questions, and Obsessions

6 The Need for Reassurance

7 Dealing with Individuals with Pronounced Mood Swings

8 Moving Past the Past

9 Coping with Lack of Motivation

10 Useful Tactics for Dealing with Symptoms of Paranoia and Persecution

Section II

11 Borderline Personality Disorder and Splitting

12 Recognizing the Strategies of Opportunistic and Manipulative Family Members

13 The Danger of Psychopathic Individuals in a Hospital Setting

Section III

14 Dealing with the Symptoms of Disorganization

15 Dropping Stones in a Well: Latency

16 Withdrawal from Intoxicating Substances

17 Psychosis

18 Communication with Someone Who is Experiencing Delusions or Hallucinations

19 Tactics for Dealing with Symptoms of Mania

20 Communication and De-escalation with Elderly Patients

Section IV

21 Introduction to Centering

22 “I’ve Got All the Time I Need”

23 It’s Not Personal Unless You Make It So

24 Circular Breathing

25 The Intoxication and Joy of Righteous Anger

26 The Training of Intuition

27 A Fair Witness

Section V

28 Assessment and Intervention with Suicidal Patients

29 The Essential Questions to Ask the Possibly Suicidal Person

30 The Art of Communication with the Suicidal Person

31 Suicide as Self-Murder: A Taxonomy

32 Self-mutilation

33 Identifying and Helping Parasuicidal Individuals

Section VI

34 The Nature of Aggression

35 Why Would Someone Become Aggressive?

36 Risk Assessment

37 What Does Escalation Look Like?

Section VII

38 Core Principles of Intervention with Angry People

39 Physical Organization in the Face of Aggression

40 The Tone and Quality of Your Voice

41 Preemptive De-escalation

42 Across the Spectrum of Anger

43 Essential Strategies for De-escalating Anger

44 Paraphrasing

45 Guidelines on Limit Setting

46 What Doesn’t Work

47 Enforcing Limits

Section VIII

48 Communication with Potentially Aggressive Youth

49 A Consideration of the Impulsive Child

50 Conduct Disorder

51 Explosive Kids

52 Opposition-Defiant Kids

53 PTSD in Young People

54 Pseudo–Nihilism

55 Therapeutic Communication with Abused Children and Teens

Section IX

56 Preface to Rage

57 Chaotic Rage

58 Terrified Rage

59 Hot Rage

60 Predatory or Cool Rage

61 De-escalation of Developmentally Disabled Individuals: Special Considerations

62 When Facing Violence

63 A Show-of-support

64 The Aftermath: What to Do Now?

Section X

65 Establishing a Culture of Safety

66 Good Policy, Good Practice

67 Safety and New Employees

68 Monitoring Medication

69 Conclusion

Appendix I Case Plan for Patient Who Made Serious Repeated Parasuicidal Attempts

Appendix II Frequent Precipitants of Violence in Inpatient Agencies

Appendix III The Question of Safety in the Emergency Room

Appendix IV Managing Threats to Your Family

Appendix V The Question of Positional and Compression Asphyxia