从表面上看，危机咨询和心理治疗是如此相似，唯一的区别就是它们发生的环境和环境。很容易看出这个结论是如何得出的。当我们透过未经训练或不熟悉在危机咨询或心理治疗中使用的治疗技术的人的镜头来看时，尤其如此。它们的核心都是采用旨在帮助人们应对创伤的策略和方法。然而，当我们更深入地研究和关注每种方法的定义以及每种方法所使用的策略和技术时，两者之间的差异就会变得更加明显。Hoff, Hallisey and Hoff(2009)提出，虽然危机护理与心理治疗不是同义词，但它确实采用了一些类似的技术，如倾听和宣泄(p 22)。两者之间的一个重要区别是目标和结果是不一样的。心理治疗可以被定义为“一种旨在改变一个人的感觉、思想和行为模式的帮助过程”。(霍夫，哈利西，&霍夫，2009，第498页)。心理治疗是由受过训练和有执照的心理健康专业人员提供的，通常是长期的。在心理治疗中有许多不同的治疗方式，其中一种取决于个人寻求治疗的原因。相比之下，危机咨询不需要咨询师有任何正式的培训或认证，通常由急救人员、神职人员、医务人员和其他与处于危机中的个人有接触的人进行。Hoff, Hallisey and Hoff(2009)将个人的危机定义为“一种严重的情绪不安状态，在这种状态中，一个人通常的解决问题的能力失败了”，进一步解释说，这种失败是对创伤事件的反应，比如;失去心爱的人，离婚，事故或受害(霍夫，哈里西，&霍夫，2009年，第495页)。与心理治疗不同的是，危机咨询是短期的，侧重于个人可以用来解决危机的问题解决策略。该战略的主要部分是评估个人并协助他们确定解决危机的计划。
On the surface it may at first appear that crisis counseling and psychotherapy are so similar that the only distinctions are the setting and circumstance in which they occur. It is easy to see how that conclusion might be reached. This is especially true when we look through the lens of someone who is untrained or unfamiliar with the therapeutic techniques that are used in crisis counseling or psychotherapy. At the core they both employ strategies and methods designed to assist people dealing with a trauma. However, as we look deeper and focus on how each is defined and the strategies and techniques that each uses, the differences between the two become more apparent. Hoff, Hallisey and Hoff (2009) suggest that although crisis care is not synonymous with psychotherapy it does employ some similar techniques such as, listening and catharsis (p 22). An important distinction between the two is that the goals and outcomes are not the same. Psychotherapy can be defined as “A helping process directed toward changing a person’s feelings and patterns of thought and behavior.” (Hoff, Hallisey, & Hoff, 2009, p. 498). Psychotherapy is provided by trained and licensed mental health professionals and is usually long term in nature. There are many different treatment modalities that are used in psychotherapy, the one that is used will be determined by the reason the individual is seeking therapy. By contrast crisis counseling does not require the counselor have any formal training or certification and is often performed by first responders, clergy, medical staff and others who come in contact with the individual in crisis. A crisis for an individual is defined by Hoff, Hallisey and Hoff (2009) as “a state of acute emotional upset in which one’s usual problem-solving ability fails”, it further goes on to explain that this failure occurs as a response to a traumatic event, such as; loss of a loved one, divorce, accident or victimization (Hoff, Hallisey, & Hoff, 2009, p. 495). Unlike psychotherapy, crisis counseling is short term in nature and focuses on problem solving strategies the individual can use to resolve the crisis. A major part of the strategy is assessing the individual and assisting them with identifying a plan to resolve the crisis.
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