Geliþimsel ve Durumsal Krize Müdahale: Bir Olgu Sunumu

Kriz, çeþitli duygusal zorlanmalar sonunda meydana gelen akut ve süresi sýnýrlý bir denge bozukluðudur. Bireyin yaþam süresi boyunca meydana gelen beklenen yaþam olaylarý geliþimsel krizleri, bireyin biyolojik, psikolojik, sosyal bütünlüðünü tehdit eden olaylar durumsal krizleri ortaya çýkarmaktadýr. Konsültasyon Liyezon Psikiyatrisi’nde de özellikle Kadýn Doðum ve Hastalýklarý Anabilim Dalý ile iþbirliðinde her iki krizi yaþayan hastalarla karþýlaþýlmaktadýr. Böyle bir olgu olan kadýn hasta DS, 30 yaþýnda, 9 haftalýk IVF tedavisi sonrasý ektopik gebelik geliþmesi nedeniyle, yoðun ilaç ve cerrahi müdahalelerle abortus saðlanmaya çalýþýlan, 34 gündür klinikte yatýþý devam eden, sol overini kaybetme riski yüksek bir hastadýr. Ayrýca yakýn dönem iþ kaybý, aile ve eþ iliþkilerinin bozulmasý, suisid giriþimiyle abla kaybý, sað over kaybý, çocukluk, ergenlik döneminde yaþanan travmalar, ilk evliliðinde þiddet deneyimi, intihar giriþimi ve boþanmasý gibi durumsal krizleri de mevcuttur. Bu yazýda olgu DS’nin krize müdahale süreci anlatýlmýþtýr.

Anahtar kelimeler: Kriz, Konsültasyon Liyezon Psikiyatrisi, KLP Hemþiresi, Olgu

Developmental and Situational Crisis Intervention: Case Study

Crisis is an acute and short-term upset of the individual’s equilibrium as a result of various sources of emotional stres. Life-events that are expected to occur during the individual’s life cycle constitute developmental crises while situational crises emerge out of events that threaten an individual’s biological, psychological or social integrity. Patients who suffer from both types of crises are frequently encountered in Consultation-Liaison Psychiatry, especially when in collaboration with the Obstetrics and Gynecology Department. DS, a 30-old-female patient, developed an ectopic pregnancy after nine weeks of IVF treatment and was admitted to the hospital’s inpatient unit for 34 days while efforts terminate the pregnancy with intensive drug and surgical interventions continued. The patient is at high risk of losing her left ovary. She is also suffering from a series of situational crises including recent loss-of-employment, deterioration of family and spousal ties, her sister’s death following suicide, loss of the right ovary, trauma experienced during childhood and adolescence, a history of violence during her first marriage, a suicide attempt and her divorce. This paper describes the crisis intervention process for DS.