Life Space (Crisis) Intervention is an approach that can be used beyond just crisis situations. It originated from techniques like the Marginal Interview and Life Space Interview. The approach focuses on establishing trust between a child and adult and using reality-based discussions to help the child. Complex trauma can affect multiple domains of a child's functioning including attachment, affect regulation, dissociation, and self-concept. The Circle of Courage model focuses on building competence, usefulness, belonging, and independence. Therapeutic dialogue techniques aim to help clients feel safe and supported, accept responsibility, and learn new ways of behaving.

1. Life Space (Crisis) Intervention
NOT JUST FOR CRISIS ANYMORE
Mark Freado
Cal Farley’s and Reclaiming Youth International

3. Fritz Redl David Wineman
3-3

4. The Roots of LSCI
• The Marginal Interview
• The Life Space Interview
New Tools Salesmanship Massaging Numb Values
Reality Rub-In
Manipulation of Body Boundaries
Symptom Estrangement

6. Trust
between a
child and
adult is
Essential…
N. Hobbs, 1982

7. Time is an ally…
Life is to be lived
now…
N. Hobbs, 1982

8. 1952
DSM V Due for Publication in May 2013

9. Oppositional Defiant Disorder
Symptoms may include:
• Repeated, frequent temper outbursts
• Excessively arguing with adults
• Refusing to comply with requests and rules
• Swearing or using obscene language
• Saying mean and hateful things when upset
RED FLAG CRISIS

10. Conduct Disorder in Children or
Antisocial Personality Disorder
• Symptoms may include:
• Be able to act witty and charming; good at
flattery and manipulating other’s emotions
• Break the law repeatedly
• Disregard the safety of self and others
• Lie, steal, and fight often
• Not show guilt or remorse
• Often be angry or arrogant
Symptom Estrangement

11. DOMAINS OF FUNCTIONING AFFECTED BY
COMPLEX TRAUMA
• ATTACHMENT
• BIOLOGY|
• AFFECT REGULATION
• DISSOCIATION
• BEHAVIOURAL CONTROL
• COGNITION
• SELF-CONCEPT
• From: Cook et al., 2005, ‘Complex trauma in children and adolescents’, Psychiatric Annals, 35:5, pp. 390- 398.

12. THE CIRCLE OF COURAGE
3-1

13. Bruce Perry, MD, Ph.D.
Senior Fellow, The ChildTrauma Academy

14. THE BRAIN IS BUILT FOR
THREE TASKS
thinking
valuing
reacting

16. Nicholas Long
The Formula for Therapeutic Dialogue

17. The Formula for Dialogue to Help with
Recurring Patterns of Self-Defeating Behavior
We help them be settled and safe
We listen for support and understanding
We find out what is important to them
We help them accept responsibility and realize control and power
We teach them new ways
We help them move on