Degree Date

7-2024

Document Type

Dissertation - Public Access

Degree Name

Psy.D. Doctor of Clinical Psychology

Academic Discipline

Psychology

First Advisor

Margaret Warner, Ph.D

Second Advisor

Emese Vitalis, Ph.D

Third Advisor

Nicholas Lattanzio, PsyD

Abstract

This study explored inpatient staff’s perspective of verbal de-escalation within a high acuity population as well as the factors that make either a positive or negative impact on the effectiveness of verbal de-escalation as used in high acuity impatient settings. This phenomenological study used semi-structured interviews of 5 participants working in this setting. Participants were recruited through snowball sampling, and interviews were conducted via zoom. This study found that participants unanimously agreed that the training they received regarding verbal de-escalation was not sufficient and that employment of certain personality traits and behaviors were more effective than using only the methods of verbal de-escalation they were taught. Participants reported that providing choices for patients, expressing empathy, using humor, validating patient experiences, being self-aware, and avoiding directives were among the many useful skills that have been effective in their experiences of verbally de-escalating patients in crisis. Information gathered from this study suggests that alongside the training provided, making positive human connections with patients plays a vital role in whether verbal de-escalation will be successful.

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