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date: 09 December 2019

Abstract and Keywords

When under time or procedure pressure, people change their decision-making strategies. They may accelerate information processing and filter the information they will process. In this chapter, the author presents several models for decision making under pressure and compares them to more traditional models. The naturalistic decision-making models are proposed as more appropriate for decision making when working with high-risk patients under emergency conditions. Given that it is often stressful for clinicians to evaluate and manage patients or clients who are considered at acute risk to themselves or others, the author presents a model for training to reduce stress that is based on Meichenbaum’s stress inoculation training. The chapter concludes with a discussion of the training for skill development and competence in dealing with behavioral emergencies that is consistent with the recommendations of the APA Task Force on the Assessment of Competence in Professional Psychology.

Keywords: decision making, decision making under stress, naturalistic decision-making models, behavioral emergencies, stress training, skill development with behavioral emergencies, competence with behavioral emergencies

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