Abstract
A model of Primary Prevention is presented, based upon recent developments in the author's explorations, and upon the animal and human stress research literature. The main elements involve the multifactorial reverberation over time among past biopsychosocial hazards, individual competence, crisis reactions to current stress, and psychosocial supports. Methods of preventive intervention are described in detail. These include crisis methods: anticipatory guidance and preventive intervention; and support systems methods: providing and orchestrating professional support, convening a support group for a target individual, organizing a mutual-help couple, recruiting a panel of natural helpers, fostering development of mutual-help organizations, and supporting the supporters.
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References
Bardow, S., and Porritt, D. (1979). An experimental evaluation of crisis intervention.Social Science in Medicine, 13A 251–256.
Caplan, G. (1954). The mental hygiene role of the nurse in maternal and child care.Nursing Outlook, 2 14–19.
Caplan, G. (1955). The role of the social worker in preventive psychiatry.Medical Social Work,4 144–160.
Caplan, G. (1956).Mental Health Aspects of Social Work in Public Health. Berkeley: University of California Press.
Caplan, G. (1959). Practical steps for the family physician in the prevention of emotional disorder.Journal of the American Medical Association, 170 1497–1506.
Caplan, G. (1961).An Approach to Community Mental Health. New York: Grune and Stratton.
Caplan, G. (1964).Principles of Preventive Psychiatry. New York: Basic Books.
Caplan, G. (1970).Theory and Practice of Mental Health Consultation. New York: Basic Books.
Caplan, G. (1974).Support Systems and Community Mental Health. New York: Behavioral Publications.
Caplan, G. (1981). Mastery of stress: Psychosocial aspects.American Journal of Psychiatry, 138(4, 413–420.
Caplan, G., and Killilea, M. (Eds.) (1976).Support Systems and Mental Health. New York: Grune and Stratton.
Cassel, J.C. (1974a). Psychiatric epidemiology. In G. Caplan (Ed.),American Handbook of Psychiatry, Vol.2 (pp. 402–410). New York: Basic Books.
Cassel, J.C. (1974b). Psychosocial processes and “stress”: Theoretical formulations.International Journal of Health Services, 4 471–482.
Cassel, J.C. (1976). The contribution of the social environment to host resistance.American Journal of Epidemiology, 104 107–123.
Cobb, S. (1976). Social support as a moderator of stress.Psychosomatic Medicine, 38 300–314.
Egbert, I.D., Battit, G.E. and Welch, C.E. (1964). Reduction of postoperative pain by encouragement and instruction of patients.New England Journal of Medicine, 270 825–827.
Eliot, T.D. (1930). The adjustive behavior of bereaved families: A new field for research.Social Forces, 3 543–549.
Henderson, S. (1981). Social relationships, adversity and neurosis: An analysis of prospective observations.British Journal of Psychiatry, 138 391–398.
Langer, E.J., Janis, I.L. and Wolfer, J.A. (1975). Reduction of psychological stress in surgical patients.Journal of Experimental Social Psychology, 11 155–165.
Lindemann, E. (1944). The symptomatology and management of acute grief.American Journal of Psychiatry, 101 141–148.
Mitchell, R.E., Billings, A.G., and Moos, R.H. (1982). Social support and well-being: Implications for prevention programs.Journal of Primary Prevention, 3 77–99.
Skipper, J.K., and Leonard, R.C. (1968). Children, stress, and hospitalization: A field experiment.Journal of Health and Social Behavior, 9 275–287.
Tadmor, C.S., and Brandes, J.M. (1984). The perceived personal control crisis intervention model in the prevention of emotional dysfunction for a high risk population of caesarean birth.Journal of Primary Prevention, 4 240–251.
Zohar, J., Meiraz, D., Maoz, B., and Durst, N. (1976). Factors influencing sexual activity after prostatectomy: A prospective study.Journal of Urology, 116 332–334.
Additional information
This article is based on a chapter by Gerald Caplan inA Decade of Progress in Primary Prevention (1986), Marc Kessler and Stephen E. Goldston (Eds.).
The research on which this article is based was supported by a grant from the Israel Cancer Association and by grants from the Shainberg Fellowship Funds of New York, which are gratefully acknowledged. The preventive work with children and their parents was conducted by the staff of the Hadassah Department of Child and Adolescent Psychiatry in collaboration with Professor Zvi Fuks, Professor Shoshanna Biran, and their colleagues of the Hadassah Department of Radiation and Clinical Oncology, and with Professor Israel Tamir and his colleagues of the Hadassah Department of Pediatrics, Ein Kerem, Israel.
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Caplan, G. Recent developments in crisis intervention and the promotion of support service. J Primary Prevent 10, 3–25 (1989). https://doi.org/10.1007/BF01324646
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DOI: https://doi.org/10.1007/BF01324646