Forgiveness (49)The client was assisted in identifying whom they need to forgive.The client was educated as to the long-term process that is involved in forgiveness versus it being a magical, single event.The client was encouraged to read Forgive and Forget (Smedes) to learn more about the process of forgiveness.The client identified a list of individuals whom they need to forgive.The client was reluctant to emphasize forgiveness and was provided with additional support in this area.50 Turn Perpetrators Over to the Higher Power (50)The client was taught about the 12-step recovery program concept of a higher power.The client was taught about the choice to turn the perpetrators of pain over to a higher power for judgment.The client indicated understanding of the concept of a higher power and using the higher power for judgment of perpetrators of pain; this insight was processed.The client rejected the idea of a higher power as a way to provide judgment for perpetrators of pain and was urged to consider this further.
51 Focus on Exercise Program (51)The client was taught the importance of regular exercise in improving anger control and reducing addictive behavior.The client was referred for assistance in developing an individually tailored exercise program that is approved by their personal physician.The client was reinforced while accepting the need for regular exercise and has developed a program of implementation.The client reported implementing an exercise program, and level of relaxation was reviewed.The client has resisted implementation of an exercise regimen and was redirected to do so.
52 Teach the Importance of a 12-Step Recovery Program (52)The client was taught the importance of actively attending a 12-step recovery program, getting a sponsor, reinforcing people around them, and sharing feelings.The client has verbalized an acceptance of the need for a 12-step recovery program, getting a sponsor, reinforcing people around them, and sharing feelings; this progress was reinforced.The client was resistive to acceptance of a 12-step recovery program, and additional examples of how helpful this can be were provided.
53 Develop 5-Year Plan (53)The client was asked to set goals for recovery from anger traits at 6 months, 12 months, and 5 years.The identification of specific steps toward recovery was emphasized.The client was assigned the Personal Recovery Plan exercise in The Alcoholism and Drug Abuse Client Workbook (Perkinson).The client was unable to set goals for recovery and roadblocks were assessed and managed.
54 Assess Satisfaction (54)A treatment satisfaction survey was administered to the client.The client's survey responses indicated a high level of satisfaction with treatment services; these results were processed.The client's survey responses indicated a medium level of satisfaction with treatment services; these results were processed.The client's survey responses indicated a low level of satisfaction with treatment services; these results were processed.Although the client was encouraged to complete a treatment satisfaction survey, it was refused.
NOTES
1 * The numbers in parentheses correlate to the number of the Behavioral Definition statement in the companion chapter with the same title in The Addiction Treatment Planner, Sixth Edition, by Perkinson, Jongsma, & Bruce (Wiley, 2022).
2 * The numbers in parentheses correlate to the number of the Therapeutic Intervention statement in the companion chapter with the same title in The Addiction Treatment Planner, Sixth Edition, by Perkinson, Jongsma, & Bruce (Wiley, 2022).
ANTISOCIAL BEHAVIOR
CLIENT PRESENTATION
1 Rule-Breaking History (1)*The client confirmed that their history of rule breaking, lying, physical aggression, and/or disrespect for others and the law is associated with the use of drugs and/or alcohol.The client reported frequent incarcerations due to illegal activities and drug/alcohol violations.The client acknowledged that substance abuse has paralleled their antisocial behavior.The client has demonstrated and verbalized more respect for the rules of society and the needs of others.
2 Disregard for Others' Rights (2)The client displayed little concern for the rights of others in their pattern of behavior.The client has often demonstrated a pattern of violating the rights of others in order to meet needs.The client verbalized an understanding of how their actions have negatively affected others.The client has demonstrated increased empathy and sensitivity to the rights of others.
3 Substance Use (3)The client's use of substances exacerbates antisocial behavior patterns such as criminal activity, aggression and intimidation, thrill seeking, impulsivity, and self-centeredness.The client has no interest in reducing the substance use that exacerbates antisocial behavior patterns.The client identified an interest in reducing substance use to help reduce antisocial behavior patterns.The client has significantly reduced or eliminated substance use.
4 Blaming Others (4)The client refused to take responsibility for their own behavior and decisions; instead, the client pointed to the behavior of others or to substance abuse as the cause for their actions.The client's interpersonal conflicts were blamed on others or on substance abuse, without the client taking any responsibility for the problems.The client is beginning to accept personal responsibility for their own behavior and makes fewer statements projecting responsibility onto others for their actions.
5 Aggressive Behavior to Control Others (5)The client described a series of incidents in which they have become aggressive in order to manipulate, intimidate, or control others.The client blamed substance abuse for aggressive/destructive behaviors.The client has acknowledged the need to control aggressive, manipulative, and intimidating behaviors.The client has recently demonstrated good self-control and has not engaged in any aggressive, intimidating, or controlling behaviors.
6 Dishonesty (6)The client reported a pattern of lying to cover up responsibility for actions or substance abuse, with little shame or anxiety attached to this pattern of lying.The client seemed to be lying during the session.The client acknowledged that their dishonesty produced conflicts within relationships and distrust from others.The client has committed to being more honest in interpersonal relationships.
7 Hedonistic Lifestyle (7)The client described a pattern of hedonistic, self-centered behaviors that reflect little regard for their negative effects on others.The client was able to identify how their lifestyle is hedonistic and self-centered.The client was able to identify how their lifestyle has displayed little regard for any values beyond seeking to feel good.The client has displayed a pattern of acting with greater regard for the needs and welfare of others.
8 Lack of Empathy (8)The client described patterns of aggression and disrespect for others and displayed no remorse or empathy for how this behavior affects others.The client projected blame for hurtful behavior onto others or onto substance abuse, saying that they had no alternative.The client has begun to develop some empathy for the feelings of others but only for those who are close to them (i.e., friends and family).The client has reported feelings of empathy both for those who are close to them and to others.
9 Adolescent Criminal Activity (9)The client confirmed that their history of criminal activity and addiction began in adolescence.The client reported that they were often involved with juvenile justice officials or incarcerated within the juvenile justice system for illegal activities and substance abuse.The client acknowledged that substance abuse paralleled their antisocial behavior and dates back to adolescence.
10 Recklessness/Thrill Seeking (10)The client reported having engaged in reckless, adventure-seeking behavior and substance abuse, reflecting a high need for excitement, having fun, and living “on the edge.”The client described a series of reckless actions, often while under the influence of substances,
