client has not completed the assigned “How I Have Hurt Others” homework and was redirected to do so.14 Teach About Criminal Thinking (14)The client was taught that actions do not spontaneously occur but rather are preceded by a variety of decisions.The client was asked to review how their decisions are sometimes based in criminal thinking.The client was asked to list five times that antisocial behavior led to negative consequences and also to list the many decisions that were made along the way.The client was helped to see how many negative consequences are preceded by decisions based in criminal thinking.It was pointed out to the client that they justify their antisocial attitude as the way that they learned to live because of childhood or other socialization processes.
15 Teach About the Effects of Dishonesty (15)The client was asked to list the positive effects for others when they are honest and reliable.The client was taught that pain and disappointment result when honesty and reliability are not given the highest priority in one's life.The client was asked to identify situations in which they could be more honest and reliable.The client identified ways in which they are being more honest and reliable, and these were processed.The client was confronted for continuing to be dishonest and unreliable.
16 Connect Criminal Activity and Low Self-Esteem (16)The client was taught about how the emotional dynamics of criminal activity lead to feelings of low self-esteem.The client was asked to identify personal examples of how criminal activity has led to feelings of low self-esteem.The client displayed a clearer understanding of the connection between criminal activity and feelings of low self-esteem, and this insight was reinforced.The client had difficulty displaying an understanding of the connection between criminal activity and low self-esteem and was provided with additional information in this area.
17 Link Criminal Thinking to Antisocial Behavior and Addiction (17)The client was taught how criminal thinking (e.g., super-optimism, little empathy for others, power orientation, a sense of entitlement, self-centeredness) leads to antisocial behavior and addiction.Personal examples of how criminal thinking has led to antisocial behavior and addiction in the client's life were processed.The client denied engaging in criminal thinking leading to antisocial behavior and addiction and was provided with remedial feedback.
18 Identify How Blaming Results in Continued Mistakes (18)The client was asked to identify how blaming others results in a failure to learn from mistakes.The client was confronted with a pattern of behavior that demonstrates a failure to learn from mistakes.The client was asked to list incidents from the past that are examples of blaming others, resulting in a failure to learn from mistakes.The client was assigned “Taking Inventory of Destructive Behaviors” in the Addiction Treatment Homework Planner (Lenz, Finley, & Jongsma).Active listening was provided as the client displayed an understanding of how blaming others results in a failure to learn from mistakes and described situations in which the client was changing that pattern.The client was confronted for continuing to blame others for their own mistakes.
19 Explore Reasons for Blaming (19)The client's history was explored, with a focus on causes for the avoidance of accepting responsibility for behavior.The client's history of physical and emotional abuse was explored, and an association with denying responsibility for behavior was made.The client's early history of lying was explored as to causes and consequences.Parental modeling of projection of responsibility for their behavior was examined.
20 Confront Projection (20)The client was consistently confronted for failing to take responsibility for their own actions and for placing the blame onto others for them.The client was assigned “Letter of Apology” in the Adult Psychotherapy Homework Planner (Jongsma & Bruce).As the client's pattern of projecting blame onto others began to weaken, the client was reinforced for taking personal responsibility for their actions.The importance of taking responsibility for one's own behavior and the positive implications for this as a way to motivate change were reviewed.
21 Teach the Difference Between Antisocial and Prosocial Behaviors (21)The specific criteria for identifying antisocial behaviors and the opposite prosocial behaviors were brainstormed with the client.A commitment to practicing prosocial behaviors was developed.The client was assigned “Benefits of Helping Others” in the Addiction Treatment Homework Planner (Lenz, Finley, & Jongsma) or “Three Acts of Kindness” in the Adult Psychotherapy Homework Planner (Jongsma & Bruce).The client was assisted in developing a list of prosocial behaviors (e.g., helping others) to practice each day.The client was helped to identify several instances in which they have been practicing prosocial behaviors.The client was confronted for persisting in antisocial behaviors.
22 Confront Disrespect (22)The client was confronted consistently and firmly when exhibiting an attitude of disrespect for the rights and feelings of others.It was firmly and consistently emphasized to the client that others have a right to boundaries, privacy, and respect for their feelings and property.Thoughtful attitudes and beliefs about the welfare of others, as well as respect for others, were modeled for the client.
23 List Typical Antisocial Thoughts and Alternative Thoughts (23)The client was assisted in identifying their typical antisocial thoughts.Positive feedback was provided as the client listed typical antisocial thoughts, as well as alternative, respectful, trusting, empathic, and prosocial thoughts.The client identified success in using alternate, respectful, trusting, empathic thoughts to replace antisocial thoughts; this progress was highlighted.The client acknowledged an ongoing pattern of antisocial thoughts, and a lack of the use of alternate, more prosocial thoughts; additional alternatives were provided.
24 Teach Recovery Group Involvement (24)The client was taught about how active involvement in a recovery group is a way to build trust in and respect for others as well as to develop self-confidence.The client was provided with examples of how recovery groups provide emotional support, social relationships, and guidance, as well as relieve anxiety and reinforce self-worth.The client was assigned the Step 3 exercise in The Alcoholism and Drug Abuse Client Workbook (Perkinson).The client was referred to an appropriate recovery group.The client's involvement in an active recovery group was reinforced.The client acknowledged that they had not followed through with involvement in the recovery group and was redirected to do so.The client has not completed the assigned Step 3 homework and was redirected to do so.
25 Confront Rule Breaking (25)The client was firmly and consistently confronted when they broke the rules, blamed others, or made excuses.As the client's pattern of breaking rules, blaming others, or making excuses weakened, the client was reinforced for taking personal responsibility for their own behavior.The client maintained a pattern of breaking rules, blaming others, and making excuses and was redirected in this area.
26 Address Legal Problems (26)The client was supported, encouraged, and reinforced in addressing legal problems that have resulted from irresponsible behavior.The client was assigned “Accept Responsibility for Illegal Behavior” in the Adult Psychotherapy Homework Planner (Jongsma & Bruce) or “What's Addiction Got to Do with My Problems” in the Addiction Treatment Homework Planner (Lenz, Finley, & Jongsma).It was reflected that the client has taken increased responsibility in addressing legal problems honestly and directly.The client was confronted for continuing an inappropriate pattern of trying to escape the legal effects of their behavior.
27 Teach About Helping Others via Recovery Groups (27)The client was taught how helping others at recovery groups can increase empathy and build mutual trust and respect.The client reported attending a recovery group, situations in which they have been able to help others, and the positive effects they have had; these were reviewed.The client acknowledged a lack of recovery group attendance and failure to help others and was redirected to do so.
28 Practice Encouraging Others (28)Modeling, role-playing, and behavior rehearsal were used to practice with the client how to encourage others in recovery.The client was assigned “Benefits of Helping Others” in the Addiction Treatment Homework Planner (Lenz, Finley, & Jongsma).The client's positive experiences with encouraging others in recovery were reviewed.The client acknowledged that they had not used techniques to encourage
