style="font-size:15px;"> 29 List the Value of Trust in Others (29)The client was asked to list the benefits of trusting others and how these are important basic elements for any human relationship.The client was taught the absolute necessity of trust in others as an example of the different forms of relationships that are based in trust and honesty.The client was asked to list the positive effects for others when the client is trusting in others.The client rejected the concept of positive benefits of trusting others and has not focused in this area; the client was redirected to do so.30 Identify Prosocial Replacement Behaviors (30)The client was assisted in identifying the benefits sought from their addictive behavior (i.e., affiliation with others or emotional balance).The client was reinforced that the goals that they were pursuing with addictive behavior were natural goals but were being met in unhealthy and counterproductive ways.The client was assisted in developing alternative ways to meet goals.The client was assigned the exercise “Alternatives to Addictive Behavior” from the Addiction Treatment Homework Planner (Lenz, Finley, & Jongsma).
31 Confront Denial of Responsibility (31)The client was firmly and consistently confronted when attempting to deny responsibility for self-centered and impulsive behaviors.The client was directed to identify how their behavior discouraged others from placing trust in them.Positive reinforcement was provided as the client reported an understanding of how denial of responsibility has invoked the lack of trust from others.The client was assigned “Letter of Apology” from the Adult Psychotherapy Homework Planner (Jongsma & Bruce).It was noted that the client has made a commitment to accept responsibility for their own behavior, in order to increase others' trust in them.The client denied having any irresponsible, self-centered, or impulsive behaviors and was urged to monitor this dynamic.The client has not completed the assigned “Letter of Apology” homework and was redirected to do so.
32 Emphasize Keeping Commitments (32)The importance of keeping commitments and promises to others and finding ways to prove oneself as trustworthy in relationships were discussed with the client.The client was assisted in endorsing several ways in which they have attempted to prove trustworthy in relationships.The client reported a significant increase in keeping commitments, as well as other ways of proving trustworthy in relationships; this progress was highlighted.The client acknowledged an ongoing pattern of failure in keeping commitments and a continuing lack of trustworthiness in relationships; the client was urged to make some commitments in this area.
33 Establish Sponsor Relationship (33)The client was introduced to a 12-step recovery group sponsor.The client was encouraged to ask a stable person in recovery to be their sponsor.The client was taught about the many ways in which a sponsor can be helpful in recovery.The client has not asked someone to be their sponsor and was redirected to do so.
34 Develop an Aftercare Plan (34)The client was assisted in developing an aftercare plan, including regular attendance at Alcoholics Anonymous/Narcotics Anonymous (AA/NA) meetings, which will support recovery from antisocial issues.The client was assisted in listing several components of an aftercare plan that will support their sobriety (e.g., self-help groups and a sponsor, family activities, counseling with a specific psychotherapist).The client was assigned “Aftercare Plan Components” in the Adult Psychotherapy Homework Planner (Jongsma & Bruce) or “Taking Daily Inventory” from the Addiction Treatment Homework Planner (Lenz, Finley, & Jongsma).The client was reinforced while describing active pursuit of the elements of the aftercare plan.The client has not followed through on the aftercare plan and was redirected to do so.The client has not completed the assigned “Taking Daily Inventory” homework and was redirected to do so.
35 Teach the Family About Criminal Thinking (35)Family members were taught about criminal thinking, and the client was assisted in identifying how this occurs for them.The client and family members were assigned “Crooked Thinking Leads to Crooked Behavior” in the Adult Psychotherapy Homework Planner (Jongsma & Bruce).Family members reported an understanding of what they were taught about how criminal thinking occurs for the client.Family members were taught about how to correct the client's inaccurate thoughts.Family members were reinforced for a willingness to confront and correct the client's inaccurate thoughts.
36 Encourage Family Recovery (36)The client's family members were encouraged to each work out their own program of recovery.The client's family members were encouraged as they reported an ongoing pattern of using their own program of recovery.Family members were taught the need to overcome the denial of and making excuses for the client's antisocial behavior.As the client has improved, the family has identified a decrease in reinforcing or being intimidated by the client's antisocial behavior; this progress was celebrated.The client reported that family members are not working out their own program of recovery, and they were confronted about this.Family members reported a continuing pattern of reinforcing and of being intimidated by the client's antisocial behavior, and additional interventions were brainstormed.
37 Teach Conflict Resolution Techniques (37)Family members were taught conflict resolution techniques through behavior rehearsal, modeling, and role-playing within the session.The client was assigned “Applying Problem Solving to Interpersonal Conflict” in the Adult Psychotherapy Homework Planner (Jongsma & Bruce).Family members were reinforced as they reported implementation of the conflict resolution techniques to settle issues reasonably between family members.Family members have not used conflict resolution techniques, and they were redirected to do so.
38 Direct Family Members to List Support for Recovery (38)Family members were assisted in identifying ways in which they could be supportive of the client's sobriety.The client reported family members assisting significantly in encouragement and other techniques to help recovery from antisocial behavior and addiction; this help was reinforced.The client's significant others were strongly encouraged to attend Al-Anon meetings on a regular basis to help support the client's recovery.
39 Develop 5-Year Plan (39)The client was asked to set goals for recovery from antisocial behavior 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 has outlined a recovery plan that includes concepts learned in treatment.The client was unable to set goals for recovery and roadblocks were assessed and managed.
40 Assess Satisfaction (40)A client satisfaction survey was administered.The client displayed a high level of satisfaction, which was reviewed with the client.The client displayed a medium level of satisfaction with services, which was reviewed with the client.The client displayed a low level of satisfaction with treatment, and the reasons for this were processed.The client declined to take the satisfaction survey and was redirected to do so.
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).
ANXIETY
CLIENT PRESENTATION
1 Excessive Worry (1)*The client described symptoms of unrealistic preoccupations with worry that something dire will happen.The client showed some recognition that excessive worry is beyond the scope of rationality but feels unable to control it.The worry symptoms
