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 others in recovery and was redirected to do so.
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