grandiose ideas.out becoming defensive, rationalizing behaviors, or expressing Client will verbalize personal responsibility for diffiexperienced in interpersonal relationships.Long-term GoalClient will demonstrate ability to interact with others with-Goals/ObjectivesShort-term GoalInterventions with 1. Recognize and support basic ego strengths. 3. Provide immediate, matter-of-fact, nonthreatening feed- 2. Encourage client to recognize and verbalize feelings of Disorders Usually First Diagnosed in Infancy, Childhood, or Adolescence back for unacceptable behaviors. this information in a nonthreatening manner may help to about how he or she is being perceived by others. Providing resolution.concept.positive aspects of the personality may help to improve self-eliminate these undesirable behaviors.inadequacy and need for acceptance from others and to recognize how these feelings provoke defensive behaviors, such as blaming others for own behaviors. the problem is the fi Selected Rationales rst step in the change process toward Client may lack knowledge Recognition of Focusing on culties ●^33
2506_Ch02_014-053.indd Sec1:33 2506 Ch 02 014 - 053 .indd 5. Provide immediate positive feedback for acceptable behav-^ 6. Help client set realistic, concrete goals and determine S4. Help client identify situations that provoke defensiveness^ 7. With client, evaluate the effectiveness of the new behaviors eCLINICAL PEARL they don’t like it, and they don’t want to be around you. Try to think how you would feel if someone said those things to you.”c 1 and practice through role-play more appropriate responses. to reassess and develop new strategies in the event that some new coping methods prove ineffective. limited problem-solving ability, assistance may be required and discuss any modifiself-esteem.Role-playing provides confiappropriate actions to meet those goals. repetition of desirable behaviors.ations when they actually occur.iors. : 33 Positive feedback enhances self-esteem and encourages Say to the client, “When you say those things to people, cations for improvement. dence to deal with diffiSuccess increases Because of cult situ- 1 10/1/10 9:33:21 AM 0 / 1 / 10 9 : 33 : 21 AM