Defiof social exchange [Symptoms of severe anxiety]Defi[Reluctance to be away from attachment fiPossible Etiologies (“related to”)[Verbalized or observed] inability to receive or communicate [Verbalized or observed] discomfort in social situationsOutcome Criteria 1. Client and family verbalize the correlation between separa-● 2. Client verbalizes the correlation between unmet self- 3. Client responds to stressful situations without exhibiting^52 a satisfying sense of belonging, caring, interest, or shared^ expectations and somatic symptoms.IMPAIRED SOCIAL INTERACTIONfeels overwhelming. Practice through role-play. tion anxiety and somatic symptoms.cilitates the use of the desired behavior when individual is actually faced with the stressful situation.physical symptoms. nition: ning Characteristics (“evidenced by”)●^ ALTERATIONS IN PSYCHOSOCIAL ADAPTATION Insuffi cient or excessive quantity or ineffective quality gure]^ Practice fa-
2 2506_Ch02_014-053.indd Sec1:52 506 Ch 02 014 - 053 .indInterventions with Goals/ObjectivesShort-term Goal 1. Develop a trusting relationship with client. Client will spend time with staff or other support person, with-Dysfunctional interaction with others 2. Attend groups with child and support efforts to interact [Observed] use of unsuccessful social interaction behaviorsLong-term Goalout presence of attachment fiof attachment fiClient will be able to spend time with others (without presence d historySfeedback encourages repetition.individual provides security during times of distress. Positive step in helping client learn to interact with others.with others. Give positive feedback. ec 1 : 52 gure) without excessive anxiety. Selected Rationales gure, without excessive anxiety.Presence of a trusted This is the fi rst 1 10/1/10 9:33:27 AM 0 / 1 / 10 9 : 33 : 27 AM
