D. The service member has shown increased adjustment since his/her acceptance of the need for authority and chain of command, and this was reinforced. The service member continues to resist the need for authority and chain of command and was provided with additional feedback. Explore History of Resistance to Authority A. The service member’s civilian patterns of resistance to authority were reviewed. Distinctions were drawn between the resistance to authority within civilian life and the need for authority and chain of command within the military setting. The service member was encouraged to develop new reactions to authority within the military setting.
As treatment has progressed, the service member has now appropriately adjusted to the changes resulting from returning from deployment. Overwhelmed with Responsibilities A. The service member reports feeling overwhelmed with family, social, and occupational responsibilities. The service member has had difficulty adjusting to his/her prior responsibilities.
The veteran/service member has read the assigned material on shame, and key points were discussed. The veteran/service member has not read the assigned material on shame and was redirected to do so. Not a Productive Team Member The service member has been noted to fail as productive unit team member.
The veteran/service member has not attended the chronic pain support group and was reminded to do so. Encourage Medical Separation Appointments A. The service member was encouraged to attend all medical separation appointments. The service member was reinforced for his/her attendance at all medical separation appointments.
The service member is so Collarspace singles chat focused that he/she is unable to carry on the responsibilities of day-to-day living. The service member has learned management techniques and has become less preoccupied with the chronic pain problem. Illogical Thought/Speech The veteran’s/service member’s speech and thought patterns are incoherent and illogical.
Single And Sober
Identify Personal Responsibility A. Each partner was asked to turn to the other and identify his or her own personal contributions to the downfall of the relationship. Each partner was asked to turn to the other and express personal attempts to make the relationship work. Each partner was reinforced for taking significant responsibility for the relationship.
You Are Not Healthy Yet
The service member denied any role for direct or indirect gender bias in regard to the blame for the sexual assault. Assign Letter to Perpetrator A. The service member was assigned to write a letter to the perpetrator that expressed his/her feelings about the abuse. The service member was assigned “A Blaming Letter and a Forgiving Letter to Perpetrator” in the Adult Psychotherapy Homework Planner, 2nd edition .
Be Honest with Potential Partners
The service member was defensive about identifying stressors and was urged to do so as he/she is able. The service member was assigned “Applying Problem-Solving to Interpersonal Conflict” in the Adult Psychotherapy Homework Planner, 2nd ed. The service member was reinforced as he/she verbalized an understanding of the problemsolving skill techniques. Role-playing was used to help the service member apply problem-solving techniques to daily problems in his/her life. The service member has not internalized the problem-solving skills and was provided with remedial assistance in this area.
The veteran/service member has not attended group therapy sessions and was redirected to do so. Monitor Ongoing Suicide Potential A. The veteran/service member was asked to report any suicidal urges or increase in the strength of these urges. The veteran/service member stated that suicidal urges are diminishing and that they are under his/her control; he/she was praised for this progress.
The veteran’s/service member’s low self-esteem was evident within the session as he/she made many self-disparaging remarks and maintained very little eye contact. The veteran’s/service member’s self-esteem has increased as he/she is beginning to affirm his/her self-worth. The veteran/service member verbalized positive feelings toward himself/herself.
Assign Brief Activities A. The veteran/service member was assigned to create a list of activities that he/she can enjoy in brief increments of time. The veteran/service member was provided with examples of brief activities (e.g., reading or playing video games for 10 minutes at a time). The veteran/service member was encouraged to take breaks during tasks when he/she starts to feel overwhelmed. The veteran’s/service member’s use of brief activities was reviewed and processed. The veteran/service member has not broken down activities into brief increments of time and was redirected to do so. Gradually Increase Time in Enjoyable Activities A. The veteran/service member was directed to gradually increase the time he/she spends in enjoyable activities each week.
The service member was provided with support as he/she seemed to openly describe his/her broken relationships. The service member was asked to identify how he/she was insensitive to the needs and feelings of others. Role-reversal techniques were used to attempt to get the service member in touch with the pain he/she has caused others due to disrespect, disloyalty, aggression, or dishonesty. The service member was provided with positive feedback as he/she took responsibility for broken relationships. The service member has not taken responsibility for broken relationships and was confronted for this denial. Confront Self-Centeredness A. The service member was taught, through role-playing and role reversal, the value of being empathetic to the needs, rights, and feelings of others.