Therapist's Guide to Clinical Intervention - Sigmund Freud

C. Role-model and practice communication responses (verbal and nonverbal) for
various situations and circumstances
D. Positive feedback and reinforcement
7. Defensive Behaviors
A. Increase awareness for defensive tendencies by defining with examples and
encouraging the individual to identify similar behaviors of his/her own
B. In a nonthreatening way, explore with these individuals any past feedback that they
have been given from others about how others perceive them and what contributes
to that perception
C. Focus on positives attributions to encourage positive self-esteem
D. Encourage acceptance of responsibility for one's own behavior
E. Have person identify the relationship between feelings of inadequacy and
defensiveness
F. Positive feedback and reinforcement
8. Low Self-Esteem
A. Through a positive therapeutic relationship, be accepting, respectful, and ask them
often what their views are about issues, affirming the importance of what they have
to offer
B. Support and encourage appropriate risk taking toward desired goals
C. Encourage their participation in problem solving
D. Reframe mistakes in an effort toward change as an opportunity to learn more and
benefit from experiences. Encourage taking responsibility for one's own mistakes.
E. Encourage self-care behaviors: grooming/hygiene, exercise, no use of substances,
good nutrition, engaging in appropriate pleasurable activities
F. Identify self-improvement activities; behavioral change, education, growth
experiences
G. Identify and develop healthy, appropriate values
H. Identify strengths and develop a form of daily affirmations for reinforcing positive
self-image
I. Identify desired changes. Be sensitive, realistic, and supportive in development of
shaping changes.
J. Facilitate assertive communication and assertive body language
K. Educate about the destructiveness of negative self-talk
L. Create opportunities for person to show his/her abilities
M. Notice examples of ability and point them out. Build on strengths.
N. Positively reinforce their efforts and accomplishments
9. Ineffective Coping
A. Provide appropriate physical activity to decrease body tension and offer a positive
choice with a sense of well-being
B. Set limits on manipulative behavior and give appropriate consequences
C. Facilitate change in coping by not participating in arguing, debating, excessive
explaining, rationalizing, or bargaining with the person
D. Running away
1. Identify the nature and extent of running away
2. Clarify and interpret the dynamics of running away
3. Work through the identified dynamics
4. Facilitate the individual to identify the signs of impending runaway
behavior
5. Facilitate identification and implementation of alternative solutions to
running away
10 i. Treatment Planning: Goals, Objectives, and Interventions