The service member was assisted in reviewing and processing the outcome of his/her problem-solving process. Teach Assertiveness A. Role-playing Lovestruck were used to teach the service member various methods for being more assertive in personal and professional situations. The empty-chair technique was used to teach the service member about assertiveness. Role-reversal techniques were used to practice and learn about assertiveness in personal and professional situations. The service member has displayed increased understanding about assertiveness in professional and personal situations; this progress was reinforced.
The partners were assessed for their understanding of the gradations of anger and when they need to take steps to cool down. Feedback was provided to the partners regarding their use of cool-down techniques when becoming too angry. Identify “Hot Topic” Responses A. Each partner was asked to identify topics that seem to be “hot” and cause increased emotional responses.
#4: Focusing On The Negative
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. The service member was encouraged to view civilian resistance to authority as appropriate at that time but submission to authority as appropriate for this time.
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Confront Denial A. The veteran’s/service member’s pattern of denial was identified and reflected to him/her. Confrontation was used to prompt the veteran/service member to honestly identify the severity and negative consequences of his/her substance abuse. The veteran/service member has been confronted about his/her substance abuse severity and negative consequences; he/she has become more realistic about these concerns.
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The non-deployed parent did not display a clear understanding of the normal and unexpected challenges of parenting and was provided with remedial feedback in this area. Encourage Acknowledgment of Resentment A. The non-deployed parent was encouraged to acknowledge his/her resentment toward the deployed service member. The non-deployed parent acknowledged that he/she resents the deployed service member’s absence, and these emotions were processed. The non-deployed parent acknowledged his/her sense of guilt about resentment toward the deployed service member, and these emotions were processed. The non-deployed parent denied any resentment toward the deployed service member, and this was accepted. Identify Reasons for Resentment A. The non-deployed parent was assisted in identifying reasons for resentment toward the deployed parent.
The veteran/service member denied the idea that opioid abuse has been used as an escape from stress. Probe Guilt and Shame Issues A. The veteran/service member was probed for his/her sense of shame, guilt, and low selfworth that has resulted from opioid abuse and its consequences. The veteran/service member reported significant patterns of shame, guilt, and low self-worth due to his/her opioid abuse and its consequences.
Emphasize Importance of Veterans Affairs Meetings A. The importance of attending all Veterans Affairs medical appointments was stressed to the veteran. The importance of attending compensation evaluations was stressed to the veteran. The importance of attending regular health care appointments was stressed to the veteran. The veteran has attended all scheduled appointments and was provided with positive feedback in this area. The veteran has not attended all scheduled appointments and was reminded to do so. Urinalysis Failure The service member reports failing a random urinalysis conducted in his/her unit.
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Active listening was provided as the service member talked about his/her level of anxiety. The service member was noted to have a low degree of anxiety regarding pre-deployment matters. The service member was noted to have a high degree of anxiety regarding pre-deployment matters. Normalize Fears A. The service member was reassured that most service members feel fearful at some point prior to deployment. The service member was reinforced as he/she commented on the normal level of concern that he/she is experiencing. As the service member sees his/her level of anxiety to be much more than typical, the focus of the treatment was switched to his/her general anxiety symptoms.
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