SPECIFIC FEARS AND A VOIDANCE 343 26. Select Initial Exposures (26) A. Initial exposures were selected from the hierarchy of anxiety-producing situations, with a bias toward likelihood of being successful. B. A plan was developed with the client for managing the symptoms that may occur during the initial exposure. C. The client was assisted in rehearsing the plan for managing the exposure-related symptoms within his/her imagination. D. Positive feedback was provided for the client's helpful use of symptom management techniques. E. The client was redirected for ways to improve his/her symptom management techniques. 27. Assign Reading about Situational Exposure (27) A. The client was assigned to read about situational exposure. B. The client was assigned to read excerpts from Mastery of Your Specific Phobia —Client Manual (Antony, Craske, and Barlow). C. The client was assigned to read portions of Living with Fear (Marks). D. The information that the client has read regarding situational exposures was reviewed and processed within the session. E. The client has not read information about situational exposure and was redirected to do so. 28. Assign Homework on Situational Exposures (28) A. The client was assigned homework exercises to perform situational exposures and record his/her e xperience. B. The client was assigned “Gradually Facing a Phobic Fear” from the Adult Psychotherapy Homework Planner, 2nd ed. (Jongsma). C. The client was assigned situational exposure homework from Mastery of Your Specific Phobia —Client Manual (Antony, Craske, and Barlow). D. The client was assigned situational exposure homework from Living with Fear (Marks). E. The client's use of situational exposure techniques was reviewed and reinforced. F. The client has struggled in his/her implementation of sit uational exposure techniques and was provided with corrective feedback. G. The client has not attempted to use the situational exposure techniques and was redirected to do so. 29. Differentiate between Lapse and Relapse (29) A. A discussion was held with the client regarding the distinction between a lapse and a relapse. B. A lapse was associated with a temporary and reversible return of symptoms, fear, or urges to avoid. C. A relapse was associated with the decision to return to fearful and avoidant pa tterns. D. The client was provided with support and encouragement as he/she displayed an understanding of the difference between a lapse and a relapse. E. The client struggled to understand the difference between a lapse and a relapse, and he/she was provided with remedial feedback in this area. 