ANGER MANAGEMENT 29 C. The client's disrespectful treatment of authority figures has often erupted in explosive, aggressive outbursts. D. The client has made progress in controll ing his/her overreactivity to taking direction from those in authority and is responding with more acts of cooperation. E. The client now takes direction from authority figures without reacting angrily. 9. Angry, Tense Body Language (8) A. The client pr esented with verbalizations of anger as well as tense, rigid muscles and glaring facial expressions. B. The client expressed his/her anger with bodily signs of muscle tension, clenched fists, and refusal to make eye contact. C. The client appeared more r elaxed, less angry, and did not exhibit physical signs of aggression. D. The client's family and/or caregiver reported that he/she has been more relaxed within the home setting and has not shown glaring looks or pounded his/her fists on the table. 10. History of Abuse (9) A. The client has vague memories of inappropriate, abusive verbal, physical, and/or sexual contact. B. The client recalled clear, detailed memories of experiences of verbal, physical, and/or sexual abuse in his/her childhood or adultho od. C. The client displayed a pattern of overreaction to stress, due to his/her history of childhood abuse. D. The client has decreased his/her overreaction to stress as he/she has worked through his/her pattern of childhood verbal, physical, and/or sexu al abuse. 11. Self-Directed Anger (10) A. The client displayed self-directed anger, as evidenced by a history of multiple suicidal gestures and/or threats. B. The client has engaged in self-mutilating behavior as an expression of his/her anger toward himself/herself. C. The client has made a commitment to terminate suicidal gestures and threats. D. The client agreed to stop the pattern of self-mutilating behavior. E. There have been no recent reports of occurrences of suicidal gestures, threats, or se lf-mutilating behavior. INTERVENTIONS IMPLEM ENTED 1. Develop Trust (1) * A. Today's clinical contact focused on building the level of trust with the client through consistent eye contact, active listening, unconditional positive regard, and warm acceptanc e. * The numbers in parentheses correlate to the number of the Therapeutic Intervention statement in the companion chapter with the same title in The Severe and Persistent Mental Illness Treatment Planner, 2nd ed. (Berghuis and Jongsma) by John Wiley & Sons, 2008. 