BORDERLINE PERSONALI TY 57 C. The client was assisted in developing a hierarchy of feared and avoided trauma-related stimuli. D. The client's journaling was used to assist in developing a hierarchy of feared and avoided trauma-related stimuli. 24. Direct Imaginal Exposure (24) A. Imaginal Exposure was directed by having the client describe a chosen traumatic experience at an increasing, but client-chosen, level of detail. B. Cognitive restructuring techniques were integrated and repeated until the associated anxiety regarding childhood trauma was reduced and stabilized. C. The session was recorded and provided to the client to listen to between sessions. D. “Sha re the Painful Memory” from the Adult Psychotherapy Homework Planner, 2nd ed. (Jongsma) was assigned to help direct the client's imaginal exposure. E. Techniques from Posttraumatic Stress Disorder (Resick and Calhoun) were used to direct the client's imag inal exposure. F. The client's progress was reviewed, reinforced, and problem solved. 25. Assign Homework on Exposure (25) A. The client was assigned homework exercises to perform exposure to feared stimuli and record his/her experience. B. The client w as directed to listen to the taped exposure session to consolidate his/her skills for exposure to feared stimuli. C. The client was assigned situational exposure homework from Posttraumatic Stress Disorder (Resick and Calhoun). D. The client's use of exp osure techniques was reviewed and reinforced. E. The client has struggled in his/her implementation of exposure techniques and was provided with corrective feedback. F. The client has not attempted to use the exposure techniques and was redirected to do so. 26. Encourage Trust in Own Evaluations (26) A. The client was encouraged to value, believe, and trust in his/her evaluations of himself/herself, others, and situations. B. The client was encouraged to examine situations in a nondefensive manner, inde pendent of others' opinions. C. The client was encouraged to build self-reliance through trusting his/her own evaluations. D. The client was reinforced for his/her value, belief, and trust in his/her own evaluations of himself/herself, others, and situat ions. E. The client was redirected when he/she tended to devalue, disbelieve and distrust his/her own evaluations. 27. Encourage Positive Experiences (27) A. The client was encouraged to facilitate his/her personal growth by choosing experiences that strengthen self-awareness, personal values, and appreciation of life. B. The client was encouraged to use spiritual practices and other relative life experiences to help increase his/her positive experiences. 