INTIMATE RELATIONSHI P CONFLICTS 167 B. The client described a pattern of impuls ive sexual involvement outside of the committed relationship and subsequent regret. C. The client acknowledged that he/she has developed an unhealthy pattern of impulsive sexual involvement outside of the committed relationship. D. The client has termina ted his/her pattern of impulsive sexual involvement outside of the committed relationship. 6. Increased Spousal Discontent (6) A. The client reported that his/her partner has identified increased discontent with the changes that have occurred in the rela tionship due to his/her severe and persistent mental illness symptoms. B. The client's partner reported discontent with the changes in the relationship due to the client's severe and persistent mental illness symptoms. C. As the client has stabilized his /her pattern of severe and persistent mental illness symptoms, he/she describes a more contented relationship with his/her partner. 7. Violence or Abuse between Partners (7) A. The client reported incidents of verbal abuse that occur within the relations hip. B. The client described incidents of physical abuse that occur within the relationship. C. The client has taken steps to remove himself/herself from the abusive relationship. D. The client reported that the pattern of abusive behavior has been term inated. INTERVENTIONS IMPLEM ENTED 1. Explore Relationship History (1) * A. The client's history of intimate relationships was explored. B. The client was assisted in identifying the positive and negative outcomes of his/her history of intimate relationsh ips. C. The client was provided with positive feedback as he/she displayed insight into his/her pattern of intimate relationships. D. The client failed to identify positive and negative outcomes related to his/her pattern of intimate relationships and wa s provided with additional feedback in this area. 2. Develop a Time line (2) A. A graphic time line display was used to help the client chart his/her pattern of intimate relationship conflicts. B. The client was assisted in identifying his/her precursor s, triggers, intimate relationship conflicts, and outcomes on a time line to review how he/she experiences and is affected by the relationship conflicts. C. The client displayed a greater understanding of his/her pattern of intimate relationship conflicts and was given support and positive feedback for this insight. * The numbers in parentheses correlate to the number of the Therapeutic Interventio n 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. 