332 THE SEVERE AN D PERSISTENT MENTAL ILLNESS PROGRESS NOT ES PLANNER C. The client was reinforced as he/she verbalized an understanding of the cognitive beliefs and messages that mediate his/her problem with social skills. D. The client was assisted in replacing distorted messages with positive, realistic cognitions. E. The client failed to identify his/her distorted thoughts and cognitions and was provided with tentative examples in this area. 25. Assign Exercise s on Self-Talk (25) A. The client was assigned homework exercises in which he/she identifies fearful self-talk and creates reality-based alternatives. B. The client's replacement of fearful self-talk with reality-based alternatives was critiqued. C. The client was reinforced for his/her successes at replacing fearful self-talk with reality-based alternatives. D. “Restoring Socialization Comfort” from Adult Psychotherapy Homework Planner, 2nd ed. (Jongsma) was used to help identify fearful self-talk and create reality-based alternatives. E. The client was provided with corrective feedback for his/her failures to replace fearful self-talk with reality-based alternatives. F. The client has not completed his/her assigned homework regarding fearful self-talk and was redirected to do so. 26. Monitor Thought Process (2 6) A. The effect of the client's mental illness symptoms on his/her thought process was monitored. B. The client was provided with specific feedback about the areas in which his/her mental illn ess symptoms are currently affecting his/her thought process. C. The client was provided with general feedback regarding areas in which his/her mental illness symptoms may potentially affect his/her thought process. D. The client denied that his/her symp toms had any effect on his/her thought process and was provided with additional feedback in this area. 27. Develop Support and Feedback from Others ( 27) A. The client was encouraged to seek frequent reality testing to challenge his/her distorted beliefs. B. The client was provided with positive reinforcement for others' comparing his/her cognitions with the experience of trusted caregivers, friends, and family. C. The client has sought out emotional support from family and friends, and the benefits of t his were reviewed. D. The client was reinforced for demonstrating an increased reality orientation. E. The client failed to use reality testing from others to challenge his/her distorted beliefs and was encouraged to do so. 28. Assign Feedback Homework (28) A. The client was assigned the homework of gaining feedback from others in three social situations. B. The client completed the homework of obtaining feedback from others in social situations. C. The client was reinforced for displaying an increase d understanding of his/her social presentation as a result of the review of his/her feedback from others. 