SEXUALITY CONCERNS 305 5. Prepare a Time line of Sexual Involvement ( 5) A. A graphic time line display was used to help the client chart his/her sexual history. B. The client noted patterns of sexual behavior, sexual abuse history, and other sexual history concerns, which were graphically displayed on a time line. C. The client was provided with s upport as he/she developed a greater understanding of his/her pattern of sexuality concerns. D. The client failed to gain insight into his/her pattern of sexuality concerns and was redirected in this area. 6. Focus on Reality (6) A. The client was encou raged to check out his/her beliefs regarding others by verifying his/her conclusions with others directly. B. The client was encouraged to identify respected individuals with whom he/she can check the reality of his/her delusional or paranoid thoughts. C. The client is beginning to verbalize a sense of trust in significant others, and this was processed within the session. D. The client has followed through on checking out his/her distrustful beliefs and has found that others do not share them; he/she wa s assisted in reexamining and processing his/her unreasonable beliefs. E. The client has attempted to use reality testing but has become more agitated when his/her beliefs are not supported, so he/she was encouraged to temporarily suspend this type of sel f-analysis. 7. Define Sexual Abuse ( 7) A. The client was provided with a definition of sexual abuse. B. The definition of sexual abuse was compared with the client's experience, and this was processed. 8. Explore Sexual Abuse History ( 8) A. The client was encouraged to tell the entire story of the sexual abuse, giving as many details as he/she felt comfortable with providing. B. The client was supported and encouraged as he/she appeared overwhelmed with feelings of sadness and shame due to talking abo ut his/her childhood sexual abuse. C. The client was supported as he/she spoke of the childhood sexual abuse without becoming emotionally overwhelmed. 9. Review Common Effects of Sexual Abuse ( 9) A. Common emotional, self-esteem, and relationship effect s of sexual abuse were reviewed with the client. B. It was noted that the client displayed understanding of the effects of sexual abuse but did not identify with any of these concerns. C. The client was supported as he/she identified emotional, self-esteem, and relationship effects that he/she has experienced due to his/her sexual abuse. 10. Assign Reading Regarding Sexual Abuse (1 0) A. The client was assigned to read information to assist in processing his/her feelings related to the sexual abuse. 