304 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER INTERVENTIONS IMPLEM ENTED 1. Explore Sexual History (1) * A. The client's history of sexual abuse and vulnerability to sexual victimization was explored. B. The client's pattern of sexual dysfunction and deviant sexual practices was ex plored. C. The client was supported during his/her open and honest description of his/her history of sexuality concerns. D. The client appeared to be rather defensive and withholding regarding his/her history regarding sexuality concerns and was urged to be more open in this area. 2. Inquire in a Tentative, Open Manner ( 2) A. Inquiries regarding the client's sexuality issues were presented to him/her in a tentative, open manner, due to the highly personal and sensitive nature of such issues. B. The cli ent was focused on the voluntary nature of working on sexuality issues and that he/she will have the power to control how quickly or intensely these issues are addressed. C. As the client has felt more in control over how intensely the sexuality issues ar e worked on, he/she has been more capable of addressing these issues, and this was reflected to him/her. D. The client was reinforced for openly discussing matters of a sexual nature. E. Despite inquiries into sexuality issues being presented in a tentat ive, open manner, the client was very cautious and withholding regarding these issues; he/she was urged to address these issues as he/she is able. 3. Identify History of Sexuality Concerns (3) A. The client was requested to provide specific information r egarding his/her history of sexual difficulties, dysfunction, or confusion. B. The client's specific information regarding his/her history of sexual difficulties, dysfunction, or confusion was reviewed. C. The client has not provided more specific inform ation regarding his/her sexuality concerns and was redirected to do so. 4. Obtain Additional Sources of Information (4) A. A written consent to release information was obtained in order to procure additional information about the client's sexuality conce rns from outside sources. B. Specific information was obtained from the client's spouse, partner, or other family members regarding the client's sexuality concerns. C. The additional information regarding sexuality issues obtained from the client's spous e, partner, or other family members was reviewed with the client. D. The client's choice not to have others provide information regarding his/her sexuality concerns was respected. * 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. 