PARANOIA 233 B. The client has experienced visual hallucinations suggesting harm, threats to safety, or disloyalty. C. The client's hallucinations have decreased in intensity and frequency. D. The client reported no longer experiencing hallucinations of any type. 6. Avoids Others (6) A. The client acknowledged that he/she is inclined to keep an emotional and social distance from others for fear of being hurt or being taken advantage of by them. B. The client is beginning to show some trust of others as demonstrated by increased social interaction. C. The client described relationships with others that involve a degree of vulnerabil ity and intimacy with which he/she has become comfortable. 7. Easily Offended/Quick to Anger (7) A. The client's history is replete with incidents in which he/she has become easily offended and was quick to anger. B. The client described a pattern of de fensiveness in which he/she easily feels threatened by others and becomes angry with them. C. The client described a pattern of projection of threatening motivations onto others to which he/she reacts with irritability, defensiveness, and anger. D. The c lient has become less defensive and has not shown any recent incidents of unreasonable anger. 8. Suspicious of Treatment (8) A. The client described irrational persecutory beliefs regarding his/her treatment. B. The client displayed a pattern of unwilli ngness to take advantage of treatment due to his/her irrational persecutory beliefs. C. As a more trusting therapeutic relationship has been developed, the client reports decreased suspiciousness of his/her treatment. D. The client displayed a willingnes s to take advantage of treatment regardless of persecutory beliefs. E. The client has displayed no persecutory beliefs associated with his/her treatment. 9. Violence Potential (9) A. The client described urges to become violent as a defensive reaction t o his/her delusion or hallucination that some person or agency is a threat to self or others. B. The client reported that he/she has initiated physical encounters that have injured others as a defensive reaction to his/her delusions or hallucinations. C. The client has decreased his/her pattern of violence as a defensive reaction to delusions or hallucinations. D. As the client's delusions and hallucinations have decreased, his/her potential for being violent has decreased as well. E. The client shows n o current evidence of irrational urges to become violent. 