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SECTION 2 ANTISOCIAL BEHAVIOR

Therapist's Overview HOW I HAVE HURT OTHERS

GOALS OF THE EXERCISE

1 Identify specific behaviors that have been engaged in to hurt others.

2 Identify the consequences of hurtful behavior.

3 Increase awareness of how antisocial behavior has specifically hurt others.

4 Indicate the steps that will be taken to make amends or restitution for hurt caused to others.

ADDITIONAL PROBLEMS FOR WHICH THIS EXERCISE MAY BE MOST USEFUL

 Anger Control Problems

 Legal Conflicts

 Substance Use

SUGGESTIONS FOR PROCESSING THIS EXERCISE WITH THE CLIENT

Minimization and denial are traits that often accompany antisocial behavior patterns. This exercise is designed to increase sensitivity to antisocial behaviors that cause others pain. Confrontation may be necessary to bring the client to acknowledge behaviors that are not included in the checklist. Be alert to the antisocial personality trait of projection; that is, the client may try to place blame for their behavior on anyone but themselves. Role reversal may be necessary to help the client feel the pain of their behavior on others.

EXERCISE 2.A HOW I HAVE HURT OTHERS

We are capable of hurting others in many different ways. This assignment will help you become more aware of various behaviors that have a hurtful impact on others. Sometimes we are very aware that we are hurting someone with our behavior, while at other times we do not even seem to notice it. Review the list of hurtful behaviors that follow and put a check mark next to those that you have engaged in and that have resulted in pain for others.

Hurtful Behaviors

______________ Dishonesty ______________ Sex abuse
______________ Disloyalty ______________ Unfaithfulness
______________ Physical assault ______________ Verbal attacks
______________ Stealing ______________ Irresponsibility
______________ Unkindness ______________ Insensitivity
______________ Blaming ______________ Threatening
______________ Illegal acts ______________ Weapon use
______________ Substance abuse ______________ Name calling
______________ Job loss ______________ Unkept promises

1 Describe three situations where you have hurt others through engaging in one of the behaviors listed.Situation A:Situation B:Situation C:

2 Describe how your behavior affected others. How were they hurt?Situation A:Situation B:Situation C:

3 What might you do to make amends for your hurtful behavior toward others in these three situations?Situation A:Situation B:Situation C:

Therapist's Overview LETTER OF APOLOGY

GOALS OF THE EXERCISE

1 Increase awareness of hurtful behavior toward others.

2 Increase sensitivity toward the impact of hurtful behavior on others.

3 Indicate the steps that will be taken to make amends or restitution for hurt caused to others.

4 Offer sincere apology through written letter for how antisocial or irresponsible behavior has negatively affected others.

ADDITIONAL PROBLEMS FOR WHICH THIS EXERCISE MAY BE MOST USEFUL

 Anger Control Problems

 Family Conflict

 Intimate Relationship Conflicts

 Legal Conflicts

 Substance Use

SUGGESTIONS FOR PROCESSING THIS EXERCISE WITH THE CLIENT

Hurtful behavior toward others is easily minimized or denied in terms of who is responsible for it or the impact it has on others. This assignment increases sensitivity toward the impact that hurtful behavior has had on others. In processing the exercise, it is important that the client include all elements of a constructive apology and avoid projection or minimization. Review each letter of apology to make sure it contains all the necessary elements. Evaluate whether the client demonstrates genuine feelings of regret, shame, or guilt. Clearly confront denial and emphasize the negative impact of insensitive behaviors.

EXERCISE 2.B LETTER OF APOLOGY

After we become aware of the pain we have caused someone else through our own unkind behavior, we must try to find a way to heal the hurt and make amends. Many times just saying “I'm sorry” is not enough. It can be helpful if the apology is accompanied by a written note acknowledging causing the pain and suggesting how you could have done things differently. This assignment asks you to describe three incidents in which you have hurt others. It then asks you to construct a brief letter of apology for each of these incidents.

Three Hurtful Incidents

Describe for each of three incidents who was hurt, what you did to hurt them, how they felt about what you did, how you feel now about what you did, and how you could have acted more kindly.

Incident #1:

Incident #2:

Incident #3:

Apology

Write a letter of apology to each of the people who were hurt in each of the three incidents described (on a separate piece of paper). Include in your letter of apology a description of what you did to hurt them, your perception of how your actions must have affected them, how you feel today about your actions, and what you wished you would have done in the place of your hurtful behavior.

Therapist's Overview THREE ACTS OF KINDNESS

GOALS OF THE EXERCISE

1 List three actions that will be performed that will be acts of kindness and thoughtfulness toward others.

2 Develop and demonstrate a healthy sense of respect for social norms, the rights of others, and a need for honesty.

3 Demonstrate caring, kindness, and empathy toward other people on a consistent basis.

ADDITIONAL PROBLEMS FOR WHICH THIS EXERCISE MAY BE MOST USEFUL

 Anger Control Problems

 Attention Deficit Hyperactivity Disorder (ADHD)—Adult

 Impulse Control Disorder

 Legal Conflicts

 Type A Behavior

SUGGESTIONS FOR PROCESSING THIS EXERCISE WITH THE CLIENT

As the name implies, the client is instructed to engage in three acts of kindness, caring, or thoughtfulness over the course of a week. The acts of kindness or caring can be spontaneous or planned. The client can perform the acts of kindness with someone they know very well or with a total stranger. The client may also want to “undo” previous harmful or responsible acts by engaging in thoughtful or responsible behaviors with others. (NOTE: The number of altruistic acts can be modified per week.) It is hoped that the client will develop a routine of helping others or engaging in prosocial behaviors on a regular basis. The client is asked to complete a questionnaire on the following page after performing the altruistic act. Keeping a journal of the altruistic acts will allow the client to process experiences with the therapist. Furthermore, the therapist has the opportunity to reinforce the client's kind or thoughtful behaviors.

EXERCISE 2.C THREE ACTS OF KINDNESS

Please record times when you performed an act of kindness for others. Bring the completed questionnaires back to your next therapy session to process with your therapist.

Date ________________________________

Setting (e.g., home, workplace, community)

Recipient(s) of kindness

What was your specific act of kindness?

How did you feel about performing the act of kindness?

How did the other person(s) respond to your act of kindness?

How did their response make you feel?

Would you perform this act of kindness again in the future? __________ yes __________ no

If no, please explain.

What are three other acts of kindness you can perform in the future?

(Optional: This question does not have to be answered each time you complete the form.)

Adult Psychotherapy Homework Planner

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